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Papers In Press, published online ahead of print July 16, 2005
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Department of Vascular Biology and Thrombosis, GlaxoSmithKline, Cardiovascular Center for Excellence in Drug Discovery, King of Prussia, PA 19406-0939
Corresponding Author: michael.c.jaye{at}gsk.com
Liver X receptor (LXR) nuclear receptors regulate expression of genes involved in whole body cholesterol trafficking, including absorption, excretion, catabolism and cellular efflux and possess both anti-inflammatory and anti-diabetic actions. Accordingly, LXR is considered an appealing drug target for multiple indications, including coronary artery disease. Indeed, structurally distinct synthetic LXR agonists were shown to inhibit atherogenesis in murine genetic models. However, these and other studies of synthetic LXR agonists in mice also revealed that LXRs can dramatically elevate plasma and/or hepatic triglycerides, considered to be a major liability. Furthermore, a significant impediment to extrapolating results with LXR agonists from mice to humans is the absence in mice of cholesteryl ester transfer protein (CETP), a known LXR target gene, and the upregulation in mice but not humans of cholesterol 7alpha-hydroxylase (cyp7a). To identify more suitable animal models, two synthetic LXR agonists were examined in hamsters and cynomolgus monkeys, both CETP species. In contrast to previously published results in mice, none of the LXR agonists elevated HDL-C, neither in hamsters nor in cynomogous monkeys. In various hamster tissues, expression of LXR target genes including steroyl-CoA desaturase-1 (SCD-1) increased dose-dependently as did plasma levels of the SCD-1 product, oleic acid. Importantly, in both species the LXR agonists elevated LDL-C, a liability not apparent from earlier murine studies. These results reveal additional liabilities associated with current synthetic LXR agonists and emphasize the importance of profiling compounds in preclinical species which possess a more human-like lipoprotein metabolism.
Revised on July 1, 2005
Accepted on July 6, 2005
Synthetic LXR agonists elevate LDL in CETP species
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