PMID- 21493923 OWN - NLM STAT- MEDLINE DCOM- 20110616 LR - 20220331 IS - 1524-4571 (Electronic) IS - 0009-7330 (Linking) VI - 108 IP - 8 DP - 2011 Apr 15 TI - The PPAR-RXR transcriptional complex in the vasculature: energy in the balance. PG - 1002-16 LID - 10.1161/CIRCRESAHA.110.226860 [doi] AB - The peroxisome proliferator-activated receptors (PPARs) and the retinoid X receptors (RXRs) are ligand-activated transcription factors that coordinately regulate gene expression. This PPAR-RXR transcriptional complex plays a critical role in energy balance, including triglyceride metabolism, fatty acid handling and storage, and glucose homeostasis: processes whose dysregulation characterize obesity, diabetes, and atherosclerosis. PPARs and RXRs are also involved directly in inflammatory and vascular responses in endothelial and vascular smooth muscle cells. New insights into fundamental aspects of PPAR and RXR biology, and their actions in the vasculature, continue to appear. Although RXRs are obligate heterodimeric partners for PPAR action, the part that RXRs, and their endogenous retinoid mediators, exert in the vessel wall is less well understood. Biological insights into PPAR-RXRs may help inform interpretation of clinical trials with synthetic PPAR agonists and prospects for future PPAR therapeutics. Importantly, the extensive data establishing a key role for PPARs and RXRs in energy balance, inflammation, and vascular biology stands separately from the clinical experience with any given synthetic PPAR agonist. Both the basic science data and the clinical experience with PPAR agonists identify the need to better understand these important transcriptional regulators. FAU - Plutzky, Jorge AU - Plutzky J AD - Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA, USA. jplutzky@rics.bwh.harvard.edu LA - eng GR - AR054604-03S1/AR/NIAMS NIH HHS/United States GR - HL048743/HL/NHLBI NIH HHS/United States GR - HL075771/HL/NHLBI NIH HHS/United States GR - HL095123/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Circ Res JT - Circulation research JID - 0047103 RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - 0 (Retinoid X Receptors) RN - 0 (Transcription Factors) SB - IM MH - Animals MH - Atherosclerosis/metabolism/physiopathology MH - Energy Metabolism/*physiology MH - Humans MH - Muscle, Smooth, Vascular/*metabolism MH - Peroxisome Proliferator-Activated Receptors/*metabolism MH - Retinoid X Receptors/*metabolism/physiology MH - Transcription Factors/metabolism/physiology MH - Transcription, Genetic/physiology EDAT- 2011/04/16 06:00 MHDA- 2011/06/17 06:00 CRDT- 2011/04/16 06:00 PHST- 2011/04/16 06:00 [entrez] PHST- 2011/04/16 06:00 [pubmed] PHST- 2011/06/17 06:00 [medline] AID - 108/8/1002 [pii] AID - 10.1161/CIRCRESAHA.110.226860 [doi] PST - ppublish SO - Circ Res. 2011 Apr 15;108(8):1002-16. doi: 10.1161/CIRCRESAHA.110.226860.