PMID- 30060458 OWN - NLM STAT- MEDLINE DCOM- 20181121 LR - 20220408 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 19 IP - 8 DP - 2018 Jul 27 TI - The Opportunities and Challenges of Peroxisome Proliferator-Activated Receptors Ligands in Clinical Drug Discovery and Development. LID - 10.3390/ijms19082189 [doi] LID - 2189 AB - Peroxisome proliferator-activated receptors (PPARs) are a well-known pharmacological target for the treatment of multiple diseases, including diabetes mellitus, dyslipidemia, cardiovascular diseases and even primary biliary cholangitis, gout, cancer, Alzheimer's disease and ulcerative colitis. The three PPAR isoforms (alpha, beta/delta and gamma) have emerged as integrators of glucose and lipid metabolic signaling networks. Typically, PPARalpha is activated by fibrates, which are commonly used therapeutic agents in the treatment of dyslipidemia. The pharmacological activators of PPARgamma include thiazolidinediones (TZDs), which are insulin sensitizers used in the treatment of type 2 diabetes mellitus (T2DM), despite some drawbacks. In this review, we summarize 84 types of PPAR synthetic ligands introduced to date for the treatment of metabolic and other diseases and provide a comprehensive analysis of the current applications and problems of these ligands in clinical drug discovery and development. FAU - Hong, Fan AU - Hong F AD - Beijing Key Laboratory of Gene Resource and Molecular Development, College of Life Sciences, Beijing Normal University, Beijing 100875, China. hongfanky@126.com. AD - Key Laboratory for Cell Proliferation and Regulation Biology of State Education Ministry, College of Life Sciences, Beijing Normal University, Beijing 100875, China. hongfanky@126.com. FAU - Xu, Pengfei AU - Xu P AD - Beijing Key Laboratory of Gene Resource and Molecular Development, College of Life Sciences, Beijing Normal University, Beijing 100875, China. pex9@pitt.edu. FAU - Zhai, Yonggong AU - Zhai Y AD - Beijing Key Laboratory of Gene Resource and Molecular Development, College of Life Sciences, Beijing Normal University, Beijing 100875, China. ygzhai@bnu.edu.cn. AD - Key Laboratory for Cell Proliferation and Regulation Biology of State Education Ministry, College of Life Sciences, Beijing Normal University, Beijing 100875, China. ygzhai@bnu.edu.cn. LA - eng PT - Journal Article PT - Review DEP - 20180727 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Hypolipidemic Agents) RN - 0 (Ligands) RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - 0 (Protein Isoforms) SB - IM MH - Animals MH - Anti-Inflammatory Agents/therapeutic use MH - Disease Models, Animal MH - *Drug Discovery MH - Humans MH - Hypolipidemic Agents/therapeutic use MH - Ligands MH - Metabolic Diseases/*drug therapy MH - Mice MH - Molecular Conformation MH - *Molecular Targeted Therapy MH - Peroxisome Proliferator-Activated Receptors/*agonists/*chemistry/metabolism MH - Protein Isoforms/agonists/chemistry/metabolism MH - Rats PMC - PMC6121873 OTO - NOTNLM OT - PPAR OT - T2DM OT - TZDs OT - dyslipidemia OT - ligand COIS- The authors declare no conflict of interest. EDAT- 2018/08/01 06:00 MHDA- 2018/11/22 06:00 PMCR- 2018/08/01 CRDT- 2018/08/01 06:00 PHST- 2018/06/22 00:00 [received] PHST- 2018/07/16 00:00 [revised] PHST- 2018/07/24 00:00 [accepted] PHST- 2018/08/01 06:00 [entrez] PHST- 2018/08/01 06:00 [pubmed] PHST- 2018/11/22 06:00 [medline] PHST- 2018/08/01 00:00 [pmc-release] AID - ijms19082189 [pii] AID - ijms-19-02189 [pii] AID - 10.3390/ijms19082189 [doi] PST - epublish SO - Int J Mol Sci. 2018 Jul 27;19(8):2189. doi: 10.3390/ijms19082189.