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Publication : Pregnane X receptor prevents hepatorenal toxicity from cholesterol metabolites.

First Author  Sonoda J Year  2005
Journal  Proc Natl Acad Sci U S A Volume  102
Issue  6 Pages  2198-203
PubMed ID  15671183 Mgi Jnum  J:96473
Mgi Id  MGI:3530696 Doi  10.1073/pnas.0409481102
Citation  Sonoda J, et al. (2005) Pregnane X receptor prevents hepatorenal toxicity from cholesterol metabolites. Proc Natl Acad Sci U S A 102(6):2198-203
abstractText  Efficient detoxification and clearance of cholesterol metabolites such as oxysterols, bile alcohols, and bile acids are critical for survival because they can promote liver and cardiovascular disease. We report here that loss of the nuclear xenobiotic receptor PXR (pregnane X receptor), a regulator of enterohepatic drug metabolism and clearance, results in an unexpected acute lethality associated with signs of severe hepatorenal failure when mice are fed with a diet that elicits accumulation of cholesterol and its metabolites. Induction of a distinct drug clearance program by a high-affinity ligand for the related nuclear receptor, the constitutive androstane receptor, does not overcome the lethality, indicating the unique requirement of PXR for detoxification. We propose that the PXR signaling pathway protects the body from toxic dietary cholesterol metabolites, and, by extension, PXR ligands may ameliorate human diseases such as cholestatic liver diseases and the associating acute renal failure.
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