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Published on: November 17, 2018
Liver X receptors as therapeutic targets in metabolism and atherosclerosis
Takashi Nomiyama1, Dennis Bruemmer
1Division of Endocrinology and Molecular Medicine, Department of Internal Medicine, University of Kentucky College of Medicine, Wethington Health Sciences Building, Room 575, 900 South Limestone Street, Lexington, KY 40536, USA.
Abstract:
The liver X receptors (LXRs) are ligand-activated transcription factors belonging to the nuclear hormone receptor superfamily. Since their initial identification more than a decade ago, LXRs have been characterized as key transcriptional regulators of lipid and carbohydrate homeostasis. LXRs are activated by the intracellular accumulation of cholesterol derivatives to stimulate cholesterol efflux and reverse cholesterol transport and excretion into the bile. Glucose functions as an LXR ligand in carbohydrate metabolism, and receptor agonism suppresses hepatic gluconeogenesis and improves insulin sensitivity. In addition to these beneficial metabolic effects, LXR ligands suppress inflammatory and proliferative responses of vascular cells and prevent the development of atherosclerosis and its complications. In this review, we summarize the important roles of LXRs in metabolism and vascular biology and discuss their implications as potential molecular drug targets for the treatment of cardiovascular diseases.
Insights
Liver X receptors (LXRs) regulate lipid and carbohydrate metabolism. LXR activation promotes cholesterol removal and improves insulin sensitivity, offering potential for cardiovascular disease treatment.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- Liver X receptors (LXRs) are nuclear receptors regulating lipid and carbohydrate homeostasis.
- LXRs are activated by cholesterol derivatives, promoting cholesterol efflux and bile excretion.
- Glucose acts as an LXR ligand, suppressing hepatic gluconeogenesis and enhancing insulin sensitivity.
Purpose of the Study:
- To review the critical roles of LXRs in metabolic regulation.
- To summarize LXR involvement in vascular biology.
- To discuss LXRs as potential therapeutic targets for cardiovascular diseases.
Main Methods:
- Literature review of studies on Liver X receptors.
- Analysis of LXR function in lipid metabolism.
- Examination of LXR effects on carbohydrate metabolism and vascular cells.
Main Results:
- LXR activation stimulates reverse cholesterol transport and bile excretion.
- LXR agonism improves glucose metabolism and insulin sensitivity.
- LXR ligands inhibit vascular cell inflammation and proliferation, potentially preventing atherosclerosis.
Conclusions:
- LXRs are key regulators of lipid and glucose homeostasis.
- LXR signaling pathways offer promising therapeutic strategies for metabolic and cardiovascular diseases.
- Targeting LXRs may provide novel treatments for atherosclerosis and related complications.
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