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Updated: Aug 16, 2026

Real Time Monitoring of Intracellular Bile Acid Dynamics Using a Genetically Encoded FRET-based Bile Acid Sensor
Published on: January 4, 2016
FXR, a therapeutic target for bile acid and lipid disorders
Stefan Westin1, Richard A Heyman, Richard Martin
1Exelixis Inc., 4757 Nexus Centre Drive, San Diego, CA 92121, USA.
Abstract:
The farnesoid X receptor (FXR) is a nuclear receptor expressed in tissues exposed to high concentrations of bile acids such as the liver, kidney and intestine and functions as a bile acid sensor. FXR regulates the expression of various transport proteins and biosynthetic enzymes crucial to the physiological maintenance of lipids, cholesterol and bile acid homeostasis. The concept of reverse endocrinology, whereby the receptor is identified first, followed by the identification of ligands and the sequential elucidation of the physiological role of the receptor has been widely used for a number of orphan nuclear receptors. The design of synthetic high affinity ligands acting via these receptors not only helps to decipher the function of the receptor, but also should lead to the development of novel and highly specific drugs. The bile acid receptor FXR is a perfect example where this strategy helped with understanding the role of this receptor in cholesterol and bile acid homeostasis. Regulation of FXR through small-molecule drugs represents a promising therapy for diseases resulting from lipid, cholesterol and bile acid abnormalities.
Insights
Farnesoid X receptor (FXR), a bile acid sensor, regulates lipid and cholesterol homeostasis. Targeting FXR with drugs offers a promising therapeutic strategy for related metabolic diseases.
Area of Science:
- Biochemistry
- Molecular Biology
- Endocrinology
Background:
- Farnesoid X receptor (FXR) acts as a bile acid sensor in the liver, kidney, and intestine.
- FXR plays a critical role in maintaining lipid, cholesterol, and bile acid homeostasis.
- The 'reverse endocrinology' approach aids in understanding orphan nuclear receptors and developing targeted therapies.
Purpose of the Study:
- To elucidate the physiological role of FXR in metabolic homeostasis.
- To explore the therapeutic potential of FXR-targeting small molecules.
- To understand how FXR regulates lipid and bile acid metabolism.
Main Methods:
- Utilizing the 'reverse endocrinology' strategy to identify FXR ligands.
- Investigating FXR's regulatory functions in key metabolic tissues.
- Developing and testing high-affinity synthetic ligands for FXR.
Main Results:
- FXR's crucial role in cholesterol and bile acid homeostasis was confirmed.
- Synthetic FXR ligands facilitated the deciphering of its physiological functions.
- FXR was shown to regulate key transport proteins and biosynthetic enzymes.
Conclusions:
- FXR is a key regulator of lipid, cholesterol, and bile acid metabolism.
- Targeting FXR with small-molecule drugs presents a promising therapeutic avenue for metabolic disorders.
- Understanding FXR's function is vital for developing novel treatments for diseases linked to lipid abnormalities.
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