Peroxisome proliferator-activated receptor gamma (
PPAR-gamma) plays a key role in adipocyte differentiation and
insulin sensitivity. Its synthetic
ligands, the
thiazolidinediones (TZD), are used as
insulin sensitizers in the treatment of
type 2 diabetes. These compounds induce both adipocyte differentiation in cell culture models and promote
weight gain in rodents and humans. Here, we report on the identification of a new synthetic
PPARgamma antagonist, the phosphonophosphate
SR-202, which inhibits both TZD-stimulated recruitment of the coactivator
steroid receptor coactivator-1 and TZD-induced transcriptional activity of the receptor. In cell culture,
SR-202 efficiently antagonizes
hormone- and TZD-induced adipocyte differentiation. In vivo, decreasing
PPARgamma activity, either by treatment with
SR-202 or by invalidation of one allele of the
PPARgamma gene, leads to a reduction of both high fat diet-induced adipocyte
hypertrophy and
insulin resistance. These effects are accompanied by a smaller size of the adipocytes and a reduction of
TNFalpha and
leptin secretion. Treatment with
SR-202 also dramatically improves
insulin sensitivity in the diabetic ob/ob mice. Thus, although we cannot exclude that its actions involve additional signaling mechanisms,
SR-202 represents a new selective
PPARgamma antagonist that is effective both in vitro and in vivo. Because it yields both antiobesity and
antidiabetic effects,
SR-202 may be a lead for new compounds to be used in the treatment of
obesity and
type 2 diabetes.