Key result
Pioglitazone improves pulmonary hypertension and insulin resistance in obese mice by restoring adiponectin and PPAR-γ.
Why the study?
The impact of obesity and insulin resistance on pulmonary hypertension and the involvement of PPAR-γ and ER stress in this process are not well clarified.
Does pioglitazone or 4-phenylbutyric acid improve pulmonary hypertension and insulin resistance in a mouse model of diet-induced obesity?
Does pioglitazone or 4-phenylbutyric acid improve pulmonary hypertension and insulin resistance in a mouse model of diet-induced obesity?
Pioglitazone improves pulmonary hypertension and insulin resistance in a mouse model of diet-induced obesity, suggesting a potential therapeutic role for PPAR-γ agonists in obesity-related pulmonary hypertension.
Hypothesis-generating for pioglitazone in obesity-related pulmonary hypertension; human trials needed before clinical consideration.
Obesity and insulin resistance (IR) are well-studied risk factors for systemic cardiovascular disease, but their impact on pulmonary hypertension (PH) is not well clarified. This study aims to investigate if diet-induced obesity induces PH and if peroxisome-proliferator-activated receptor (PPAR-γ) and/or endoplasmic reticulum (ER) stress are involved in this process. Mice were maintained on a high-fat diet (HFD) for 4 months, and IR and PH were confirmed. In a separate group, after 4 months of HFD, mice were treated with pioglitazone (PIO) or 4-phenylbutyric acid for the last month. The results demonstrated that HFD for at least 4 months is able to increase pulmonary artery pressure, which is maintained, and this animal model can be used to investigate the link between IR and PH, without changes in ER stress in the pulmonary artery. There was also a reduction in circulating adiponectin and in perivascular adiponectin expression in the pulmonary artery, associated with a reduction in PPAR-γ expression. Treatment with PIO improved IR and PH and reversed the lower expression of adiponectin and PPAR-γ in the pulmonary artery, highlighting this drug as potential benefit for this poorly recognized complication of obesity.
No takes yet. Share an insight, caveat, or question.
Gonçalves et al. (2021) studied Obesity, insulin resistance, and pulmonary hypertension. Pioglitazone or 4-phenylbutyric acid vs. High-fat diet alone was evaluated on Pulmonary artery pressure, insulin resistance, and expression of adiponectin and PPAR-γ. Treatment with pioglitazone improved insulin resistance and pulmonary hypertension and reversed the lower expression of adiponectin and PPAR-γ in the pulmonary artery of obese mice.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: