Tailoring FXR Modulators for Intestinal Specificity: Recent Progress and Insights

Amanda Morrison1, Bahaa Elgendy1,2

  • 1Center for Clinical Pharmacology, Washington University School of Medicine and University of Health Sciences and Pharmacy, St. Louis, MO 63110, USA.

PubMed

Insights

New drugs targeting the Farnesyl X Receptor (FXR) are being designed for restricted intestinal action. This approach aims to improve safety by minimizing systemic side effects while maintaining therapeutic benefits.

Area of Science:

  • Pharmacology
  • Hepatology
  • Drug Discovery

Background:

  • Farnesyl X Receptor (FXR) plays a key role in bile acid synthesis and glucose/lipid metabolism.
  • Clinical trials of systemic FXR modulators have revealed undesirable side effects.
  • Intestinal restriction offers a strategy to mitigate systemic toxicity of FXR modulators.

Purpose of the Study:

  • To review existing intestinally restricted FXR ligands.
  • To analyze strategies for enhancing intestinal selectivity of FXR modulators.
  • To provide insights into the development of safer FXR-targeted therapeutics.

Main Methods:

  • Comprehensive literature search for intestinally restricted FXR ligands.
  • Analysis of chemical and pharmacological properties of identified ligands.
  • Evaluation of design strategies for achieving intestinal selectivity.

Main Results:

  • Identification of various chemical classes of intestinally restricted FXR ligands.
  • Characterization of key structural and physicochemical features contributing to intestinal restriction.
  • Summary of approaches used to optimize FXR modulators for targeted intestinal action.

Conclusions:

  • Intestinally restricted FXR modulators represent a promising therapeutic strategy.
  • Targeted drug design can enhance intestinal selectivity and improve safety profiles.
  • Further development in this area holds potential for treating metabolic and liver diseases.