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Biology of PXR: role in drug-hormone interactions
Jing Wang1, Shu Dai1, Yan Guo2
1Beijing Key Laboratory of Gene Resource and Molecular Development and College of Life Sciences, Beijing Normal University, Beijing 100875, P.R. China.
Abstract:
Hormonal homeostasis is essential for a variety of physiological and pathological processes. Elimination and detoxification of xenobiotics, such as drugs introduced into the human body, could disrupt the balance of hormones due to the induction of drug metabolizing enzymes (DMEs) and transporters. Pregnane X receptor (PXR, NR1I2) functions as a master xenobiotic receptor involved in drug metabolism and drug-drug interactions by its coordinated transcriptional regulation of phase I and phase II DMEs and transporters. Recently, increasing evidences indicate that PXR can also mediate the endocrine disruptor function and thus impact the integrity of the endocrine system. This review focuses primarily on the recent advances in our understanding of the function of PXR in glucocorticoid, mineralocorticoid, androgen and estrogen homeostasis. The elucidation of PXR-mediated drug-hormone interactions might have important therapeutic implications in dealing with hormone-dependent diseases and safety assessment of drugs.
Insights
The Pregnane X receptor (PXR) regulates drug metabolism and can disrupt hormone balance. Understanding PXR
Area of Science:
- Endocrinology
- Pharmacology
- Toxicology
Background:
- Hormonal homeostasis is critical for physiological and pathological processes.
- Xenobiotics, like drugs, can disrupt hormone balance by inducing drug-metabolizing enzymes (DMEs) and transporters.
- The Pregnane X receptor (PXR, NR1I2) is a key regulator of xenobiotic metabolism and drug-drug interactions.
Purpose of the Study:
- To review recent advances in understanding PXR's role in hormone homeostasis.
- To explore PXR's function in regulating glucocorticoid, mineralocorticoid, androgen, and estrogen levels.
- To highlight the implications of PXR-mediated drug-hormone interactions.
Main Methods:
- Literature review of recent scientific publications.
- Analysis of PXR's transcriptional regulation of DMEs and transporters.
- Examination of PXR's role in endocrine disruption.
Main Results:
- PXR plays a significant role in drug metabolism and drug-drug interactions.
- Emerging evidence shows PXR mediates endocrine-disrupting functions.
- PXR influences the homeostasis of key steroid hormones.
Conclusions:
- PXR significantly impacts hormonal homeostasis, affecting glucocorticoid, mineralocorticoid, androgen, and estrogen levels.
- PXR's role in endocrine disruption has implications for drug safety assessment.
- Understanding PXR-mediated drug-hormone interactions may aid in managing hormone-dependent diseases.
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