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Farnesoid X receptor (FXR) as a potential therapeutic target for lung diseases: a narrative review
Yangyang Cao1, Yuwen Xu1, Jiaqi Zhou1
1Key Laboratory of Immune Microenvironment and Inflammatory Disease Research in Universities of Shandong Province, School of Basic Medical Sciences, Shandong Second Medical University, Weifang, China.
Background And Objective:
Farnesoid X receptor (FXR), which is encoded by the NR1H4 gene, is a ligand-activated transcription factor and a member of the nuclear receptor (NR) superfamily. As a receptor for bile acid (BA), FXR has been shown to play a key role in the regulation of BA metabolism, lipid metabolism, and the inflammatory response. This article reviews the roles of FXR in the pathogenesis of various lung diseases, and identifies potential diagnostic indicators or therapeutic targets for these diseases.
Methods:
The PubMed and National Center for Biotechnology Information (NCBI) online databases were searched to retrieve relevant articles published from 2000 to 2024.
Key Content And Findings:
FXR was originally found to be expressed in BA-targeted organs, such as the liver and intestine. However, recent studies have shown that FXR is also expressed in "non-classical" BA-targeted organs, such as the lung and blood vessels. FXR is not only involved in the pathophysiology of a series of diseases of the gastrointestinal tract and liver, but is also involved in various lung diseases. Recent evidence suggests that FXR participates in the pathogenesis of lung diseases through multiple mechanisms. In addition, FXR may be a potential therapeutic target for some lung diseases. For example, FXR has been reported to promote the occurrence and development of non-small cell lung cancer (NSCLC) by inducing the expression of programmed death ligand 1 (PD-L1) and subsequently suppressing anti-tumor immunity in the tumor microenvironment.
Conclusions:
In this review, we summarized the current knowledge of the roles of FXR in different lung diseases. A better understanding of the roles and mechanisms of FXR in lung diseases will provide new perspectives for the treatment of lung diseases.
Insights
Farnesoid X receptor (FXR) plays a role in lung diseases, including non-small cell lung cancer. Understanding FXR's mechanisms offers new therapeutic targets for lung disease treatment.
Area of Science:
- Molecular Biology
- Immunology
- Pulmonology
Background:
- Farnesoid X receptor (FXR), encoded by the NR1H4 gene, is a nuclear receptor involved in bile acid and lipid metabolism.
- FXR regulates inflammatory responses and is increasingly recognized for its role beyond classical liver and intestinal targets.
Purpose of the Study:
- To review the multifaceted roles of FXR in the pathogenesis of various lung diseases.
- To identify potential diagnostic biomarkers and therapeutic targets for lung conditions linked to FXR.
Main Methods:
- Comprehensive literature search of PubMed and NCBI databases.
- Inclusion of studies published between 2000 and 2024.
Main Results:
- FXR expression is confirmed in lung tissue, indicating its involvement in pulmonary pathophysiology.
- FXR contributes to lung disease development through diverse mechanisms.
- FXR promotes non-small cell lung cancer (NSCLC) by upregulating PD-L1, suppressing anti-tumor immunity.
Conclusions:
- FXR is implicated in the pathogenesis of multiple lung diseases.
- Further understanding of FXR's roles and mechanisms in lung diseases can inform novel treatment strategies.
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