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LXR? is required for glucocorticoid-induced hyperglycemia and hepatosteatosis in mice.


ABSTRACT: Although widely prescribed for their potent antiinflammatory actions, glucocorticoid drugs (e.g., dexamethasone) cause undesirable side effects that are features of the metabolic syndrome, including hyperglycemia, fatty liver, insulin resistance, and type II diabetes. Liver x receptors (LXRs) are nuclear receptors that respond to cholesterol metabolites and regulate the expression of a subset of glucocorticoid target genes. Here, we show LXR? is required to mediate many of the negative side effects of glucocorticoids. Mice lacking LXR? (but not LXR?) were resistant to dexamethasone-induced hyperglycemia, hyperinsulinemia, and hepatic steatosis, but remained sensitive to dexamethasone-dependent repression of the immune system. In vivo, LXR?/? knockout mice demonstrated reduced dexamethasone-induced expression of the key hepatic gluconeogenic gene, phosphoenolpyruvate carboxykinase (PEPCK). In perfused liver and primary mouse hepatocytes, LXR? was required for glucocorticoid-induced recruitment of the glucocorticoid receptor to the PEPCK promoter. These findings suggest a new avenue for the design of safer glucocorticoid drugs through a mechanism of selective glucocorticoid receptor transactivation.

SUBMITTER: Patel R 

PROVIDER: S-EPMC3007136 | biostudies-literature | 2011 Jan

REPOSITORIES: biostudies-literature

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LXRβ is required for glucocorticoid-induced hyperglycemia and hepatosteatosis in mice.

Patel Rucha R   Patel Monika M   Tsai Ricky R   Lin Vicky V   Bookout Angie L AL   Zhang Yuan Y   Magomedova Lilia L   Li Tingting T   Chan Jessica F JF   Budd Conrad C   Mangelsdorf David J DJ   Cummins Carolyn L CL  

The Journal of clinical investigation 20101201 1


Although widely prescribed for their potent antiinflammatory actions, glucocorticoid drugs (e.g., dexamethasone) cause undesirable side effects that are features of the metabolic syndrome, including hyperglycemia, fatty liver, insulin resistance, and type II diabetes. Liver x receptors (LXRs) are nuclear receptors that respond to cholesterol metabolites and regulate the expression of a subset of glucocorticoid target genes. Here, we show LXRβ is required to mediate many of the negative side effe  ...[more]

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