Role of Pregnane X Receptor in Chemotherapeutic Treatment
Overview
Affiliations
Pregnane X receptor (PXR) is a member of the nuclear receptor superfamily that differently expresses not only in human normal tissues but also in numerous types of human cancers. PXR can be activated by many endogenous substances and exogenous chemicals, and thus affects chemotherapeutic effects and intervenes drug-drug interactions by regulating its target genes involving drug metabolism and transportation, cell proliferation and apoptosis, and modulating endobiotic homeostasis. Tissue and context-specific regulation of PXR contributes to diverse effects in the treatment for numerous cancers. Genetic variants of PXR lead to intra- and inter-individual differences in the expression and inducibility of PXR, resulting in different responses to chemotherapy in PXR-positive cancers. The purpose of this review is to summarize and discuss the role of PXR in the metabolism and clearance of anticancer drugs. It is also expected that this review will provide insights into PXR-mediated enhancement for chemotherapeutic treatment, prediction of drug-drug interactions and personalized medicine.
Zhong L, Wang Q, Kou Z, Gan L, Yang Z, Pan J J Cell Mol Med. 2024; 28(21):e70185.
PMID: 39495702 PMC: 11534069. DOI: 10.1111/jcmm.70185.
Yokota H, Sato K, Sakamoto S, Okuda Y, Asano M, Takeda M Cancer Chemother Pharmacol. 2023; 92(4):315-324.
PMID: 37500985 DOI: 10.1007/s00280-023-04569-w.
Progress in the studies on the molecular mechanisms associated with multidrug resistance in cancers.
Zhang L, Ye B, Chen Z, Chen Z Acta Pharm Sin B. 2023; 13(3):982-997.
PMID: 36970215 PMC: 10031261. DOI: 10.1016/j.apsb.2022.10.002.
Pregnane X Receptor and the Gut-Liver Axis: A Recent Update.
Dutta M, Lim J, Cui J Drug Metab Dispos. 2021; 50(4):478-491.
PMID: 34862253 PMC: 11022899. DOI: 10.1124/dmd.121.000415.
The Interface between Cell Signaling Pathways and Pregnane X Receptor.
Rogers R, Parker A, Vainer P, Elliott E, Sudbeck D, Parimi K Cells. 2021; 10(11).
PMID: 34831484 PMC: 8617909. DOI: 10.3390/cells10113262.