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Published on: November 15, 2013
Nuclear receptors PXR and CAR: implications for drug metabolism regulation, pharmacogenomics and beyond
Xiaojuan Chai1, Su Zeng, Wen Xie
1Zhejiang University, College of Pharmaceutical Sciences, Department of Pharmaceutical Analysis and Drug Metabolism, Hangzhou 310058, China.
Introduction:
'Orphan' nuclear receptors belong to the nuclear receptor (NR) superfamily of transcriptional factors. Binding of ligands to these receptors results in the recruitment of the co-activators, thereby regulating the expression of cognate target genes.
Areas Covered:
This review discusses the transcriptional regulation of P450 genes by two major xenobiotic nuclear receptors, pregnane X receptor (PXR) and constitutive androstane receptor (CAR). Additional PXR and CAR target genes include those encoded for UDP-glucuronosyltransferases, glutathione S-transferases, sulfotransferases and drug transporters. The authors discuss the involvement of PXR and CAR in endobiotic metabolism. They also review the polymorphisms of PXR and CAR.
Expert Opinion:
PXR and CAR are both xenobiotic and endobiotic receptors. A remarkably diverse set of chemicals can activate PXR and CAR. There is significant cross-talk among xenobiotic receptors. Future studies are needed to focus on the polymorphisms of the nuclear receptors and the complex regulatory networks among nuclear receptors. Considerations should be given while designing PXR- or CAR-targeting pharmaceutics to avoid adverse drug effects. In the meantime, due to the diverse functions of PXR and CAR, agonists or antagonists for these receptors may have therapeutic potentials in managing certain diseases and enhancing therapeutic indexes.
Insights
Pregnane X receptor (PXR) and constitutive androstane receptor (CAR) are key nuclear receptors regulating gene expression. Understanding their diverse roles and polymorphisms is crucial for drug development and therapeutic strategies.
Area of Science:
- Pharmacology
- Molecular Biology
- Biochemistry
Background:
- Nuclear receptors (NRs) are transcriptional factors that regulate gene expression upon ligand binding.
- Orphan nuclear receptors, including PXR and CAR, play critical roles in xenobiotic and endobiotic metabolism.
Purpose of the Study:
- To review the transcriptional regulation of P450 genes and other xenobiotic-metabolizing enzymes by PXR and CAR.
- To discuss the involvement of PXR and CAR in endobiotic metabolism and their polymorphisms.
- To explore the therapeutic potential of modulating PXR and CAR activity.
Main Methods:
- Literature review of studies on PXR and CAR.
- Analysis of transcriptional regulation mechanisms.
- Examination of PXR and CAR polymorphisms and their implications.
Main Results:
- PXR and CAR regulate a wide array of target genes, including P450s, UDP-glucuronosyltransferases, glutathione S-transferases, sulfotransferases, and drug transporters.
- Both receptors are involved in both xenobiotic and endobiotic metabolism.
- A diverse range of chemicals can activate PXR and CAR, indicating significant cross-talk among xenobiotic receptors.
Conclusions:
- PXR and CAR are versatile receptors with roles in both foreign compound and endogenous substance metabolism.
- Polymorphisms in PXR and CAR can influence drug response and disease susceptibility.
- Targeting PXR and CAR offers potential therapeutic strategies for various diseases and optimizing drug efficacy.
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