Evidence map›Paper›PMID 40111592›Full record

ReviewCurrent atherosclerosis reports2025

Impact of Selective Peroxisome Proliferator-Activated Receptor (PPAR)-α Modulators and Fibrates on Microvascular Disease: Is There Still Room?

Lucas Lage Marinho, Matheus Laterza Ribeiro, Patrick R Lawler, Iulia Iatan, Lucas Colombo Godoy, Fabiana Hanna Rached, Raul Cavalcante Maranhão

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lucas Lage MarinhoMcGill University Health Centre, McGill University, 1001 boulevard Décarie, Montreal, H4A3J1, Canada. lucas.marinho@mail.mcgill.ca.
Matheus Laterza RibeiroHospital Albert Einstein, Sao Paulo, Brazil.
Patrick R LawlerMcGill University Health Centre, McGill University, 1001 boulevard Décarie, Montreal, H4A3J1, Canada.
Iulia IatanMcGill University Health Centre, McGill University, 1001 boulevard Décarie, Montreal, H4A3J1, Canada.
Lucas Colombo GodoyPeter Munk Cardiac Centre, University Health Network, Toronto, ON, Canada.
Fabiana Hanna RachedHeart Institute (InCor), University of Sao Paulo Medical School Hospital, Sao Paulo, Brazil.
Raul Cavalcante MaranhãoHeart Institute (InCor), University of Sao Paulo Medical School Hospital, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review examines the role of fibrates and the selective PPAR-alpha modulators (SPPARM-α), pemafibrate, in diabetic microvascular disease. It reviews their potential to mitigate residual risk in retinopathy, nephropathy, neuropathy and peripheral vascular disease. RECENT

findingsThese pharmacotherapies, beyond their lipid-lowering effects, may exert anti-inflammatory, antioxidant, and endothelial-protective actions. Secondary analyses of large clinical trials supports their efficacy in slowing retinopathy progression, reducing albuminuria, and preventing minor amputations. Recent analyses suggest that pemafibrate offers an enhanced efficacy and safety profile compared to conventional fibrate and may lower the incidence of diabetic foot ulcers and gangrene. Fibrates and SPPARM-α agonists represent promising therapies to prevent diabetic microvascular complications. Their benefits in reducing microvascular damage support their broader adoption in clinical practice. However, additional dedicated randomized trials are essential to validate the efficacy of those agents in contemporary diabetes care era and to address the growing burden of diabetes-related microvascular complications.

Indexed as

Diabetic AngiopathiesFibric AcidsPPAR alphaHumansHypolipidemic AgentsFibric AcidsHypolipidemic AgentsPPAR alphaDiabetes mellitusFibratesNephropathyNeuropathyRetinopathySPPARM alpha agonists

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.