The efficient regulation of cholesterol synthesis, metabolism,
acquisition, and transport is an essential component of lipid
homeostasis. The farnesoid X receptor (FXR) is a transcriptional sensor
for bile acids, the primary product of cholesterol metabolism.
Accordingly, the development of potent, selective, small molecule
agonists, partial agonists, and antagonists of FXR would be an important
step in further deconvoluting FXR physiology. In accordance with the
present invention, the identification of novel potent FXR activators is
described. Two derivatives of invention compounds, bearing stilbene or
biaryl moieties, contain members that are the most potent FXR agonists
reported to date in cell-based assays. These compounds are useful as
chemical tools to further define the physiological role of FXR as well as
therapeutic leads for the treatment of diseases linked to cholesterol,
bile acids and their metabolism and homeostasis.