Three papers in the January issue of Nature Medicine (Vol. 7, Issue 1, 01 Jan 2001) discuss the role of an exciting new receptor that is found in the nucleus of cells called peroxisome proliferator-activated receptors (PPARs) in cholesterol uptake and atherosclerosis.
PPARs are thought to be involved in diseases such as diabetes, obesity, atherosclerosis and cancer. Indeed, rostroglitazone and pioglitazone belong to a class of drugs (thiazolidinediones) that acts on PPAR receptors and has been developed for diabetes. Further understanding of PPAR function could lead to the development of new therapies for all these diseases. Bart Staels and colleagues from the Pasteur Institute in France show that stimulation of PPAR-gamma and alpha receptors increases the expression of another molecule called ABCA1 that exports cholesterol from cells called macrophages. Exploiting this pathway may be a way to control lipid levels, inflammation and atherosclerosis in the body. Mason Freeman and colleagues at Harvard Medical School also report on the differing effects that stimulating these receptors has on cholesterol movement in and out of macrophages. In a separate paper, Ronald Evans and colleagues of the Salk Institute for Biological Studies found that the PPAR-gamma receptor is not required for the development of macrophages, and that thiazolidinedione drugs inhibit cytokine production and inflammation in cells that lack PPAR-gamma, suggesting that these drugs target multiple pathways. Mitch Lazar of the University of Pennsylvania School of Medicine discusses the implications of these findings for cardiovascular diseases in an accompanying News & Views article. CONTACT: Dr. Bart Staels U.325 Inserm Institut Pasteurde Lille 1 rue Calmete BP245 59019, Lille France Tel: +33 3 20 87 73 60 Email: bart.staels@pasteur-lille.fr Dr. Mason W. Freeman Lipid Metabolism Unit, GRJ 1328 Massachusetts General Hospital Harvard Medical School 55 Fruit Street Boston, MA 02114 USA Tel: +1 617 726 5906 Email: freeman@frodo.mgh.harvard.edu Dr. Ronald M. Evans Howard Hughes Medical Institute Gene Expression Laboratory The Salk Institute for Biological Studies 10010 N. Torrey Pines Rd. La Jolla, CA 92037 USA Tel: +1 858 453 4100, Ext.1302 Email: evans@salk.edu Dr. Mitch Lazar Division of Endocrinology, Diabetes, and Metabolism University of Pennsylvania School of Medicine 611 CRB 415 Curie Blvd. Philadelphia, PA 19104 USA Tel: +1 215 898 0210 Email: Lazar@mail.med.upenn.edu (C) Nature Medicine press release.
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