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The British Journal of Diabetes & Vascular Disease
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Pioglitazone — an oral antidiabetic agent and metabolic syndrome modulator. Can theory translate into practice?

Ian W Campbell

Department, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, Scotland, UK, jackie.wallace{at}faht.scot.nhs.uk

The metabolic syndrome, associated with insulin resistance, is a cluster of cardiovascular risk factors which results in premature morbidity and mortality from atherosclerotic vascular disease. Pioglitazone, a peroxisome-proliferator-activated receptor gamma (PPAR{gamma}) agonist, is an insulin sensitiser with the ability to address key features of the metabolic syndrome: glucose intolerance including type 2 diabetes, hypertension, dyslipidaemia, the pro-coagulant state, endothelial dysfunction, inflammation and atherosclerosis. The greatest potential benefit of pioglitazone is to influence atherogenesis itself through its pleiotrophic effects on vascular risk factors. This has been tested by the PROactive study, results of which are published in September 2005.

Key Words: pioglitazone • insulin resistance • metabolic BET syndrome • pleiotrophic effects • atherogenesis • cardiovascular risk.

The British Journal of Diabetes & Vascular Disease, Vol. 5, No. 4, 209-216 (2005)
DOI: 10.1177/14746514050050040601
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 British Journal of Diabetes & Vascular DiseaseHome page
I. W Campbell
PROactive Study: PROspective pioglitAzone Clinical Trial In macroVascular Events
The British Journal of Diabetes & Vascular Disease, September 1, 2005; 5(5): 272 - 274.
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