PT - JOURNAL ARTICLE AU - Zdeněk Dvořák AU - Felix Kopp AU - Cait M. Costello AU - Jazmin S. Kemp AU - Hao Li AU - Aneta Vrzalová AU - Martina Štěpánková AU - Iveta Bartoňková AU - Eva Jiskrová AU - Karolína Poulíková AU - Barbora Vyhlídalová AU - Lars U. Nordstroem AU - Chamini Karunaratne AU - Harmit Ranhotra AU - Kyu Shik Mun AU - Anjaparavanda P. Naren AU - Iain Murray AU - Gary H. Perdew AU - Julius Brtko AU - Lucia Toporova AU - Arne Schon AU - William G. Wallace AU - William G. Walton AU - Matthew R. Redinbo AU - Katherine Sun AU - Amanda Beck AU - Sandhya Kortagere AU - Michelle C. Neary AU - Aneesh Chandran AU - Saraswathi Vishveshwara AU - Maria M. Cavalluzzi AU - Giovanni Lentini AU - Julia Yue Cui AU - Haiwei Gu AU - John C. March AU - Shirshendu Chaterjee AU - Adam Matson AU - Dennis Wright AU - Kyle L. Flannigan AU - Simon A. Hirota AU - R. Balfour Sartor AU - Sridhar Mani TI - Targeting the Pregnane X Receptor Using Microbial Metabolite Mimicry AID - 10.1101/792671 DP - 2020 Jan 01 TA - bioRxiv PG - 792671 4099 - http://biorxiv.org/content/early/2020/01/03/792671.short 4100 - http://biorxiv.org/content/early/2020/01/03/792671.full AB - The human pregnane X receptor (PXR), a master regulator of drug metabolism, has important roles in intestinal homeostasis and abrogating inflammation. Existing PXR ligands have substantial off-target toxicity. Based on prior work that established microbial (indole) metabolites as PXR ligands, we proposed microbial metabolite mimicry as a novel strategy for drug discovery that allows to exploit previously unexplored parts of chemical space. Here we report functionalized indole-derivatives as first-in-class non-cytotoxic PXR agonists, as a proof-of-concept for microbial metabolite mimicry. The lead compound, FKK6, binds directly to PXR protein in solution, induces PXR specific target gene expression in, cells, human organoids, and mice. FKK6 significantly represses pro-inflammatory cytokine production cells and abrogates inflammation in mice expressing the human PXR gene. The development of FKK6 demonstrates for the first time that microbial metabolite mimicry is a viable strategy for drug discovery and opens the door to mine underexploited regions of chemical space.