2009
DOI: 10.2741/3400
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Nuclear receptors: mediators and modifiers of inflammation-induced cholestasis

Abstract: Inflammation-induced cholestasis (IIC) is a frequently occurring phenomenon. A central role in its pathogenesis is played by nuclear receptors (NRs). These ligand-activated transcription factors not only regulate basal expression of hepatobiliary transport systems, but also mediate adaptive responses and possess anti-inflammatory characteristics. The latter two functions may be exploited in the search for new treatments for IIC and likely for cholestasis in general as well. Current knowledge of the pathogenesi… Show more

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Cited by 17 publications
(16 citation statements)
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References 289 publications
(402 reference statements)
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“…These transporters work together to import and secrete the various molecules that comprise bile, also allowing for processing of some of these components via intracellular enzymes and signaling molecules (see accompanying articles in this issue for details on the transporters and nuclear receptors that regulate bile formation, as well as roles in human dis-ease [1][2][3][4][5][6][7] ). The flux of bile acids, the main solute in bile, drives the majority of bile formation, whereas impairments of bile acid-dependent and bile acid-independent fractions of bile flow bring about cholestasis (see these recent reviews for details [8][9][10][11][12][13][14][15][16] ). In essence, how well these hepatobiliary transporters function relates directly to the amount and composition of bile they produce.…”
Section: Basic Aspects Of Inflammation In Cholestasismentioning
confidence: 99%
See 1 more Smart Citation
“…These transporters work together to import and secrete the various molecules that comprise bile, also allowing for processing of some of these components via intracellular enzymes and signaling molecules (see accompanying articles in this issue for details on the transporters and nuclear receptors that regulate bile formation, as well as roles in human dis-ease [1][2][3][4][5][6][7] ). The flux of bile acids, the main solute in bile, drives the majority of bile formation, whereas impairments of bile acid-dependent and bile acid-independent fractions of bile flow bring about cholestasis (see these recent reviews for details [8][9][10][11][12][13][14][15][16] ). In essence, how well these hepatobiliary transporters function relates directly to the amount and composition of bile they produce.…”
Section: Basic Aspects Of Inflammation In Cholestasismentioning
confidence: 99%
“…These locally produced cytokines, in turn, activate membrane receptors on hepatocytes and cholangiocytes that transduce intracellular signals leading to altered transporter expression and function. 12,15,22 In hepatocytes, downregulation of hepatic transport systems involved in bile acid uptake and excretion, as well as downregulation of phase I and phase II detoxification systems, result in impairment in bile formation, and accumulation of bile acids and toxins in liver and serum. 8,23 The proinflammatory LPS-induced cytokines of most interest in these pathways are those involved in the hepatic acute-phase response-tumor necrosis factor a (TNFa), interleukin-1 b (IL-1b), and interleukin-6 (IL-6).…”
Section: Basic Aspects Of Inflammation In Cholestasismentioning
confidence: 99%
“…This model predicts that proinflammatory cytokines, in turn, signal through their respective membrane receptors to suppress transporter expression and function (Geier et al, 2006;Lickteig et al, 2007;Mulder et al, 2009). Although the underlying mechanisms remain unclear, LPSinduced alteration of transporter function appears to be immunemediated and the direct cause of cholestasis.…”
Section: Introductionmentioning
confidence: 99%
“…Considering that any decrease in BSEP significantly contributes cholestasis development and possibly liver cancer (Mulder et al, 2009;Wang et al, 2011), this identifies SUMOylation as one of the potentially modifiable regulators of hepatobiliary function. Other inflammatory models (Cherrington et al, 2004;Le Vee et al, 2008;Wauters et al, 2010) have reported a significant reduction in BSEP expression during inflammation; however, technical experimental considerations precluded the combinatorial, prolonged testing of TNFa, GA, and CDCA, in our model system.…”
Section: Discussionmentioning
confidence: 99%