Evidence map›Paper›PMID 42444583›Full record

SynthesisPharmacology research & perspectives2026

Medications That Regulate Pregnane X Receptor: A Systematic Review of Current Evidence.

Petra Czarniak, Rachael Moorin, Jeff Hughes, Karl Gruber, David Youens

Abstract readSystematic Review
In one paragraph

Synthesis in Pharmacology research & perspectives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Petra CzarniakCurtin Medical School, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
Rachael MoorinCurtin School of Population Health, Curtin University, Perth, Western Australia, Australia.
Jeff HughesCurtin Medical School, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
Karl GruberCurtin Medical School, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.ORCID https://orcid.org/0000-0003-4126-6756
David YouensCurtin School of Population Health, Curtin University, Perth, Western Australia, Australia.

Funding

Western Australian Future Health Research and Innovation (FHRI) Fund
6 · The paper itself

Abstract

The pregnane X receptor (PXR) gene encodes a ligand-activated protein involved with the metabolism and excretion of drugs, toxins, and other xenobiotics. The PXR protein is also an orphan nuclear receptor with a broad spectrum of potential ligands, including common prescription drugs, that can act as agonists or antagonists. Once activated, PXR upregulates several target genes involved in xenobiotic metabolism and can influence lipid and glucose metabolism, as well as the metabolism of commonly used drugs. In this review we searched the primary literature for articles reporting on drugs that regulate PXR and discuss potential clinical implications. Using the databases CINAHL, Embase, Medline, Scopus and Web of Science, we searched for terms related to PXR, following PRISMA guidelines. We screened 12 236 studies, 101 of which met the inclusion criteria, and included a further 46 research and review articles. We identified 42 studies reporting on prescription medications and 40 on non-prescription medications that regulate PXR as agonists or antagonists, and 47 studies reporting both beneficial and detrimental PXR-mediated effects of drugs on specific diseases, including different cancers, metabolic diseases, and inflammatory conditions, among others. We conclude that PXR is regulated by a broad range of drugs. Downstream effects of this regulation affect different diseases, leading to clinically relevant outcomes, such as altered efficacy of drugs or changes to the pathophysiology of a disease. Understanding and managing the agonist or antagonist role of drugs on PXR holds great potential to improve the health outcomes of different diseases. However, more information is needed about the potency of known PXR regulators.

Indexed as

Pregnane X ReceptorPrescription DrugsAnimalsHumansLigandsXenobioticsLigandsPregnane X ReceptorPrescription DrugsXenobioticsadverse drug reactionsdrug metabolismpharmacogenomics

Identifiers

PMID42444583
PMCPMC13366386

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.