Pioglitazone may reduce body fat inflammation in insulin resistance


Public Library of Science


Pioglitazone may reduce body fat inflammation in insulin resistance

Summary

This study re-examined fat tissue from insulin-resistant adults before and after pioglitazone treatment. Pioglitazone was linked to fewer adipose macrophages and mast cells, more capillaries, higher elastin content, and better insulin sensitivity. Because the treatment group was small and the analysis was based on secondary tissue studies, the findings are promising but not definitive.

Study Design

Interventions

Pioglitazone

Study Type

Non-randomized CT

Outcomes

Insulin sensitivityAdipose tissue macrophage countAdipose tissue mast cell countCapillary densityAdipose tissue elastin content

Duration and Size

medium–term_3–12_mo
Small size (≤100)

Study Population

Age Range

Middle Aged (40-64)

Sex

MaleFemale

Geography

North America

Other Criteria

with Prediabeteswith Insulin Resistancewith Obesity

Comparison with other Studies

Journal Reference

Spencer M, Yang L, Adu A, et al. Pioglitazone Treatment Reduces Adipose Tissue Inflammation through Reduction of Mast Cell and Macrophage Number and by Improving Vascularity. PLoS One. 2014;9(7):e102190. doi:10.1371/journal.pone.0102190

© 2026 deDiabetes. Licensed under CC BY (Attribution)

Stay informed. Stay ahead.

Subscribe now for the latest breakthroughs, expert insights, and cutting-edge updates in diabetes care—delivered straight to your inbox.