Retinoic acid receptors (NR1B) - biological role & drugs

Published on July 31, 2025   7 min
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Welcome, everyone, to Chapter 10 of this short talk series on nuclear receptors as therapeutic targets.
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This chapter will address the retinoic acid receptors, which exist in three subtypes, RAR-alpha, beta, and gamma, and represent the NR1B family.
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The retinoic acid receptors are closely linked to vitamin A and bind the vitamin A metabolite all-trans retinoic acid as a natural ligand. For this, the provitamin beta-carotene is oxidatively cleaved to retinal, which is essential for vision and other processes. Retinal is further oxidized to retinoic acid, which exists in a number of isomers. The all-trans retinoic acid, often abbreviated as ATRA, is the natural agonist of retinoic acid receptors, while the 9-cis retinoic acid, and, likely also, other related species, are natural retinoid X receptor ligands. As RAR typically acts as a heterodimer with RXR, also the 9-cis retinoic acid and related metabolites are relevant to RAR activity.
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The RAR-RXR heterodimer is DNA-bound also in the absence of a ligand, recruits corepressors, and thus can act as a transcriptional repressor. Agonist binding, for example all-trans retinoic acid, leads to corepressor release and coactivator recruitment to enable transcription. With both the repressor and transcriptional activator activity, RAR involves in many physiological processes. RAR activity is essential for development of many organs and also has a role in regulating cell differentiation and apoptosis. RAR activation can induce terminal differentiation of certain cancer cells, and there are mutant RAR forms that act as overactive repressors in some cancers. RAR agonism, thus, has potential in cancer treatment. Additionally, RAR participates in the transcriptional regulation of cancer resistance factors, like drug transporters, and RAR is also involved in the regulation of hematopoietic stem cells and immune cells. Lastly, it has an important role in the skin by controlling keratinocyte proliferation, epidermal cell turnover, and collagen production.

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