Targeting xenobiotic receptors PXR and CAR in human diseases

Drug Discov Today. 2015 May;20(5):618-28. doi: 10.1016/j.drudis.2014.11.011. Epub 2014 Nov 20.

Abstract

Nuclear receptors such as the pregnane X receptor (PXR) and constitutive androstane receptor (CAR) are xenobiotic receptors regulating not only drug metabolism and disposition but also various human diseases such as cancer, diabetes, inflammatory disease, metabolic disease and liver diseases, suggesting that PXR and CAR are promising targets for drug discovery. Consequently, there is an urgent need to discover and develop small molecules that target these PXR- and/or CAR-mediated human-disease-related pathways for relevant therapeutic applications. This review proposes approaches to target PXR and CAR, either individually or simultaneously, in the context of various human diseases, taking into consideration the structural differences between PXR and CAR.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Binding Sites
  • Biotransformation
  • Constitutive Androstane Receptor
  • Drug Design*
  • Drug Interactions
  • Humans
  • Ligands
  • Molecular Targeted Therapy
  • Pregnane X Receptor
  • Protein Binding
  • Protein Conformation
  • Receptor Cross-Talk
  • Receptors, Cytoplasmic and Nuclear / chemistry
  • Receptors, Cytoplasmic and Nuclear / drug effects*
  • Receptors, Cytoplasmic and Nuclear / metabolism
  • Receptors, Steroid / chemistry
  • Receptors, Steroid / drug effects*
  • Receptors, Steroid / metabolism
  • Signal Transduction / drug effects
  • Structure-Activity Relationship

Substances

  • Constitutive Androstane Receptor
  • Ligands
  • Pregnane X Receptor
  • Receptors, Cytoplasmic and Nuclear
  • Receptors, Steroid