PMID- 9484993 OWN - NLM STAT- MEDLINE DCOM- 19980319 LR - 20190831 IS - 1079-5642 (Print) IS - 1079-5642 (Linking) VI - 18 IP - 2 DP - 1998 Feb TI - RXR agonists activate PPARalpha-inducible genes, lower triglycerides, and raise HDL levels in vivo. PG - 272-6 AB - Peroxisome proliferator-activated receptors (PPARs) and retinoid X receptors (RXRs) are members of the intracellular receptor superfamily. PPARs bind to peroxisome proliferator-response elements (PPREs) as heterodimers with RXR and as such activate gene transcription in response to activators. Fibrates like gemfibrozil are well-known PPARalpha activators and are used in the treatment of hyperlipidemia. We show that the RXR ligand LGD1069 (Targretin), like gemfibrozil, can activate the PPARalpha/RXR signal-transduction pathway, including transactivation of the bifunctional enzyme or acyl-CoA oxidase response elements in a cotransfection assay. The activation also occurs in vivo, whereby in rats treated with LGD1069 or gemfibrozil, bifunctional enzyme and acyl-CoA oxidase RNA are induced and the combination of LGD1069 and gemfibrozil leads to a greater induction. Importantly, in hypertriglyceridemic db/db mice treated with RXR or PPARalpha agonists, triglyceride levels are lowered, and the combination again has significantly greater efficacy. RXR agonists also raise HDL cholesterol levels without changing apoA-I RNA expression. This observation suggests the use of RXR-selective agonists, "rexinoids," either alone or in combination with a fibrate as a new therapeutic approach to treating patients with high triglyceride and low HDL cholesterol levels. FAU - Mukherjee, R AU - Mukherjee R AD - Department of Pharmacology, Ligand Pharmaceuticals, Inc, San Diego, Calif. 92121, USA. mukherjee@ligand.com FAU - Strasser, J AU - Strasser J FAU - Jow, L AU - Jow L FAU - Hoener, P AU - Hoener P FAU - Paterniti, J R Jr AU - Paterniti JR Jr FAU - Heyman, R A AU - Heyman RA LA - eng PT - Journal Article PL - United States TA - Arterioscler Thromb Vasc Biol JT - Arteriosclerosis, thrombosis, and vascular biology JID - 9505803 RN - 0 (Cholesterol, HDL) RN - 0 (Drug Combinations) RN - 0 (Hypolipidemic Agents) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoid X Receptors) RN - 0 (Tetrahydronaphthalenes) RN - 0 (Transcription Factors) RN - 0 (Triglycerides) RN - A61RXM4375 (Bexarotene) RN - EC 1.- (Oxidoreductases) RN - EC 1.3.3.6 (Acyl-CoA Oxidase) RN - Q8X02027X3 (Gemfibrozil) SB - IM MH - Acyl-CoA Oxidase MH - Animals MH - Bexarotene MH - Cholesterol, HDL/*blood MH - Drug Combinations MH - Female MH - Gemfibrozil/pharmacology MH - Gene Expression Regulation/*physiology MH - Hypertriglyceridemia/blood/genetics MH - Hypolipidemic Agents/pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Mutant Strains MH - Oxidoreductases/genetics MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, Cytoplasmic and Nuclear/*physiology MH - Receptors, Retinoic Acid/*agonists MH - Retinoid X Receptors MH - Signal Transduction/drug effects MH - Tetrahydronaphthalenes/pharmacology MH - Transcription Factors/*agonists/*physiology MH - Transcriptional Activation/genetics MH - Triglycerides/*blood EDAT- 1998/03/04 03:05 MHDA- 2001/03/28 10:01 CRDT- 1998/03/04 03:05 PHST- 1998/03/04 03:05 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1998/03/04 03:05 [entrez] AID - 10.1161/01.atv.18.2.272 [doi] PST - ppublish SO - Arterioscler Thromb Vasc Biol. 1998 Feb;18(2):272-6. doi: 10.1161/01.atv.18.2.272.