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Peroxisome proliferator-activated receptor alpha, Peroxisome proliferator-activated receptor gamma, Peroxisome proliferator-activated receptor delta (PPAR-α (alpha), PPAR-γ (gamma), PPAR-δ (delta) or PPAR-β/δ (beta/delta))

Target
PPAR-α (alpha), PPAR-γ (gamma), PPAR-δ (delta) or PPAR-β/δ (beta/delta)
Molecular classification
Nuclear receptor, Transcription factor, Ligand-activated transcription factor (nuclear hormone receptor superfamily)
01

Overview

Peroxisome proliferator-activated receptors (PPARs) are a subgroup of nuclear receptor transcription factors that function as lipid-activated regulators of gene expression. There are three main isoforms in humans: PPAR-α, PPAR-γ, and PPAR-δ (also called PPAR-β/δ). PPAR-α mainly modulates lipid metabolism and is highly expressed in liver, heart, and muscle, controlling fatty acid oxidation and ketogenesis. PPAR-γ is central to adipocyte differentiation, glucose metabolism, and is targeted by thiazolidinedione diabetes drugs. PPAR-δ is more ubiquitous and is involved in fatty acid oxidation, energy expenditure, and modulating inflammation. All PPARs heterodimerize with retinoid X receptor (RXR) and bind to specific DNA sequences—peroxisome proliferator response elements (PPREs)—to regulate expression of metabolic and inflammatory genes. They play significant roles in metabolic diseases, cardiovascular disease, inflammatory conditions, and some cancers.

Other names
PPAR-alphaPPARγPPARδPPARβ/δNR1C1 (PPAR-α)NR1C2 (PPAR-β/δ)NR1C3 (PPAR-γ)Peroxisome proliferator-activated receptor beta (for delta subtype)PPARβ (for delta subtype)hPPARγ (for human PPARγ)
02

Mechanism of action

Activation of PPARs by agonists induces conformational changes, promotes heterodimerization with retinoid X receptor (RXR), and recruitment of co-activators to regulate the transcription of target genes involved in fatty acid and glucose metabolism, energy homeostasis, and anti-inflammatory pathways.

03

Biological functions

Regulation of lipid metabolismRegulation of glucose metabolismFatty acid oxidationEnergy homeostasisAdipogenesis (fat cell formation, mainly PPARγ)Cell differentiationModulation of inflammationRegulation of gene expression
04

Disease associations

Metabolic syndromeType 2 diabetes mellitusDyslipidemiaAtherosclerosisCardiovascular diseaseNon-alcoholic fatty liver diseaseCancer (PPARγ involvement)Inflammation-related diseases
05

Safety considerations

Hepatotoxicity (some PPAR agonists, e.g., troglitazone)Fluid retention, weight gain, edema (PPAR-γ agonists)Increased cardiovascular risk (some PPAR-γ and dual agonists, e.g., rosiglitazone)Possible carcinogenicity (PPAR-δ agonists in preclinical studies)Bone loss/fracture risk (PPAR-γ agonists)
06

Interacting drugs

Fibrates (mainly PPAR-α agonists, e.g., fenofibrate, gemfibrozil)

3 more in the full profile.

07

Biomarkers

Plasma lipid profile (triglycerides, LDL/HDL cholesterol)Glucose and insulin sensitivity (for PPAR-γ)Expression of target genes such as CPT1, ACOX1, PDK4 (for PPAR-α)Adiponectin (for PPAR-γ activity)

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