Peroxisome Proliferator-Activated Receptors: Difference between revisions

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[[Image: 3dzy2.png|420px|left|thumb| Human PPARγ bound to RXRα and PPRE DNA strand, [[3dzy]]]]
<StructureSection load='' size='450' side='right' caption='Crystal Structure of Human PAPRα complex with agonist ([[1i7g]])' scene='Peroxisome_Proliferator-Activated_Receptors/Ppar_opening_2/2'>
{{STRUCTURE_3dzy| right| PDB=3dzy  | SCENE=Peroxisome_Proliferator-Activated_Receptors/Ppar_opening4/1 |CAPTION= Crystal Structure of Human PPARγ, [[3dzy]] }}
[[Image: 3dzy2.png|320px|left|thumb| Human PPARγ bound to RXRα and PPRE DNA strand, [[3dzy]]]]
The [[Peroxisome Proliferator-Activated Receptors]] (PPAR) α, δ, and γ are members of the nuclear receptor family. Since their discovery in the early 90s, it has become clear that the PPARs are essential modulators of environmental and dietary stimuli, acting as transcription factor to regulate mammalian metabolism, cellular differentiation, and tumorigenesis. The PPARs are the targets of numerous pharmaceutical drugs aimed at treating [http://en.wikipedia.org/wiki/Hyperlipidemia hypolipidemia] and [http://en.wikipedia.org/wiki/Diabetes diabetes] among other diseases.<ref>PMID:15860251</ref>
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==Function==


The [[Peroxisome Proliferator-Activated Receptors]] (PPAR) α, γ, and δ are members of the [[Nuclear receptors|nuclear receptor family]]. Since their discovery in the early 90s, it has become clear that the PPARs are essential modulators of external stimuli, acting as transcription factors to regulate mammalian metabolism, cellular differentiation, and tumorigenesis. The PPARs are the targets of numerous pharmaceutical drugs aimed at treating hypolipidemia and [[diabetes]] among other diseases.<ref name="Berger"/>  See also [[Diabetes & Hypoglycemia]]. 


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*'''PPARα''' regulates the expression of genes involved in fatty acid β oxidation<ref>PMID:15497675</ref>.
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*'''PPARγ''' regulates the expression of genes involved a variety of physiological processes like development of adipose cells, cell proliferation, macrophage function and immunity<ref>PMID:18518822</ref>.  For details see [[PPAR-gamma]].  For details on PPARγ drugs see [[Pioglitazone]].<br />
*'''PPARδ''' regulates the expression of genes involved in fatty acid burning in adipose tissue and skeletal muscle<ref>PMID:15733739</ref>.


==Biological Role==
==Biological Role==
[[Image: PPAR_Mechanism.png|500px|left|thumb| PPAR Mechanism of Action in the Human Body]]
[[Image: PPAR_Mechanism.png|400px|left|thumb| PPAR Mechanism of Action in the Human Body]]
Transcription of individual genes in eukaryotic cells is controlled very precisely at a number of different levels. One key level is the binding of specific [[DNA]] binding transcriptional factors such as nuclear receptors, to facilitate RNA polymerase function. Unliganded PPARs form a heterodimer with retinoid X receptor (RXR), specifically RXRα, and bind to the Peroxisome Proliferator Response Element (PPRE), a specific DNA sequence present in the promoter region of PPAR-regulated genes, repressing transcription. <ref>PMID:11330046</ref> Also associated with this unliganded heterodimer is a co-repressor complex which possesses histone deacetylation activity, enforcing a tight chromatin structure which prevents gene transcription. <ref>PMID:15681609</ref> This co-repressor complex is released upon ligand binding (typical ligands include lipids and eicosanoids), allowing various co-activators and co-activator-associated proteins to be recruited to the scene. These protein complexes modulate chromatin remodeling and facilitate DNA unwinding and linkage to RNA polymerase II machinery to commence transcription. Some PPAR related co-activators include CBP (Histone Acetylation), SRC-1,2,3 (Chromatin Acetylation), <ref> pmid:7539101</ref>, PGC-1 (Recruit [http://en.wikipedia.org/wiki/Histone_acetyltransferase HAT activities]), PRIC-285,320 (Chromatin Remodeling via Helicase activity)<ref>PMID:11158331</ref>and PIMT (RNA Capping via methyltransferase activity)<ref>PMID:10381882</ref>.
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Transcription of individual genes in eukaryotic cells is controlled very precisely at a number of different levels. One key level is the binding of specific [[DNA]] binding transcriptional factors such as nuclear receptors, to facilitate RNA polymerase function. Unliganded PPARs form a heterodimer with retinoid X receptor (RXR), specifically RXRα. This heterodimer binds to the Peroxisome Proliferator Response Element (PPRE), a specific DNA sequence present in the promoter region of PPAR-regulated genes. <ref>PMID:11330046</ref> Also associated with this unliganded heterodimer is a co-repressor complex which possesses histone deacetylation activity. This results in a tight chromatin structure, preventing gene transcription. <ref>PMID:15681609</ref> This co-repressor complex is released upon ligand binding (typical ligands include lipids and eicosanoids), allowing various co-activators and co-activator-associated proteins to be recruited. These protein complexes facilitate chromatin remodeling and [[DNA]] unwinding along with linkage to RNA polymerase II machinery, necessary steps for [[transcription]]. The genes transcribed upon activation are [[Molecular Playground/Insulin|insulin]] responsive genes involved in the control of glucose production, transport and utilization. This makes agonists of PPAR insulin sensitizers. Some PPAR related co-activators include CBP (Histone Acetylation), SRC-1,2,3 (Chromatin Acetylation), <ref>pmid:7539101</ref> PGC-1 (Recruit HAT activities), PRIC-285,320 (Chromatin Remodeling via Helicase activity)<ref>PMID:11158331</ref>and PIMT (RNA Capping via methyltransferase activity)<ref>PMID:10381882</ref>.


PPARs regulate diverse biological processes varying from lipid and carbohydrate metabolism to inflammation and wound healing. While PPARα is the major regulator of fatty acid oxidation and uptake  in the liver, PPARγ is expressed at extremely high levels in adipose tissue, macrophages, and the large intestine and controls lipid [http://en.wikipedia.org/wiki/Adipogenesis adipogenesis] and energy conversion. PPARδ is expressed in most tissues and plays diverse roles involved in metabolism and wound healing. These nuclear receptors are of critical importance to the body as exemplified by PPARα knockdown mice suffering from a variety of metabolic defects including [http://en.wikipedia.org/wiki/Hypothermia hypothermia], elevated plasma free fatty acid levels, and [http://en.wikipedia.org/wiki/Hypoglycemia hypoglycemia], ultimately leading to death.<ref> PMID:10377439</ref>  
PPARs regulate diverse biological processes varying from lipid and carbohydrate metabolism to inflammation and wound healing. While PPARα is the major regulator of fatty acid oxidation and uptake  in the liver, [[PPAR-gamma|PPARγ]] is expressed at extremely high levels in adipose tissue, macrophages, and the large intestine, and controls lipid adipogenesis and energy conversion. <ref> PMID:9228052</ref>PPARδ is expressed in most tissues and plays diverse roles involved in metabolism and wound healing. <ref>PMID:18442472</ref> These nuclear receptors are of critical importance to the body as exemplified by PPARα knockdown mice suffering from a variety of metabolic defects including hypothermia, elevated plasma free fatty acid levels, and [[hypoglycemia]], potentially leading to death.<ref> PMID:10377439</ref>  
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==Natural Ligands==
==Natural Ligands==
[[Image: Linoleic_Acid.png|400px|left|thumb| PPARγ Ligand, Linoleic Acid]]
PPARγ binds polyunsaturated fatty acids like linoleic acid, linolenic acid, and eicosapentaenoic acid at affinities that are in line with serum levels found in the blood. PPARα binds a variety of saturated and unsaturated fatty acids including palmitic acid, oleic acid, linoleic acid, and arachidonic acid.<ref>PMID:1316614</ref> PPAR's ligand selectivity is intermediate between that of the other isotypes and is activated by palmitic acid and a number of eicosanoids.<ref>PMID:7836471</ref>
<applet load=" 1i7g2.pdb" size="400" color="white" frame="true" spin="on" Scene ="Peroxisome_Proliferator-Activated_Receptors/Ppar_opening_2/2" caption="Crystal Structure of Human PAPR" align="right"/>
<scene name='Peroxisome_Proliferator-Activated_Receptors/Ppar_opening_2/2'>PPARγ</scene> binds polyunsaturated fatty acids like linoleic acid, linolenic acid, and [http://en.wikipedia.org/wiki/Eicosapentaenoic_acid eicosapentaenoic acid] at affinities that are in line with serum levels. PPARα binds a variety of saturated and unsaturated fatty acids including [http://en.wikipedia.org/wiki/Palmitic_acid palmitic acid], [http://en.wikipedia.org/wiki/Oleic_acid oleic acid], [http://en.wikipedia.org/wiki/Linoleic_acid linoleic acid], and arachidonic acid.<ref>PMID:1316614</ref> PPARδs ligand selectivity is intermediate between that of the other isotypes and is activated by palmitic acid and a number of eicosanoids.<ref>PMID:7836471</ref>
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[[Image: Binding_site.png|400px|left|thumb| Human PPARγ Ligand Binding Site with Rosiglitazone Bound. [[2prg]]]]
==PPAR Structure==


==PPAR Structure==
===Ligand Binding Domain===
===Ligand Binding Domain===
The structures of the PPARs are very similar over each isotype. All PPAR isotypes have a ligand binding domain (LBD).  The LBD, which is located in the C-terminal half of the receptor, is composed of 13 α-helices and a four-stranded δ-sheet. <scene name='Peroxisome_Proliferator-Activated_Receptors/Ligand_binding_pocket/2'>The ligand binding pocket</scene>  is Y-shaped and consists of an <scene name='Peroxisome_Proliferator-Activated_Receptors/Y_shaped/4'>entrance and two pockets, Arm I and Arm II, along with a "charge-clamp"</scene>. The ligand binding pocket of PPARs is quite large in comparison to that of other nuclear receptors (about 1400 cubic angstroms) which allows the PPARs to interact with a broad range of structurally distinct ligands.<ref>PMID:9744270</ref>. Within Arm I, four polar resides are conserved over all PPAR isotypes, <scene name='Peroxisome_Proliferator-Activated_Receptors/4_conserved_residues/1'>namely Ser280, Tyr314, His440, and Tyr464</scene> in the case of PPARα. These residues are part of a hydrogen bonding network that is formed with the carboxylate group of fatty acids and other ligands upon binding.<ref>PMID:16405912</ref> The <scene name='Peroxisome_Proliferator-Activated_Receptors/Helix_h12/4'>ligand-dependent activation domain (AF-2) helix H12</scene>, whose function is to generate the receptors’ co-activator binding pocket is located at the C-terminal end of the LBD.<ref>PMID:11027271</ref> The conserved hydrogen bonding network in <scene name='Peroxisome_Proliferator-Activated_Receptors/Helix_h12_in_place/1'>Arm I also helps hold the AF2-helix in the active conformation</scene>, promoting co-activator binding.<ref>PMID:17317294</ref> <scene name='Peroxisome_Proliferator-Activated_Receptors/Arm_ii_hydrophobic/3'>Arm II is highly hydrophobic </scene>and is thus ideal for binding the hydrophobic tail of fatty acids via Van der Waals interactions.  
The structures of the PPARs are very similar over each isotype. All PPAR isotypes have a ligand binding domain (LBD).  The LBD, which is located in the C-terminal half of the receptor, is composed of 13 α-helices and a four-stranded ß-sheet. <scene name='Peroxisome_Proliferator-Activated_Receptors/Ligand_binding_pocket/2'>The ligand binding pocket</scene> ([[2f4b]]) is Y-shaped and consists of an <scene name='Peroxisome_Proliferator-Activated_Receptors/Y_shaped/4'>entrance and two pockets, Arm I and Arm II, along with a "charge-clamp"</scene>.<ref name="Nolte">PMID:9744270</ref> The ligand binding pocket of PPARs is quite large (about 1400 cubic angstroms) in comparison to that of other nuclear receptors which allows the PPARs to interact with numerous structurally distinct ligands.<ref name="Nolte"/>. Within Arm I, four polar resides are conserved over all PPAR isotypes, <scene name='Peroxisome_Proliferator-Activated_Receptors/4_conserved_residues/1'>namely Ser280, Tyr314, His440, and Tyr464</scene> in the case of PPARα. These residues are part of a hydrogen bonding network that interacts with the carboxylate group of fatty acids and other ligands upon binding.<ref>PMID:16405912</ref> The <scene name='Peroxisome_Proliferator-Activated_Receptors/Helix_h12/4'>ligand-dependent activation domain (AF-2) helix H12</scene> ([[1kkq]]), whose function is to generate the receptors’ co-activator binding pocket, is located at the C-terminal end of the LBD.<ref>PMID:11027271</ref> The conserved hydrogen bonding network in <scene name='Peroxisome_Proliferator-Activated_Receptors/Helix_h12_in_place/1'>Arm I also helps hold the AF2-helix in the active conformation</scene>, promoting co-activator binding.<ref name="Zoete"/> <scene name='Peroxisome_Proliferator-Activated_Receptors/Arm_ii_hydrophobic/3'>Arm II is highly hydrophobic </scene>and is thus ideal for binding the hydrophobic tail of fatty acids via Van der Waals interactions.  


Despite over 80% of the ligand binding cavity residues being conserved over all PPAR isotypes, it is the remaining 20% that creates the ligand specificity seen between isotypes. A few examples illustrate this point. In PPARδ, the cavity is significantly narrower adjacent to the AF-2 helix and Arm I. This prevents PPARδ from accommodating large headed TZDs and L-tyrosine based agonsists. In the case of PPARα, PPARα does not bind ligands with large carboxylate head groups because of <scene name='Peroxisome_Proliferator-Activated_Receptors/Tyr_314/4'> Tyrosine 314</scene> as compared to PPARγ which has a smaller equivalent residue in His323.<ref>PMID:17317294</ref> Or in the case of binding some benzenesulfonamide derivatives, the <scene name='Peroxisome_Proliferator-Activated_Receptors/Pi_stacking/2'>pi stacking of Phe363 and the aromatic moiety</scene> in the case of PPARγ is lost in PPARα (Ile354) and PPARδ(Ile 363)<ref>PMID:16640330</ref>
Despite over 80% of the ligand binding cavity residues being conserved over all PPAR isotypes, it is the remaining 20% that creates the ligand specificity seen between isotypes. A few examples illustrate this point. In PPARδ, the cavity is significantly narrower adjacent to the AF-2 helix and Arm I. This prevents PPARδ from being able to accommode large headed TZDs and L-tyrosine based agonsists. In the case of PPARα, PPARα does not bind ligands with large carboxylate head groups because of <scene name='Peroxisome_Proliferator-Activated_Receptors/Tyr_314/4'> Tyrosine 314</scene> as compared to PPARγ which has a smaller equivalent residue in His323.<ref name="Zoete"/> Or in the case of binding some benzenesulfonamide derivatives, the <scene name='Peroxisome_Proliferator-Activated_Receptors/Pi_stacking/2'>pi stacking of Phe363 and the aromatic moiety</scene> ([[2g0g]]) in the case of PPARγ is lost in PPARα (Ile354) and PPARδ(Ile 363)<ref name="Zoete"/>
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===AF-2 Domain: Structure and Function===
===AF-2 Domain: Structure and Function===
<applet load="2prg2.pdb" size="400" color="white" frame="true" spin="on" Scene ="Peroxisome_Proliferator-Activated_Receptors/Ppar_opening3/2" caption="Crystal Structure of Human PPAR" align="right"/>
As briefly mentioned before, the AF-2 domain is essential for ligand binding and <scene name='Peroxisome_Proliferator-Activated_Receptors/Ppar_opening3/2'>PPAR</scene> ([[2prg]]) function. Upon ligand binding, helix H12 of AF-2 closes on the ligand-binding site, reducing conformational flexibility of the LBD and assuming a structure that is ideal for co-activator binding. Using Molecular Dynamic simulations, it has been determined that residues <scene name='Peroxisome_Proliferator-Activated_Receptors/H_bonding_network/3'>Glu324, Arg397, Arg443, and Tyr 477</scene> (in PPARγ) are involved in a hydrogen bond network that stabilizes the AF-2 helix in the active conformation upon ligand binding.<ref name="Zoete"/>
As briefly mentioned before, the AF-2 domain is essential for ligand binding and <scene name='Peroxisome_Proliferator-Activated_Receptors/Ppar_opening3/2'>PPAR</scene> function. Helix H12 of AF-2 closes on the ligand-binding site upon ligand binding, reducing conformational flexibility of the LBD and assuming a structure that is ideal for co-activator binding. Using Molecular Dynamic simulations, it has been determined that residues <scene name='Peroxisome_Proliferator-Activated_Receptors/H_bonding_network/3'>Glu324, Arg397, Arg443, and Tyr 477</scene> (in PPARγ) are involved in a hydrogen-bond network that stabilizes the AF-2 helix in the active conformation upon ligand binding.<ref>PMID:7501014</ref>
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===Co-Activator & Co-Repressor Binding===
===Co-Activator & Co-Repressor Binding===
[[Image: SRC_binding.png|450px|left|thumb| Human PPARγ Co-Activator Binding Site. PPARγ  bound to SRC-1, [[3dzy]]]]
[[Image: SRC_binding.png|250px|left| Human PPARγ Co-Activator Binding Site. PPARγ  bound to SRC-1, [[3dzy]]]]
The transcriptional activity of PPAR is regulated by its interaction with co-activators like SRC-1 or CBP and co-repressors like SMRT. <ref> PMID:17317294</ref>Co-activators like CBP contain a conserved LXXLL motif where X is any amino acid, and use this to bind a hydrophobic pocket on the receptor surface formed by the stabilized AF-2 helix H12.<ref >PMID:10882139</ref> In the case of the PPARγ/rosiglitazone/SRC-1 complex, the hydrophobic face of the LXXLL motif helix of SRC-1 forms <scene name='Peroxisome_Proliferator-Activated_Receptors/Src_binding/1'>hydrophobic interactions with Leu468 and L318 of the LBD and hydrogen bonds between Glu471 and Lys301 and the co-activator backbone.</scene> These charged residues are conserved across PPAR isotypes and form the “charge clamp,” an essential component for co-activator stabilization in the PPAR LBD.<ref>PMID:15276186</ref>
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The transcriptional activity of <scene name='Peroxisome_Proliferator-Activated_Receptors/Ppar_opening_2/2'>PPAR </scene>is regulated by its interaction with co-activators like SRC-1 or CBP and co-repressors like SMRT. <ref name="Zoete">PMID:17317294</ref>Co-activators like CBP contain a conserved LXXLL motif where X is any amino acid, and use this to bind a hydrophobic pocket on the receptor surface formed by the stabilized AF-2 helix H12.<ref name="Gampe">PMID:10882139</ref> In the case of the PPARγ/rosiglitazone/SRC-1 complex, the LXXLL motif helix of SRC-1 forms <scene name='Peroxisome_Proliferator-Activated_Receptors/Src_binding/1'>hydrophobic interactions with Leu468 and Leu318 of the LBD and hydrogen bonds between Glu471 and Lys301 and the co-activator backbone.</scene> These charged residues are conserved across PPAR isotypes and form the “charge clamp,” an essential component for co-activator stabilization in the PPAR LBD.<ref>PMID:11698662</ref>


When PPAR is bound to a co-repressor, the <scene name='Peroxisome_Proliferator-Activated_Receptors/H12_in_alpha/4'>hydrogen bond between Tyr 464 in PPAR alpha in AF-2 and other AF-2 stabilizing helices is destroyed</scene>, preventing the AF-2 H12 helix from occupying its active state. This in turn eliminates the charge clamp between PPAR and a prospective co-activator.<ref>PMID:11698662</ref> Notice the <scene name='Peroxisome_Proliferator-Activated_Receptors/H12_in_alpha_active/2'>position of H12 when bound to a co-activator.</scene>
When PPAR is bound to a co-repressor, the <scene name='Peroxisome_Proliferator-Activated_Receptors/H12_in_alpha/4'>hydrogen bond between Tyr 464 in PPAR alpha in AF-2 and other AF-2 stabilizing helices is destroyed</scene>, preventing the AF-2 H12 helix from occupying its active state. This in turn eliminates the charge clamp between PPAR and a prospective co-activator.<ref name="Gampe"/> Notice the <scene name='Peroxisome_Proliferator-Activated_Receptors/H12_in_alpha_active/2'>position of H12 when bound to a co-activator.</scene>  
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===Formation of Heterodimer with RXR===
===Formation of Heterodimer with RXR===
The interface of PPAR and RXR is composed of an intricate <scene name='Peroxisome_Proliferator-Activated_Receptors/Dimer_interface/1'>network of hydrophobic </scene>and <scene name='Peroxisome_Proliferator-Activated_Receptors/Dimer_interface_polar/1'>polar interactions </scene>which show remarkable complementarity. For the PPARγ-RXRα dimer the dimmer interface interactions are particularly extensive. <ref>PMID:10882139</ref>
The interface of PPAR and RXR is composed of an intricate <scene name='Peroxisome_Proliferator-Activated_Receptors/Dimer_interface/1'>network of hydrophobic </scene>and <scene name='Peroxisome_Proliferator-Activated_Receptors/Dimer_interface_polar/2'>polar interactions </scene>which show remarkable complementarity. For the PPARγ-RXRα dimer the dimmer interface interactions are particularly extensive. <ref name="Gampe"/>  
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===DNA Binding Domain Structure===
===DNA Binding Domain Structure===
[[Image:Rosiglitazone.png|300px|left|thumb| Human PPARγ agonist, Rosiglitazone (Avandia)]]
PPARs also contain a DNA binding domain (DBD) The <scene name='Peroxisome_Proliferator-Activated_Receptors/Zinc_fingers/1'>DBD consists of two zinc fingers</scene> ([[3dzy]]), one on PPAR and one on RXR, that bind PPREs of PPAR-responsive genes. The consensus sequence of PPREs is AGGTCA and has been found in a number of PPAR inducible genes like acyl-CoA oxidase and adipocyte fatty acid-binding protein.<ref>PMID:9383428</ref> Chandre et al. have demonstrated that the DNA PPRE allosterically contributes to its own binding via a <scene name='Peroxisome_Proliferator-Activated_Receptors/Dbd_hbonds/1'>head-to-tail interaction between the PPAR DBD and RXR DBD</scene> using residues Gln206 and Arg209 on RXRα and Asn160 on PPARγ.<ref>PMID:19043829</ref>
PPARs also contain a **DNA binding domain (DBD)** The DBD consist of **two zinc fingers**, one on PPAR and one on RXR, that bind PPREs of PPAR-responsive genes. The consensus sequence of PPREs is AGGTCA and has been found in a number of PPAR inducible genes like acyl-CoA oxidase and adipocyte fatty acid-binding protein.<ref>PMID:9383428</ref> It is believed that the DNA PPRE actually allosterically contributes to its own binding by directing a head-to-tail interaction between the PPAR DBD and RXR DBD via residues Gln206 and Arg209 on RXRα and Asn160 on PPARγ.<ref>PMID:19043829</ref>
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==Binding of Synthetic Agonists and Medical Implications==
==Binding of Synthetic Agonists and Medical Implications==
<applet load=" 3dzy2.pdb" size="400" color="white" frame="true" spin="on" Scene ="Peroxisome_Proliferator-Activated_Receptors/Ppar_opening4/1" caption="Crystal Structure of PPARγ bound to Rosiglitizone, RXRα and PPRE DNA Sequence, [[3dzy]]" align="right"/>
A number of synthetic agonists have been developed to bind to <scene name='Peroxisome_Proliferator-Activated_Receptors/Ppar_opening4/2'>PPAR</scene> to fight metabolic diseases like diabetes. These agonists include [http://en.wikipedia.org/wiki/troglitazone troglitazone] ([http://www.rezulin.com Rezulin]), pioglitazone ([[Actos]]), [[Fenofibrate]] (Tricor) and [[Rosiglitazone]] ([[Avandia]]). These agonists function in a similar fashion, by binding to the active site of PPARγ, activating the receptor. Rosiglitazone occupies roughly 40% of the LBD. It assumes a U-shaped conformation with the TZD head group forming a <scene name='Peroxisome_Proliferator-Activated_Receptors/Rosiglitazone_binding/3'>number of interactions that stabilize the agonist</scene>. Rosiglitazone forms hydrogen bond interactions with H323 and H449 and its TZD group, the sulfur atom of the TZD occupies a hydrophobic pocket formed by Phe363, Glu286, Phe282, Leu330, Ile326 and Leu469, and the central benzene ring occupies a pocket formed by Cys285 and Met364.<ref name="Nolte"/>
A number of synthetic agonists have been developed to bind to PPAR to fight metabolic diseases like diabetes. These agonists include [http://en.wikipedia.org/wiki/troglitazone troglitazone] ([http://www.rezulin.com Rezulin]), [http://en.wikipedia.org/wiki/pioglitazone pioglitazone] ([http://www.actos.com Actos]), and [http://en.wikipedia.org/wiki/Rosiglitazone rosiglitazone] ([http://www.avandia.com Avandia]). These agonists function in a similar fashion, by binding to the active site of PPARγ, activating the receptor. Rosiglitazone occupies roughly 40% of the LBD. It assumes a U-shaped conformation with the TZD head group forming a **number of interactions that stabilize the agonist**. Rosiglitazone forms hydrogen bond interactions with H323 and H449 and its [http://en.wikipedia.org/wiki/Thiazolidinedione TZD] group, the sulfur atom of the TZD occupies a hydrophobic pocket formed by Phe363, Glu286, Phe282 and Leu469, and the central benzene ring of the ligand occupies a pocket formed by Cys285 and Met364.<ref>PMID:9744270</ref>
[[Image: Ciprofibrate.PNG|300px|left|thumb| Human PPARα agonist, Ciprofibrate (Modalim)]]
[[Image: Ciprofibrate.PNG|300px|left|thumb| Human PPARα agonist, Ciprofibrate (Modalim)]]
Despite their structural similarities, each member of the PPAR family is localized to certain parts of the body. Location of receptor partially determines their function in the body and also the different roles they can play in medicine as drug targets. PPARγ is responsible for lipid metabolism and cellular energy homeostasis. It binds genes that transcribe proteins which act as fatty acid transporters, are critical in insulin signaling and glucose transport, catalyze glycerol synthesis from triglycerides, and catabolize lipids. This makes PPARγ an ideal target to treat Diabetes.<ref>PMID:11818483</ref> Also, recent research has indicated that some PPAR agonists like Rosiglitazone can induce apoptosis of macrophages and would thus serve as excellent anti-inflammatory targets. <ref>PMID:9748221</ref> PPARα has been shown to play a critical role in the regulation of cellular uptake and oxidation of fatty acids. This makes PPARα an excellent target for Atherosclerosis drugs which aim at reducing [http://en.wikipedia.org/wiki/Low-density_lipoprotein LDL cholesterol] and increasing [http://en.wikipedia.org/wiki/High-density_lipoprotein HDL cholesterol], the two most common traits of atherosclerosis. The fibrates are a class of amphipathic carboxylic acids that are PPARα agonists used to treat hypercholesterolemia and hyperlipidemia along with the [[HMGR]] inhibitor statins . Some fibrates are [http://en.wikipedia.org/wiki/Bezafibrate Bezafibrate] (Marketed by Roche as [http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20B)/BEZALIP.html Bezalip]) and [http://en.wikipedia.org/wiki/Ciprofibrate Ciprofibrate] ([http://www.netdoctor.co.uk/medicines/100001714.html  Modalim]).<ref>PMID:11818483</ref> PPARδ is broadly expressed across the human body and thus is suspected to play a role in a number of diseases. It has been implicated in disorders ranging from Fertility problems to types of cancer. Perhaps the most important use of PPARδ agonists will be in treating [http://en.wikipedia.org/wiki/Central_nervous_system central nervous system] (CNS) diseases as PPARδ has been implicated in neuron [http://en.wikipedia.org/wiki/Myelin myelinogenesis] and neuronal signaling as well as lipid metabolism in the CNS. <ref>PMID:11818483</ref>
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Despite their structural similarities, each member of the PPAR family is localized to certain parts of the body. Location of receptor partially determines their function in the body and also the different roles they can play in medicine as drug targets. PPARγ is responsible for lipid metabolism and cellular energy homeostasis. It binds genes that transcribe proteins which act as fatty acid transporters, are critical in insulin signaling and glucose transport, catalyze glycerol synthesis from triglycerides, and catabolize lipids. This makes PPARγ an ideal target to treat Diabetes.<ref name="Berger">PMID:11818483</ref> Also, recent research has indicated that some PPAR agonists like Rosiglitazone can induce apoptosis of macrophages and would thus serve as excellent anti-inflammatory targets.<ref name="Berger2">PMID:12079620</ref> PPARα has been shown to play a critical role in the regulation of uptake and oxidation of fatty acids. This makes PPARα an excellent target for Atherosclerosis drugs which aim to reduce LDL cholesterol and increase HDL cholesterol, the two most common traits of atherosclerosis. The fibrates are a class of amphipathic carboxylic acids that are PPARα agonists used to treat hypercholesterolemia and hyperlipidemia along with the [[HMGR]] inhibitor statins. Some fibrates are Bezafibrate (Marketed by Roche as [http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20B)/BEZALIP.html Bezalip]) and Ciprofibrate ([http://www.netdoctor.co.uk/medicines/100001714.html  Modalim]).<ref name="Berger"/> PPARδ is broadly expressed across the human body and thus is suspected to play a role in a number of diseases. It has been implicated in disorders ranging from fertility problems to types of cancer. Perhaps the most important use of PPARδ agonists will be in treating central nervous system (CNS) diseases as PPARδ has been implicated in neuron myelinogenesis and neuronal signaling as well as lipid metabolism in the CNS.<ref name="Berger"/>


Most drugs target the PPARγ LBD, as ligands that bind to RXRα are likely to inadvertently act on other RXRα complexes, resulting in unexpected side effects. <ref>PMID:19043829</ref> Sales of Avandia, marketed by GlaxoSmithKline peaked at $2.5 billion in 2006 but have dipped dramatically since due to health concerns. In response to the health concerns, sales of Actos, marketed by Takeda, have grown to block buster status.<ref>http://uk.reuters.com/article/idUKT7482820080131</ref>
Most drugs target the PPARγ LBD, as ligands that bind to RXRα are likely to inadvertently act on other RXRα complexes, resulting in unexpected side effects. <ref name="Berger2"/> Sales of Avandia, marketed by GlaxoSmithKline peaked at $2.5 billion in 2006 but have since dipped dramatically due to health concerns. In response to the health concerns, sales of Actos, marketed by Takeda, have grown to block buster status.<ref>http://uk.reuters.com/article/idUKT7482820080131</ref>
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==Additional 3D Structures of PPAR==
See<br />
[[Glitazone Pharmacokinetics]]<br />
[[Treatments:Glitazone Pharmacokinetics References]].


===PPARγ Structures===
==3D Structures of PPAR==
[[2zk0]], [[2zk1]], [[2zk2]], [[2zk3]], [[2zk4]], [[2zk5]], [[2zk6]] – Crystal Structure of PPARγ bound to various ligands<br />
[[Peroxisome proliferator-activated receptor 3D structures]]
[[2prg]] – Crystal Structure of PPARγ bound to Rosiglitazone and SRC-1 <br />
[[3prg]] – Crystal Structure of PPARγ<br />
[[4prg]] – Crystal Structure of ''E. Coli'' PPARγ bound to 2,4-thiazolidinedione derive. <br />
[[1fm9]] – Crystal Structure of PPARγ bound to GI262570, Farglitazar and SRC-1<br />
[[1fm6]] – Crystal Structure of PPARγ bound to Rosiglitazone and SRC-1<br />
[[1wm0]] – Crystal Structure of PPARγ bound to2-BABA and GRIP-1<br />
[[3ho0]], [[3hod]] – Crystal Structure of PPARγ bound to aryloxy-3phenylpropanoic acid <br />
[[1k74]] – Crystal Structure of PPARγ bound to GW409544 and SRC-1<br />
[[3et0]] – Crystal Structure of PPARγ bound to a propionic acid moiety <br />
[[1knu]] – Crystal Structure of PPARγ bound to Carbazole analogue<br />
[[1i7i]] – Crystal Structure of PPARγ bound to AZ242<br />
[[2fvj]] – Crystal Structure of PPARγ bound to Isoquinoline derivative and SRC-1<br />
[[2g0g]] – Crystal Structure of PPARγ bound to Pyrazol-5-ylbenzenesulfonamide derivative. <br />
[[1nyx]] – Crystal Structure of PPARγ bound to Ragalitazar<br />
[[1rdt]] – Crystal Structure of PPARγ bound to GI262570, Fraglitazar and CBP<br />
[[1zgy]] – Crystal Structure of PPARγ bound to Rosaglitazone and SHP<br />
[[2f4b]] – Crystal Structure of PPARγ bound to Indol-1-yl Acetic Acid Derivative<br />
[[3lmp]] – Crystal structure of PPARγ bound to a cercosporamide derivative modulator<br />


===PPARα Structures===
</StructureSection>
[[1k7l]] – Crystal Structure of PPARα bound to G2409544 and SRC-1<br />
[[3e94]] – Crystal Structure of PPARα bound to tributyltin <br />
[[1i7g]] – Crystal Structure of PPARα bound to AZ242<br />
[[1kkq]] – Crystal Structure of PPARα bound to GW6471 Antagonist and SMRT<br />


===PPARδ Structures===
==Additional Resources==
[[2baw]], [[2b50]], [[2awh]] – Crystal Structure of PPARδ bound to Vaccenic Acid<br />
* See: [[Regulation of Gene Expression]] For Additional Mechanisms of Gene Regulation
[[1gwx]] – Crystal Structure of PPARδ bound to GW2433<br />
* See: [[Pharmaceutical Drug Targets| Pharmaceutical Drug Targets]] For Additional Information about Drug Targets for Related Diseases
[[2gwx]] – Crystal Structure of PPARδ<br />
* See: [[Diabetes & Hypoglycemia]] For Additional Information about Diabetes & Hypoglycemia Related Information
[[3gwx]] – Crystal Structure of PPARδ bound to 5,8,11,14,17-Eicosapentaenoic Acid<br />
[[1y0s]] – Crystal Structure of PPARδ bound to GW2331<br />
[[3dy6]] – Crystal Structure of PPARδ bound to anthranilic acid <br />
[[3et2]] – Crystal Structure of PPARδ bound to 3-[5-Methoxy-1-(4-methoxy-benzenesulfonyl)-1H-indol-3-yl]-propionic acid<br />
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==References==
==References==
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[[Category:Topic Page]]

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