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Publication : Insulin resistance and metabolic derangements in obese mice are ameliorated by a novel peroxisome proliferator-activated receptor γ-sparing thiazolidinedione.

First Author  Chen Z Year  2012
Journal  J Biol Chem Volume  287
Issue  28 Pages  23537-48
PubMed ID  22621923 Mgi Jnum  J:188864
Mgi Id  MGI:5442471 Doi  10.1074/jbc.M112.363960
Citation  Chen Z, et al. (2012) Insulin resistance and metabolic derangements in obese mice are ameliorated by a novel peroxisome proliferator-activated receptor gamma-sparing thiazolidinedione. J Biol Chem 287(28):23537-48
abstractText  Currently approved thiazolidinediones (TZDs) are effective insulin-sensitizing drugs that may have efficacy for treatment of a variety of metabolic and inflammatory diseases, but their use is limited by side effects that are mediated through ectopic activation of the peroxisome proliferator-activated receptor gamma (PPARgamma). Emerging evidence suggests that the potent anti-diabetic efficacy of TZDs can be separated from the ability to serve as ligands for PPARgamma. A novel TZD analog (MSDC-0602) with very low affinity for binding and activation of PPARgamma was evaluated for its effects on insulin resistance in obese mice. MSDC-0602 treatment markedly improved several measures of multiorgan insulin sensitivity, adipose tissue inflammation, and hepatic metabolic derangements, including suppressing hepatic lipogenesis and gluconeogenesis. These beneficial effects were mediated at least in part via direct actions on hepatocytes and were preserved in hepatocytes from liver-specific PPARgamma(-/-) mice, indicating that PPARgamma was not required to suppress these pathways. In conclusion, the beneficial pharmacology exhibited by MSDC-0602 on insulin sensitivity suggests that PPARgamma-sparing TZDs are effective for treatment of type 2 diabetes with reduced risk of PPARgamma-mediated side effects.
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