Resumen de Investigación
Analyzed using Evidence Intelligence™

Pioglitazone improves adipose tissue pathology in insulin resistance

Última actualización 18 de agosto de 2026

Key finding

Pioglitazone treatment increased the cross-sectional area of adipocytes by 18% (p = 0.01).

Adipose pathology in insulin resistant subjects treated with pioglitazone.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

Adipose pathology in insulin resistant subjects treated with pioglitazone.

Clinical relevance

This study evaluated Adipose pathology in insulin resistant subjects treated with pioglitazone.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Michael S, Lin Y, Akosua A, et al. The PPARγ Agonist Pioglitazone Improves Adipose Tissue Pathology in Insulin Resistant Subjects. PLoS ONE. 2014;9(7):e102190. doi:10.1371/journal.pone.0102190

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Fish oil, Pioglitazone and Adipose tissue mast cell count, Adipose tissue macrophage count, Capillary density, and 4 more.

Primary intervention

Fish oil

Primary outcomes

  • Adipose tissue mast cell count
  • Adipose tissue macrophage count
  • Capillary density

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

8

Evidence pairs

12

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Thiazolidinediones and Adipokine and Angiogenic Markers

Evidencia relacionada

Relación de evidencia

Thiazolidinediones and Endothelial Function

Guardar evidencia

Tema de evidencia

Thiazolidinediones

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Adipose tissue mast cell count

Fish oil → Adipose tissue mast cell count

Fish oil → Adipose tissue mast cell count

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Adipose tissue macrophage count

Pioglitazone → Adipose tissue macrophage count

Pioglitazone → Adipose tissue macrophage count

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Adipose tissue mast cell count

Pioglitazone → Adipose tissue mast cell count

Pioglitazone → Adipose tissue mast cell count

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Capillary density

Pioglitazone → Capillary density

Pioglitazone → Capillary density

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Cross-sectional area of adipocytes

Pioglitazone → Cross-sectional area of adipocytes

Pioglitazone → Cross-sectional area of adipocytes

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Elastin protein in adipose

Pioglitazone → Elastin protein in adipose

Pioglitazone → Elastin protein in adipose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

M1 macrophages

Pioglitazone → M1 macrophages

Pioglitazone → M1 macrophages

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

M2 macrophages

Pioglitazone → M2 macrophages

Pioglitazone → M2 macrophages

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Fish oil and Adipokine and Angiogenic Markers, Thiazolidinediones and Adipokine and Angiogenic Markers.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Thiazolidinediones improve adipokine and angiogenic markers?

Strong Evidence

Thiazolidinediones may improve Adipokine and Angiogenic Markers.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Adipose tissue mast cell count

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

  2. 2

    Adipose tissue macrophage count

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Aug 2026

Does Thiazolidinediones improve endothelial function?

Emerging Evidence

Thiazolidinediones appears to improve Endothelial Function.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Capillary density

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Pioglitazone improve cross-sectional area of adipocytes?

Emerging Evidence

Pioglitazone appears to improve Cross-sectional area of adipocytes.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Cross-sectional area of adipocytes

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Pioglitazone improve elastin protein in adipose?

Emerging Evidence

Pioglitazone appears to improve Elastin protein in adipose.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Elastin protein in adipose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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