In cell biology, peroxisome proliferator-activated receptors (PPARs) are a group of nuclear receptor isoforms that exist across biology. Originally identified in Xenopus frogs as receptors that induce the proliferation of peroxisomes in cells, they are intimately connected to the cellular metabolism (carbohydrate, lipid and protein) and cell differentiation. They are transcription factors.
Nomenclature
Three types of PPARs have been identified: alpha, gamma and delta (beta).
History
The first PPAR (PPARα) was discovered during the search of a molecular target for a group of agents then referred to as "peroxisome proliferators", as they increased
peroxisomes in rodent liver tissue, apart from improving
insulin sensitivity. These agents,
pharmacologically related to the
fibrates, had been discovered in the early
1980s. When it turned out that PPARs played a much more versatile role in biology, the agents were in turn termed "PPAR ligands". The best-known PPAR ligands are the
thiazolidinediones; see below for more details.
What happened to PPARβ (beta)?
After PPARδ (delta) was identified in humans in 1992, it turned out to be closely-related to the PPARβ (beta) previously described during the same year in other animals (
Xenopus). The name PPARδ is generally used to the exclusion of PPARβ.
Physiological function
All PPARs dimerize with the
retinoid X-receptor (RXR) and bind to specific regions on the
DNA of target genes. These DNA sequences are termed PPREs (peroxisome proliferator response elements). The DNA
consensus sequence is AGGTCA
XAGGTCA with X being a random
nucleotide. Generally, this sequence occurs in the promotor region of a
gene, and when the
PPAR binds its ligand,
transcription of targets genes are increased or decreased, depending on the gene. The RXR also forms a heterodimer with a number of other receptors: the
vitamin D receptor and the
thyroid hormone receptor.
The function of PPARs is modified by the exact shape of their ligand-binding domain (see below) and by a number of co-activators and co-repressors, the presence of which can stimulate or inhibit receptor function.
The ligands for the PPARs are free fatty acids and eicosanoids. PPARγ is activated by PGJ2 (a prostaglandin). In contrast, PPARα is activated by leukotriene B4.
Genetics
The three main forms are transcribed from different
genes:
Hereditary disorders of all PPARs have been described, generally leading to a loss in function and concomitant lipodystrophy, insulin resistance and/or acanthosis nigricans. Of PPARγ, a gain-of-function mutation has been described and studied (Pro12Ala) which decreased the risk of insulin resistance; it is quite prevalent (allele frequency 0.03 - 0.12 in some populations). In contrast, pro115gln is associated with obesity. Some other polymorphisms have high incidence in populations with elevated body mass indexes.
Structure
All PPARs have a basic structure of
functional domains. The most important ones are the
DBD (DNA binding domain) and the
LBD (ligand binding domain). The DBD contains two
zinc finger patterns which bind to the regulator region of DNA when the receptor is activated. The LBD has an extensive
secondary structure of several
alpha helices (13) and a
beta sheet. Natural and synthetic ligands bind to the LBD, activating the receptor.
Pharmacology
PPARα and PPARγ are the targets of a number of known
medications and are under continuing research for other forms of
pharmacological modulation.
Muraglitazar and
tesaglitazar, both experimental compounds, binds to both PPAR-alpha and PPAR-gamma.
PPAR-alpha
PPAR-alpha is the main target of
fibrate drugs, a class of amphipathic carboxylic acids (
clofibrate,
gemfibrozil,
ciprofibrate,
bezafibrate and
fenofibrate). They are used in
cholesterol disorders (generally as an adjunctive to
statins) and disorders that feature high
triglycerides.
PPAR-gamma
PPAR-gamma is the main target of the drug class of
thiazolidinediones (TZDs), used in
diabetes mellitus and other diseases that feature
insulin resistance. It is also mildly activated by certain
NSAIDs (such as
ibuprofen) and
indoles. Known inhibitors include the experimental agent GW-9662.
See also
Sources
- Berger J, Moller DE. The mechanism of action of PPARs. Annu Med Rev 2002;53:409-35. PMID 11818483.
External links
Intracellular receptors
PPAR