Abstract
Chronic liver diseases encompass a wide spectrum of hepatic maladies that often result
in cholestasis or altered bile acid secretion and regulation. Incidence and cost of
care for many chronic liver diseases are rising in the United States with few Food
and Drug Administration-approved drugs available for patient treatment. Farnesoid
X receptor (FXR) is the master regulator of bile acid homeostasis with an important
role in lipid and glucose metabolism and inflammation. FXR has served as an attractive
target for management of cholestasis and fibrosis; however, global FXR agonism results
in adverse effects in liver disease patients, severely affecting quality of life.
In this review, we highlight seminal studies and recent updates on the FXR proteome
and identify gaps in knowledge that are essential for tissue-specific FXR modulation.
In conclusion, one of the greatest unmet needs in the field is understanding the underlying
mechanism of intestinal versus hepatic FXR function.
Keywords
bile acids - farnesoid X receptor - proteome - tissue-specific FXR functions