Review Article

Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions

Table 2

The natural and synthetic ligands of the PPARs and their physiological roles. Modified from [49, 51].

PropertiesPPAR-αPPAR-β/δPPAR-γ

Natural ligands Unsaturated FA, PG, and LT B4
8-Hydroxyeicosatetraenoic acid
Unsaturated FA
Carbaprostacyclin
Components of VLDL
Unsaturated FA
15-Hydroxyeicosatetraenoic acid
9- and 13-hydroxyoctadecadienoic acid
15-Hydroxy delta 12,14-PG J2
PG J2

Synthetic ligands Clofibrate and fenofibrate
Gemfibrozil
GW501516Rosiglitazone and pioglitazone
Troglitazone and ciglitazone
Farglitazar, S26948, and INT131

Physiological roles Lipid catabolism and homeostasis (stimulating β-oxidation of fatty acids), increased breakdown of TG and FA, increased cellular FA uptake, reduced TG and FA synyheis, control of inflammatory processes, and vascular integrity mediate the hypolipidemic function of fibrates
Liver: increasing FA oxidation and uptake and increasing apoA-I, apoA-II, and HDL
Vessel: increasing TG, HDL, ABCA1, and apoE and decreasing FFA, VLDL, cytokines, and NF-κB
Dyslipidemia?
Wound healing?
Increasing fat oxidation in skeletal and cardiac muscle responsible for insulin sensitivity and glucose
homeostasis and vascular integrity
Adipocentric action: decreasing cytokines, resistin, fFFA, and NF-κB and increasing ABCA1 and GLUT4
Skeletal muscle: increasing glucose uptake and glycogen synthesis
Glucose homeostasis and lipid storage:
differentiation and maturation of adipocytes
Increasing IS and glucose
homeostasis
(it prevents hyperglycemia) and
vascular integrity
Skeletal muscle/liver/adipocyte:
increasing FA oxidation, UCP, and HDL and decreasing TG

FA: fatty acid; apo: apolipoprotein, PG: prostaglandin, LT: leukotriene, TG: triglyceride, HDL: high-density lipoprotein, ABCA1: ATP-binding cassette subfamily A member 1, FFA: free fatty acid, VLDL: very low-density lipoprotein, NF-B: nuclear factor kappa-light-chain-enhancer of activated B cells, GLUT4: glucose transporter type 4, and UCP: uncoupling protein.