title: The identification of nuclear receptors associated with hepatic steatosis to develop and extend adverse outcome pathways.
abstract: The development of adverse outcome pathways (AOPs) is becoming a key component of twenty-first century toxicology. AOPs provide a conceptual framework that links the molecular initiating event to an adverse outcome through organized toxicological knowledge, bridging the gap from chemistry to toxicological effect. As nuclear receptors (NRs) play essential roles for many physiological processes within the body, they are used regularly as drug targets for therapies to treat many diseases including diabetes, cancer and neurodegenerative diseases. Due to the heightened development of NR ligands, there is increased need for the identification of related AOPs to facilitate their risk assessment. Many NR ligands have been linked specifically to steatosis. This article reviews and summarizes the role of NR and their importance with links between NR examined to identify plausible putative AOPs. The following NRs are shown to induce hepatic steatosis upon ligand binding: aryl hydrocarbon receptor, constitutive androstane receptor, oestrogen receptor, glucocorticoid receptor, farnesoid X receptor, liver X receptor, peroxisome proliferator-activated receptor, pregnane X receptor and the retinoic acid receptor. A preliminary, putative AOP was formed for NR binding linked to hepatic steatosis as the adverse outcome.
authors.affiliation: a School of Pharmacy and Biomolecular Sciences , Liverpool John Moores University , Liverpool , England.
authors.forename: Claire L
authors.initials: CL
authors.lastname: Mellor
authors.affiliation: a School of Pharmacy and Biomolecular Sciences , Liverpool John Moores University , Liverpool , England.
authors.forename: Fabian P
authors.initials: FP
authors.lastname: Steinmetz
authors.affiliation: a School of Pharmacy and Biomolecular Sciences , Liverpool John Moores University , Liverpool , England.
authors.forename: Mark T D
authors.initials: MT
authors.lastname: Cronin
mesh_terms: D000818:Animals; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology / Q000473:pathology; D004195:Disease Models, Animal; D016503:Drug Delivery Systems; D005234:Fatty Liver / Q000139:chemically induced / Q000473:pathology*; D006801:Humans; D008099:Liver / Q000187:drug effects* / Q000378:metabolism; D008954:Models, Biological; D018160:Receptors, Cytoplasmic and Nuclear / Q000378:metabolism*; D018570:Risk Assessment
chemical_list: D018160:Receptors, Cytoplasmic and Nuclear
keywords: Adverse outcome pathway (AOP); hepatic toxicity; mechanisms of toxicity; nuclear receptor; steatosis