Drug Targets & Biological Macromolecules

nuclear receptor

A nuclear receptor is a receptor that lives inside the cell and acts as a switch on the cell's genetic library. When a fat-soluble messenger such as a steroid hormone slips into the cell and binds it, the nuclear receptor turns specific genes on or off. Rather than relaying a fast electrical or chemical pulse, it changes which proteins the cell actually makes.

Once activated by its ligand, a nuclear receptor often travels to the cell nucleus, docks onto a particular stretch of DNA, and recruits the machinery that reads genes into action. This makes it a ligand-activated transcription factor, a protein whose job is to control gene expression in response to a chemical signal. Because the effect is to reprogram protein production, the consequences are typically slower but longer-lasting than those of surface receptors.

Many widely used drugs are designed around nuclear receptors, including anti-inflammatory steroids and several hormonal therapies. The honest caveat is that because a single nuclear receptor can switch many genes simultaneously, its drugs often produce broad effects, and long-term use can carry significant side effects that must be weighed against the benefit.

Glucocorticoids like prednisone bind the glucocorticoid nuclear receptor to switch off inflammatory genes, calming conditions from asthma to autoimmune disease.

A nuclear receptor as a genetic switch, turning whole programs of genes on or off.

Because their natural ligands are lipophilic, nuclear receptor drugs are often steroids or steroid-like molecules that can cross the cell membrane.