Discovery of PXR Antagonist MI891 and PXR Degrader MI1013 and Their Roles in Hepatic Gene Regulation

Rajamanikkam Kamaraj1, Ivana Mejdrová2, Maria Krutakova1

  • 1Department of Pharmacology and Toxicology, Faculty of Pharmacy in Hradec Kralove, Charles University, Akademika Heyrovskeho 1203, 500 05 Hradec Kralove, Czech Republic.

PubMed

Insights

Researchers identified novel compounds that inhibit or degrade the pregnane X receptor (PXR). This PXR inhibition impacts genes in drug metabolism and metabolic diseases, offering potential therapeutic avenues.

Area of Science:

  • Pharmacology
  • Hepatology
  • Molecular Biology

Background:

  • The pregnane X receptor (PXR) is a key regulator of hepatic metabolism for both endogenous and exogenous compounds.
  • Limited mechanistic understanding exists regarding the impact of PXR inhibition on critical metabolic genes.

Purpose of the Study:

  • To discover and characterize novel PXR inverse agonists/antagonists.
  • To investigate the effects of PXR inhibition and degradation on PXR target genes in liver cells.

Main Methods:

  • Discovery of a novel PXR inverse agonist/antagonist (MI891).
  • Computational design and synthesis of a PXR-targeting PROTAC degrader (MI1013).
  • Assessment of gene expression in HepaRG cells and human hepatocytes.

Main Results:

  • MI891 binds to the PXR ligand-binding domain.
  • MI1013 effectively degrades PXR in HepaRG cells.
  • PXR antagonism and degradation suppressed basal and induced expression of ADME genes.
  • Inhibition/degradation of PXR downregulated genes involved in gluconeogenesis, cholesterol homeostasis, bile acid synthesis, and cell proliferation.

Conclusions:

  • Novel PXR antagonists and a PROTAC degrader were developed.
  • Pharmacological PXR inhibition/degradation impacts key metabolic pathways in hepatocytes.
  • These findings suggest potential therapeutic applications for PXR modulators in metabolic diseases.