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Published on: March 24, 2023
Liver X receptors in cardiovascular and metabolic disease
R Geyeregger1, M Zeyda, T M Stulnig
1Clin. Div. of Endocrinology and Metabolism, Dept. of Internal Med. III, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Abstract:
Liver X receptors (LXRs) alpha and beta are nuclear oxysterol receptors and metabolic sensors initially found to regulate cholesterol metabolism and lipid biosynthesis. Recent studies have elucidated the importance of LXR in the development of cardiovascular diseases and metabolic disorders. LXR agonists prevent development of atherosclerosis by modulation of metabolic as well as inflammatory gene expression in rodent models. Moreover, LXR activation inhibits hepatic gluconeogenesis and lowers serum glucose levels, indicating possible application of LXR activation in the treatment of diabetes mellitus. However, first-generation LXR agonists elevate hepatic and serum trigylceride levels, making subtype-specific agonists and selective LXR modulators rather than unselective LXR agonists a potential pharmacological strategy. This review summarizes the multiple physiological and pathophysiological implications of LXRs and observations that identify LXRs as potential targets for therapeutic interventions in human cardiovascular and metabolic disease.
Insights
Liver X receptors (LXRs) are key metabolic sensors. Activating LXRs shows promise for treating cardiovascular diseases and diabetes, but requires careful targeting to avoid side effects like increased triglycerides.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- Liver X receptors (LXRs) alpha and beta are nuclear receptors that regulate cholesterol and lipid metabolism.
- Emerging research highlights the critical role of LXRs in cardiovascular diseases and metabolic disorders.
- LXR modulation impacts both metabolic and inflammatory gene expression.
Purpose of the Study:
- To review the physiological and pathophysiological roles of LXRs.
- To explore LXRs as therapeutic targets for cardiovascular and metabolic diseases.
- To discuss the potential of selective LXR modulators over unselective agonists.
Main Methods:
- Literature review of studies on LXR function and therapeutic applications.
- Analysis of LXR agonist effects on atherosclerosis, gluconeogenesis, and triglyceride levels in preclinical models.
- Evaluation of pharmacological strategies for LXR targeting.
Main Results:
- LXR activation can prevent atherosclerosis development by modulating metabolic and inflammatory genes.
- LXR activation inhibits hepatic gluconeogenesis, lowering serum glucose levels, suggesting diabetes treatment potential.
- First-generation LXR agonists can increase triglyceride levels, necessitating subtype-specific approaches.
Conclusions:
- LXRs are crucial regulators of lipid and glucose metabolism with significant therapeutic implications.
- Targeting LXRs offers a promising strategy for treating cardiovascular and metabolic diseases.
- Development of selective LXR modulators is essential to maximize therapeutic benefits and minimize adverse effects.
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