PMID- 27636730 OWN - NLM STAT- MEDLINE DCOM- 20170707 LR - 20210929 IS - 1759-5037 (Electronic) IS - 1759-5029 (Linking) VI - 13 IP - 1 DP - 2017 Jan TI - PPARs in obesity-induced T2DM, dyslipidaemia and NAFLD. PG - 36-49 LID - 10.1038/nrendo.2016.135 [doi] AB - Obesity is a worldwide epidemic that predisposes individuals to cardiometabolic complications, such as type 2 diabetes mellitus (T2DM) and nonalcoholic fatty liver disease (NAFLD), which are all related to inappropriate ectopic lipid deposition. Identification of the pathogenic molecular mechanisms and effective therapeutic approaches are highly needed. The peroxisome proliferator-activated receptors (PPARs) modulate several biological processes that are perturbed in obesity, including inflammation, lipid and glucose metabolism and overall energy homeostasis. Here, we review how PPARs regulate the functions of adipose tissues, such as adipogenesis, lipid storage and adaptive thermogenesis, under healthy and pathological conditions. We also discuss the clinical use and mechanism of PPAR agonists in the treatment of obesity comorbidities such as dyslipidaemia, T2DM and NAFLD. First generation PPAR agonists, primarily those acting on PPARgamma, are associated with adverse effects that outweigh their clinical benefits, which led to the discontinuation of their development. An improved understanding of the physiological roles of PPARs might, therefore, enable the development of safe, new PPAR agonists with improved therapeutic potential. FAU - Gross, Barbara AU - Gross B AD - Universite de Lille, INSERM, CHU Lille, Institut Pasteur de Lille, U1011-EGID, F-59000 Lille, France. FAU - Pawlak, Michal AU - Pawlak M AD - International Institute of Molecular and Cell Biology, 4 Ks. Trojdena Street, 02-109 Warsaw, Poland. FAU - Lefebvre, Philippe AU - Lefebvre P AD - Universite de Lille, INSERM, CHU Lille, Institut Pasteur de Lille, U1011-EGID, F-59000 Lille, France. FAU - Staels, Bart AU - Staels B AD - Universite de Lille, INSERM, CHU Lille, Institut Pasteur de Lille, U1011-EGID, F-59000 Lille, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160916 PL - England TA - Nat Rev Endocrinol JT - Nature reviews. Endocrinology JID - 101500078 RN - 0 (Peroxisome Proliferator-Activated Receptors) SB - IM MH - Animals MH - Diabetes Mellitus, Type 2/*metabolism/pathology/therapy MH - Dyslipidemias/*metabolism/pathology/therapy MH - Humans MH - Non-alcoholic Fatty Liver Disease/*metabolism/pathology/therapy MH - Peroxisome Proliferator-Activated Receptors/*metabolism/therapeutic use EDAT- 2016/11/04 06:00 MHDA- 2017/07/08 06:00 CRDT- 2016/09/17 06:00 PHST- 2016/11/04 06:00 [pubmed] PHST- 2017/07/08 06:00 [medline] PHST- 2016/09/17 06:00 [entrez] AID - nrendo.2016.135 [pii] AID - 10.1038/nrendo.2016.135 [doi] PST - ppublish SO - Nat Rev Endocrinol. 2017 Jan;13(1):36-49. doi: 10.1038/nrendo.2016.135. Epub 2016 Sep 16.