Thiazolidinediones and risk for atherosclerosis: Pleiotropic effects of PPARγ agonism

Chetan B. Patel, James A de Lemos, Kathleen L. Wyne, Darren K McGuire

Research output: Contribution to journalReview articlepeer-review

35 Scopus citations

Abstract

Despite advances in the development of anti-hyperglycaemic drugs and a greater focus on cardiovascular risk modification for patients with diabetes, cardiovascular disease remains the most common complication of type 2 diabetes. Since their initial availability in 1997, the thiazolidinediones have become one of the most commonly prescribed classes of medications for type 2 diabetes. In addition to glucose control, the thiazolidinediones have a number of pleiotropic effects on myriad traditional and non-traditional risk factors for cardiovascular disease, and hold promise with regard to modification of cardiovascular risk. In a recently reported large-scale clinical trial, pioglitazone was associated with improved cardiovascular outcomes in patients with type 2 diabetes and prevalent atherosclerotic disease. In this review, we summarise the experimental, preclinical and clinical data regarding the effects of the thiazolidinediones on cardiovascular risk factors and clinical outcomes.

Original languageEnglish (US)
Pages (from-to)65-71
Number of pages7
JournalDiabetes and Vascular Disease Research
Volume3
Issue number2
DOIs
StatePublished - Sep 1 2006

Keywords

  • Atherosclerosis
  • Inflammation
  • Peroxisome proliferator-activated receptor
  • Pioglitazone
  • Rosiglitazone
  • Thiazolidinedione
  • Troglitazone

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

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