Discovery of tissue selective liver X receptor agonists for the treatment of atherosclerosis without causing hepatic

Chanjuan Li1, Hao Chen1, Xinying Chen1

  • 1School of Pharmaceutical Sciences, Sun Yat-Sen University, 132 East Circle Road at University City, Guangzhou, 510006, China.

Insights

New sterol compounds targeting Liver X Receptor (LXR) show promise for treating atherosclerosis by inhibiting foam cell formation without causing liver fat accumulation (steatosis). These findings offer a potential therapeutic strategy with reduced side effects.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Medical Chemistry

Background:

  • Liver X Receptor (LXR) is a key target for atherosclerosis treatment.
  • Hepatic steatosis (fatty liver) is a major challenge limiting LXR modulator clinical use.
  • Sterol LXR agonists may selectively target atherosclerosis without liver side effects.

Purpose of the Study:

  • To design and evaluate novel sterol compounds as selective LXR agonists.
  • To assess the efficacy of these compounds in inhibiting atherosclerosis progression.
  • To determine if these compounds cause steatosis or hepatic lipogenesis.

Main Methods:

  • Design of 12 sterol compounds based on LXR structure.
  • Dual-luciferase reporter gene assay to confirm LXR agonism.
  • In vitro studies on macrophage foam cell formation and triglyceride accumulation in hepatocytes/adipocytes.
  • In vivo studies to assess reverse cholesterol transport and hepatic lipogenesis.

Main Results:

  • Compounds 4 and 6 were identified as potent LXR agonists.
  • Compounds 4 and 6 inhibited macrophage foam cell formation.
  • No significant triglyceride accumulation was observed in hepatocytes or adipocytes.
  • Compound 4 promoted reverse cholesterol transport in vivo without inducing hepatic lipogenesis.

Conclusions:

  • Sterol-scaffolded compounds selectively activate LXR.
  • These compounds are effective in preclinical models of atherosclerosis.
  • They offer a potential therapeutic approach for atherosclerosis without inducing steatosis.

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