Protein / target

Peroxisome proliferator-activated receptor alpha

PPARAQ07869Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
10
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Mitogen-activated protein kinase kinase kinase binding

Primary system

Endocrine & metabolic

Strongest disease association

type 2 diabetes mellitus

Genetic evidence · score 0.24

Therapeutic maturity

Clinically validated target

10 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

10 approved · 17 in clinical development

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Ligand-activated transcription factor. Key regulator of lipid metabolism. Activated by the endogenous ligand 1-palmitoyl-2-oleoyl-sn-glycerol-3-phosphocholine (16:0/18:1-GPC). Activated by oleylethanolamide, a naturally occurring lipid that regulates satiety. Receptor for peroxisome proliferators such as hypolipidemic drugs and fatty acids. Regulates the peroxisomal beta-oxidation pathway of fatty acids. Functions as a transcription activator for the ACOX1 and P450 genes. Transactivation activity requires heterodimerization with RXRA and is antagonized by NR2C2. May be required for the propagation of clock information to metabolic pathways regulated by PER2

Subcellular location

Nucleus
Domains and Gene Ontology detail (73)

Domains & features

NR LBD

Gene Ontology

  • Cchromatin
  • Cfibrillar center
  • Cnuclear body
  • Cnucleoplasm
  • Cnucleus
  • CRNA polymerase II transcription regulator complex
  • FDNA binding
  • FDNA-binding transcription activator activity
  • FDNA-binding transcription activator activity, RNA polymerase II-specific
  • FDNA-binding transcription factor activity
  • FDNA-binding transcription factor activity, RNA polymerase II-specific
  • FDNA-binding transcription repressor activity, RNA polymerase II-specific

468 aa · 52 kDa · 2 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Transcriptional regulationUniProt · GO · ReactomeNuclear receptor signallingGO · ReactomeMetabolic enzyme activityGOKinase signallingGOImmune signallingGOCell adhesionGO
View supporting evidence

Transcriptional regulation

  • ·Ligand-activated transcription factor. Key regulator of lipid metabolism. Activated by t…
  • ·RNA polymerase II transcription regulator complex
  • ·DNA-binding transcription activator activity
  • ·DNA-binding transcription activator activity, RNA polymerase II-specific

Nuclear receptor signalling

  • ·DNA-binding transcription factor activity
  • ·DNA-binding transcription factor activity, RNA polymerase II-specific
  • ·nuclear receptor activity
  • ·Nuclear Receptor transcription pathway

Metabolic enzyme activity

  • ·fatty acid metabolic process
  • ·lipoprotein metabolic process
  • ·nitric oxide metabolic process
  • ·positive regulation of fatty acid metabolic process

Kinase signalling

  • ·mitogen-activated protein kinase kinase kinase binding
  • ·negative regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction

Immune signalling

  • ·negative regulation of cytokine production involved in inflammatory response
  • ·negative regulation of inflammatory response

Cell adhesion

  • ·negative regulation of leukocyte cell-cell adhesion
View underlying pathways (13)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

RXRAPPARGC…NCOA1NCOR2NCOR1PER2JUNLPIN1XPR1FABP1PPARA

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

2

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

Fenofibrate
Narrow target profileApprovedAgonist

Peroxisome proliferator-activated receptor alpha agonist

Appears in clinical studies involving type 2 diabetes mellitus, Hypercholesterolemia, Abnormal circulating lipid concentration, familial hyperlipidemia

Direct interaction with this protein · Only this protein recorded as a target

Gemfibrozil
Narrow target profileApprovedAgonist

Peroxisome proliferator-activated receptor alpha agonist

Appears in clinical studies involving cardiovascular disorder, Abdominal pain, coronary artery disorder, familial hyperlipidemia

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

type 2 diabetes mellitus0.24

Genetic · overall 0.63

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

cardiovascular disorder0.95

Clinical · overall 0.59

inherited lipid metabolism disorder0.93

Clinical · overall 0.57

Hypercholesterolemia0.93

Clinical · overall 0.57

familial hyperlipidemia0.91

Clinical · overall 0.55

Abnormal circulating lipid concentration0.87

Clinical · overall 0.53

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

hyperlipidemia0.52

Clinical

primary biliary cholangitis0.44

Literature

Combined hyperlipidemia0.42

Clinical

coronary artery disorder0.42

Clinical

Show all associations
type 2 diabetes mellitus0.63
cardiovascular disorder0.59
inherited lipid metabolism disorder0.57
Hypercholesterolemia0.57
familial hyperlipidemia0.55
Abnormal circulating lipid concentration0.53
hyperlipidemia0.52
primary biliary cholangitis0.44
Combined hyperlipidemia0.42
coronary artery disorder0.42

Open Targets ranks 1,977 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 27 total

CHOLINE FENOFIBRATEApproval

cardiovascular disorder · inherited lipid metabolism disorder · diabetic macular edema

PEMAFIBRATEApproval

cardiovascular disorder · hyperlipidemia · familial hyperlipidemia

CHIGLITAZARPhase 3

type 2 diabetes mellitus · type 2 diabetes mellitus · Insulin resistance

ELAFIBRANORApproval

biliary liver cirrhosis · cholangitis · metabolic dysfunction-associated steatohepatitis

TESAGLITAZARPhase 3

type 1 diabetes mellitus · type 2 diabetes mellitus · type 2 diabetes mellitus

CIPROFIBRATEApproval

cardiovascular disorder · hyperlipoproteinemia

K-877Phase 3

hypertriglyceridemia · metabolic dysfunction-associated steatohepatitis

FENOFIBRIC ACIDApproval

Hypercholesterolemia · type 2 diabetes mellitus · cardiovascular disorder

CLOFIBRATEApproval

cardiovascular disorder · hyperlipoproteinemia type 3

LANIFIBRANORPhase 3

Hepatic fibrosis · metabolic dysfunction-associated steatohepatitis · systemic sclerosis

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyPR · UniProt UbiquitinationPR · Small Molecule Binder

Safety liabilities

Decrease, Population growth rateimpaired, FertilityMalformation, Male reproductive tractDecreased, Body WeightIncreased, Liver Steatosisimpaired, FertilityIncreased, Pancreatic acinar tumorsnew-onset diabetes after transplantationViable offspring, decreasedregulation of transcription factor activityreceptor bindingIncreased, Liver Steatosis

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

TERMINATED · via Fenofibrate · NCT01142323

ClinicalTrials.gov via the drug-target graph.

Related literature

5

Papers indexed under “PPAR alpha” — a subject heading that covers this protein without being specific to it. Shown as context; not counted as this protein's own research activity.

Europe PMC literature, reached through a MeSH descriptor linked to this protein.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

type 2 diabetes mellitusWell supported
0.80
agreement 0.690.91
Clinical70%Genetic23%Literature7%

Open Targets aggregate 0.63 · 3 independent evidence families

cardiovascular disorderModerately supported
0.72
agreement 0.570.88
Clinical96%Literature5%

Open Targets aggregate 0.59 · 2 independent evidence families

inherited lipid metabolism disorderModerately supported
0.70
agreement 0.550.86
Clinical97%Literature3%

Open Targets aggregate 0.57 · 2 independent evidence families

HypercholesterolemiaModerately supported
0.70
agreement 0.550.86
Clinical98%Literature2%

Open Targets aggregate 0.57 · 2 independent evidence families

familial hyperlipidemiaModerately supported
0.68
agreement 0.530.84
Clinical99%Literature1%

Open Targets aggregate 0.55 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

6

Recent activity around this target, drawn from one canonical event stream. Every item is reached through 2 drugs that target this protein, so each event is news about that drug rather than about the protein directly.

  1. Product recall2026-05-28

    Recall (Class II): FENOFIBRATE

    fda · safety · fda · via Fenofibrate

  2. New publication2023-10-30
    Neuroprotective effects of gemfibrozil in neurological disorders: Focus on inflammation and molecular mechanisms.

    CNS neuroscience & therapeutics · 2024 · 16 citations · Europe PMC · via Gemfibrozil

  3. New publication2020-03-13
    The Novel Role of PPAR Alpha in the Brain: Promising Target in Therapy of Alzheimer's Disease and Other Neurodegenerative Disorders.

    Neurochemical research · 2020 · 233 citations · Europe PMC · via Fenofibrate

  4. New publication2013-04-01
    Fenofibrate lowers blood pressure in salt-sensitive but not salt-resistant hypertension.

    Journal of hypertension · 2013 · 33 citations · Europe PMC · via Fenofibrate

  5. New publication2009-10-01
    Gemfibrozil concentrations are significantly decreased in the presence of lopinavir-ritonavir.

    Journal of acquired immune deficiency syndromes (1999) · 2009 · 17 citations · Europe PMC · via Gemfibrozil

  6. New publication1999-08-01
    Gemfibrozil for the secondary prevention of coronary heart disease in men with low levels of high-density lipoprotein cholesterol. Veterans Affairs High-Density Lipoprotein Cholesterol Intervention Trial Study Group.

    The New England journal of medicine · 1999 · 2,104 citations · Europe PMC · via Gemfibrozil

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.