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Anti-inflammatory and metabolic actions of FXR: insights into molecular mechanisms
Danielle A A Hollman1, Alexandra Milona, Karel J van Erpecum
1Department of Metabolic Diseases, UMC Utrecht and Netherlands Metabolomics Centre, The Netherlands.
Abstract:
The farnesoid X receptor (FXR) is a ligand-activated transcription factor belonging to the nuclear receptor (NR) superfamily. FXR plays an important role in positively regulating genes (transactivation) involved in bile acid homeostasis, fat and glucose metabolism. Recently, it has become clear that an additional important role for FXR consists of downregulating genes involved in inflammation. Because of this broad spectrum of regulated genes, therapeutically targeting FXR with full agonists will likely result in adverse side effects, in line with what is described for other NRs. It may therefore be necessary to develop selective FXR modulators. However, the molecular mechanisms that distinguish between FXR-mediated transactivation and transrepression are currently unknown. For other NRs, post-translational modifications such as SUMOylation and phosphorylation have been reported to be unique to either transactivation or transrepression. Here, we review current knowledge on post-translational regulation of FXR with respect to transactivation and transrepression. Ultimately, increased understanding of the different mechanisms of transactivation and transrepression of nuclear receptors will aid in the development of NR drugs with fewer side effects.
Insights
Farnesoid X receptor (FXR) regulates genes for metabolism and inflammation. Understanding its distinct transactivation and transrepression mechanisms is key to developing selective modulators with fewer side effects.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- The farnesoid X receptor (FXR) is a nuclear receptor regulating bile acid, fat, and glucose metabolism.
- FXR also plays a critical role in downregulating inflammatory gene expression.
- Targeting FXR therapeutically is complex due to its diverse gene regulation, necessitating selective modulators.
Purpose of the Study:
- To review the current understanding of post-translational modifications in FXR-mediated transactivation and transrepression.
- To elucidate the molecular mechanisms distinguishing FXR's opposing regulatory functions.
- To inform the development of safer and more effective FXR-targeted therapies.
Main Methods:
- Literature review of studies on FXR post-translational modifications.
- Analysis of SUMOylation and phosphorylation roles in nuclear receptor function.
- Comparative examination of transactivation versus transrepression mechanisms.
Main Results:
- FXR mediates both gene transactivation (metabolism) and transrepression (inflammation).
- Post-translational modifications like SUMOylation and phosphorylation are implicated in differentiating these functions for other nuclear receptors.
- Specific mechanisms for FXR transactivation/transrepression remain largely uncharacterized.
Conclusions:
- Selective FXR modulators are needed to mitigate side effects associated with full agonists.
- Understanding post-translational regulation is crucial for distinguishing FXR's transactivation and transrepression pathways.
- Further research into these mechanisms will facilitate the design of improved nuclear receptor drugs with enhanced safety profiles.
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