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Updated: Jul 9, 2026

Reverse Yeast Two-hybrid System to Identify Mammalian Nuclear Receptor Residues that Interact with Ligands and/or Antagonists
Published on: November 15, 2013
Regulation of transporters by nuclear hormone receptors: implications during inflammation
Shirley Teng1, Micheline Piquette-Miller
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, M5S 3M2, Canada.
Abstract:
Membrane transporters play a critical role in the absorption, distribution, and elimination of both endogenous substrates and xenobiotics. Defects in transporter function can lead to altered drug disposition including toxicity or loss of efficacy. Inflammation is one condition during which variable drug response has been demonstrated, and this can be attributed, at least in part, to changes in the expression of transporter genes. Thus, knowledge of the mechanisms behind transporter regulation can significantly contribute to our ability to predict variations in drug disposition among individuals and during inflammatory disease. The discovery of several xenobiotic-activated nuclear hormone receptors during the past decade including the pregnane X receptor, constitutive androstane receptor, and farnesoid X receptor has contributed greatly toward this endeavor. These receptors regulate the expression of transporters such as P-glycoprotein, MRP2, MRP3, BCRP, and OATP2 (Oatp1a1/OATP1B1), all of which undergo altered expression during an inflammatory response. Nuclear receptors may therefore play an important role in mediating this effect. This review presents what is currently known about the role of nuclear receptors in transporter regulation during inflammation. The use of this knowledge toward understanding interindividual variation in drug response and drug interactions during inflammation as well toward the development of therapeutics to treat transporter-related diseases will also be discussed.
Insights
Nuclear receptors regulate membrane transporters, impacting drug absorption and elimination. Understanding this regulation is key to predicting drug responses during inflammation and developing new therapies.
Area of Science:
- Pharmacology
- Molecular Biology
- Drug Metabolism
Background:
- Membrane transporters are crucial for drug disposition, influencing efficacy and toxicity.
- Altered transporter expression during inflammation causes variable drug responses.
- Nuclear hormone receptors are key regulators of transporter genes.
Purpose of the Study:
- To review the role of nuclear receptors in regulating membrane transporters during inflammation.
- To explore how this knowledge can predict drug disposition variations and inform therapeutic development.
Main Methods:
- Literature review of nuclear receptor and transporter interactions.
- Analysis of transporter gene expression changes during inflammatory conditions.
- Discussion of xenobiotic-activated nuclear receptors (e.g., PXR, CAR, FXR).
Main Results:
- Nuclear receptors (PXR, CAR, FXR) modulate the expression of key transporters (e.g., P-gp, MRP2, BCRP, OATP2).
- These transporters exhibit altered expression patterns during inflammatory responses.
- Nuclear receptors are implicated as mediators of transporter regulation in inflammation.
Conclusions:
- Nuclear receptors play a significant role in transporter regulation during inflammation.
- Understanding these mechanisms aids in predicting interindividual drug response variations and drug interactions.
- This knowledge can guide the development of therapeutics for transporter-related diseases.
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