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Insulin resistance, diabetes, and atherosclerosis: thiazolidinediones as therapeutic interventions.

AbstractThe insulin resistance syndrome, a cluster of metabolic abnormalities involving dyslipidemia, hypertension, diabetes, impaired glucose tolerance, and hypercoagulability, carries an increased risk of atherosclerosis. Although interventions targeting elements of this syndrome have dramatically reduced cardiovascular risk, the impact of glucose-lowering has been more disappointing. Thiazolidinediones (TZDs) are a new class of insulin-sensitizing agents that activate the nuclear receptor peroxisome proliferator-activated receptor-g. TZDs may improve not only glucose levels but also other metabolic parameters associated with insulin resistance. The TZD data are reviewed, with a focus on their potential cardiovascular effects.
AuthorsAnnaswamy Raji, Jorge Plutzky (Affiliation: Cardiovascular Division/Department of Medicine, Brigham and Women's Hospital, 221 Longwood Avenue, LMRC 307, Boston, MA 02115, USA.)
JournalCurrent cardiology reports (Curr Cardiol Rep) Vol. 4 Issue 6 Pg. 514-21 (Nov 2002) ISSN: 1523-3782 United States
PMID12379175 (Publication Type: Journal Article, Review)
Chemical References
  • Chromans
  • Hypoglycemic Agents
  • Lipoproteins
  • Receptors, Cytoplasmic and Nuclear
  • Thiazoles
  • Thiazolidinediones
  • Transcription Factors
  • 2,4-thiazolidinedione
  • troglitazone
Topics
  • Adipose Tissue (physiology)
  • Animals
  • Chromans (pharmacology)
  • Coronary Artery Disease (drug therapy, physiopathology)
  • Diabetes Mellitus (blood, drug therapy, physiopathology)
  • Diabetic Angiopathies (blood, drug therapy, physiopathology)
  • Humans
  • Hypoglycemic Agents (pharmacology)
  • Insulin Resistance (physiology)
  • Lipoproteins (blood)
  • Receptors, Cytoplasmic and Nuclear (physiology)
  • Thiazoles (pharmacology, therapeutic use)
  • Thiazolidinediones
  • Transcription Factors (physiology)