INV-25 Liver X Receptor (LXR) Agonist
LXR Agonist for Cancer & Alzheimer’s Disease
The nuclear hormone receptor Liver X Receptor (LXR) plays a critical role in cholesterol metabolism, lipogenesis, glucose homeostasis, inflammation and innate immunity. Evidence of a dysregulated LXR signaling pathway contributing to the pathogenesis of cancer (1,2), Alzheimer's disease (AD) (3,4), metabolic & ophthalmic diseases implicate the therapeutic utility of modulating LXR with small molecule agonists. Using structure-based drug design, we have discovered the INV-25 pipeline of isoform-selective NCE LXR agonists. Highly potent INV-25 LXR agonists selectively target LXR-beta (LXR-β), LXR-alpha (LXR-α) and pan-LXR-alpha/beta (LXR-α/β) isoforms with our initial research focus for development in cancer, Alzheimer’s disease and other LXR-regulated disorders.
LXR Activation in Anti-tumor Immunity
INV-25 LXR agonists drive anti-tumor immunity by inducing the tumor suppressor Apolipoprotein E (APOE) protein which depletes immune-suppressive myeloid cells and inhibits tumor angiogenesis. Activating LXR also has direct tumoricidal effects by starving tumor cells of cholesterol, essential for tumor growth, through the reverse cholesterol transport process and upregulation of cholesterol transporters (1,2).
LXR Agonism: A Novel Tau-targeted Therapy
Early drug development efforts targeting amyloid-β as a treatment modality for AD have had limited success due to lack of efficacy in slowing disease progression and reported toxicities. Current therapeutic strategies have refocused on tau pathology, directed against tau proteins which are strongly implicated with symptom severity once cognitive decline ensues. The clumping and build up of Alzheimer’s-like tau deposits promote the intraneuronal accumulation of lipids including cholesterol in the brain leading to neuroinflammation. Now, Alzheimer’s researchers report that in a murine AD-model, treatment with a tool non-selective liver x receptor (LXR) agonist drug decreased lipid and cholesterol levels in the brain associated with less synapse loss, lower levels of tau protein and attenuated inflammation (3,4). These research findings highlight the potential of activating LXR with oral small molecule agonists as a tau-targeting therapy over amyloid approaches that may be able to prevent the onset of AD and other neurodegenerative diseases. Innovimmune has developed INV-25 LXR-isoform selective agonists devoid of unwanted metabolic and hepatic safety liabilities that may have therapeutic utility in preventing and treating AD.
Reference:
(1) Zhang et al. Regulatory mechanism underlying liver X receptor effects on the tumor microenvironment, inflammation and tumorigenesis. 2023 Expert Opin Ther Targets. https://doi.org/10.1080/14728222.2023.2264513
(2) Herbin et al. Antitumor efficacy following oral INV-25 Liver X receptor (LXR) agonist monotherapy in the B16-F10 melanoma mouse model. 2018 J Am Acad Dermatol. https://doi.org/10.1016/j.jaad.2018.05.219
(3) Alzheimer’s Drug Discovery Foundation (ADDF). LXR Agonists.
(4) Litvinchuk et al. Amelioration of tau and APOE4-linked glial lipid accumulation and neurodegeneration with an LXR agonist. 2023 Neuron. https://doi.org/10.1038/s41582-023-00883-2