Page last updated: 2024-11-02

pioglitazone and Cerebral Ischemia

pioglitazone has been researched along with Cerebral Ischemia in 39 studies

Pioglitazone: A thiazolidinedione and PPAR GAMMA agonist that is used in the treatment of TYPE 2 DIABETES MELLITUS.
pioglitazone : A member of the class of thiazolidenediones that is 1,3-thiazolidine-2,4-dione substituted by a benzyl group at position 5 which in turn is substituted by a 2-(5-ethylpyridin-2-yl)ethoxy group at position 4 of the phenyl ring. It exhibits hypoglycemic activity.

Research Excerpts

ExcerptRelevanceReference
"Pioglitazone improves glycaemic control, not only by lowering insulin resistance, but also by improving beta cell function."9.41In praise of pioglitazone: An economically efficacious therapy for type 2 diabetes and other manifestations of the metabolic syndrome. ( Bell, DSH; Jerkins, T, 2023)
" The identification of insulin resistance as a risk factor for stroke and myocardial infarction raised the possibility that pioglitazone, which improves insulin sensitivity, might benefit patients with cerebrovascular disease."9.22Pioglitazone after Ischemic Stroke or Transient Ischemic Attack. ( Adams, HP; Berger, L; Brass, LM; Carolei, A; Clark, W; Conwit, R; Coull, B; Ford, GA; Furie, KL; Gorman, M; Guarino, PD; Inzucchi, SE; Kernan, WN; Kleindorfer, D; Lovejoy, AM; O'Leary, JR; Parsons, MW; Peduzzi, PN; Ringleb, P; Schwartz, GG; Sen, S; Spence, JD; Tanne, D; Viscoli, CM; Wang, D; Winder, TR; Young, LH, 2016)
"While this study was too underpowered to determine the effect of pioglitazone, the result failed to show beneficial effects in patients of ischemic stroke or TIA with impaired glucose tolerance and newly diagnosed diabetes."9.20Effects of Pioglitazone for Secondary Stroke Prevention in Patients with Impaired Glucose Tolerance and Newly Diagnosed Diabetes: The J-SPIRIT Study. ( Furukawa, Y; Hattori, N; Kawamori, R; Miyamoto, N; Nakahara, T; Nakamura, S; Okuma, Y; Shimura, H; Tanaka, R; Tanaka, Y; Tomizawa, Y; Ueno, Y; Urabe, T; Watada, H; Yamashiro, K, 2015)
"The aim of this study was to determine the effectiveness of pioglitazone compared with placebo for improving insulin sensitivity among nondiabetic patients with a recent transient ischemic attack (TIA) or nondisabling ischemic stroke and impaired insulin sensitivity."9.10Pioglitazone improves insulin sensitivity among nondiabetic patients with a recent transient ischemic attack or ischemic stroke. ( Brass, LM; Bravata, DM; Horwitz, RI; Inzucchi, SE; Kernan, WN; McVeety, JC; Shulman, GI; Viscoli, CM, 2003)
"Luteolin, a flavonoid compound with anti-inflammatory activity, has been reported to alleviate cerebral ischemia/reperfusion (I/R) injury."8.12Luteolin alleviates inflammation and autophagy of hippocampus induced by cerebral ischemia/reperfusion by activating PPAR gamma in rats. ( Fan, R; Guo, L; Li, D; Li, L; Liang, H; Ma, L; Pan, G; Qiu, J, 2022)
"Studies assessing the efficacy of pioglitazone solely for primary stroke prevention in Asian patients with type 2 diabetes mellitus (DM) and present multiple cardiovascular (CV) risk factors are rare."7.96Pioglitazone for primary stroke prevention in Asian patients with type 2 diabetes and cardiovascular risk factors: a retrospective study. ( Bau, DT; Chiu, LT; Huang, HY; Hung, YC, 2020)
"In this nested case-control study using real-world data, treatment with pioglitazone exhibited significant cardiovascular preventive effect in diabetic patients with acute ischemic stroke."7.91Effect of pioglitazone in acute ischemic stroke patients with diabetes mellitus: a nested case-control study. ( Kim, J; Lee, HS; Woo, MH, 2019)
"In the present study, we investigated the effects of pioglitazone (PGZ) in the hippocampal CA1 region of low- or high-fat diet (LFD or HFD) fed gerbils after transient forebrain ischemia."7.81Differential Effects of Pioglitazone in the Hippocampal CA1 Region Following Transient Forebrain Ischemia in Low- and High-Fat Diet-Fed Gerbils. ( Chang, IB; Cho, BM; Cho, SM; Choi, GM; Hwang, IK; Jung, HY; Kim, DW; Moon, SM; Won, MH; Yim, HS; Yoo, DY, 2015)
"Present study was carried out to investigate the possible neuroprotective effect of pioglitazone, an antidiabetic agent, peroxisome proliferator-activated receptor gamma (PPARgamma) agonist on acute phase changes in mice model of cerebral ischemia induced by Bilateral Common Carotid artery Occlusion (BCCAO)."7.76Neuroprotective effect of pioglitazone on acute phase changes induced by partial global cerebral ischemia in mice. ( Aggarwal, R; Chakrabarti, A; Medhi, B, 2010)
"In rats subjected to cerebral ischemia, post-ischemic treatment with either dose of pioglitazone alleviated particular motor deficits and sensory impairments on day 2 after MCAO."6.77Treatment of rats with pioglitazone in the reperfusion phase of focal cerebral ischemia: a preclinical stroke trial. ( Culman, J; Glatz, T; Gohlke, P; Herdegen, T; Nguyen-Ngoc, M; Zhao, Y, 2012)
"Pioglitazone was also associated with reduced recurrent IS in patients who also used telmisartan (p for interaction = 0."5.56Pioglitazone and PPAR-γ modulating treatment in hypertensive and type 2 diabetic patients after ischemic stroke: a national cohort study. ( Lee, TH; Li, YR; Lin, YS; Liu, CH; Sung, PS; Wei, YC, 2020)
"Pioglitazone (10mg/kg; po) was administered daily for 2 weeks prior to I/R."5.42Neuroprotective effects of pioglitazone against transient cerebral ischemic reperfusion injury in diabetic rats: Modulation of antioxidant, anti-inflammatory, and anti-apoptotic biomarkers. ( Ain-Shoka, AA; Attia, AS; El-Sahar, AE; Safar, MM; Zaki, HF, 2015)
"Pioglitazone improves glycaemic control, not only by lowering insulin resistance, but also by improving beta cell function."5.41In praise of pioglitazone: An economically efficacious therapy for type 2 diabetes and other manifestations of the metabolic syndrome. ( Bell, DSH; Jerkins, T, 2023)
"Pioglitazone pretreatment also attenuated the oxidative stress and DNA fragmentation after cerebral IR injury."5.35Protective effects of pioglitazone against global cerebral ischemic-reperfusion injury in gerbils. ( Iyer, S; Kaundal, RK; Kumar, A; Sharma, SS, 2009)
" The identification of insulin resistance as a risk factor for stroke and myocardial infarction raised the possibility that pioglitazone, which improves insulin sensitivity, might benefit patients with cerebrovascular disease."5.22Pioglitazone after Ischemic Stroke or Transient Ischemic Attack. ( Adams, HP; Berger, L; Brass, LM; Carolei, A; Clark, W; Conwit, R; Coull, B; Ford, GA; Furie, KL; Gorman, M; Guarino, PD; Inzucchi, SE; Kernan, WN; Kleindorfer, D; Lovejoy, AM; O'Leary, JR; Parsons, MW; Peduzzi, PN; Ringleb, P; Schwartz, GG; Sen, S; Spence, JD; Tanne, D; Viscoli, CM; Wang, D; Winder, TR; Young, LH, 2016)
"While this study was too underpowered to determine the effect of pioglitazone, the result failed to show beneficial effects in patients of ischemic stroke or TIA with impaired glucose tolerance and newly diagnosed diabetes."5.20Effects of Pioglitazone for Secondary Stroke Prevention in Patients with Impaired Glucose Tolerance and Newly Diagnosed Diabetes: The J-SPIRIT Study. ( Furukawa, Y; Hattori, N; Kawamori, R; Miyamoto, N; Nakahara, T; Nakamura, S; Okuma, Y; Shimura, H; Tanaka, R; Tanaka, Y; Tomizawa, Y; Ueno, Y; Urabe, T; Watada, H; Yamashiro, K, 2015)
"The aim of this study was to determine the effectiveness of pioglitazone compared with placebo for improving insulin sensitivity among nondiabetic patients with a recent transient ischemic attack (TIA) or nondisabling ischemic stroke and impaired insulin sensitivity."5.10Pioglitazone improves insulin sensitivity among nondiabetic patients with a recent transient ischemic attack or ischemic stroke. ( Brass, LM; Bravata, DM; Horwitz, RI; Inzucchi, SE; Kernan, WN; McVeety, JC; Shulman, GI; Viscoli, CM, 2003)
" Pioglitazone (an oral hypoglycemic agent of the thiazolidinedione drug class) was shown in the IRIS trial to reduce the risk of recurrent stroke in patients with impaired glucose tolerance who had not developed type 2 diabetes mellitus."4.98Updates in Stroke Treatment. ( Mac Grory, B; Yaghi, S, 2018)
" Together with the recent observation that the PPAR-gamma ligand pioglitazone reduces the incidence of stroke in patients with type 2 diabetes, this review supports the concept that activators of PPAR-gamma are effective drugs against ischemic injury."4.84PPAR-gamma: therapeutic target for ischemic stroke. ( Culman, J; Gohlke, P; Herdegen, T; Zhao, Y, 2007)
"Luteolin, a flavonoid compound with anti-inflammatory activity, has been reported to alleviate cerebral ischemia/reperfusion (I/R) injury."4.12Luteolin alleviates inflammation and autophagy of hippocampus induced by cerebral ischemia/reperfusion by activating PPAR gamma in rats. ( Fan, R; Guo, L; Li, D; Li, L; Liang, H; Ma, L; Pan, G; Qiu, J, 2022)
"Studies assessing the efficacy of pioglitazone solely for primary stroke prevention in Asian patients with type 2 diabetes mellitus (DM) and present multiple cardiovascular (CV) risk factors are rare."3.96Pioglitazone for primary stroke prevention in Asian patients with type 2 diabetes and cardiovascular risk factors: a retrospective study. ( Bau, DT; Chiu, LT; Huang, HY; Hung, YC, 2020)
"In this nested case-control study using real-world data, treatment with pioglitazone exhibited significant cardiovascular preventive effect in diabetic patients with acute ischemic stroke."3.91Effect of pioglitazone in acute ischemic stroke patients with diabetes mellitus: a nested case-control study. ( Kim, J; Lee, HS; Woo, MH, 2019)
"In the present study, we investigated the effects of pioglitazone (PGZ) in the hippocampal CA1 region of low- or high-fat diet (LFD or HFD) fed gerbils after transient forebrain ischemia."3.81Differential Effects of Pioglitazone in the Hippocampal CA1 Region Following Transient Forebrain Ischemia in Low- and High-Fat Diet-Fed Gerbils. ( Chang, IB; Cho, BM; Cho, SM; Choi, GM; Hwang, IK; Jung, HY; Kim, DW; Moon, SM; Won, MH; Yim, HS; Yoo, DY, 2015)
"The role of the phosphorylated signal transducer and activator of transcription-3 (p-STAT3) after cerebral ischemia by the peroxisome proliferator-activated receptor γ (PPARγ) agonist pioglitazone (PGZ) remains controversial."3.78Activation of signal transducer and activator of transcription-3 by a peroxisome proliferator-activated receptor gamma agonist contributes to neuroprotection in the peri-infarct region after ischemia in oophorectomized rats. ( Kageji, T; Kinouchi, T; Kitazato, KT; Matsushita, N; Nagahiro, S; Satomi, J; Shimada, K; Sumiyoshi, M; Tada, Y; Yagi, K, 2012)
"Present study was carried out to investigate the possible neuroprotective effect of pioglitazone, an antidiabetic agent, peroxisome proliferator-activated receptor gamma (PPARgamma) agonist on acute phase changes in mice model of cerebral ischemia induced by Bilateral Common Carotid artery Occlusion (BCCAO)."3.76Neuroprotective effect of pioglitazone on acute phase changes induced by partial global cerebral ischemia in mice. ( Aggarwal, R; Chakrabarti, A; Medhi, B, 2010)
"In rats subjected to cerebral ischemia, post-ischemic treatment with either dose of pioglitazone alleviated particular motor deficits and sensory impairments on day 2 after MCAO."2.77Treatment of rats with pioglitazone in the reperfusion phase of focal cerebral ischemia: a preclinical stroke trial. ( Culman, J; Glatz, T; Gohlke, P; Herdegen, T; Nguyen-Ngoc, M; Zhao, Y, 2012)
"These mice received a middle cerebral artery occlusion and reperfusion injury, and they were evaluated for the infarct volume and by immunohistochemistry and western blotting analysis at several time points after ischemia."1.62Pioglitazone Prevents Hemorrhagic Infarction After Transient Focal Ischemia in Type 2 Diabetes. ( Arai, H; Hasegawa, H; Hattori, N; Mitome-Mishima, Y; Miyamoto, N; Oishi, H; Tanaka, R; Urabe, T; Yatomi, K, 2021)
"Pre-treatment with fenofibrate and pioglitazone in addition to their combination improved neurobehavioral dysfunction, reduced cerebral infarct volume, attenuated inflammatory and apoptotic markers and ameliorated histopathological changes in I/R injured rats."1.56The impact of single and combined PPAR-α and PPAR-γ activation on the neurological outcomes following cerebral ischemia reperfusion. ( Abdelrehim, AB; Ahmed, AF; Heeba, GH; Shehata, AHF, 2020)
"Pioglitazone was also associated with reduced recurrent IS in patients who also used telmisartan (p for interaction = 0."1.56Pioglitazone and PPAR-γ modulating treatment in hypertensive and type 2 diabetic patients after ischemic stroke: a national cohort study. ( Lee, TH; Li, YR; Lin, YS; Liu, CH; Sung, PS; Wei, YC, 2020)
"Pioglitazone (10mg/kg; po) was administered daily for 2 weeks prior to I/R."1.42Neuroprotective effects of pioglitazone against transient cerebral ischemic reperfusion injury in diabetic rats: Modulation of antioxidant, anti-inflammatory, and anti-apoptotic biomarkers. ( Ain-Shoka, AA; Attia, AS; El-Sahar, AE; Safar, MM; Zaki, HF, 2015)
"Pioglitazone or vehicle was infused intracerebroventricularly over a 5-day period before, during and 24 or 48 h after middle cerebral artery occlusion."1.36Peroxisome-proliferator-activated receptors gamma and peroxisome-proliferator-activated receptors beta/delta and the regulation of interleukin 1 receptor antagonist expression by pioglitazone in ischaemic brain. ( Culman, J; Glatz, T; Gohlke, P; Herdegen, T; Nguyen-Ngoc, M; Stöck, I; Zhao, Y, 2010)
" Translation of these findings into clinical therapy will require careful assessment of dosing paradigms and effective time windows for treatment."1.36Extension of the neuroprotective time window for thiazolidinediones in ischemic stroke is dependent on time of reperfusion. ( Blankenship, DA; Gamboa, J; Hilow, E; Karl, M; Landreth, GE; Niemi, JP; Sundararajan, S, 2010)
"Pioglitazone treatment reduced the infarct size and improved neurological functions."1.35Peroxisome proliferator-activated receptorsgamma (PPARgamma) differently modulate the interleukin-6 expression in the peri-infarct cortical tissue in the acute and delayed phases of cerebral ischaemia. ( Culman, J; Gohlke, P; Herdegen, T; Patzer, A; Stöck, I; Zhao, Y, 2008)
"Pioglitazone pretreatment also attenuated the oxidative stress and DNA fragmentation after cerebral IR injury."1.35Protective effects of pioglitazone against global cerebral ischemic-reperfusion injury in gerbils. ( Iyer, S; Kaundal, RK; Kumar, A; Sharma, SS, 2009)
"Pioglitazone or vehicle were i."1.33The intracerebral application of the PPARgamma-ligand pioglitazone confers neuroprotection against focal ischaemia in the rat brain. ( Culman, J; Gohlke, P; Herdegen, T; Patzer, A; Zhao, Y, 2005)

Research

Studies (39)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's9 (23.08)29.6817
2010's22 (56.41)24.3611
2020's8 (20.51)2.80

Authors

AuthorsStudies
Li, L1
Pan, G1
Fan, R1
Li, D1
Guo, L1
Ma, L1
Liang, H1
Qiu, J1
Guo, Y1
Zuo, W1
Yin, L1
Gu, T1
Wang, S1
Fang, Z1
Wang, B1
Dong, H1
Hou, W1
Zuo, Z1
Deng, J1
Bell, DSH1
Jerkins, T1
Liu, CH1
Lee, TH1
Lin, YS1
Sung, PS1
Wei, YC1
Li, YR1
Shehata, AHF1
Ahmed, AF1
Abdelrehim, AB1
Heeba, GH1
Hung, YC1
Chiu, LT1
Huang, HY1
Bau, DT1
Hasegawa, H1
Yatomi, K1
Mitome-Mishima, Y1
Miyamoto, N2
Tanaka, R2
Oishi, H1
Arai, H1
Hattori, N2
Urabe, T2
Zhao, Y7
Lützen, U1
Gohlke, P7
Jiang, P1
Herdegen, T7
Culman, J7
Katsiki, N1
Mikhailidis, DP1
Rydén, L1
Mellbin, L1
Hankey, GJ1
Musso, G1
Cassader, M1
Gambino, R1
Jin-Shan, H1
Xue-Bin, L1
Young, LH2
Viscoli, CM3
Inzucchi, SE3
Kernan, WN3
Mac Grory, B1
Yaghi, S1
Dawson, J1
Woo, MH1
Lee, HS1
Kim, J1
Duelsner, A1
Gatzke, N1
Hillmeister, P1
Glaser, J1
Zietzer, A1
Nagorka, S1
Janke, D1
Pfitzner, J1
Stawowy, P1
Meyborg, H1
Urban, D1
Bondke Persson, A1
Buschmann, IR1
Moon, SM1
Choi, GM1
Yoo, DY1
Jung, HY1
Yim, HS1
Kim, DW1
Hwang, IK1
Cho, BM1
Chang, IB1
Cho, SM1
Won, MH1
Yu, SJ1
Reiner, D1
Shen, H1
Wu, KJ1
Liu, QR1
Wang, Y1
Yamashiro, K1
Okuma, Y1
Shimura, H1
Nakamura, S1
Ueno, Y1
Tanaka, Y1
Tomizawa, Y1
Nakahara, T1
Furukawa, Y1
Watada, H1
Kawamori, R1
El-Sahar, AE1
Safar, MM1
Zaki, HF1
Attia, AS1
Ain-Shoka, AA1
Macan, M1
Vukšić, A1
Žunec, S1
Konjevoda, P1
Lovrić, J1
Kelava, M1
Štambuk, N1
Vrkić, N1
Bradamante, V1
Furie, KL1
Gorman, M1
Guarino, PD1
Lovejoy, AM1
Peduzzi, PN1
Conwit, R1
Brass, LM2
Schwartz, GG1
Adams, HP1
Berger, L1
Carolei, A1
Clark, W1
Coull, B1
Ford, GA1
Kleindorfer, D1
O'Leary, JR1
Parsons, MW1
Ringleb, P1
Sen, S1
Spence, JD1
Tanne, D1
Wang, D1
Winder, TR1
Patzer, A3
Stöck, I2
Lee, SR1
Kim, HY1
Hong, JS1
Baek, WK1
Park, JW1
Kaundal, RK1
Iyer, S1
Kumar, A1
Sharma, SS1
Glatz, T2
Nguyen-Ngoc, M2
Gamboa, J1
Blankenship, DA1
Niemi, JP1
Landreth, GE1
Karl, M2
Hilow, E2
Sundararajan, S2
Medhi, B1
Aggarwal, R1
Chakrabarti, A1
Blankenship, D1
Niemi, J1
Kinouchi, T1
Kitazato, KT1
Shimada, K1
Yagi, K1
Tada, Y1
Matsushita, N1
Sumiyoshi, M1
Satomi, J1
Kageji, T1
Nagahiro, S1
Bravata, DM1
Shulman, GI1
McVeety, JC1
Horwitz, RI1
Shimazu, T1
Inoue, I1
Araki, N1
Asano, Y1
Sawada, M1
Furuya, D1
Nagoya, H1
Greenberg, JH1
Collino, M1
Aragno, M1
Mastrocola, R1
Gallicchio, M1
Rosa, AC1
Dianzani, C1
Danni, O1
Thiemermann, C1
Fantozzi, R1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Preventive Effects of Ginseng Against Atherosclerosis and Subsequent Ischemic Stroke: A Randomized Controlled Trial[NCT02796664]58 participants (Actual)Interventional2016-06-23Completed
Insulin Resistance Intervention After Stroke (IRIS) Trial[NCT00091949]Phase 33,876 participants (Actual)Interventional2005-02-28Completed
The Effect of Liraglutide Treatment on Postprandial Chylomicron and VLDL Kinetics, Liver Fat and de Novo Lipogenesis - a Single-center Randomized Controlled Study[NCT02765399]Phase 423 participants (Actual)Interventional2015-02-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Drug Compliance

We calculated average drug compliance based on the number of remained drugs at each follow-up. (NCT02796664)
Timeframe: At twelve months after randomization.

Interventionpercentage of drug compliance (Mean)
Ginseng97.4
Placebo97.8

Modified Rankin Scale

Presence of other cerebro-cardiovascular morbidity or mortality assessed by aggravation of patient status (modified Rankin Scale). The modified Rankin Scale is ranging from 0 to 5. The higher scale indicates the worse outcome. (NCT02796664)
Timeframe: Twelve months after randomization.

,
InterventionParticipants (Count of Participants)
mRS 0mRS 1mRS 2mRS 3mRS 4mRS 5
Ginseng2150200
Placebo2210100

The Composite of Cerebral Ischemic Stroke and Transient Ischemic Attack

The 1-year composite of cerebral ischemic stroke and transient ischemic attack downstream to an atherosclerotic lesion (NCT02796664)
Timeframe: Twelve months after randomization.

,
InterventionParticipants (Count of Participants)
Ischemic strokeTransient ischemic attack
Ginseng00
Placebo01

The Changes in Volumetric Blood Flow (ml/Sec) in Intracranial Vessels.

The changes in volumetric blood flow (ml/sec) in intracranial vessels assessed by quantitative magnetic resonance angiography with noninvasive optimal vessel analysis. (NCT02796664)
Timeframe: At randomization and twelve months after randomization.

InterventionParticipants (Count of Participants)
The flow change in steno-occlusive lesion72501839The flow change in steno-occlusive lesion72501838The flow change in collateral vessel72501838The flow change in collateral vessel72501839
ImprovedNo changeAggravated
Ginseng4
Placebo5
Ginseng17
Placebo18
Placebo1
Ginseng7
Placebo7
Placebo9
Placebo8

The Changes of White Matter Hyperintensities.

The changes of white matter hyperintensities, assessed by the Fazekas scale using brain magnetic resonance imaging. The Fazekas scale is a 4 point white matter disease severity scale with values ranging from 0 to 3. It quantifies the amount of white matter T2 hyperintense lesions each in periventricular white matter and deep white matter. Higher scales mean a worse white matter status. In the region of the periventricular white matter, 0 means absence of the lesion; 1, caps or pencil-thin lining lesion; 2, smooth halo lesion; 3, irregular high intense signal extending into the deep shite matter. In the region of the deep white matter, 0 means absence of the lesion; 1, punctate foci lesions; 2, beginning confluence; 3, large confluent hyperintense areas. (NCT02796664)
Timeframe: At randomization and twelve months after randomization.

InterventionParticipants (Count of Participants)
Periventricular white matter72501836Periventricular white matter72501837Deep white matter72501837Deep white matter72501836
Fazekas scale 3Fazekas scale 0Fazekas scale 1Fazekas scale 2
Placebo11
Placebo10
Ginseng2
Ginseng9
Placebo6
Ginseng15
Placebo15
Ginseng3
Placebo2
Ginseng1
Placebo1

Acute Coronary Syndrome

Fatal or non-fatal acute myocardial infarction or unstable angina (NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone206
Placebo249

All Cause Mortality

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone136
Placebo146

Composite Outcome of Fatal or Non-fatal Stroke, Fatal or Non-fatal MI or Episode of Serious Congestive Heart Failure

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone206
Placebo249

Decline in Cognitive Status

Change in modified mental status examination (3MS) score from baseline to exit. Theoretical range of 3MS scores is 0-100. Baseline scores ranged from 22-100. (NCT00091949)
Timeframe: Annual measures from baseline to exit (up to 5 years)

Interventionunits on a scale (Mean)
Pioglitazone0.27
Placebo0.29

Development of Overt Diabetes

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone73
Placebo149

Fatal or Non-fatal Stroke Alone

(NCT00091949)
Timeframe: 5 years

Interventionparticipants (Number)
Pioglitazone127
Placebo154

Recurrent Fatal or Non-fatal Stroke, or Fatal or Non-fatal Myocardial Infarction

(NCT00091949)
Timeframe: Up to 5 years

Interventionparticipants (Number)
Pioglitazone175
Placebo228

Body Weight

Before vs after intervention (Liraglutide or placebo): Change in body weight. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionkg (Mean)
Baseline16 weeks
Liraglutide98.696.1
Placebo92.089.8

Change in ApoCIII Level

Before vs after intervention (Liraglutide or placebo): apolipoprotein CIII concentration in plasma measured by using turbidimetric immunoassay. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmg/dL (Mean)
Baseline16 weeks
Liraglutide12.09.9
Placebo9.78.6

Change in Direct CM-apoB48 Clearance

Before vs after intervention (Liraglutide or placebo): Direct apoB48 clearance rates in isolated chylomicrons and measured by liquid chromatography - mass spectrometry and calculated by multicompartmental modeling assay. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmg/day (Mean)
Baseline16 weeks
Liraglutide1063.8
Placebo2017

Change in fP-glucose Level

Before vs after intervention (Liraglutide or placebo): concentration of fasting plasma glucose measured using the hexokinase method. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmmol/L (Mean)
Baseline16 weeks
Liraglutide8.36.4
Placebo6.56.4

Change in HbA1c Level

Before vs after intervention (Liraglutide or placebo): Change in B -Hemoglobiini-A1c level in plasma. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
InterventionHbA1c % (Mean)
Baseline16 weeks
Liraglutide7.06.4
Placebo6.36.4

Change in Hepatic de Novo Lipogenesis

Before vs after intervention (Liraglutide or placebo): Hepatic DNL is calculated from enrichment of deuterated water ingested during the kinetic study at specified time points (0, 4 and 8 hrs.). Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionμmol/L (Mean)
Baseline16 weeks
Liraglutide15.419.1
Placebo12.613.8

Change in Insulin Level

Before vs after intervention (Liraglutide or placebo): Concentration of insulin level in plasma measured using electrochemiluminescence. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after16 weeks

,
InterventionμU/mL (Mean)
Baseline16 weeks
Liraglutide13.914.5
Placebo13.814.1

Change in Liver Fat Content

Before vs after intervention (Liraglutide or placebo): mean liver fat content was measured by magnetic resonance imaging. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionfat % (Mean)
Baseline16 weeks
Liraglutide14.810.7
Placebo16.113.9

Change in Matsuda Index

Before vs after intervention (Liraglutide or placebo): Matsuda index was calculated for assessment of insulin sensitivity in plasma at time points 0, 30, 60 and 120 minutes using formula 10,000/square root of [fasting glucose x fasting insulin] x [mean glucose x mean insulin during oral glucose tolerance test]. The Matsuda index is considered to be the gold standard to determine insulin sensitivity without glucose clamp studies (Matsuda M, DeFronzo RA. Diabetes Care. 22:1462-70). Subjects who don't have insulin resistance have values of Matsuda Index of 2.5 or higher (Kerman WN et al. Stroke 34:1431;2003). Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionindex (Mean)
Baseline16 weeks
Liraglutide2.53.5
Placebo3.13.1

Change in SAT Area

Before vs after intervention (Liraglutide or placebo): subcutaneous adipose tissue area measured by magnetic resonance imaging (MRI). Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventioncm3 (Mean)
Baseline16 weeks
Liraglutide40433792
Placebo54005161

Change in Systolic RR

Before vs after intervention (Liraglutide or placebo): systolic blood pressure measurements. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmm Hg (Mean)
Baseline16 weeks
Liraglutide135139
Placebo145137

Change in VAT Area

Before vs after intervention (Liraglutide or placebo): visceral adipose tissue area measured by magnetic resonance imaging (MRI). Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventioncm3 (Mean)
Baseline16 weeks
Liraglutide34033185
Placebo27102600

Mean apoB48 FTR to VLDL1 Particles

Before vs after intervention (Liraglutide or placebo): Change in apoB48 chylomicron fractional transfer rate to VLDL1 isolated from plasma by ultracentrifugation and by liquid chromatography/mass spectrometry and calculated with multicompartmental modeling assay. So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. JIM 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionpools/day (Mean)
Baseline16 weeks
Liraglutide1226
Placebo3430

Mean CM FDC of apoB48

Before vs after intervention (Liraglutide or placebo): Change in chylomicron fractional direct clearance rates of apoB48 measured from plasma by liquid chromatography - mass spectrometry with multicompartmental modeling assay. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionpools/day (Mean)
Baseline16 weeks
Liraglutide90.8
Placebo4.43.2

Mean CM-apoB48 Transfer Rates to VLDL1

Before vs after intervention (Liraglutide or placebo): Change in chylomicron-apoB48 transfer rates to VLDL1 isolated from plasma by ultracentrifugation and measured using multicompartmental modeling. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmg/day (Mean)
Baseline16 weeks
Liraglutide127110
Placebo170150

Mean Fractional Catabolic Rate of VLDL2-apoB100

Before vs after intervention (Liraglutide or placebo): Change in VLDL2-apoB100 fractional catabolic rates measured from isolated VLDL2 from plasma by ultracentrifugation and measured using mathematical modeling. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (JCI 1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. JIM 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. DOM 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionpools/day (Mean)
Baseline16 weeks
Liraglutide6.75.6
Placebo4.55.1

Mean Production Rate of apoB48 in CM

Before vs after intervention (Liraglutide or placebo): Change in mean production rate of ApoB48 in chylomicrons isolated from plasma samples and measured by multicompartmental modeling assay. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (JCI 1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. JIM 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmg/day (Mean)
Baseline16 weeks
Liraglutide284113
Placebo190160

Mean TG Fractional Catabolic Rates in CM

Before vs after intervention (Liraglutide or placebo): Change in triglycerides fractional catabolic rates in isolated chylomicrons from plasma samples measured by multicompartmental modeling assay. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (JCI 1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. JIM 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. DOM 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionpools/day (Mean)
Baseline16 weeks
Liraglutide3346
Placebo6459

Mean Total Production of apoB48

Before vs after intervention (Liraglutide or placebo): ApoB48 total production in plasma measured by using multicompartmental modeling. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (JCI 63:1262;1979) and have been widely used over 30yrs. So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. JIM 285:562;2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. Diabetes Obes Metab. 23:1191; 2021. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmg/day (Mean)
Baseline16 weeks
Liraglutide490329
Placebo570530

Mean VLDL1-TG Production Rates

Before vs after intervention (Liraglutide or placebo): Change in VLDL1 production rates measured from isolated VLDL from plasma samples by ultracentrifugation and measured using mathematical modeling. The power of mathematical modelling to describe the metabolic pathways of lipid and lipoprotein metabolism was demonstrated by Zech L et al (JCI 1979). So far few studies have focused on the modelling of apo B48 and apo B100 after a meal that is more physiological than the fasting state (Björnson E et al. JIM 2019). Production rates for apo B48, apo B100 and triglycerides in chylomicrons, VLDL1 and VLDL2 were derived from samples taken before and after the tracer injection and after the meal at 0, 30, 45, 60, 75, 90,120, 150 min and at 3, 4, 5, 6, 8, 10, 24 hrs and averages for 24 hrs. Analysis of tracer/ tracee curves of stable isotopes was used to derived the estimates of kinetic parameters using a new mathematical modeling per day. Results from Taskinen et al. DOM 2021. (NCT02765399)
Timeframe: Baseline and after16 weeks

,
Interventiong/day (Mean)
Baseline16 weeks
Liraglutide5135
Placebo4335

Plasma Triglyceride (TG) Area Under Curve (AUC)

Before vs after intervention (Liraglutide or placebo): postprandial plasma TG summary measured using the trapezoidal rule and expressed as AUC (at fasting and at 0.5, 1, 2, 3, 4, 6 and 8 hours) after oral fat tolerance test. Results from Matikainen et al. Diabetes Obes Metab 21:84-94; 2019. (NCT02765399)
Timeframe: Baseline and after 16 weeks

,
Interventionmmol/l per h (Mean)
Baseline16 weeks
Liraglutide22.017.1
Placebo17.519.0

Reviews

3 reviews available for pioglitazone and Cerebral Ischemia

ArticleYear
In praise of pioglitazone: An economically efficacious therapy for type 2 diabetes and other manifestations of the metabolic syndrome.
    Diabetes, obesity & metabolism, 2023, Volume: 25, Issue:11

    Topics: Brain Ischemia; Diabetes Mellitus, Type 2; Female; Heart Failure; Humans; Hypoglycemic Agents; Insul

2023
Updates in Stroke Treatment.
    Rhode Island medical journal (2013), 2018, 03-01, Volume: 101, Issue:2

    Topics: Acute Disease; Atrial Fibrillation; Brain Ischemia; Glucose Intolerance; Humans; Hypoglycemic Agents

2018
PPAR-gamma: therapeutic target for ischemic stroke.
    Trends in pharmacological sciences, 2007, Volume: 28, Issue:5

    Topics: Animals; Brain Ischemia; Diabetes Mellitus, Type 2; Drug Administration Routes; Drug Delivery System

2007

Trials

4 trials available for pioglitazone and Cerebral Ischemia

ArticleYear
Effects of Pioglitazone for Secondary Stroke Prevention in Patients with Impaired Glucose Tolerance and Newly Diagnosed Diabetes: The J-SPIRIT Study.
    Journal of atherosclerosis and thrombosis, 2015, Volume: 22, Issue:12

    Topics: Adult; Aged; Aged, 80 and over; Brain Ischemia; Diabetes Mellitus, Type 2; Female; Glucose Intoleran

2015
Pioglitazone after Ischemic Stroke or Transient Ischemic Attack.
    The New England journal of medicine, 2016, Apr-07, Volume: 374, Issue:14

    Topics: Aged; Brain Ischemia; Double-Blind Method; Female; Fractures, Bone; Humans; Hypoglycemic Agents; Ins

2016
Pioglitazone after Ischemic Stroke or Transient Ischemic Attack.
    The New England journal of medicine, 2016, Apr-07, Volume: 374, Issue:14

    Topics: Aged; Brain Ischemia; Double-Blind Method; Female; Fractures, Bone; Humans; Hypoglycemic Agents; Ins

2016
Pioglitazone after Ischemic Stroke or Transient Ischemic Attack.
    The New England journal of medicine, 2016, Apr-07, Volume: 374, Issue:14

    Topics: Aged; Brain Ischemia; Double-Blind Method; Female; Fractures, Bone; Humans; Hypoglycemic Agents; Ins

2016
Pioglitazone after Ischemic Stroke or Transient Ischemic Attack.
    The New England journal of medicine, 2016, Apr-07, Volume: 374, Issue:14

    Topics: Aged; Brain Ischemia; Double-Blind Method; Female; Fractures, Bone; Humans; Hypoglycemic Agents; Ins

2016
Treatment of rats with pioglitazone in the reperfusion phase of focal cerebral ischemia: a preclinical stroke trial.
    Experimental neurology, 2012, Volume: 238, Issue:2

    Topics: Analysis of Variance; Animals; Brain Infarction; Brain Ischemia; Caspase 9; Cerebral Cortex; Cycloox

2012
Pioglitazone improves insulin sensitivity among nondiabetic patients with a recent transient ischemic attack or ischemic stroke.
    Stroke, 2003, Volume: 34, Issue:6

    Topics: Aged; Blood Glucose; Brain Ischemia; Female; Glucose Tolerance Test; Humans; Hypoglycemic Agents; In

2003

Other Studies

32 other studies available for pioglitazone and Cerebral Ischemia

ArticleYear
Luteolin alleviates inflammation and autophagy of hippocampus induced by cerebral ischemia/reperfusion by activating PPAR gamma in rats.
    BMC complementary medicine and therapies, 2022, Jul-01, Volume: 22, Issue:1

    Topics: Animals; Autophagy; Brain Ischemia; Hippocampus; Inflammation; Luteolin; Molecular Docking Simulatio

2022
Pioglitazone attenuates ischaemic stroke aggravation by blocking PPARγ reduction and inhibiting chronic inflammation in diabetic mice.
    The European journal of neuroscience, 2022, Volume: 56, Issue:6

    Topics: Animals; Brain Ischemia; Diabetes Mellitus, Experimental; Inflammation; Ischemic Stroke; Mice; NLR F

2022
Pioglitazone and PPAR-γ modulating treatment in hypertensive and type 2 diabetic patients after ischemic stroke: a national cohort study.
    Cardiovascular diabetology, 2020, 01-07, Volume: 19, Issue:1

    Topics: Aged; Antihypertensive Agents; Brain Ischemia; Databases, Factual; Diabetes Mellitus, Type 2; Female

2020
The impact of single and combined PPAR-α and PPAR-γ activation on the neurological outcomes following cerebral ischemia reperfusion.
    Life sciences, 2020, Jul-01, Volume: 252

    Topics: Animals; Apoptosis; Brain; Brain Ischemia; Cerebral Infarction; Disease Models, Animal; Drug Therapy

2020
Pioglitazone for primary stroke prevention in Asian patients with type 2 diabetes and cardiovascular risk factors: a retrospective study.
    Cardiovascular diabetology, 2020, 06-20, Volume: 19, Issue:1

    Topics: Aged; Asian People; Brain Ischemia; Databases, Factual; Diabetes Mellitus, Type 2; Female; Humans; H

2020
Pioglitazone Prevents Hemorrhagic Infarction After Transient Focal Ischemia in Type 2 Diabetes.
    Neuroscience research, 2021, Volume: 170

    Topics: Adiponectin; Animals; Brain Ischemia; Diabetes Mellitus, Type 2; Humans; Infarction, Middle Cerebral

2021
Neuroprotective and antioxidative effects of pioglitazone in brain tissue adjacent to the ischemic core are mediated by PI3K/Akt and Nrf2/ARE pathways.
    Journal of molecular medicine (Berlin, Germany), 2021, Volume: 99, Issue:8

    Topics: Animals; Antioxidants; Apoptosis; Biomarkers; Brain Ischemia; Cerebrovascular Circulation; Disease M

2021
Pioglitazone in patients with insulin resistance after ischemic stroke or transient ischemic attack: A comment on the IRIS trial.
    Journal of diabetes and its complications, 2017, Volume: 31, Issue:1

    Topics: Brain Ischemia; Humans; Insulin Resistance; Ischemic Attack, Transient; Pioglitazone; Stroke

2017
New Hope For People With Dysglycemia and Cardiovascular Disease Manifestations: Reduction of Acute Coronary Events With Pioglitazone.
    Circulation, 2017, 05-16, Volume: 135, Issue:20

    Topics: Brain Ischemia; Cardiovascular Diseases; Diabetes Mellitus; Humans; Insulin Resistance; Ischemic Att

2017
Which Patients With Ischemic Stroke and Insulin Resistance May Benefit From Pioglitazone Hydrochloride?
    JAMA neurology, 2017, 11-01, Volume: 74, Issue:11

    Topics: Brain Ischemia; Humans; Insulin Resistance; Ischemic Attack, Transient; Myocardial Infarction; Piogl

2017
Letter by Musso et al Regarding Article, "Cardiac Outcomes After Ischemic Stroke or Transient Ischemic Attack: Effects of Pioglitazone in Patients With Insulin Resistance Without Diabetes Mellitus".
    Circulation, 2017, 10-17, Volume: 136, Issue:16

    Topics: Brain Ischemia; Diabetes Mellitus; Humans; Insulin Resistance; Ischemic Attack, Transient; Pioglitaz

2017
Letter by Jin-Shan and Xue-Bin Regarding Article, "Cardiac Outcomes After Ischemic Stroke or Transient Ischemic Attack: Effects of Pioglitazone in Patients With Insulin Resistance Without Diabetes Mellitus".
    Circulation, 2017, 10-17, Volume: 136, Issue:16

    Topics: Brain Ischemia; Diabetes Mellitus; Humans; Insulin Resistance; Ischemic Attack, Transient; Pioglitaz

2017
Response by Young et al to Letters Regarding Article, "Cardiac Outcomes After Ischemic Stroke or Transient Ischemic Attack: Effects of Pioglitazone in Patients With Insulin Resistance Without Diabetes Mellitus".
    Circulation, 2017, 10-17, Volume: 136, Issue:16

    Topics: Brain Ischemia; Diabetes Mellitus; Humans; Insulin Resistance; Ischemic Attack, Transient; Pioglitaz

2017
Pioglitazone Use After Stroke: Story of Hearts, Minds, and Bones.
    Circulation, 2018, 09-18, Volume: 138, Issue:12

    Topics: Brain Ischemia; Heart Failure; Humans; Hypoglycemic Agents; Insulin; Ischemic Attack, Transient; Pio

2018
Effect of pioglitazone in acute ischemic stroke patients with diabetes mellitus: a nested case-control study.
    Cardiovascular diabetology, 2019, 05-31, Volume: 18, Issue:1

    Topics: Aged; Brain Ischemia; Databases, Factual; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Ag

2019
PPARγ activation inhibits cerebral arteriogenesis in the hypoperfused rat brain.
    Acta physiologica (Oxford, England), 2014, Volume: 210, Issue:2

    Topics: Angiogenesis Inducing Agents; Animals; Blotting, Western; Brain; Brain Ischemia; Disease Models, Ani

2014
Differential Effects of Pioglitazone in the Hippocampal CA1 Region Following Transient Forebrain Ischemia in Low- and High-Fat Diet-Fed Gerbils.
    Neurochemical research, 2015, Volume: 40, Issue:5

    Topics: Animals; Brain Ischemia; CA1 Region, Hippocampal; Cell Death; Diet, Fat-Restricted; Diet, High-Fat;

2015
Time-Dependent Protection of CB2 Receptor Agonist in Stroke.
    PloS one, 2015, Volume: 10, Issue:7

    Topics: Animals; Behavior, Animal; Brain Ischemia; Calcium-Binding Proteins; Cannabinoid Receptor Agonists;

2015
Neuroprotective effects of pioglitazone against transient cerebral ischemic reperfusion injury in diabetic rats: Modulation of antioxidant, anti-inflammatory, and anti-apoptotic biomarkers.
    Pharmacological reports : PR, 2015, Volume: 67, Issue:5

    Topics: Animals; Antioxidants; Apoptosis; Apoptosis Regulatory Proteins; Brain Ischemia; Carotid Artery, Com

2015
Effects of simvastatin on malondialdehyde level and esterase activity in plasma and tissue of normolipidemic rats.
    Pharmacological reports : PR, 2015, Volume: 67, Issue:5

    Topics: Animals; Antioxidants; Apoptosis; Apoptosis Regulatory Proteins; Brain Ischemia; Carotid Artery, Com

2015
Peroxisome proliferator-activated receptorsgamma (PPARgamma) differently modulate the interleukin-6 expression in the peri-infarct cortical tissue in the acute and delayed phases of cerebral ischaemia.
    The European journal of neuroscience, 2008, Volume: 28, Issue:9

    Topics: Animals; Anti-Inflammatory Agents; Brain Ischemia; Cerebral Infarction; Disease Models, Animal; Ence

2008
PPARgamma agonist pioglitazone reduces matrix metalloproteinase-9 activity and neuronal damage after focal cerebral ischemia.
    Biochemical and biophysical research communications, 2009, Feb-27, Volume: 380, Issue:1

    Topics: Animals; Brain Ischemia; Cerebral Infarction; Cytoprotection; Male; Matrix Metalloproteinase Inhibit

2009
Protective effects of pioglitazone against global cerebral ischemic-reperfusion injury in gerbils.
    Journal of pharmacological sciences, 2009, Volume: 109, Issue:3

    Topics: Animals; Brain Ischemia; Disease Models, Animal; DNA Fragmentation; Gerbillinae; Hippocampus; Hyperk

2009
Peroxisome-proliferator-activated receptors gamma and peroxisome-proliferator-activated receptors beta/delta and the regulation of interleukin 1 receptor antagonist expression by pioglitazone in ischaemic brain.
    Journal of hypertension, 2010, Volume: 28, Issue:7

    Topics: Animals; Brain; Brain Ischemia; Cerebral Infarction; Infarction, Middle Cerebral Artery; Interleukin

2010
Extension of the neuroprotective time window for thiazolidinediones in ischemic stroke is dependent on time of reperfusion.
    Neuroscience, 2010, Oct-27, Volume: 170, Issue:3

    Topics: Animals; Behavior, Animal; Blood Pressure; Brain; Brain Ischemia; Cell Adhesion Molecules; Disease M

2010
Neuroprotective effect of pioglitazone on acute phase changes induced by partial global cerebral ischemia in mice.
    Indian journal of experimental biology, 2010, Volume: 48, Issue:8

    Topics: Acute-Phase Reaction; Animals; Antioxidants; Brain Edema; Brain Ischemia; Carotid Artery, Common; Ce

2010
Oral pioglitazone reduces infarction volume and improves neurologic function following MCAO in rats.
    Advances in experimental medicine and biology, 2011, Volume: 701

    Topics: Administration, Oral; Animals; Brain Ischemia; Cerebral Infarction; Disease Models, Animal; Hypoglyc

2011
Activation of signal transducer and activator of transcription-3 by a peroxisome proliferator-activated receptor gamma agonist contributes to neuroprotection in the peri-infarct region after ischemia in oophorectomized rats.
    Stroke, 2012, Volume: 43, Issue:2

    Topics: Animals; Apoptosis; Basal Ganglia; Brain; Brain Ischemia; Caspase 3; Cell Nucleus; Cerebral Infarcti

2012
A peroxisome proliferator-activated receptor-gamma agonist reduces infarct size in transient but not in permanent ischemia.
    Stroke, 2005, Volume: 36, Issue:2

    Topics: Animals; Blood-Brain Barrier; Blotting, Western; Brain; Brain Ischemia; Cerebrovascular Circulation;

2005
The intracerebral application of the PPARgamma-ligand pioglitazone confers neuroprotection against focal ischaemia in the rat brain.
    The European journal of neuroscience, 2005, Volume: 22, Issue:1

    Topics: Animals; Brain; Brain Edema; Brain Ischemia; Cerebral Infarction; Disease Models, Animal; Encephalit

2005
Modulation of the oxidative stress and inflammatory response by PPAR-gamma agonists in the hippocampus of rats exposed to cerebral ischemia/reperfusion.
    European journal of pharmacology, 2006, Jan-13, Volume: 530, Issue:1-2

    Topics: Animals; Brain Ischemia; Cyclooxygenase 2; Hippocampus; Inflammation; Injections, Intravenous; Lipid

2006
Activation of cerebral peroxisome proliferator-activated receptors gamma promotes neuroprotection by attenuation of neuronal cyclooxygenase-2 overexpression after focal cerebral ischemia in rats.
    FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2006, Volume: 20, Issue:8

    Topics: Animals; Brain Ischemia; Cell Survival; Cerebral Cortex; Cerebrovascular Circulation; Cyclooxygenase

2006