ABSTRACT:The pregnane X receptor (PXR, NR1I2) is widely regarded as a central factor in the body's response to changes in the fluxome, the overall metabolite profile in the body. PXR expression is regulated by a number of chemicals at the transcriptional level; the majority of these chemicals are ligands for PXR and substrates for PXR target genes. However, transcriptional activators of PXR, such as clofibrate, do not seem to be PXR ligands or substrates for its target genes. Understanding the molecular mechanisms underlying both these expected and, more importantly, unexpected transcriptional activations is central to fully understanding the roles of PXR in the human body. We have carried out an in silico analysis of the human PXR proximal promoter, identifying putative protein/ DNA interaction sites within the 2 kilobases (kb) 5 to the putative transcription start site. These sites included several for liver-en- Chemical levels within the body are constantly fluctuating. This may be as a result of circadian rhythms, normal or pathophysiological processes, or the exposure of the body to foreign chemicals such as pollutants or therapeutic medicines. The body responds to these changes by altering chemical flow through metabolic pathways [the fluxome (Sauer, 2004)], aiming to maintain the status quo and ensuring normal/homeostatic physiology. Proteins involved in this process include active transport pumps (e.g., MDR1 and OATP2) to regulate cellular influx/efflux of chemicals and phase I (e.g., cytochromes P450) and phase II (e.g., glutathione S-transferase) metabolic enzymes, which catalyze chemical alterations to increase rates of excretion (Plant, 2004). To respond effectively to fluxome alterations, a feedback mechanism exists whereby levels of drug transporters and metabolic enzymes are regulated by a superfamily of ligand-activated transcription factors (LATFs). These LATFs generally possess large ligand-binding domains and show promiscuity in their activation profile (Watkins et al., 2001). Due to the overlapping nature of these activation profiles and the complex chemical pool within the body at any one time, it is perhaps not surprising that an interaction network exists between these LATFs, with the sum of the interactions/activations elicited by a chemical determining the exact profile of transporters and/or drug-metabolizing enzymes activated to respond.