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Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 14, 2023; 29(26): 4136-4155
Published online Jul 14, 2023. doi: 10.3748/wjg.v29.i26.4136
Peroxisome proliferator-activated receptors as targets to treat metabolic diseases: Focus on the adipose tissue, liver, and pancreas
Henrique Souza-Tavares, Carolline Santos Miranda, Isabela Macedo Lopes Vasques-Monteiro, Cristian Sandoval, Daiana Araujo Santana-Oliveira, Flavia Maria Silva-Veiga, Aline Fernandes-da-Silva, Vanessa Souza-Mello
Henrique Souza-Tavares, Carolline Santos Miranda, Isabela Macedo Lopes Vasques-Monteiro, Daiana Araujo Santana-Oliveira, Flavia Maria Silva-Veiga, Aline Fernandes-da-Silva, Vanessa Souza-Mello, Department of Anatomy, Rio de Janeiro State University, Rio de Janeiro 20551030, Brazil
Cristian Sandoval, Escuela de Tecnología Médica, Facultad de Salud, Universidad Santo Tomás, Osorno 5310431, Chile
Cristian Sandoval, Departamento de Ciencias Preclínicas, Universidad de la Frontera, Temuco 4780000, Chile
Author contributions: Souza-Mello V and Souza-Tavares H conceived the idea for the manuscript; Souza-Tavares H, Miranda CS, Vasques-Monteiro IML, Sandoval C, Santana-Oliveira DA, Silva-Veiga FM, Fernandes-da-Silva A, and Souza-Mello V performed the literature search and drafted the manuscript; Santana-Oliveira DA, Silva-Veiga FM, and Souza-Mello V designed the figures; Souza-Mello V critically revised the work; and all authors read and approved the final version of the manuscript.
Supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (Brazil), No. 303785/2020-9; and Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro, No. E-26/200.984/2022 for V.S-M.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Vanessa Souza-Mello, PhD, Associate Professor, Department of Anatomy, Rio de Janeiro State University, Blvd. 28 de setembro 87, fundos, Rio de Janeiro 20551030, Brazil. souzamello.uerj@gmail.com
Received: April 21, 2023
Peer-review started: April 21, 2023
First decision: May 15, 2023
Revised: May 26, 2023
Accepted: June 13, 2023
Article in press: June 13, 2023
Published online: July 14, 2023
Core Tip

Core Tip: The world faces a pandemic of obesity and metabolic diseases. Peroxisome proliferator-activated receptors’ (PPARs’) target genes regulate several metabolic pathways, alleviating obesity and its metabolic impairments. PPARα exerts relevant anti-inflammatory, anti-steatotic, and pro-thermogenic effects, collaborating with weight loss and insulin resistance alleviation. PPARγ is useful for glycemic management, albeit with caution due to side effects after its total activation. PPARβ/δ is not clinically used owing to a pro-tumorigenic profile. However, Pan-PPAR or dual-PPAR agonists can retain PPARβ/δ or partial PPARγ activation benefits and configure promising approaches to treat metabolic diseases alone or in combination with other drug classes.