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The role of pregnane X receptor in hepatic and intestinal diseases: an update
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Yue GAO, Qing-qing YU, Ling-zhi ZHANG, Zi-jian HE, Xiao LI, Shi-cheng FAN*, Hui-chang BI*
Acta Pharmaceutica Sinica | 2025, 60(12) : 3545 - 3559
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Acta Pharmaceutica Sinica | 2025, 60(12): 3545-3559
• Special Reports: Current Pharmacological Research on Nuclear Receptors •
The role of pregnane X receptor in hepatic and intestinal diseases: an update
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Yue GAO, Qing-qing YU, Ling-zhi ZHANG, Zi-jian HE, Xiao LI, Shi-cheng FAN*, Hui-chang BI*
Affiliations
  • School of Pharmaceutical Sciences, Southern Medical University, Guangzhou 510515, China
Published: 2025-12-12 doi: 10.16438/j.0513-4870.2025-1063
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Pregnane X receptor (PXR), a crucial member of the nuclear receptor superfamily, is predominantly expressed in the liver and intestine and serves as a key transcription factor regulating the expression of various drug-metabolizing enzymes and transporters. Beyond its classical role in xenobiotic detoxification, PXR also plays an important role in the metabolism of endogenous substances such as bile acids, lipids, and glucose. In recent years, extensive studies have demonstrated that PXR is closely associated with a variety of hepatic and intestinal diseases, including drug-induced liver injury, metabolic dysfunction-associated fatty liver disease, cholestasis, inflammatory bowel disease, and hepatointestinal malignancies. Multiple PXR agonists—including endogenous ligands, natural products, and synthetic small molecules—have shown significant potential in restoring metabolic homeostasis, regulating inflammation, and maintaining hepatic and intestinal functions. This review highlights the central role of PXR in metabolic regulation, systematically summarizes its mechanisms and recent advances in hepatic and intestinal diseases, and focuses on the development and clinical translation of PXR agonists, aiming to provide a theoretical basis for PXR-targeted therapeutic strategies against liver and intestinal disorders.

pregnane X receptor  /  metabolic regulation  /  liver disease  /  intestinal disease  /  PXR agonist
高悦, 余清清, 张灵芝, 何梓健, 李潇, 范仕成, 毕惠嫦. 孕烷X受体(PXR) 在肝肠疾病中的作用及其激动剂研究进展. 药学学报, 2025 , 60 (12) : 3545 -3559 . DOI: 10.16438/j.0513-4870.2025-1063
Yue GAO, Qing-qing YU, Ling-zhi ZHANG, Zi-jian HE, Xiao LI, Shi-cheng FAN, Hui-chang BI. The role of pregnane X receptor in hepatic and intestinal diseases: an update[J]. Acta Pharmaceutica Sinica, 2025 , 60 (12) : 3545 -3559 . DOI: 10.16438/j.0513-4870.2025-1063
Year 2025 volume 60 Issue 12
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doi: 10.16438/j.0513-4870.2025-1063
  • Receive Date:2025-09-05
  • Online Date:2026-09-20
  • Published:2025-12-12
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  • Received:2025-09-05
  • Revised:2025-11-11
Affiliations
    School of Pharmaceutical Sciences, Southern Medical University, Guangzhou 510515, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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