PPARs, metabolic disease and atherosclerosis

被引:91
作者
Fruchart, JC
Staels, B
Duriez, P
机构
[1] Univ Lille 2, F-59800 Lille, France
[2] Inst Pasteur, INSERM, U545, Dept Atherosclerose, F-59019 Lille, France
[3] Inst Pasteur, INSERM, U545,Fac Pharm, Unite Rech Lipoprot & Atherosclerose, F-59019 Lille, France
关键词
PPAR-alpha; lipoprotein metabolism; atherosclerosis; metabolic disease;
D O I
10.1006/phrs.2001.0871
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
PPAR-alpha belongs to the family of nuclear receptors. Activated PPAR-alpha stimulates the expression of genes involved in fatty acid and lipoprotein metabolism. PPAR-alpha activators, such as the normolipidaemic fibric acids, decrease triglyceride concentrations by increasing the Zn expression of lipoprotein lipase and decreasing apo C-III concentration. Furthermore, they increase HDL-cholesterol by increasing the expression of apo A-I and apo A-II. PPAR-alpha activation by fibric acids improves insulin sensibility, and decreases thrombosis and vascular inflammation, PPAR-alpha activators (gemfibrozil) decrease the risk of coronary heart disease in patients with normal LDL-cholesterol and low HDL-cholesterol (VA-HIT) and they slow the progression of premature coronary atherosclerosis (BECAIT) (bezafibrate), particularly in patients with type 2 diabetes (DAIS) (fenofibrate). (C) 2001 Academic Press.
引用
收藏
页码:345 / 352
页数:8
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