In a BSSG-induced rat α-synucleinopathy model, prophylactic plus twice-weekly postinduction pioglitazone was well tolerated and most effectively reduced α-synuclein aggregates, preserved SNpc dopaminergic phenotype, and attenuated behavioural deficits.
Provides actionable preclinical evidence for repurposing the PPARγ agonist pioglitazone as a schedule-dependent, potentially disease-modifying therapy for PD by linking a specific dosing regimen to aggregate reduction and neuroprotection, justifying further mechanistic and translational studies.