Targeting peroxisome proliferator-activated receptor gamma for generation of antidiabetic drug

Curr Diabetes Rev. 2013 Jul;9(4):275-85. doi: 10.2174/15733998113099990065.

Abstract

The incidence of Diabetes Mellitus (DM) has increased to alarming levels not only in developed countries but also in developing and underdeveloped countries. Scientific data have made it clear by now that patients with DM are predisposed to many other diseases. One of the worst associations of DM is with obesity and the number of DM patients with obesity is increasing at a very fast pace due to dramatic change in life style around the world in last few decades. This necessitates the discovery of new drugs to treat increasing numbers of people with both DM and obesity. Peroxisome Proliferator activated receptor gamma (PPARγ) is a well known target for DM and thiazolidiniones (TZDs; a common class of antidiabetic drug) which includes rosiglitazone and pioglitazone act through PPARγ. Recent studies have demonstrated that PPARγ apart from being important in glucose utilization also plays a critical role in lipid metabolism and energy homeostasis affecting long-term metabolic status. The possibility of selective modulation of PPARγ has opened up a whole new avenue of research and has the potential of producing some drug which can simultaneously fight both DM and obesity, without the side-effects of the currently available PPARγ modulators. Here, we discuss various aspects of selective modulation of PPARγ action.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Blood Glucose / drug effects
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / physiopathology
  • Female
  • Gene Expression Regulation
  • Humans
  • Hypoglycemic Agents / metabolism
  • Hypoglycemic Agents / therapeutic use*
  • Indoles / pharmacology
  • Indoles / therapeutic use*
  • Insulin Resistance
  • Lipid Metabolism / drug effects
  • Male
  • Obesity / drug therapy*
  • Obesity / metabolism
  • Obesity / physiopathology
  • PPAR gamma / agonists*
  • PPAR gamma / metabolism
  • Propionates / pharmacology
  • Propionates / therapeutic use*
  • Thiazolidinediones / pharmacology
  • Thiazolidinediones / therapeutic use*
  • Treatment Outcome

Substances

  • 2-(2-chloro-5-((3-(4-chlorophenoxy)-2-methyl-6-(trifluoromethoxy)-1H-indol-1-yl)methyl)phenoxy)propionic acid
  • Blood Glucose
  • Hypoglycemic Agents
  • Indoles
  • PPAR gamma
  • Propionates
  • Thiazolidinediones