Review Article

Therapeutic Effects of PPARα on Neuronal Death and Microvascular Impairment

Table 2

Beneficial effects of PPARα in microvascular disease and molecular mechanisms of action.

ModelPhysiological effectsMolecular mechanism(s)Ref(s)

Diabetic retinopathy↓ EC dropout
Improved pericyte survival
↓ Vascular permeability
Antioxidant
Anti-inflammatory
[13, 15]

Peripheral neuropathy↓ EC loss↑ AMPK/PI3K signaling
↓ Endothelial dysfunction
[28]

Cerebral ischemia↓ EC lossAntioxidant
Anti-inflammatory
[9, 19]

Type 2 diabetic patientsImproved endothelial functioneNOS activity
Anti-inflammatory
↓ Dyslipidemia
[3134]

Ischemic retinopathy↓ Vascular permeability
↓ Retinal neovascularization
↓ EPC mobilization/homing
Anti-inflammatory
↓ Vascular growth factors
↓ EPC homing factors
[15, 35, 36]

Intestinal permeability↓ Intestinal permeabilityTight junction protein localization[37]

Nude mouse/wound healing↓ Angiogenesis↓ AKT signaling
↓ Vascular growth factors
[38, 39]