Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases

Activation of LXR activity by synthetic agonists has been the focus of many drug discovery efforts with a focus on treatment of dyslipidemia and atherosclerosis. Many agonists have been developed, but all have been hindered due to their ability to efficaciously stimulate de novo lipogenesis. Here, w...

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Main Authors: Kristine Griffett, Thomas P. Burris
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1102469/full
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author Kristine Griffett
Thomas P. Burris
author_facet Kristine Griffett
Thomas P. Burris
author_sort Kristine Griffett
collection DOAJ
description Activation of LXR activity by synthetic agonists has been the focus of many drug discovery efforts with a focus on treatment of dyslipidemia and atherosclerosis. Many agonists have been developed, but all have been hindered due to their ability to efficaciously stimulate de novo lipogenesis. Here, we review the development of LXR inverse agonists that were originally optimized for their ability to enable recruitment of corepressors leading to silencing of genes that drive de novo lipogenesis. Such compounds have efficacy in animal models of MAFLD, dyslipidemia, and cancer. Several classes of LXR inverse agonists have been identified and one is now in clinical trials for treatment of severe dyslipidemia.
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spelling doaj.art-c72500ab581f4ceda761ea45ab25efff2023-02-02T06:53:23ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-02-011010.3389/fmed.2023.11024691102469Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseasesKristine Griffett0Thomas P. Burris1Department of Anatomy, Physiology and Pharmacology, College of Veterinary Medicine, Auburn University, Auburn, AL, United StatesThe University of Florida Genetics Institute, Gainesville, FL, United StatesActivation of LXR activity by synthetic agonists has been the focus of many drug discovery efforts with a focus on treatment of dyslipidemia and atherosclerosis. Many agonists have been developed, but all have been hindered due to their ability to efficaciously stimulate de novo lipogenesis. Here, we review the development of LXR inverse agonists that were originally optimized for their ability to enable recruitment of corepressors leading to silencing of genes that drive de novo lipogenesis. Such compounds have efficacy in animal models of MAFLD, dyslipidemia, and cancer. Several classes of LXR inverse agonists have been identified and one is now in clinical trials for treatment of severe dyslipidemia.https://www.frontiersin.org/articles/10.3389/fmed.2023.1102469/fullMAFLDNAFLDliver X receptorsdyslipidemiahypercholesterolemiacirrhosis
spellingShingle Kristine Griffett
Thomas P. Burris
Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases
Frontiers in Medicine
MAFLD
NAFLD
liver X receptors
dyslipidemia
hypercholesterolemia
cirrhosis
title Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases
title_full Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases
title_fullStr Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases
title_full_unstemmed Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases
title_short Development of LXR inverse agonists to treat MAFLD, NASH, and other metabolic diseases
title_sort development of lxr inverse agonists to treat mafld nash and other metabolic diseases
topic MAFLD
NAFLD
liver X receptors
dyslipidemia
hypercholesterolemia
cirrhosis
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1102469/full
work_keys_str_mv AT kristinegriffett developmentoflxrinverseagoniststotreatmafldnashandothermetabolicdiseases
AT thomaspburris developmentoflxrinverseagoniststotreatmafldnashandothermetabolicdiseases