Peroxisome proliferator-activated receptors (PPARs) and their agonists for hypertension and heart failure: Are the reagents beneficial or harmful?

被引:30
作者
Chen, Rui [1 ,2 ]
Liang, Fengxia [3 ,4 ]
Moriya, Junji [1 ]
Yamakawa, Jun-ichi [1 ]
Takahashi, Takashi [3 ]
Shen, Lin [2 ]
Kanda, Tsugiyasu [1 ]
机构
[1] Kanazawa Med Univ, Dept Gen Med, Uchinada, Ishikawa 9200293, Japan
[2] Huazhong Univ Sci & Technol, Union Hosp, Dept Tradit Chinese Med, Wuhan 430074, Peoples R China
[3] Hubei Coll Tradit Chinese Med, Wuhan, Peoples R China
[4] Kanazawa Med Univ, Dept Endocrinol, Uchinada, Ishikawa 9200293, Japan
关键词
Peroxisome proliferator-activated receptors; Heart failure; Hypertension; Blood pressure; Contractile function;
D O I
10.1016/j.ijcard.2008.03.080
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Peroxisome proliferator-activated receptors (PPARs) alpha and gamma regulate nearly every step in cellular fatty acid uptake, utilization, oxidation, and storage pathways. They also control cell growth and migration, oxidative stress, and inflammation in the cardiovascular system. Recent studies have shown that PPARs have paradoxical effects on cardiovascular diseases, especially hypertension and heart failure. It is still unclear whether the blood pressure increases or decreases after treatment with a PPAR alpha agonist; it is also uncertain whether PPAR agonists are beneficial or harmful for heart failure. In order to clarify these issues, the literature on PPAR alpha and gamma and their agonists, as well as their effect on hypertension and heart failure not only in humans but also in experimental animals, was reviewed. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:131 / 139
页数:9
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