PMID- 21515403 OWN - NLM STAT- MEDLINE DCOM- 20120410 LR - 20220409 IS - 0006-3002 (Print) IS - 0006-3002 (Linking) VI - 1821 IP - 1 DP - 2012 Jan TI - Modulation of RXR function through ligand design. PG - 57-69 LID - 10.1016/j.bbalip.2011.04.003 [doi] AB - As the promiscuous partner of heterodimeric associations, retinoid X receptors (RXRs) play a key role within the Nuclear Receptor (NR) superfamily. Some of the heterodimers (PPAR/RXR, LXR/RXR, FXR/RXR) are "permissive" as they become transcriptionally active in the sole presence of either an RXR-selective ligand ("rexinoid") or a NR partner ligand. In contrast, "non-permissive" heterodimers (including RAR/RXR, VDR/RXR and TR/RXR) are unresponsive to rexinoids alone but these agonists superactivate transcription by synergizing with partner agonists. Despite their promiscuity in heterodimer formation and activation of multiple pathways, RXR is a target for drug discovery. Indeed, a rexinoid is used in the clinic for the treatment of cutaneous T-cell lymphoma. In addition to cancer RXR modulators hold therapeutical potential for the treatment of metabolic diseases. The modulation potential of the rexinoid (as agonist or antagonist ligand) is dictated by the precise conformation of the ligand-receptor complexes and the nature and extent of their interaction with co-regulators, which determine the specific physiological responses through transcription modulation of cognate gene networks. Notwithstanding the advances in this field, it is not yet possible to predict the correlation between ligand structure and physiological response. We will focus on this review on the modulation of PPARgamma/RXR and LXR/RXR heterodimer activities by rexinoids. The genetic and pharmacological data from animal models of insulin resistance, diabetes and obesity demonstrate that RXR agonists and antagonists have promise as anti-obesity agents. However, the treatment with rexinoids raises triglycerides levels, suppresses the thyroid hormone axis, and induces hepatomegaly, which has complicated the development of these compounds as therapeutic agents for the treatment of type 2 diabetes and insulin resistance. The discovery of PPARgamma/RXR and LXR/RXR heterodimer-selective rexinoids, which act differently than PPARgamma or LXR agonists, might overcome some of these limitations. CI - (c) 2011 Elsevier B.V. All rights reserved. FAU - Perez, Efren AU - Perez E AD - Departamento de Quimica Organica, Facultade de Quimica, Universidade de Vigo, Spain. FAU - Bourguet, William AU - Bourguet W FAU - Gronemeyer, Hinrich AU - Gronemeyer H FAU - de Lera, Angel R AU - de Lera AR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20110416 PL - Netherlands TA - Biochim Biophys Acta JT - Biochimica et biophysica acta JID - 0217513 RN - 0 (Ligands) RN - 0 (Liver X Receptors) RN - 0 (Orphan Nuclear Receptors) RN - 0 (PPAR gamma) RN - 0 (Retinoid X Receptors) RN - 0 (Transcription Factors) SB - IM MH - Animals MH - Diabetes Mellitus/metabolism MH - Humans MH - Insulin Resistance MH - Ligands MH - Liver X Receptors MH - Models, Molecular MH - Obesity/genetics/metabolism MH - Orphan Nuclear Receptors/chemistry/*metabolism MH - PPAR gamma/chemistry/*metabolism MH - Protein Multimerization MH - Protein Structure, Tertiary MH - Retinoid X Receptors/agonists/antagonists & inhibitors/*chemistry/*metabolism MH - Signal Transduction MH - Transcription Factors/chemistry/metabolism MH - Transcription, Genetic EDAT- 2011/04/26 06:00 MHDA- 2012/04/11 06:00 CRDT- 2011/04/26 06:00 PHST- 2011/02/16 00:00 [received] PHST- 2011/04/06 00:00 [revised] PHST- 2011/04/07 00:00 [accepted] PHST- 2011/04/26 06:00 [entrez] PHST- 2011/04/26 06:00 [pubmed] PHST- 2012/04/11 06:00 [medline] AID - S1388-1981(11)00046-1 [pii] AID - 10.1016/j.bbalip.2011.04.003 [doi] PST - ppublish SO - Biochim Biophys Acta. 2012 Jan;1821(1):57-69. doi: 10.1016/j.bbalip.2011.04.003. Epub 2011 Apr 16.