PMID- 27005447 OWN - NLM STAT- MEDLINE DCOM- 20171218 LR - 20180302 IS - 1879-3061 (Electronic) IS - 1043-2760 (Linking) VI - 27 IP - 5 DP - 2016 May TI - Unraveling the Effects of PPARbeta/delta on Insulin Resistance and Cardiovascular Disease. PG - 319-334 LID - S1043-2760(16)00034-5 [pii] LID - 10.1016/j.tem.2016.02.008 [doi] AB - Insulin resistance precedes dyslipidemia and type 2 diabetes mellitus (T2DM) development. Preclinical evidence suggests that peroxisome proliferator-activated receptor (PPAR) beta/delta activators may prevent and treat obesity-induced insulin resistance and T2DM, while clinical trials highlight their potential utility in dyslipidemia. This review summarizes recent mechanistic insights into the antidiabetic effects of PPARbeta/delta activators, including their anti-inflammatory actions, their ability to inhibit endoplasmic reticulum (ER) stress and hepatic lipogenesis, and to improve atherogenesis and insulin sensitivity, as well as their capacity to activate pathways that are also stimulated by exercise. Findings from clinical trials are also examined. Dissecting the effects of PPARbeta/delta ligands on insulin sensitivity and atherogenesis may provide a basis for the development of therapies for the prevention and treatment of T2DM and cardiovascular disease (CVD). CI - Copyright (c) 2016 Elsevier Ltd. All rights reserved. FAU - Vazquez-Carrera, Manuel AU - Vazquez-Carrera M AD - Department of Pharmacology and Therapeutic Chemistry, Faculty of Pharmacy, University of Barcelona, Institute of Biomedicine of the University of Barcelona (IBUB), Pediatric Research Institute, Hospital Sant Joan de Deu, Barcelona, Spain; Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Diseases (CIBERDEM)-Instituto de Salud Carlos III, Diagonal 643, 08028 Barcelona, Spain. Electronic address: mvazquezcarrera@ub.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160320 PL - United States TA - Trends Endocrinol Metab JT - Trends in endocrinology and metabolism: TEM JID - 9001516 RN - 0 (PPAR delta) RN - 0 (PPAR-beta) SB - IM MH - Animals MH - Cardiovascular Diseases/genetics/*metabolism MH - Humans MH - Inflammation/genetics/metabolism MH - Insulin Resistance/genetics/*physiology MH - PPAR delta/*metabolism MH - PPAR-beta/*metabolism OTO - NOTNLM OT - PPARbeta/delta OT - inflammation OT - insulin resistance OT - type 2 diabetes mellitus EDAT- 2016/03/24 06:00 MHDA- 2017/12/19 06:00 CRDT- 2016/03/24 06:00 PHST- 2016/01/22 00:00 [received] PHST- 2016/02/16 00:00 [revised] PHST- 2016/02/25 00:00 [accepted] PHST- 2016/03/24 06:00 [entrez] PHST- 2016/03/24 06:00 [pubmed] PHST- 2017/12/19 06:00 [medline] AID - S1043-2760(16)00034-5 [pii] AID - 10.1016/j.tem.2016.02.008 [doi] PST - ppublish SO - Trends Endocrinol Metab. 2016 May;27(5):319-334. doi: 10.1016/j.tem.2016.02.008. Epub 2016 Mar 20.