Nuclear receptor targeting drugs

Published on October 29, 2026   6 min

Other Talks in the Series: Nuclear Receptors as Common Therapeutic Targets

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Welcome, everyone, to Chapter 8 of this short talk series on nuclear receptors as therapeutic targets. Before starting to look at the individual receptors in Chapter 9 and the following chapters, Chapter 8 will give an overview of how nuclear receptors evolved as drug targets.
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We have seen in the last chapter that several nuclear receptors are binding hormones as natural ligands. The history of nuclear receptors somewhat started with the discovery of hormones in the early 20th century, but it took until the 1960s that it was found that estrogens bind to an intracellular protein that translocates to the nucleus after ligand binding, and that steroid and thyroid hormones regulate mRNA synthesis of specific proteins. Another decade later, the estrogen receptor was cloned as the first nuclear receptor, and it was found that the steroid hormone receptors interact with specific promoters on the DNA and lead to modification of chromatin organization. In the 1980s, many nuclear receptors were identified and classified as a superfamily of ligand-activated transcription factors and also RXR was discovered as a universal heterodimer partner. In the 1990s and early 2000s, the first nuclear receptor crystal structures were solved, the system of co-activators and co-repressors was discovered, and nuclear receptor phosphorylation was observed linking membrane receptor signaling and nuclear receptor signaling.
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Hormones were used as drugs before their receptors and mechanisms were known. The first fully synthetic nuclear receptor ligand drug was the estrogen receptor modulator clomiphene in 1967, and troglitazone as the first drug targeting a non-steroid hormone nuclear receptor was approved in 1997. Since then, several drugs targeting nuclear receptors have been developed, making the family a very successful class of drug targets.

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Nuclear receptor targeting drugs

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