Abstract
Cholestasis is a major cause of a series of bile flow malfunction-related liver diseases. Pregnane X receptor (PXR) is a key regulator in endo- and xeno-biotics metabolism, which has been considered as a promising therapeutic target for cholestasis. In this study we conducted human PXR (hPXR) agonistic screening using dual-luciferase reporter gene assays, which led to discovering a series of potent hPXR agonists from a small Euphorbiaceae diterpenoid library, containing 35 structurally diverse diterpenoids with eight different skeleton types. The most active compound 6, a lathyrane diterpenoid (5/11/3 ring system), dose-dependently activated hPXR with a high selectivity, and significantly upregulated the expression of hPXR downstream genes CYP3A4 and UGT1A1. In LCA-induced cholestasis mouse model, administration of compound 6 (50 mg· kg−1. d−1, ip) for 7 days significantly suppressed liver necrosis and decreased serum levels of AST, ALT, Tbili, ALP, and TBA, ameliorating LCA-induced cholestatic liver injury. We further revealed that compound 6 exerted its anti-cholestatic efficacy via activation of PXR pathway, accelerating the detoxification of toxic BAs and promoting liver regeneration. These results suggest that lathyrane diterpenoids may serve as a promising scaffold for future development of anti-cholestasis drugs.

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References
Trauner M, Meier PJ, Boyer JL. Molecular pathogenesis of cholestasis. N Engl J Med. 1998;339:1217–27.
Ghonem NS, Assis DN, Boyer JL. On fibrates and cholestasis: a review. Hepatology. 2015;62:635–43.
Beuers U, Trauner M, Poupon R. New paradigms in the treatment of hepatic cholestasis: from UDCA to FXR, PXR and beyond. J Hepatol. 2015;62:S25–37.
Nevens F, Andreone P, Mazzella G, Strasser SI, Bowlus C, Invernizzi P, et al. A placebo-controlled trial of obeticholic acid in primary biliary cholangitis. N Engl J Med. 2016;375:631–43.
Goldstein J, Levy C. Novel and emerging therapies for cholestatic liver diseases. Liver Int. 2018;38:1520–35.
Harms MH, Lammers WJ, Thorburn D, Corpechot C, Invernizzi P, Janssen H, et al. Major hepatic complications in ursodeoxycholic acid-treated patients with primary biliary cholangitis: risk factors and time trends in incidence and outcome. Am J Gastroenterol. 2018;113:254–64.
Watkins RE, Wisely GB, Moore LB, Collins JL, Lambert MH, Williams SP, et al. The human nuclear xenobiotic receptor PXR: structural determinants of directed promiscuity. Science. 2001;292:2329–33.
Staudinger JL, Goodwin B, Jones SA, Hawkins-Brown D, MacKenzie KI, LaTour A, et al. The nuclear receptor PXR is a lithocholic acid sensor that protects against liver toxicity. Proc Natl Acad Sci USA. 2001;98:3369–74.
Chen Y, Tang Y, Guo C, Wang J, Boral D, Nie D. Nuclear receptors in the multidrug resistance through the regulation of drug-metabolizing enzymes and drug transporters. Biochem Pharmacol. 2012;83:1112–26.
Swanson HI, Wada T, Xie W, Renga B, Zampella A, Distrutti E, et al. Role of nuclear receptors in lipid dysfunction and obesity-related diseases. Drug Metab Dispos. 2013;41:1–11.
Rosenfeld JM, Vargas R Jr, Xie W, Evans RM. Genetic profiling defines the xenobiotic gene network controlled by the nuclear receptor pregnane X receptor. Mol Endocrinol. 2003;17:1268–82.
Synold TW, Dussault I, Forman BM. The orphan nuclear receptor SXR coordinately regulates drug metabolism and efflux. Nat Med. 2001;7:584–90.
Jonker JW, Liddle C, Downes M. FXR and PXR: Potential therapeutic targets in cholestasis. J Steroid Biochem. 2012;130:147–58.
Xie W, Radominska-Pandya A, Shi Y, Simon CM, Nelson MC, Ong ES, et al. An essential role for nuclear receptors SXR/PXR in detoxification of cholestatic bile acids. Proc Natl Acad Sci USA. 2001;98:3375–80.
van Dijk R, Kremer AE, Smit W, van den Elzen B, van Gulik T, Gouma D, et al. Characterization and treatment of persistent hepatocellular secretory failure. Liver Int. 2015;35:1478–88.
Zhang X, Ma Z, Liang Q, Tang X, Hu D, Liu C, et al. Tanshinone IIA exerts protective effects in a LCA-induced cholestatic liver model associated with participation of pregnane X receptor. J Ethnopharmacol. 2015;164:357–67.
Zeng H, Jiang Y, Chen P, Fan X, Li D, Liu A, et al. Schisandrol B protects against cholestatic liver injury through pregnane X receptors. Br J Pharmacol. 2017;174:672–88.
Festa C, De Marino S, D'Auria MV, Bifulco G, Renga B, Fiorucci S, et al. Solomonsterols A and B from Theonella swinhoei. the first example of C-24 and C-23 sulfated sterols from a marine source endowed with a PXR agonistic activity. J Med Chem. 2010;54:401–5.
Zhu J, Wang R, Lou L, Li W, Tang G, Bu X, et al. Jatrophane diterpenoids as modulators of P-glycoprotein-dependent multidrug resistance (MDR): advances of structure-activity relationships and discovery of promising MDR reversal agents. J Med Chem. 2016;59:6353–69.
Li W, Wang RM, Pan YH, Zhao YY, Yuan FY, Huang D, et al. Crotonpenoids A and B, two highly modified clerodane diterpenoids with a tricyclo [7.2.1.02,7] dodecane core from Croton yanhuii: isolation, structural elucidation, and biomimetic semisynthesis. Org Lett. 2020;22:4435–9.
Sang J, Li W, Diao HJ, Fan RZ, Huang JL, Gan L, et al. Jolkinolide B targets thioredoxin and glutathione systems to induce ROS-mediated paraptosis and apoptosis in bladder cancer cells. Cancer Lett. 2021;509:13–25.
Fan S, Liu C, Jiang Y, Gao Y, Chen Y, Fu K, et al. Lignans from Schisandra sphenanthera protect against lithocholic acid-induced cholestasis by pregnane X receptor activation in mice. J Ethnopharmacol. 2019;245:112103–12.
Zhao YY, Yao XP, Jiao TY, Tian JN, Gao Y, Fan SC, et al. Schisandrol B promotes liver enlargement via activation of PXR and YAP pathways in mice. Phytomedicine. 2021;84:153520–6.
Narayanan P, Röhrl M, Zechmeister K, Engel DW, Hoppe W. Structure of 7-hydroxy-lathyrol a further diterpene from Euphorbia lathyris. Tetrahedron Lett. 1971;12:1325–8.
Jiang Y, Feng D, Ma X, Fan S, Gao Y, Fu K, et al. Pregnane X receptor regulates liver size and liver cell fate by yes-associated protein activation in mice. Hepatology. 2019;69:343–58.
Li X, Sun J, Fan X, Guan L, Li D, Zhou Y, et al. Schisandrol B promotes liver regeneration after partial hepatectomy in mice. Eur J Pharmacol. 2019;818:96–102.
Newman DJ, Cragg GM. Natural products as sources of new drugs from 1981 to 2014. J Nat Prod. 2016;79:629–61.
Shi Q-W, Su X-H, Kiyota H. Chemical and pharmacological research of the plants in genus Euphorbia. Chem Rev. 2008;108:4295–327.
Vasas A, Hohmann J. Euphorbia diterpenes: isolation, structure, biological activity, and synthesis. Chem Rev. 2014;114:8579–612.
Song Q-Q, Rao Y, Tang GH, Sun ZH, Zhang JS, Huang ZS, et al. Tigliane diterpenoids as a new type of antiadipogenic agents inhibit GRα-dexras1 axis in adipocytes. J Med Chem. 2019;62:2060–75.
Gupta AK, Paquet M. Ingenol mebutate: a promising treatment for actinic keratoses and nonmelanoma skin cancers. J Cutan Med Surg. 2013;17:173–9.
Kissin I, Szallasi A. Therapeutic targeting of TRPV1 by resiniferatoxin, from preclinical studiesto clinical trials. Curr Top Med Chem. 2011;11:2159–70.
Miana GA, Riaz M, Shahzad-ul-Hussan S, Paracha RZ, Paracha UZ. Prostratin: an overview. Mini-Rev Med Chem. 2015;15:1122–30.
Kong Y, Gao X, Wang C, Ning C, Liu K, Liu Z, et al. Protective effects of yangonin from an edible botanical kava against lithocholic acid-induced cholestasis and hepatotoxicity. Eur J Pharmacol. 2018;824:64–71.
Buchman CD, Chai SC, Chen T. A current structural perspective on PXR and CAR in drug metabolism. Expert Opin Drug Metab Toxicol. 2018;14:635–47.
Jeong D-H, Jang JJ, Lee SJ, Lee JH, Lim IK, Lee MJ, et al. Expression patterns of cell cycle-related proteins in a rat cirrhotic model induced by CCl4 or thioacetamide. J Gastroenterol. 2001;36:24–32.
Fan X, Chen P, Tan H, Zeng H, Jiang Y, Wang Y, et al. Dynamic and coordinated regulation of KEAP1-NRF2-ARE and p53/p21 signaling pathways is associated with acetaminophen injury responsive liver regeneration. Drug Metab Dispos. 2014;42:1532–9.
Fan X, Jiang Y, Wang Y, Tan H, Zeng H, Wang Y, et al. Wuzhi Tablet (Schisandra Sphenanthera extract) protects against acetaminophen-induced hepatotoxicity by inhibition of CYP-mediated bioactivation and regulation of NRF2-ARE and p53/p21 pathways. Drug Metab Dispos. 2014;42:1982–90.
Dai G, He L, Bu P, Wan YJ. Pregnane X receptor is essential for normal progression of liver regeneration. Hepatology. 2008;47:1277–87.
Acknowledgements
This work was supported by National Natural Science Foundation of China (nos. 82025034, 81973392, 81973195, and 82104020), the Shenzhen Science and Technology Program (no. KQTD20190929174023858), the National Key Research and Development Program (Grant: 2017YFE0109900), the Fundamental Research Funds for the Central Universities (no. 20ykjc04), the Guangdong Provincial Key Laboratory of Construction Foundation (no. 2017B030314030), the China Postdoctoral Science Foundation (no. 2020M683138), the Local Innovative and Research Teams Project of Guangdong Pearl River Talents Program (no. 2017BT01Y093), the 111 project (no. B16047), the Key Laboratory Foundation of Guangdong Province (no. 2017B030314030), the Local Innovative and Research Teams Project of Guangdong Pearl River Talents Program (2017BT01Y093).
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DH, YYZ, RMW, SY, and HCB participated in research design. DH, YYZ, RMW, FYY, and XY performed experiments. DH, YYZ, RMW, WL, XLY, GHT, SY, and HCB wrote or revised the paper.
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Huang, D., Zhao, Yy., Wang, Rm. et al. Natural product-based screening led to the discovery of a novel PXR agonist with anti-cholestasis activity. Acta Pharmacol Sin 43, 2139–2146 (2022). https://doi.org/10.1038/s41401-021-00793-3
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DOI: https://doi.org/10.1038/s41401-021-00793-3
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