出版社:American Society for Biochemistry and Molecular Biology
摘要:Liver X receptor (LXR) nuclear receptors regulate the expressionof genes involved in whole body cholesterol trafficking, includingabsorption, excretion, catabolism, and cellular efflux, andpossess both anti-inflammatory and antidiabetic actions. Accordingly,LXR is considered an appealing drug target for multiple indications.Synthetic LXR agonists demonstrated inhibition of atherosclerosisprogression in murine genetic models; however, these and otherstudies indicated that their major undesired side effect isan increase of plasma and hepatic triglycerides. A significantimpediment to extrapolating results with LXR agonists from mouseto humans is the absence in mice of cholesteryl ester transferprotein, a known LXR target gene, and the upregulation in micebut not humans of cholesterol 7-hydroxylase. To better predictthe human response to LXR agonism, two synthetic LXR agonistswere examined in hamsters and cynomolgus monkeys. In contrastto previously published results in mice, neither LXR agonistincreased HDL-cholesterol in hamsters, and similar results wereobtained in cynomolgus monkeys. Importantly, in both species,LXR agonists increased LDL-cholesterol, an unfavorable effectnot apparent from earlier murine studies.
These results reveal additional problems associated with currentsynthetic LXR agonists and emphasize the importance of profilingcompounds in preclinical species with a more human-like LXRresponse and lipoprotein metabolism.Abbreviations: ABCG1, ATP binding cassette protein G1; apoE, apolipoprotein E; CETP, cholesteryl ester transfer protein; cyp7a, cholesterol 7-hydroxylase; HDL-C, high density lipoprotein-cholesterol; LXR, liver X receptor; SCD, steroyl coenzyme A desaturase; SREBP, sterol-regulatory element binding protein
Supplementary key words liver X receptor • low density lipoprotein • cholesteryl ester transfer protein • monkey • hamster • triglyceride • atherosclerosis