How some antipsychotic medicines may raise heart disease risk through PXR

Role of PXR in drug-elicited cardiovascular disease

NIH-funded research University of California Riverside · NIH-11235175

Looking at whether certain antipsychotic drugs that activate the PXR protein lead to worse cholesterol and artery disease in people taking these medicines.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of California Riverside NIH-funded
Lab location1 site (Riverside, United States)
Project IDNIH-11235175 on NIH RePORTER

What this research studies

This project follows lab studies that link atypical antipsychotics (like quetiapine) to higher blood fats and atherosclerosis through activation of the liver/intestine protein PXR. The researchers use specially designed mice, including PXR-humanized animals and intestine-specific PXR knockout mice, to see how PXR in the gut and lymphatic system alters dietary fat absorption and transport. By comparing responses with and without PXR in specific tissues, they aim to pinpoint how these drugs cause dyslipidemia and promote artery plaque. The team’s findings could point to ways to prevent or reduce heart risk in people on long-term antipsychotic therapy.

Who could benefit from this research

Good fit: People currently taking atypical antipsychotics (for example quetiapine) who are concerned about high cholesterol or cardiovascular risk would be the most directly relevant group.

Not a fit: People not taking antipsychotic drugs or whose heart disease is driven entirely by unrelated causes may not benefit from findings tied specifically to PXR-mediated drug effects.

Why it matters

Potential benefit: If successful, the work could reveal targets or strategies to lower cholesterol and heart disease risk for people taking certain antipsychotic medications.

How similar studies have performed: Previous animal studies have shown that PXR-activating drugs can increase lipids and atherosclerosis, but translating these findings to humans and pinpointing intestinal PXR’s role is a newer, less-tested direction.

Where this research is happening

Riverside, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Atherosclerotic Cardiovascular Disease
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.