A novel nuclear receptor, termed the steroid and xenobiotic receptor
(SXR), a broad-specificity sensing receptor that is a novel branch of the
nuclear receptor superfamily, has been discovered. SXR forms a
heterodimer with RXR that can bind to and induce transcription from
response elements present in steroid-inducible cytochrome P450 genes in
response to hundreds of natural and synthetic compounds with biological
activity, including therapeutic steroids as well as dietary steroids and
lipids. Instead of hundreds of receptors, one for each inducing compound,
the invention SXR receptors monitor aggregate levels of inducers to
trigger production of metabolizing enzymes in a coordinated metabolic
pathway. Agonists and antagonists of SXR are administered to subjects to
achieve a variety of therapeutic goals dependent upon modulating
metabolism of one or more endogenous steroids or xenobiotics to establish
homeostasis. An assay is provided for identifying steroid drugs that are
likely to cause drug interaction if administered to a subject in
therapeutic amounts. Transgenic animals are also provided which express
human SXR, thereby serving as useful models for human response to various
agents which potentially impact P450-dependent metabolic processes.