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Farnesoid X Receptor an Emerging Target to Combat Obesity
C Daniel De Magalhaes Filho1, Michael Downes, Ronald M Evans
1Gene Expression Laboratory, The Salk Institute for Biological Studies, La Jolla, Calif., USA.
Abstract:
Obesity and its associated diseases, including type 2 diabetes, have reached epidemic levels worldwide. However, available treatment options are limited and ineffective in managing the disease. There is therefore an urgent need for the development of new pharmacological solutions. The bile acid (BA) Farnesoid X receptor (FXR) has recently emerged as an attractive candidate. Initially described for their role in lipid and vitamin absorption from diet, BAs are hormones with powerful effects on whole body lipid and glucose metabolism. In this review, we focus on FXR and how 2 decades of work on this receptor, both in rodents and humans, have led to the development of drug agonists with potential use in humans for treatment of conditions ranging from obesity-associated diseases to BA dysregulation.
Insights
New drug agonists targeting the Farnesold X receptor (FXR) show promise for treating obesity and type 2 diabetes. This bile acid (BA) pathway offers a novel pharmacological approach for metabolic diseases.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Pharmacology
Background:
- Obesity and type 2 diabetes are global health crises with limited effective treatments.
- Bile acids (BAs) are hormones regulating lipid and glucose metabolism.
- The Farnesoid X receptor (FXR) is a key regulator of BA homeostasis.
Purpose of the Study:
- To review the role of FXR in metabolic regulation.
- To discuss the development of FXR agonists as potential therapeutics.
- To highlight the therapeutic potential for obesity-associated diseases and BA dysregulation.
Main Methods:
- Review of 20 years of research on FXR in rodents and humans.
- Analysis of the pharmacological development of FXR agonists.
- Evaluation of FXR's impact on lipid and glucose metabolism.
Main Results:
- FXR plays a significant role in whole-body lipid and glucose metabolism.
- Drug agonists targeting FXR have been developed.
- These agonists show potential for treating metabolic disorders.
Conclusions:
- FXR is a promising therapeutic target for obesity and related metabolic diseases.
- FXR agonists represent a novel pharmacological strategy.
- Further research may lead to effective treatments for metabolic dysregulation.
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