Review Article

Nuclear Receptors in the Pathogenesis and Management of Inflammatory Bowel Disease

Table 1

Representative animal studies examining the potential roles of NRs in colitis.

NRsStudy typeFunctions and effectsRef.

PPARγAgonist: 5-ASA
PPARγ KO mice
PPARγ is a target of 5-ASA underlying anti-inflammatory effects[33]
Agonist: rosiglitazone
IEC-specific PPARγ KO mice
PPARγ expressed in the IEC has an endogenous role in protection against colitis[34]
CD4+ T cell-specific PPARγ KO micePPARγ in T cells is involved in preventing gut inflammation by regulating adhesion molecules and inflammatory mediators[37]
Agonist: pioglitazone
Macrophage-specific PPARγ KO mice
Macrophage-specific PPARγ KO exacerbated colitis, impaired Treg compartment, and increased LP CD8+ T cells[35]

VDRAgonist: 1,25(OH)2 D-3
VDR KO mice
VDR preserves the integrity of junction complexes and the healing of the IEC[58]
Agonist: 1,25(OH)2 D-3
hVDR Tg and VDR KO mice
VDR signaling attenuates PUMA induction in IECs by blocking NF-κB activation, leading to a reduction in IEC apoptosis[60]
IEC-specific VDR KO miceAbsence of intestinal epithelial VDR affects microbial assemblage and autophagy[61]

PXRAgonist: pregnenolone-16alpha-carbonitrile
PXR KO mice
PXR agonist decrease mRNA expression of several NF-κB target genes in a PXR-dependent manner[74]
Agonist: rifaximin, rifampicin SR12813, and PCNAgonists enhanced intestinal epithelial repair by p38 MAP kinase-dependent way[76]
Agonist: rifaximin and SR12813PXR regulates the IEC barrier by modulating cytokine-induced MLCK expression and JNK1/2 activation[81]

FXRAgonist: 6E-CDCA, INT-747
FXR KO mice
Colitis was exacerbated in FXR KO mice. FXR activation stabilizes corepressor NCoR on the NF-κB responsive element[88]
Agonist: INT-747
FXR KO mice
FXR downregulates the expression of key proinflammatory cytokines and preserves epithelial barrier function[90]
Agonist: GW4064FXR activation attenuated apical Cl (-) currents by inhibiting the expression of CFTR and Na (+)/K (+)-ATPase activity[94]

RORγtInhibitor: digoxinDigoxin downregulated Th17 cytokines[102]
Inhibitor: GSK805GSK805 provided therapeutic benefit in intestinal inflammation and reduced the frequency of Th17 cells but not ILCs[103]

NRs, nuclear receptors; PPARγ, proliferator-activated receptor-γ; IEC, intestinal epithelial cells; KO, knockout; LP, lamina propria; VDR, vitamin D receptor; PXR, pregnane X receptor; FXR, farnesoid X receptor; RORγt, retinoid-related orphan receptor gammat; ILCs, innate lymphoid cells.