[The role of peroxisome proliferator-activated receptors γ (PPARγ) in obesity and insulin resistance]

Postepy Hig Med Dosw (Online). 2013 Dec 11:67:1283-99. doi: 10.5604/17322693.1080028.
[Article in Polish]

Abstract

Obesity, defined as abnormal or excessive fat accumulation, is currently believed to be a major public health problem worldwide. Over the past 20 years, the prevalence of obesity has increased rapidly in both industrialized and developing countries, resulting in a considerably increased risk of type 2 diabetes mellitus (T2DM) and metabolic syndrome. Although the exact pathophysiological mechanisms underlying these diseases remain unclear, clinical and epidemiological studies support the existence of a relationship between obesity-induced inflammation and insulin resistance linked with the development and progression of metabolic diseases. Adipokines, produced and released by adipose tissue, are considered as factors linking obesity-induced inflammation with insulin resistance, and their regulation through peroxisome proliferator-activated receptors γ (PPARγ also known as NR1C3) is essential in these processes. PPARγ are transcriptional factors belonging to the ligand-activated nuclear receptor superfamily which directly regulate the expression of a large number of genes involved in adipocyte differentiation, lipid and carbohydrate metabolism as well as adipokine synthesis; thereby they are implicated in various metabolic disorders, including obesity, insulin resistance, dyslipidemia, and hypertension. This review summarizes the current literature on a functional relationship of PPARγ with obesity and insulin resistance and, moreover, highlights the significance of synthetic ligands of these receptors in the mentioned metabolic disorders.

Publication types

  • Review

MeSH terms

  • Adipokines / metabolism
  • Adipose Tissue / metabolism*
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / metabolism
  • Humans
  • Hypertension / complications
  • Hypertension / metabolism
  • Inflammation / complications
  • Inflammation / metabolism
  • Insulin Resistance / physiology*
  • Metabolic Syndrome / metabolism
  • Obesity / complications
  • Obesity / metabolism*
  • PPAR gamma / metabolism*
  • Peroxisome Proliferator-Activated Receptors / metabolism
  • Receptors, Cytoplasmic and Nuclear / metabolism
  • Transcription Factors / metabolism

Substances

  • Adipokines
  • PPAR gamma
  • Peroxisome Proliferator-Activated Receptors
  • Receptors, Cytoplasmic and Nuclear
  • Transcription Factors