29 However, based on our current observation, it is plausible that OATP1B1 functions as a key pathway in the network for modulation of hepatic bile acid concentration through its ability to mediate the sodium-independent hepatic uptake of bile acids and thereby enhance bile acid sensing through FXR and modulation of target gene expression. It seems noteworthy that another hepatic OATP capable of bile acid uptake, OATP1B3,29 has been shown to also be positively regulated by FXR.17, 18 Indeed, in human hepatocytes,

we were able to confirm that treatment with CDCA results in OATP1B3 induction (Fig. 7). However, unlike OATP1B1, OATP1B3 Selleckchem Tigecycline does not appear to be regulated by LXRα (Fig. 7). We hypothesize that regulation of the bile acid transporters is multifactorial and includes several components (Fig. 8). Protein kinase A exhibits cyclic adenosine monophosphate (cAMP)-dependent catalytic activity and is involved in the regulation RXDX-106 molecular weight of several intracellular processes, including

the activity of transcription factors such as HNF4α as well as OATP1B1.30 HNF4α not only regulates OATP1B1, but also the expression of NTCP (SLC10A1), the sodium-dependent transporter for bile acids.31, 32 Introducing an additional factor to this network of OATP1B1 expression is the G protein–coupled receptor TGR5, which induces intracellular cAMP levels upon binding of bile acids.33 Thus, increased bile acid levels would reduce the expression of both bile acid transporters through suppression of HNF4α activity and expression of the transporters

that facilitate the uptake of bile acid FXR ligands. This notion is supported by findings showing that cAMP protects against hepatocellular apoptosis induced by hydrophilic bile acids such as GCDCA,34 although expression find more and function of TGR5 in human hepatocytes is controversial.35, 36 There are reports suggesting moderate but functional expression of TGR5 in hepatocytes.29 In terms of LXRα, there has been significant progress using LXRα as a therapeutic target to treat metabolic disorders and atherosclerosis.37 Indeed, our observed effects of an LXRα agonist in human hepatocytes suggest that such a strategy might result in the induction of hepatic drug transporters such as OATP1B1 (Fig. 6), which for drugs such as the statin class of HMG-Co-A reductase inhibitors would result in a higher liver concentration of the drug while lowering systemic exposure. This may be viewed as a therapeutically beneficial effect of LXRα. Given the importance of regulated conversion of cholesterol to bile acids by LXRα target genes, regulation of OATP1B1 by LXRα is consistent with an important physiological role of OATP1B1 to hepatic cholesterol and bile acid homeostasis In conclusion, we show for the first time that OATP1B1 is dual nuclear receptor–regulated through the actions of the bile acid sensor FXR and the cholesterol sensor LXRα, but not by the typical xenobiotic receptors such as PXR and CAR.