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Published on: March 12, 2020
Pregnane X receptor as a target for treatment of inflammatory bowel disorders
Jie Cheng1, Yatrik M Shah, Frank J Gonzalez
1Laboratory of Metabolism, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Abstract:
Pregnane X receptor (PXR; NR1I2), a member of the nuclear receptor superfamily, has a major role in the induction of genes involved in drug transport and metabolism. Recent studies in mice have provided insight into a novel function for PXR in inflammatory bowel disease (IBD). The mechanism of the protective effect of PXR activation on IBD is not fully established, but is due in part to the attenuation of nuclear factor (NF)-κB signaling that results in lower expression of proinflammatory cytokines. Recent clinical trials with the antibiotic rifaximin, a PXR agonist in the gastrointestinal system, have revealed its potential therapeutic value in the treatment of intestinal inflammation in humans. Thus, PXR may be a novel target for IBD therapy.
Insights
Pregnane X receptor (PXR) activation shows protective effects against inflammatory bowel disease (IBD) by reducing inflammation. PXR may be a promising therapeutic target for treating IBD in humans.
Area of Science:
- Molecular Biology
- Immunology
- Pharmacology
Background:
- Pregnane X receptor (PXR) is a nuclear receptor involved in drug metabolism and transport.
- Emerging research indicates a role for PXR in inflammatory bowel disease (IBD) pathogenesis.
- The precise mechanisms underlying PXR's influence on IBD are under investigation.
Purpose of the Study:
- To elucidate the novel function of PXR in inflammatory bowel disease (IBD) based on recent mouse studies.
- To investigate the protective mechanisms of PXR activation in IBD.
- To evaluate PXR as a potential therapeutic target for intestinal inflammation.
Main Methods:
- Review of recent studies in mice investigating PXR's role in IBD.
- Analysis of PXR's impact on nuclear factor (NF)-κB signaling pathways.
- Consideration of clinical trial data for PXR agonists like rifaximin in human intestinal inflammation.
Main Results:
- PXR activation demonstrates a protective effect in experimental models of IBD.
- PXR activation attenuates nuclear factor (NF)-κB signaling.
- This attenuation leads to reduced expression of proinflammatory cytokines.
Conclusions:
- PXR plays a significant role in modulating intestinal inflammation.
- PXR activation offers a potential therapeutic strategy for IBD.
- Rifaximin, a PXR agonist, shows promise in treating human intestinal inflammation, supporting PXR as a therapeutic target.
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