# Project 3: Role of pregnane X receptor in diet-induced obesity and metabolic syndrome

> **NIH NIH U54** · NORTH CAROLINA CENTRAL UNIVERSITY · 2020 · $300,501

## Abstract

Abstract 
Metabolic syndrome, driven mainly by obesity is a global epidemic that increases the risk of 
several chronic diseases including type 2 diabetes (T2D). T2D is prevalent in male and female 
African Americans (AAs) of all ages. Low plasma levels of adiponectin, a protein secreted by 
adipose tissue are implicated in the development of T2D in obese AAs. Although, initially 
characterized as a xenobiotic nuclear receptor important for defense against toxic agents, the 
pregnane X receptor (PXR) appears to be linked to lipid and glucose metabolism contributing to 
the metabolic syndrome epidemic. We find that the impact of PXR on HFD-induced obesity and 
hyperglycemia is sex- and species-dependent. However, the specific mechanisms linking PXR 
to these diseases remain unclear. Thus, our long term goal is to identify ethnic- and sex- 
specific targets for lipid-associated diseases (such as obesity and T2D) that disproportionately 
threaten cardiovascular health in AAs, to develop novel prevention and treatment strategies. 
The objectives of our proposal are: 1) to investigate whether PXR polymorphisms, more 
common in AAs are associated with known increases in obesity risk and 2) to understand the 
underlying molecular mechanisms by which the PXR gene and/or its variants regulate lipid, 
glucose, and sex hormone metabolism, leading to either enhanced obesity or T2D upon HFD 
feeding. Guided by compelling preliminary data, our central hypothesis is that PXR 
deficiency results in impaired adiponectin signaling leading to insulin resistance and 
glucose intolerance with more prominent race and sex differences. We will use human 
blood and liver tissue samples and 3 genetic models of mice with differential PXR activity (wild 
type, PXR-knockout, and PXR-humanized mice), along with molecular and cellular studies. Aim 
1 investigates the effect of the human PXR gene and its polymorphisms on obesity risk in AAs. 
Aim 2 determines the genetic and metabolic factors that contribute to resistance to HFD- 
induced obesity in Pxr-null mice. Aim 3 explores the relationship between obesity-induced 
diabetes and hypoadiponectinemia in mice with different PXR activity. Our studies are novel in 
using clinically relevant PXR-humanized (hPXR) mice to characterize function and regulation of 
PXR. This study is significant in providing valuable insights in similarities and differences in 
phenotypic expression and signal transduction pathways between the mouse PXR and the 
human PXR gene in contributing to the development of obesity and T2D in the different 
genders. Our studies should provide ground-breaking advances into pathways that can be 
targeted for the treatment of obesity and metabolic syndrome in AAs.

## Key facts

- **NIH application ID:** 9977716
- **Project number:** 5U54MD012392-04
- **Recipient organization:** NORTH CAROLINA CENTRAL UNIVERSITY
- **Principal Investigator:** Maxwell Afari Gyamfi
- **Activity code:** U54 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $300,501
- **Award type:** 5
- **Project period:** 2017-09-20 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9977716

## Citation

> US National Institutes of Health, RePORTER application 9977716, Project 3: Role of pregnane X receptor in diet-induced obesity and metabolic syndrome (5U54MD012392-04). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/9977716. Licensed CC0.

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