Nuclear receptors as drug targets in metabolic diseases: new approaches to therapy
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Updated: Aug 6, 2026

Reverse Yeast Two-hybrid System to Identify Mammalian Nuclear Receptor Residues that Interact with Ligands and/or Antagonists
Published on: November 15, 2013
James F Tobin1, Leonard P Freedman
1Department of Cardiovascular and Metabolic Diseases, Wyeth Research, 200 Cambridge Park Drive, Cambridge, MA 02140, USA. jtobin@wyeth.com
Abstract:
Nuclear receptors represent novel targets for the development of therapeutic agents for the treatment of numerous diseases, including type 2 diabetes, obesity dyslipidemia, atherosclerosis and the metabolic syndrome. There have been many recent advances in the development of new therapeutic agents for a subset of these receptors, including the peroxisome proliferator-activated receptors, the liver X receptors and the farnesoid X receptor. To date, the synthesis of selective modulators that regulate the activity of these receptors has been empirical. However, a detailed understanding of the molecular basis for selective modulation, as well as new insights into the biology of these receptors, might open the door to the rational design of a new generation of therapeutic agents with improved safety and efficacy.
Insights
Nuclear receptors are key targets for treating metabolic diseases like type 2 diabetes. Understanding selective modulators could lead to safer, more effective therapeutic agents.
Area of Science:
- Biochemistry
- Pharmacology
- Molecular Biology
Background:
- Nuclear receptors are crucial therapeutic targets for metabolic diseases such as type 2 diabetes, obesity, dyslipidemia, atherosclerosis, and metabolic syndrome.
- Recent advancements have been made in developing therapeutic agents for specific nuclear receptors, including peroxisome proliferator-activated receptors (PPARs), liver X receptors (LXRs), and farnesoid X receptor (FXR).
Purpose of the Study:
- To explore the potential of nuclear receptors as therapeutic targets for metabolic diseases.
- To highlight the need for a deeper understanding of the molecular mechanisms underlying selective receptor modulation.
- To advocate for the rational design of novel therapeutic agents based on molecular insights.
Main Methods:
- Review of current literature on nuclear receptor modulators.
- Analysis of the molecular basis for selective modulation of nuclear receptors.
- Exploration of new biological insights into nuclear receptor function.
Main Results:
- The development of selective modulators for nuclear receptors has largely been empirical.
- A comprehensive understanding of selective modulation is lacking.
- New biological insights into nuclear receptors are emerging.
Conclusions:
- Nuclear receptors offer promising therapeutic targets for metabolic syndrome and related conditions.
- Rational drug design, informed by molecular and biological understanding, is essential for developing next-generation therapeutics.
- Improved safety and efficacy of treatments for metabolic diseases can be achieved through a deeper understanding of nuclear receptor modulation.
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