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Heart 2001;86:255-258; doi:10.1136/heart.86.3.255
Copyright © 2001 BMJ Publishing Group Ltd & British Cardiovascular Society
Heart 2001;86:255-258 ( September )

Review

Peroxisome proliferator activated receptor gamma : a potential therapeutic target in the management of ischaemic heart disease

J S Sidhu, J C Kaski

Coronary Artery Disease Unit, Department of Cardiological Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK

Correspondence to: Professor Kaski jkaski@sghms.ac.uk

Accepted 22 May 2001

The first 150 words of the full text of this article appear below.

    Introduction

In recent years it has been established that inflammation has a pathogenic role in atherosclerosis. Experimental studies have suggested that altering transcription of proinflammatory genes can result in the inhibition of atherosclerotic disease progression. Peroxisome proliferator activated receptor gamma  (PPARgamma ), a member of the nuclear receptor superfamily of ligand activated transcription factors, is highly expressed in several organs as well as in atherosclerotic plaques. Agonists of this receptor, such as rosiglitazone, pioglitazone, and troglitazone, have insulin sensitising actions and the former two agents are used clinically to treat type II diabetes. PPARgamma agonists can also inhibit the transcription of proinflammatory genes within plaques and have antithrombotic effects. Furthermore, PPARgamma agonists have been shown to inhibit vascular smooth muscle cell (VSMC) proliferation, which underlies restenosis after percutaneous coronary intervention. This article summarises our current understanding of the role of PPARgamma agonists in atherogenesis and discusses their potential role in the treatment . . . [Full text of this article]


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