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Science 289 (5484): 1524-1529

Copyright © 2000 by the American Association for the Advancement of Science

Regulation of Absorption and ABC1-Mediated Efflux of Cholesterol by RXR Heterodimers

J. J. Repa,1 S. D. Turley,2 J.-M. A. Lobaccaro,1* J. Medina,3 L. Li,3 K. Lustig,3 B. Shan,3 R. A. Heyman,4 † J. M. Dietschy,2 D. J. Mangelsdorf1ddagger

Several nuclear hormone receptors involved in lipid metabolism form obligate heterodimers with retinoid X receptors (RXRs) and are activated by RXR agonists such as rexinoids. Animals treated with rexinoids exhibited marked changes in cholesterol balance, including inhibition of cholesterol absorption and repressed bile acid synthesis. Studies with receptor-selective agonists revealed that oxysterol receptors (LXRs) and the bile acid receptor (FXR) are the RXR heterodimeric partners that mediate these effects by regulating expression of the reverse cholesterol transporter, ABC1, and the rate-limiting enzyme of bile acid synthesis, CYP7A1, respectively. Thus, these RXR heterodimers serve as key regulators of cholesterol homeostasis by governing reverse cholesterol transport from peripheral tissues, bile acid synthesis in liver, and cholesterol absorption in intestine.

1 Howard Hughes Medical Institute and Department of Pharmacology,
2 Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9050, USA.
3 Tularik, Two Corporate Drive, South San Francisco, CA 94080, USA.
4 Ligand Pharmaceuticals, 10255 Science Center Drive, San Diego, CA 92121, USA.
*   Present address: Physiologie Comparée-Endocrinologie Moléculaire, UMR CNRS 6547-GEEM, Université Blaise Pascal, 63177 Aubière Cedex, France.

ddagger    To whom correspondence should be addressed. E-mail: davo.mango{at}utsouthwestern.edu



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R. E. Temel, R. G. Lee, K. L. Kelley, M. A. Davis, R. Shah, J. K. Sawyer, M. D. Wilson, and L. L. Rudel (2005)
J. Lipid Res. 46, 2423-2431
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Differential effects of pharmacological liver X receptor activation on hepatic and peripheral insulin sensitivity in lean and ob/ob mice.
A. Grefhorst, T. H. van Dijk, A. Hammer, F. H. van der Sluijs, R. Havinga, L. M. Havekes, J. A. Romijn, P. H. Groot, D.-J. Reijngoud, and F. Kuipers (2005)
Am J Physiol Endocrinol Metab 289, E829-E838
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ATP-Binding Cassette Transporter A1: A Cell Cholesterol Exporter That Protects Against Cardiovascular Disease.
J. F. Oram and J. W. Heinecke (2005)
Physiol Rev 85, 1343-1372
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The human ABCG1 gene: identification of LXR response elements that modulate expression in macrophages and liver.
S. L. Sabol, H. B. Brewer Jr., and S. Santamarina-Fojo (2005)
J. Lipid Res. 46, 2151-2167
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Carotenoid Transport Is Decreased and Expression of the Lipid Transporters SR-BI, NPC1L1, and ABCA1 Is Downregulated in Caco-2 Cells Treated with Ezetimibe.
A. During, H. D. Dawson, and E. H. Harrison (2005)
J. Nutr. 135, 2305-2312
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