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Science 30 November 2001: Vol. 294. no. 5548, pp. 1866 - 1870 DOI: 10.1126/science.294.5548.1866
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Review
Nuclear Receptors and Lipid Physiology: Opening the X-Files
Ajay Chawla,1*
Joyce J. Repa,2*
Ronald M. Evans,1
David J. Mangelsdorf2
Cholesterol, fatty acids, fat-soluble vitamins, and other lipids
present in our diets are not only nutritionally important but serve as
precursors for ligands that bind to receptors in the nucleus. To become
biologically active, these lipids must first be absorbed by the
intestine and transformed by metabolic enzymes before they are
delivered to their sites of action in the body. Ultimately, the lipids
must be eliminated to maintain a normal physiological state. The need
to coordinate this entire lipid-based metabolic signaling cascade
raises important questions regarding the mechanisms that govern these
pathways. Specifically, what is the nature of communication between
these bioactive lipids and their receptors, binding proteins,
transporters, and metabolizing enzymes that links them physiologically
and speaks to a higher level of metabolic control? Some general
principles that govern the actions of this class of bioactive lipids
and their nuclear receptors are considered here, and the scheme that
emerges reveals a complex molecular script at work.
Nuclear receptors function as
ligand-activated transcription factors that regulate the expression of
target genes to affect processes as diverse as reproduction,
development, and general metabolism. These proteins were first
recognized as the mediators of steroid hormone signaling and provided
an important link between transcriptional regulation and physiology. In
the mid-1980s, the steroid receptors were cloned and found to exhibit
extensive sequence similarity. The subsequent cloning of other receptor
genes led to the unexpected discovery that there were many more nuclear receptor-like genes than previously suspected. Today, the human genome
is reported to contain 48 members of this transcription factor family
(1). This superfamily includes not only the classic endocrine receptors that mediate the actions of steroid hormones, thyroid hormones, and the fat-soluble vitamins A and D (2),
but a large number of so-called orphan nuclear receptors, whose
ligands, target genes, and physiological functions were initially
unknown (3). Exciting progress has been made over the last
several years to elucidate the role of these orphan receptors in animal
biology. Here we review recent discoveries that suggest that unlike the classic endocrine nuclear hormone receptors, many of the orphan receptors function as lipid sensors that respond to cellular lipid levels and elicit gene expression changes to ultimately protect cells
from lipid overload.
The structural organization of nuclear receptors is similar despite
wide variation in ligand sensitivity (Fig. 1). With few
exceptions, these proteins contain an NH2-terminal region that harbors a ligand-independent transcriptional activation function (AF-1); a core DNA-binding domain, containing two highly conserved zinc
finger motifs that target the receptor to specific DNA sequences known
as hormone response elements; a hinge region that permits protein
flexibility to allow for simultaneous receptor dimerization and DNA
binding; and a large COOH-terminal region that encompasses the
ligand-binding domain, dimerization interface, and a ligand-dependent activation function (AF-2). Upon ligand binding, nuclear receptors undergo a conformational change that coordinately dissociates corepressors and facilitates recruitment of coactivator proteins to
enable transcriptional activation (4).
The importance of nuclear receptors in maintaining the normal
physiological state is illustrated by the enormous pharmacopoeia that
has been developed to combat disorders that have inappropriate nuclear
receptor signaling as a key pathological determinant. These disorders
affect every field of medicine, including reproductive biology,
inflammation, cancer, diabetes, cardiovascular disease, and obesity.
Therefore, to maintain a normal physiological state, the spatial and
temporal activity of nuclear receptors must be tightly controlled by
tissue-specific expression of the receptors, as well as ligand
availability. Interestingly, an evaluation of the pathways involved in
ligand availability reveals the existence of two distinctly different
nuclear receptor paradigms.
The first paradigm is represented by the classic nuclear steroid
hormone receptors (Fig. 1). Members of this group include the
glucocorticoid (GR), mineralocorticoid (MR), estrogen (ER), androgen
(AR), and progesterone (PR) receptors. Steroid receptors bind to DNA as
homodimers, and their ligands are synthesized exclusively from
endogenous endocrine sources that are regulated by negative-feedback
control of the hypothalamic-pituitary axis (5). After
synthesis, steroid hormones are circulated in the body to their target
tissues where they bind to their receptors with high affinity
(dissociation constant Kd = 0.01 to 10 nM).
In vertebrates, the steroid receptor system evolved to regulate a
variety of crucial metabolic and developmental events, including sexual
differentiation, reproduction, carbohydrate metabolism, and electrolyte
balance. The endocrine steroid receptors, their ligands, and the
pathways they regulate have been the subject of decades of research,
and their mechanism of action is well documented (5).
The second nuclear receptor paradigm is represented by the adopted
orphan nuclear receptors that function as heterodimers with the
retinoid X receptor (RXR) (Fig. 1). Orphan receptors become adopted
when they are shown to bind a physiological ligand. In contrast to the
endocrine steroid receptors, the adopted orphan receptors respond to
dietary lipids and, therefore, their concentrations cannot be limited
by simple negative-feedback control (Fig. 2). Members
of this group include receptors for fatty acids (PPARs), oxysterols
(LXRs), bile acids (FXR), and xenobiotics [steroid xenobiotic
receptor/pregnane X receptor (SXR/PXR) and constitutive androstane
receptor (CAR)]. Furthermore, the receptors in this group bind their
lipid ligands with lower affinities comparable to physiological
concentrations that can be affected by dietary intake (>1 to 10 µM).
An emerging theme regarding these receptors is that they function as
lipid sensors. In keeping with this notion, ligand binding to each of
these receptors activates a feedforward, metabolic cascade that
maintains nutrient lipid homeostasis by governing the transcription of
a common family of genes involved in lipid metabolism, storage,
transport, and elimination.
In addition to the adopted orphan receptors, there are four other RXR
heterodimer receptors that do not fit precisely into either the
feedforward or feedback paradigms mentioned. These include the thyroid
hormone (TR), retinoic acid (RAR), vitamin D (VDR), and
ecdysone (EcR) receptors (6-9). The ligands for
these four receptors and the pathways they regulate employ elements of
both the endocrine and lipid-sensing receptor pathways. For example,
like other RXR heterodimer ligands, both retinoic acid and ecdysone are
derived from essential dietary lipids (vitamin A and cholesterol,
respectively), yet they are not calorigenic and the transcriptional
pathways that these ligands regulate (i.e., morphogenesis and
development) more closely resemble those of the endocrine receptors.
Likewise, vitamin D and thyroid hormone require exogenous elements for
their synthesis (sunshine for vitamin D, iodine for thyroid hormone),
yet the ultimate synthesis of these hormones and the pathways they
regulate are under strict endocrine control. Thus, it is possible that
these four receptors provide an evolutionary segue, spanning the gap
between the endocrine receptors and the adopted orphan receptors that
have recently been shown to be lipid sensors.
1 Howard Hughes Medical Institute, Gene
Expression Laboratory, The Salk Institute for Biological Studies, Post
Office Box 85800, San Diego, CA 92186-5800, USA.
2 Howard Hughes Medical Institute, Department of
Pharmacology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9050, USA.
*
These authors contributed equally to this work.
To whom correspondence should be addressed.
E-mail: evans{at}salk.edu (R.M.E.); davo.mango{at}utsouthwestern.edu
(D.J.M.)
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- The Lipoprotein Lipase Inhibitor ANGPTL3 Is Negatively Regulated by Thyroid Hormone.
- C. Fugier, J.-J. Tousaint, X. Prieur, M. Plateroti, J. Samarut, and P. Delerive (2006)
J. Biol. Chem.
281, 11553-11559
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- Vitamin D Receptor Agonists Specifically Modulate the Volume of the Ligand-binding Pocket.
- F. Molnar, M. Perakyla, and C. Carlberg (2006)
J. Biol. Chem.
281, 10516-10526
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- Differential Effects of Isoflavones, from Astragalus Membranaceus and Pueraria Thomsonii, on the Activation of PPAR{alpha}, PPAR{gamma}, and Adipocyte Differentiation In Vitro.
- P. Shen, M. H. Liu, T. Y. Ng, Y. H. Chan, and E. L. Yong (2006)
J. Nutr.
136, 899-905
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- 1,25-dihydroxyvitamin D3 and its receptor inhibit the chenodeoxycholic acid-dependent transactivation by farnesoid X receptor..
- Y. Honjo, S. Sasaki, Y. Kobayashi, H. Misawa, and H. Nakamura (2006)
J. Endocrinol.
188, 635-643
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- Peroxisome Proliferator-Activated Receptors and Liver X Receptors in Atherosclerosis and Immunity.
- G. D. Barish (2006)
J. Nutr.
136, 690-694
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- PPAR{delta} regulates glucose metabolism and insulin sensitivity.
- C.-H. Lee, P. Olson, A. Hevener, I. Mehl, L.-W. Chong, J. M. Olefsky, F. J. Gonzalez, J. Ham, H. Kang, J. M. Peters, et al. (2006)
PNAS
103, 3444-3449
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- Peroxisome proliferator-activated receptor {delta} promotes very low-density lipoprotein-derived fatty acid catabolism in the macrophage.
- C.-H. Lee, K. Kang, I. R. Mehl, R. Nofsinger, W. A. Alaynick, L.-W. Chong, J. M. Rosenfeld, and R. M. Evans (2006)
PNAS
103, 2434-2439
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- Cross-talk between Thyroid Hormone Receptor and Liver X Receptor Regulatory Pathways Is Revealed in a Thyroid Hormone Resistance Mouse Model.
- K. Hashimoto, R. N. Cohen, M. Yamada, K. R. Markan, T. Monden, T. Satoh, M. Mori, and F. E. Wondisford (2006)
J. Biol. Chem.
281, 295-302
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- Liver X Receptor Activation and High-Density Lipoprotein Biology: A Reversal of Fortune?.
- C.-H. Lee and J. Plutzky (2006)
Circulation
113, 5-8
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- NUCLEAR RECEPTOR EXPRESSION IN FETAL AND PEDIATRIC LIVER: CORRELATION WITH CYP3A EXPRESSION.
- C. A. Vyhlidal, R. Gaedigk, and J. S. Leeder (2006)
Drug Metab. Dispos.
34, 131-137
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- Obesity, Peroxisome Proliferator-Activated Receptor, and Atherosclerosis in Type 2 Diabetes.
- F. Blaschke, Y. Takata, E. Caglayan, R. E. Law, and W. A. Hsueh (2006)
Arterioscler. Thromb. Vasc. Biol.
26, 28-40
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- IGF-1 induces rat glomerular mesangial cells to accumulate triglyceride.
- A. K. Berfield, A. Chait, J. F. Oram, R. A. Zager, A. C. Johnson, and C. K. Abrass (2006)
Am J Physiol Renal Physiol
290, F138-F147
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- Retinoid X Receptor Agonists Increase Bcl2a1 Expression and Decrease Apoptosis of Naive T Lymphocytes.
- R. Rasooly, G. U. Schuster, J. P. Gregg, J.-H. Xiao, R. A. S. Chandraratna, and C. B. Stephensen (2005)
J. Immunol.
175, 7916-7929
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- Identification and characterization of two alternatively spliced transcript variants of human liver X receptor alpha.
- M. Chen, S. Beaven, and P. Tontonoz (2005)
J. Lipid Res.
46, 2570-2579
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- T:G mismatch-specific thymine-DNA glycosylase (TDG) as a coregulator of transcription interacts with SRC1 family members through a novel tyrosine repeat motif.
- M. J. Lucey, D. Chen, J. Lopez-Garcia, S. M. Hart, F. Phoenix, R. Al-Jehani, J. P. Alao, R. White, K. B. Kindle, R. Losson, et al. (2005)
Nucleic Acids Res.
33, 6393-6404
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- Downregulation of liver X receptor-{alpha} in mouse kidney and HK-2 proximal tubular cells by LPS and cytokines.
- Y. Wang, A. H. Moser, J. K. Shigenaga, C. Grunfeld, and K. R. Feingold (2005)
J. Lipid Res.
46, 2377-2387
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- Cytokine-dependent regulation of hepatic organic anion transporter gene transactivators in mouse liver.
- A. Geier, C. G. Dietrich, S. Voigt, M. Ananthanarayanan, F. Lammert, A. Schmitz, M. Trauner, H. E. Wasmuth, D. Boraschi, N. Balasubramaniyan, et al. (2005)
Am J Physiol Gastrointest Liver Physiol
289, G831-G841
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- Transcriptional Repression of ATP-Binding Cassette Transporter A1 Gene in Macrophages: A Novel Atherosclerotic Effect of Angiotensin II.
- Y. Takata, V. Chu, A. R. Collins, C. J. Lyon, W. Wang, F. Blaschke, D. Bruemmer, E. Caglayan, W. Daley, J. Higaki, et al. (2005)
Circ. Res.
97, e88-e96
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- A Nuclear Receptor Atlas: 3T3-L1 Adipogenesis.
- M. Fu, T. Sun, A. L. Bookout, M. Downes, R. T. Yu, R. M. Evans, and D. J. Mangelsdorf (2005)
Mol. Endocrinol.
19, 2437-2450
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