The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity

The nuclear receptor farnesoid X receptor (FXR, NR1H4) is a bile acid (BA) sensor that links the enterohepatic circuit that regulates BA metabolism and elimination to systemic lipid homeostasis. Furthermore, FXR represents a real guardian of the hepatic function, preserving, in a multifactorial fash...

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Main Authors: Magdalena Rausch, Sophia L. Samodelov, Michele Visentin, Gerd A. Kullak-Ublick
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/22/13967
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author Magdalena Rausch
Sophia L. Samodelov
Michele Visentin
Gerd A. Kullak-Ublick
author_facet Magdalena Rausch
Sophia L. Samodelov
Michele Visentin
Gerd A. Kullak-Ublick
author_sort Magdalena Rausch
collection DOAJ
description The nuclear receptor farnesoid X receptor (FXR, NR1H4) is a bile acid (BA) sensor that links the enterohepatic circuit that regulates BA metabolism and elimination to systemic lipid homeostasis. Furthermore, FXR represents a real guardian of the hepatic function, preserving, in a multifactorial fashion, the integrity and function of hepatocytes from chronic and acute insults. This review summarizes how FXR modulates the expression of pathway-specific as well as polyspecific transporters and enzymes, thereby acting at the interface of BA, lipid and drug metabolism, and influencing the onset and progression of hepatotoxicity of varying etiopathogeneses. Furthermore, this review article provides an overview of the advances and the clinical development of FXR agonists in the treatment of liver diseases.
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spelling doaj.art-c398b3201b114988baf3d2f4fb5d4ff02023-11-24T08:36:22ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-11-0123221396710.3390/ijms232213967The Farnesoid X Receptor as a Master Regulator of HepatotoxicityMagdalena Rausch0Sophia L. Samodelov1Michele Visentin2Gerd A. Kullak-Ublick3Department of Clinical Pharmacology and Toxicology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Clinical Pharmacology and Toxicology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Clinical Pharmacology and Toxicology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Clinical Pharmacology and Toxicology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandThe nuclear receptor farnesoid X receptor (FXR, NR1H4) is a bile acid (BA) sensor that links the enterohepatic circuit that regulates BA metabolism and elimination to systemic lipid homeostasis. Furthermore, FXR represents a real guardian of the hepatic function, preserving, in a multifactorial fashion, the integrity and function of hepatocytes from chronic and acute insults. This review summarizes how FXR modulates the expression of pathway-specific as well as polyspecific transporters and enzymes, thereby acting at the interface of BA, lipid and drug metabolism, and influencing the onset and progression of hepatotoxicity of varying etiopathogeneses. Furthermore, this review article provides an overview of the advances and the clinical development of FXR agonists in the treatment of liver diseases.https://www.mdpi.com/1422-0067/23/22/13967drug-induced liver injuryfarnesoid X receptor (FXR)hepatotoxicityinflammationliverNAFLD and NASH
spellingShingle Magdalena Rausch
Sophia L. Samodelov
Michele Visentin
Gerd A. Kullak-Ublick
The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity
International Journal of Molecular Sciences
drug-induced liver injury
farnesoid X receptor (FXR)
hepatotoxicity
inflammation
liver
NAFLD and NASH
title The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity
title_full The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity
title_fullStr The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity
title_full_unstemmed The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity
title_short The Farnesoid X Receptor as a Master Regulator of Hepatotoxicity
title_sort farnesoid x receptor as a master regulator of hepatotoxicity
topic drug-induced liver injury
farnesoid X receptor (FXR)
hepatotoxicity
inflammation
liver
NAFLD and NASH
url https://www.mdpi.com/1422-0067/23/22/13967
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