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Molecular and Cellular Biology, February 2003, p. 864-872, Vol. 23, No. 3
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.3.864-872.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
and Ulrich Deuschle1,
LION Bioscience AG, 69120 Heidelberg,1 Max Planck Institute for Evolutionary Anthropology, 04103 Leipzig, Germany2
Received 19 September 2002/ Returned for modification 31 October 2002/ Accepted 12 November 2002
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and stimulates transcription through specific DNA response elements upon addition of 9-cis-retinoic acid. Finally, we identified lanosterol as a candidate endogenous ligand that induces coactivator recruitment and transcriptional activation by mFXRß. Lanosterol is an intermediate of cholesterol biosynthesis, which suggests a direct role in the control of cholesterol biosynthesis in nonprimates. The identification of FXRß as a novel functional receptor in nonprimate animals sheds new light on the species differences in cholesterol metabolism and has strong implications for the interpretation of genetic and pharmacological studies of FXR-directed physiologies and drug discovery programs. |
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Cholesterol catabolism into bile acids is controlled by transcriptional feedback and feedforward mechanisms that are mediated by members of the nuclear receptor family. Activation of cholesterol breakdown into bile acids is mediated by liver X receptor alpha (LXR
; NR1H3), a nuclear receptor that binds oxysterols formed during the synthesis and metabolism of cholesterol (14, 18, 28). Together with another nuclear receptor, liver receptor homologue 1 (NR5A2), LXR
stimulates transcription of cholesterol 7
-hydroxylase (CYP7A1), an enzyme catalyzing the rate-limiting step of this pathway. Suppression of cholesterol degradation into bile acids is triggered by the farnesoid X receptor (FXR; NR1H4), which binds to and is activated by bile acids (21, 27, 33). Ligand-bound FXR activates transcription of the short heterodimer partner (NR0B2) and subsequently downregulates transcription of CYP7A1 (11, 19). However, there are species differences in the regulation of cholesterol metabolism and sensitivity to dietary cholesterol. While rodents respond to cholesterol feeding with induction of CYP7A1, humans and rabbits appear to lack this response and are left more sensitive to the cholesterolemic effects of dietary cholesterol (13, 35, 36). This difference was directly attributed to the ability of LXR to regulate CYP7A in different species (4, 24).
Nuclear hormone receptors form a family of evolutionarily conserved sequences, and a standardized nomenclature has been proposed (26). Six subfamilies are currently recognized; the nuclear receptors FXR and LXR
and -ß form the subgroup NR1H together with the Drosophila ecdysone receptor (EcR), which recognizes the metamorphosis steroid ecdysone as its natural ligand (16). A set of 48 human nuclear hormone receptors was known well before the human genome was sequenced. In the Drosophila genome, only 21 nuclear hormone receptors were predicted (1), whereas for Caenorhabditis elegans, more than 270 sequences homologous to the nuclear hormone receptor family were identified (32). Publication of the sequence of the human genome allowed the identification of all genes homologous to the nuclear receptor family of proteins. We and others identified three novel nuclear receptor sequences apart from the 48 known nuclear receptors, all potentially representing pseudogenes in humans (6, 20, 29).
Given the known species-specific difference in cholesterol metabolism, our attention was particularly drawn to a pseudogene showing strong homology to FXR (NR1H4) that we and others designated FXRß (NR1H5). Here we demonstrate that FXRß is, in contrast to previous perception, a novel functional member of the NR1H subgroup of nuclear receptors. It constitutes a functional nuclear hormone receptor in all of the mammalian species investigated except primates and humans, where it encodes a nonfunctional protein. In mice, FXRß is able to activate transcription and its endogenous ligand was identified as the cholesterol precursor lanosterol. Since lanosterol is an intermediate in the cholesterol biosynthetic pathway, this nuclear receptor may represent an additional level at which cholesterol levels are controlled in nonprimate mammals.
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Molecular cloning of FXRß. The murine FXRß (mFXRß) genome locus was isolated by screening the BAC library Easy-to-Screen DNA Pools BAC Mouse ES (release II) from Incyte Genomics by using primers 5' TGGGGTCCTTTGTTTTCCA3' and 5'GTGAAATGGACATGTACATGCG. FXRß-containing BACs were purchased, and the locus was sequenced by using PCR products generated with the above-described primers. Flanking regions were sequenced by primer walking. FXRß cDNAs from mice and other mammalian species except humans were isolated by using adult liver and testis RNAs from the respective species and the above-described primers. For amplification of primate FXRß sequences, genomic DNAs and RNAs from the respective species were derived from the collections at the S. Pääbo laboratory. Full-length cDNAs were isolated by rapid amplification of cDNA ends with a GeneRacer kit (Invitrogen). Human FXRß (hFXRß) cDNAs were isolated by reverse transcription (RT)-PCR of adult human testis RNA (Clontech) with primers 5' CCAGACCAACCTATTCTTCCTCGAGAAATAAGGGAC 3' and 5' TGGGGTCCTTTGTTTTCCAAGTGCTAAGTATTTCTG 3' in 35 PCR cycles followed by 30 cycles of nested PCR.
Expression analysis. RT-PCR expression analysis of mFXRß was performed with primers 5' TCATCCAGCACCAGATCTGGGAAAG 3' and 5' GTCCTTTGTTTTCCACATGCGAAGG 3' and that of mFXR was performed with primers 5' GGGATGTTGGCTGAATGTTTGTTAACTG3' and 5' TCACTGCACATCCCAGATCTCACAG3' in 35 and 28 cycles PCR cycles, respectively, with a panel of adult (Clontech) and embryonic (Quantum Appligene) RNAs.
Plasmids.
The gateway cloning system (Life Technologies) was used to insert the ligand binding domains (LBDs) of hFXR (amino acids 187 to 472) and mFXRß (amino acids 186 to 505) into pCMV-BD (Stratagene) and that of human retinoic X receptor alpha (hRXR
; amino acids 197 to 461) into pCMV-AD (Stratagene) to generate mammalian two-hybrid vectors. pCMV-BD-hFXR and pCMV-BD-mFXRß express their respective FXR LBDs as fusion proteins with the Gal4 DNA binding domain (DBD). The hRXR
LBD is expressed fused with the activation domain (AD) of NF-
B. As a Gal4-responsive luciferase reporter, pFR-LUC (Stratagene) was used. Full-length mFXRß (GenBank accession no. AY094586) was inserted into expression vector pCMV-AD containing an NF-
B AD (Stratagene) and expression vector pcDNA4/TO (Invitrogen). Luciferase reporter plasmids were constructed by inserting synthetic response elements (REs) into the XhoI site of vector pGL2-Promoter (Promega). Oligonucleotides were designed containing two REs separated by 10 nucleotides. The REs consist of two consensus half sites with the sequence AGGTCA as inverted repeats (IRs), everted repeats (ERs), or direct repeats (DRs) with zero- to eight-nucleotide spacers between the half sites and flanking XhoI sites.
The I-BABP RE reporter construct contains two tandem copies of the oligonucleotide CCCCAGGGTGAATAACCTCGGGGCTCTGTCCCTCCAATCCCAGGGTGAATAACCTCGGGA from the human I-BABP promoter (12) ligated between the KpnI and BglII sites of pGL2-Promoter (Promega). For the homogeneous time-resolved fluorescence (HTRF) assay, the mFXRß LBD (amino acids 186 to 505) and the hLXR
LBD (amino acids 155 to 447) were fused to glutathione S-transferase (GST), His tagged, and recombined into the pACGHLT polylinker (Pharmingen) with a gateway cassette (Life Technologies). A GST fusion of the hFXR LBD (amino acids 187 to 476) and a His-tagged NR interaction domain of human Tif2 (hTif2; amino acids 548 to 878) were recombined into pDest15 and pDest17 (Life Technologies).
Transient transfections. Human embryonic kidney (HEK) 293 cells were maintained at 37°C in 5% CO2 in Dulbecco modified Eagle medium (DMEM; Invitrogen) containing 10% fetal calf serum. Cotransfection was performed in Optimem (Invitrogen) with 50 ng of the appropriate expression vector, 50 ng of the reporter construct, and 10 ng of a thymidine kinase-Renilla luciferase control vector with Lipofectamine (Invitrogen) for 4 h. Cells were then treated with ligands and grown in DMEM for 18 h. Ligands and ketoconazole (Sigma) were dissolved in dimethyl sulfoxide (DMSO) and stored at -20°C. Lanosterol was freshly dissolved in ethanol at 35°C. When treated with lanosterol, cells were grown in the presence of 1% DMSO for 2.5 h to permeabilize cell membranes and facilitate uptake (38) and then kept in DMEM for 16 h. After ligand treatment, cells were harvested and luciferase assays were performed with the dual-luciferase reporter assay as described by the manufacturer's (Promega) manual. Transfection data were normalized to the Renilla control and expressed as mean numbers of relative light units from triplicate assays ± the standard deviations (SDs).
Coactivator recruitment assay.
The mFXRß and hLXR
LBDs were used in the Pharmingenes Baculovirus Expression vector system. The hFXR LBD and hTif2 were expressed in Escherichia coli. The resulting proteins were GST or His affinity purified as recommended by Pharmacia and QIAGEN. His-hTif2 was biotinylated (Roche). A biotinylated mSCR1 peptide (amino acids 680 through 704) was purchased (SynPep Corp.). Proteins and compounds were mixed with 1 nM europium cryptate-anti-GST antibody and 100 ng of streptavidin-allophycocyanin in black 384-well microtiter plates (Nunc Fluotrac200). The reaction mixture volume was 25 µl. Plates were shaken for 2 min at 800 rpm and incubated for 60 min at room temperature. Measurement of fluorescence from both fluorophores at 665 nm (acceptor signal) and 615 nm (donor signal) occurred in a time window of 50 to 400 µs after excitation on a Victor V HTRF reader. Signals were plotted as ratios of light intensity at 665 nm versus light intensity at 615 nm. For analysis of dose-response curves, ratios were plotted against log concentrations and 50% effective concentrations (EC50s) were calculated by Prism (GraphPad Software Inc.)
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FIG. 1. FXRß genomic structures and molecular cloning. (A) Schematic representation of FXRß genomic structure. mFXRß and hFXRß loci show similar exon-intron structures. Here the murine locus is displayed, consisting of at least 11 exons spanning 26 kb of genomic DNA. Striped boxes represent the DBD, gray boxes represent the LBD, the asterisk represents the stop codon, and the flag represents the start codon. The 5' untranslated region is encoded by exon 1, while exon 11 encodes the 3' untranslated region (black boxes). Human stop codons and frame shifts are indicated by vertical arrows. Untranslated regions are not completely sequenced for the human locus. (B) Sequence of mFXRß. Shown are cDNA and protein sequences of mFXRß (GenBank accession no. AY094586). Start and stop codons are bold, and the poly(A) signal is underlined.
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FXRß codes for a functional receptor in other mammals. RT-PCR amplification of liver RNA and subsequent sequence analysis of nonprimate mammals, including mice, rats, rabbits, and dogs, revealed FXRß mRNAs showing continuous open reading frames (ORFs). These mRNAs therefore potentially encode functional nuclear receptor proteins. RT-PCR and rapid amplification of cDNA ends of mFXRß verified 10 coding exons translating into a protein of 505 amino acids (Fig. 1A and B). The 5' untranslated region is encoded by exon 1, while exon 11 encodes the 3' untranslated region and is flanked by a poly(A) signal.
All isolated FXRß sequences form a robust phylogenetic group well separated from the FXR cluster (Fig. 2). The FXR orthologs recently isolated from Xenopus laevis, FOR1 and -2 (31), are included with high confidence in the FXRß branch, indicating that these two genes are, in fact, FXRß orthologs. We identified in silico two different ORFs from the draft sequence of the pufferfish (Fugu rubripes) genome that show similarity to the FXR genes. Fugu rupies FXR1 is included with good confidence in the FXR lineage. FXR2 is building a separate deep branch at the root of the tree and appears to be ancestral to the duplication that led to the clusters of FXR and FXRß. Mutation rates are higher for FXRß than for FXR, as represented by respective branch lengths on the phylogenetic tree (Fig. 2).
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FIG. 2. Phylogenetic tree containing FXR and FXRß genes from different species. The phylogenetic tree was calculated on the basis of protein alignments by using PHYLIP (phylogeny interference package, 1993; distributed by J. Felsenstein, University of Washington, Seattle, Wash.) on the basis of the following sequences (accession numbers): chicken FXR (AF492497), hFXR (U68233), rat FXR (U18374), mFXR (NM009108), Fugu FXR1 (S001361), mFXRß (AY094586), frog FOR2 (AF456452), frog FOR1 (AF4564519), Fugu FXR2 (S000248), and drosophila EcR (M74078). Numbers indicate the bootstrap support (out of 1,000) for the respective nodes. Asterisks indicate putatively nonfunctional proteins in primates.
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FIG. 3. Transcription of mFXRß. (A) Splice variants of mFXRß. Five splice variants were isolated and sequenced (GenBank accession no. AY094586 through AY094590). Striped boxes indicate exons encoding the DBD, and gray boxes indicate exons encoding the LBD. Numbers indicate exons. Shown are only coding regions. (B) Tissue distribution of mFXRs. mFXR and mFXRß transcripts were determined by RT-PCR amplification of nonhomologous sequences derived from the LBDs of the respective receptors. ß-Actin served as an internal control. RNAs from indicated embryonic and adult tissues were used as templates. Lane M, DNA size marker. d, day.
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B AD and screened against a panel of luciferase reporter constructs containing synthetic consensus IR, DR, and ER elements in transient cotransfection assays. Transactivation of the luciferase reporter gene was observed with the synthetic IR1 and ER2 elements, as well as the FXR RE from the I-BABP promoter, which is itself an IR1 element (12) (Fig. 4A). The specific interaction with typical FXR REs suggests that at least part of the FXR target genes may also be regulated by FXRß.
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FIG. 4. mFXRß binds selectively to nuclear REs and forms heterodimers with RXR . (A) DNA REs recognized by mFXRß. HEK 293 cells were cotransfected with expression plasmids containing mFXRß fused to an NF- B AD (black bars) or an empty vector (white bars) and the indicated plasmid from a panel of luciferase reporter constructs containing synthetic IR, ER, or DR REs with different spacers between the half sites (zero to eight nucleotides). Luciferase activities are means of triplicate experiments, and the SDs are indicated. (B) Interaction of mFXRß with RXR is enhanced by 9-cis-RA. HEK 293 cells were cotransfected with the reporter vector pFR-Luc and RXR fused to an NF- B AD (pCMV-AD-hRXR ) in combination with either pCMV-BD (white bars), FXR fused to the Gal4 DBD (pCMV-BD-hFXR; gray bars) or an mFXRß fusion with the Gal4 DBD (pCMV-BD-mFXRß; black bars). Cells were treated with 1 µM 9-cis-RA (+) or an equivalent volume of DMSO (-). Cells from triplicate experiments were assayed for luciferase activity, and means ± SDs are shown. RLU, relative light units.
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Since nuclear receptors are known to interact with their REs as either homodimers or RXR heterodimers (23), we examined the ability of mFXRß to interact with RXR in response to its ligand, 9-cis-retinoic acid (9-cis-RA). For a mammalian two-hybrid assay, the LBDs of mFXRß and hFXR were fused to the Gal4 DBD while hRXR
was fused to an NF-
B AD and cotransfected in HEK 293 cells with a luciferase reporter construct. Compared to the control, we observed the expected constitutive interaction between the hFXR and hRXR
LBDs (Fig. 4B). Addition of 9-cis-RA further enhanced this interaction. Compared to hFXR, mFXRß exhibited a significantly stronger constitutive interaction with RXR
that was also potentiated by 9-cis-RA. These data indicate a constitutive mFXRß-RXR
interaction and a responsiveness of the complex formed to the RXR ligand 9-cis-RA.
Lanosterol promotes coactivator recruitment by mFXRß.
FXR, LXR
, and LXRß are activated by bile acids (21, 27, 33) and oxysterols (14, 18), respectively, all of which are intermediates of the cholesterol metabolic pathway. Since these receptors are evolutionarily related to FXRß, we tested compounds that are related to the respective ligands of these homologs for binding to mFXRß. This set of around 100 compounds includes cholesterol metabolites, steroid hormones, and other bile acid metabolites. We employed an HTRF ligand-sensing assay to measure the interaction between the mFXRß LBD and a short peptide derived from the coactivator mSRC-1 induced by a ligand. Interestingly, lanosterol, an intermediate of the de novo cholesterol biosynthetic pathway, showed the greatest affinity in the ligand-sensing assay. Lanosterol induces interaction between mSRC-1 and the mFXRß LBD with an EC50 of
1 µM (Fig. 5A). Similar affinities are reported for the physiological ligands of other lipid receptors (14, 18, 34). Thus, lanosterol is a likely candidate for an endogenous agonist ligand that induces coactivator recruitment by mFXRß. The FXR-specific compound GW4064 (22) has very poor affinity for mFXRß (Fig. 5B), suggesting different ligand specificities for both receptors. Furthermore, lanosterol displays a remarkable specificity for mFXRß as it binds neither to the closest relative of mFXRß, FXR (Fig. 5B), nor to the more distant relative LXR
(data not shown). In addition, mFXRß shows somewhat promiscuous ligand binding as it binds a quite diverse spectrum of chemical structures with lower affinity (Fig. 5C). Again, these compounds do not bind to FXR (data not shown). Finally it is important to note that various bile acids that, in part, can serve as endogenous ligands for FXR have no significant affinity for mFXRß (Fig. 5D). This again indicates that there is no overlap between FXR and FXRß in terms of specificity for natural ligands
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FIG. 5. Identification of ligands for mFXRß. (A) Lanosterol selectively induces SRC1 binding to mFXRß at physiological concentrations. GST-mFXRß LBD and biotinylated mSRC1 peptide were mixed, and the effect of lanosterol and the FXR agonist GW4064 on the interaction was determined by HTRF assay. Cofactor interaction is induced by lanosterol with an EC50 of 1 µM, whereas GW4064 only acts as a weak agonist. Signals are plotted as means of triplicates, and error bars indicate SDs. (B) GST-hFXR LBD was mixed with biotinylated, His-tagged hTif2, and the effects of lanosterol and GW4064 on the respective interaction were assayed. The FXR agonist GW4064 induces cofactor interaction with an EC50 of 70 nM, whereas lanosterol does not show any effect. (C) A diverse set of compounds induces cofactor interaction with mFXRß but not FXR. Shown are EC50s and the relative efficacy of SRC1 recruitment (the efficacy of lanosterol was set to 100%) calculated from dose-response experiments for a selected group of compounds found to be active for FXRß. (D) Cholates and cholic acids do not induce significant SRC1 binding to mFXRß, whereas lanosterol does induce SRC1 recruitment. GST-mFXRß LBD and biotinylated mSRC1 peptide were mixed. The effects of various compounds at a concentration of 40 µM on the interaction was determined by HTRF assay. Ratios of signals versus DMSO controls are plotted as means of triplicates, and SDs are indicated. CDCA, chenodeoxycholic acid; DCA, deoxycholic acid; UDCA, ursodeoxycholic acid; CA, cholic acid.
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. Furthermore, treatment of cells with 5 µM lanosterol significantly stimulated reporter gene expression (Fig. 6C). This activation was potentiated by the simultaneous addition of 9-cis-RA. These data strongly suggest that mFXRß is, indeed, a functional hormone receptor, with lanosterol as its physiological agonist ligand.
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FIG. 6. Lanosterol activates mFXRß. (A) Lanosterol is an intermediate of the cholesterol metabolism pathway. Cholesterol is synthesized from acetyl coenzyme A (acetyl-CoA) via lanosterol and catabolized into bile acids and steroids. Ketoconazole inhibits CYP51, the enzyme catalyzing the demethylation of lanosterol. (B) mFXRß is activated by 9-cis-RA. HEK 293 cells were cotransfected with an mFXRß full-length expression vector (black bars) or an empty vector (white bars) and the I-BABP RE luc reporter. Cells were treated with the indicated micromolar concentrations of 9-cis-RA. Mean luciferase activities and SDs determined from triplicate experiments are shown. (C) mFXRß is activated by lanosterol. HEK 293 cells were cotransfected with an mFXRß full-length expression vector (black bars) or an empty vector (white bars) and the I-BABP RE luc reporter and treated with the indicated micromolar concentrations of lanosterol, 9-cis-RA, and ketoconazole. Mean luciferase activities and SDs determined from triplicate experiments are shown. RLU, relative light units.
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We demonstrate in our report that in other mammalian species like mice, rats, rabbits, and dogs, the gene for FXRß has the capacity to code for a functional nuclear receptor protein. In a phylogenetic analysis, all isolated FXRß sequences form a phylogenetic group well separated from the FXR cluster. Since the FXR homologs from X. laevis, FOR1 and -2 (31), are, in fact, FXRß orthologs, our data indicate the existence of an FXRß-type gene already in the common ancestors of amphibians and mammals. We identified in silico two different ORFs from the pufferfish (F. rubripes) genome, one of which is included in the FXR lineage while the other is building a separate deep branch at the root of the tree. Since no sequence with similarity to FXRß could be detected in the pufferfish genome, the phylogenetic data indicate an origin of the FXRß gene as part of the postulated second wave of gene duplications during tetrapod (land-living vertebrate) evolution that probably led to the diversification of receptors (7). FXRß later lost its function as a secondary event. However, it is unknown when during the evolution of primates the gene lost its function, since our analysis focused on great apes (gorillas, chimpanzees, and orangutans) and just one Old World monkey (rhesus monkey) was added. Further analyses of other branches of the primate lineage are necessary to solve this issue. To our knowledge, FXRß represents the first member of the nuclear hormone receptor family constituting a functional receptor protein in several mammalian species but a pseudogene in the primate lineage. It is therefore possible that other identified human pseudogenes in this family have functional counterparts in primate or nonprimate species as well.
FXRß was identified through its sequence similarity to FXR and was shown in our phylogenetic analysis to code for an independent nuclear receptor protein. However, when examining transcript levels in mouse tissues, we observed significant coexpression of FXR and FXRß. Both receptors are ubiquitously expressed in embryos, which argues for a role of both receptors during embryonic development. In addition, they are coexpressed in a subset of tissues in adult organisms. FXR has been shown to be involved in the regulation of cholesterol-bile acid metabolism and in the regulation of bile acid transporters in the intestine, which is accompanied by high expression levels in tissues such as those of the liver, kidneys, and intestine (8). Coexpression with mFXRß in the liver and intestine but not in the kidneys may indicate at least partly overlapping functions. The expression of mFXRß in tissues such as the testis and ovary suggests additional roles in reproductive functions.
Like most nonsteroidal receptors, such as LXR and FXR, mFXRß binds specific DNA elements as a heterodimer with RXR
, the 9-cis-RA receptor. Furthermore, we show that mFXRß can function through consensus IR1 and ER2 REs and is active as well on an FXR RE originating from the I-BABP promoter (12). Most published FXR target genes contain one or more IR1-type elements in the proximal promoter or distal enhancers that function as an FXR RE and are required for transcriptional activation (3, 11, 12, 17, 19, 21). Our finding that mFXRß recognizes consensus, as well as natural, IR1 elements strongly suggests the existence of common target genes for both FXR and FXRß. Moreover, FXRß activates transcription through ER2 but not ER8 elements, derivatives of which were recently described as targets for FXR (15). This finding, on the other hand, indicates possible differences in target genes between the two receptors.
Our results show that mFXRß is a nuclear hormone receptor that is activated by lanosterol, an intermediate in the cholesterol biosynthetic pathway. Importantly, mFXRß is not activated by bile acids, the endogenous ligands for its closest homolog, FXR. The ligand-bound nuclear receptors FXR and LXR are known to modulate cholesterol breakdown through regulation of CYP7A1, the rate-limiting enzyme of this pathway. However, there are observed differences between species in the regulation of cholesterol homeostasis. While rodents seem to be able to adapt to large fluctuations in sterol input with little change in plasma cholesterol concentrations, humans do experience alterations in plasma cholesterol levels when sterol balances change (5). These observed differences have so far been explained by a rapid catabolism in rodents caused by high CYP7A1 activity, which is balanced by a high rate of endogenous cholesterol synthesis. In humans, lower enzyme levels, together with a lack of inducibility of CYP7A1 by dietary input of cholesterol, seem to lead to a greater susceptibility to high levels of cholesterol intake. As FXRß is absent in humans but serves as a nuclear receptor in rodents, it may add an additional layer of regulation to cholesterol biosynthesis in rodents that is absent in primates and in this way contribute to the observed species-specific differences.
Finally, our understanding of cholesterol metabolic pathways in humans, which in part is deduced from pharmacological studies and compound testing in nonprimate mammals, may have to be revisited because of our finding of a novel and additional nuclear receptor, FXRß, that is a pseudogene in primates.
Present address: Phenex Pharmaceuticals AG, 69120 Heidelberg, Germany. ![]()
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