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Review article: nuclear receptors and liver disease--current understanding and new therapeutic implications
D A H Elfaki1, E Bjornsson, K D Lindor
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55901, USA.
Background:
The important role of nuclear receptors and their contribution to liver function in both physiological and pathological conditions has come to attention in recent years and has advanced our understanding of several liver diseases. These findings led to the introduction of targeting nuclear receptors as treatment strategies for various liver diseases.
Aims:
To review the new insights brought by the study of nuclear receptors to our understanding of the molecular basis of various liver diseases, and to summarize some of the recent studies that evaluated the efficacy of targeting nuclear receptor as a new approach in treating liver diseases.
Methods:
Review of articles, using PubMed and article references.
Results:
Nuclear receptor ligands in patients with liver diseases have been associated with a variety of toxicities. Some clinical results have not met the expectations predicted from animal experiments. Mechanistic explanations at the molecular level are needed for preventing toxicity and improving outcomes from nuclear receptor ligands.
Conclusion:
The use of various nuclear receptor ligands in liver diseases is a promising approach that can benefit many patients suffering from these devastating diseases. However, we are far from a full understanding of the molecular mechanisms by which these receptors work.
Insights
Targeting nuclear receptors shows promise for treating liver diseases, but understanding their molecular mechanisms is crucial for improving patient outcomes and preventing toxicity. Further research is needed to fully elucidate these complex pathways.
Area of Science:
- Hepatology
- Molecular Endocrinology
- Pharmacology
Background:
- Nuclear receptors play a critical role in liver function, influencing both normal physiology and disease states.
- Recent research highlights their significance in understanding and treating liver diseases.
Purpose of the Study:
- To review novel insights into the molecular basis of liver diseases derived from nuclear receptor studies.
- To summarize recent research evaluating the therapeutic potential of targeting nuclear receptors for liver diseases.
Main Methods:
- Comprehensive literature review utilizing PubMed.
- Analysis of relevant articles and their reference lists.
Main Results:
- Nuclear receptor ligands in liver disease patients are linked to various toxicities.
- Clinical outcomes of some nuclear receptor-targeting therapies have not met preclinical expectations.
- A deeper molecular understanding is required to mitigate toxicity and enhance treatment efficacy.
Conclusions:
- Targeting nuclear receptors represents a promising therapeutic strategy for numerous liver diseases.
- Significant gaps remain in fully understanding the molecular mechanisms of nuclear receptor action in liver disease.
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