NR1H4 (FXR) Gene: Nuclear Receptor Subfamily 1 Group H Member 4

A key regulator of bile acid, lipid, and glucose metabolism; implicated in cholestasis, metabolic disorders, and cancer.

Gene Information Card

Symbol NR1H4
Full Name nuclear receptor subfamily 1 group H member 4
Gene Type protein-coding
Chromosomal Location 12q23.1
NCBI Gene ID 9971 ncbi.nlm.nih.gov/gene/9971
Ensembl ID ENSG00000012504
UniProt ID Q96RI1
OMIM ID 603826
HGNC ID 7967
Aliases FXR, BAR, HRR1, MGC163396

Description

The NR1H4 gene encodes the farnesoid X receptor (FXR), a nuclear receptor that functions as a ligand-activated transcription factor. FXR is primarily activated by bile acids and regulates the expression of genes involved in bile acid synthesis, transport, and enterohepatic circulation. It also plays critical roles in lipid and glucose metabolism, inflammation, and liver regeneration. Mutations and dysregulation of NR1H4 are associated with cholestatic liver diseases, metabolic disorders, and certain cancers.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Progressive familial intrahepatic cholestasis (PFIC) Loss-of-function mutations in NR1H4 impair bile acid homeostasis, leading to cholestasis and liver damage. ClinVar, OMIM
Intrahepatic cholestasis of pregnancy (ICP) Variants in NR1H4 may contribute to altered bile acid metabolism, increasing susceptibility to ICP. ClinVar, literature
Gallstone disease FXR dysfunction affects bile acid composition and cholesterol solubility, promoting gallstone formation. OMIM, literature
Metabolic syndrome FXR regulates lipid and glucose metabolism; reduced FXR activity is linked to dyslipidemia, insulin resistance, and obesity. Literature, NCBI
Hepatocellular carcinoma (HCC) FXR expression is often downregulated in HCC; loss of FXR promotes inflammation and tumorigenesis. COSMIC, literature

Expression Profile

Tissue Expression
Tissue nTPM level
Liver High Primary site of FXR expression
Intestine (small and large) Moderate Particularly in ileum and colon
Kidney Low Expression in renal tubules
Adrenal gland Low Detected in adrenal cortex
Pancreas Low Islet cells
Gallbladder Moderate Epithelial cells
Cell Line Expression
Cell Line nTPM Notes
HepG2 (liver) High Hepatocellular carcinoma cell line
Caco-2 (colon) Moderate Intestinal epithelial cells
Huh7 (liver) High Hepatocellular carcinoma cell line
A549 (lung) Low Lung carcinoma
MCF7 (breast) Low Breast adenocarcinoma
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1A>G (p.Met1Val) Missense Rare Loss of function; associated with PFIC
c.286C>T (p.Arg96Trp) Missense Rare Loss of function; reduced transcriptional activity
c.1124G>A (p.Arg375His) Missense Rare Loss of function; impaired ligand binding
c.1483C>T (p.Arg495Ter) Nonsense Rare Loss of function; truncated protein
c.1700A>G (p.Tyr567Cys) Missense Rare Loss of function; altered DNA binding
Mutation functional classification

Loss of Function (LOF)

Most NR1H4 mutations are loss-of-function, leading to reduced FXR activity and impaired bile acid homeostasis, causing cholestasis and metabolic defects.

Gain of Function (GOF)

No well-characterized gain-of-function mutations have been reported for NR1H4.

Dominant Negative (DN)

Some missense mutations may exert dominant-negative effects by interfering with wild-type FXR function, though evidence is limited.

Gene Ontology (GO)

• DNA-binding transcription factor activity • RNA polymerase II cis-regulatory region sequence-specific DNA binding
• zinc ion binding • ligand-activated transcription factor activity
• steroid hormone receptor activity • bile acid binding
• nuclear receptor activity • transcription coregulator binding
• chromatin binding • protein homodimerization activity

Pathways

Bile acid metabolism
FXR and LXR regulation of lipid metabolism
Nuclear receptor transcription pathway
Metabolism of lipids and lipoproteins
Cholesterol metabolism
Insulin signaling
Inflammatory response

Protein Summary

The FXR protein is a nuclear receptor of approximately 56 kDa, composed of an N-terminal DNA-binding domain, a hinge region, a ligand-binding domain, and a C-terminal activation domain. It forms homodimers and binds to FXR response elements (FXREs) in target gene promoters. Upon bile acid binding, FXR recruits coactivators and regulates transcription. FXR is essential for bile acid homeostasis, and its activity is modulated by post-translational modifications such as phosphorylation and acetylation.

Related Products

Product name Cat.No. Species Gene ID
NR1H4 Knockout HEK293 Cell Line EDJ-KQ13735 Human 9971 Details Get a Quote
NR1H4 Knockout Hep 3B2.1-7 Cell Line EDJ-KZ373 Human 9971 Details Get a Quote
NR1H4 Knockout Huh-7 Cell Line EDJ-KZ374 Human 9971 Details Get a Quote
NR1H4 Knockout HeLa Cell Line EDJ-KQ55290 Human 9971 Details Get a Quote
NR1H4 Knockout A-549 Cell Line EDJ-KQ63772 Human 9971 Details Get a Quote
NR1H4 Knockout HCT 116 Cell Line EDJ-KQ72231 Human 9971 Details Get a Quote
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