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Updated: May 16, 2026

Incorporation of a Survivable Liver Biopsy Procedure in Mice to Assess Non-alcoholic Steatohepatitis (NASH) Resolution
Published on: April 16, 2019
A liver-selective LXR inverse agonist that suppresses hepatic steatosis
Kristine Griffett1, Laura A Solt, Bahaa El-Dien M El-Gendy
1The Scripps Research Institute, Jupiter, FL 33458, USA.
Abstract:
Fatty liver, which often accompanies obesity and type 2 diabetes, frequently leads to a much more debilitating hepatic disease including non-alcoholic steatohepatitis, cirrhosis, and hepatocellular carcinoma. Current pharmacological therapies lack conclusive efficacy and thus treatment options are limited. Novel therapeutics that suppress either hepatic lipogenesis and/or hepatic inflammation may be useful. Here, we describe the development of the first selective synthetic LXR inverse agonist (SR9238) and demonstrate that this compound effectively suppresses hepatic lipogenesis, inflammation, and hepatic lipid accumulation in a mouse model of non-alcoholic hepatosteatosis. SR9238 displays high potency for both LXRα and LXRβ (40-200 nM IC50) and was designed to display liver specificity so as to avoid potential side effects due to suppression of LXR in the periphery. Unexpectedly, treatment of diet-induced obese mice with SR9238 suppressed plasma cholesterol levels. These data indicate that liver-selective LXR inverse agonists may hold utility in the treatment of liver disease.
Insights
A new drug, SR9238, effectively reduces liver fat and inflammation in mice. This liver-specific LXR inverse agonist shows promise for treating fatty liver disease and may lower cholesterol.
Area of Science:
- Hepatology
- Pharmacology
- Molecular Biology
Background:
- Fatty liver disease, linked to obesity and type 2 diabetes, can progress to severe conditions like cirrhosis and liver cancer.
- Current treatments for fatty liver disease have limited effectiveness, necessitating new therapeutic approaches.
- Targeting hepatic lipogenesis and inflammation are potential strategies for managing non-alcoholic fatty liver disease.
Purpose of the Study:
- To develop and evaluate a novel, liver-selective synthetic LXR inverse agonist for treating non-alcoholic hepatosteatosis.
- To assess the efficacy of SR9238 in suppressing hepatic lipogenesis, inflammation, and lipid accumulation.
Main Methods:
- Development of a selective synthetic Liver X Receptor (LXR) inverse agonist, SR9238.
- Administration of SR9238 to a mouse model of diet-induced non-alcoholic hepatosteatosis.
- Assessment of SR9238's potency, liver specificity, and effects on hepatic and plasma parameters.
Main Results:
- SR9238 demonstrated high potency against LXRα and LXRβ (40-200 nM IC50).
- The compound effectively suppressed hepatic lipogenesis, inflammation, and lipid accumulation in mice.
- Unexpectedly, SR9238 treatment led to reduced plasma cholesterol levels in diet-induced obese mice.
Conclusions:
- Liver-selective LXR inverse agonists, such as SR9238, represent a promising therapeutic strategy for non-alcoholic fatty liver disease.
- SR9238's ability to reduce liver fat, inflammation, and potentially cholesterol warrants further investigation for clinical application.
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