According to WHO coronary heart disease, cerebrovascular disease, atherosclerosis, rheumatic heart disease, and other heart and blood vessel illnesses are all classified as cardiovascular diseases (CVDs) which are the prime source of death globally, killing a predicted 17.9 million people every year. Recognizing people at high risk for CVDs and assuring that they receive appropriate treatment can help to reduce premature deaths (WHO, 2022). Atherosclerosis is characterized by chronic inflammation followed by focal narrowing of the arterial lumen due to inflammatory cells deposition and cholesterol followed by the proliferation of smooth muscle cells in the arterial wall. The condition is particularized by the arteries supplying less blood to the heart muscle, which can lead to heart failure or death. The establishment of an atherosclerotic plaque and its progression to acute coronary syndromes are aided by immune dysregulation and inflammation (Ross et al. 1999; Fradera et al., 2010).
The mechanism underlying the presence and progression of atherosclerosis remains a source of fierce scientific interest. A recent study investigated the effect of lipid-lowering interventions on atherosclerotic disease had a significant implication for understanding the role of intensive lipid lowering therapies in reducing cardiovascular risk, especially atherosclerosis (Di Giovanni et al., 2023). Several studies in this direction assist in establishing this nascent field. In this context, among the nuclear hormone receptors, the liver X receptors has surfaced as vital drug target. The nuclear receptor family of ligand-dependent transcription factors, includes the LXRs that regulate gene expression that control lipid and cholesterol metabolism (Jaye et al., 2003). The Liver X receptors which are nuclear receptors that sense cholesterol are crucial controllers of lipid homeostasis (Im et al., 2011).
As a part of superfamily of transcription factors, the nuclear hormone receptors act as mediators of hormonal and nutritional stimuli that are activated by ligands. To exert their effect, the nuclear hormone receptors bind to regulatory areas of target genes to activate or repress gene expression, which is necessary for nearly all phases of development, reproduction, cell growth, metabolic activity, immune function, and inflammatory response (El-Gendy et al., 2018; Jakobsson et al., 2012). LXR are attractive therapeutic targets since they are essential regulators of metabolism and ligand dependent transcription factors. LXR agonists have the potential to be used as cholesterol-lowering drugs and as treatments for atherosclerosis (Xu et al., 2021). Initially in mid 1990s, the LXR were identified as an orphan nuclear receptor which existed in two isoforms: LXRα and LXRβ. LXRα has 447 amino acids and is mainly expressed in the liver in humans, while LXR β has 460 amino acids and is expressed in nearly all tissues and organs. (She et al., 2022). Encouraging evidence shows a strong association between LXR and its interference with atherosclerosis progression (Michael et al., 2012).
Various observational studies in experimental animal models demonstrated activation of LXR to prevent the development of atherosclerosis (Joseph et al., 2002; Naik et al., 2006; Jaye et al., 2003). Subsequent in silico approaches studied reinforced the theme of Liver X receptor targeted therapeutics (Savla et al., 2022; Dhanalakshmi et al., 2015).
A strategy for correcting lipid metabolism disturbances is extensively adopted to target atherosclerosis. Statins are the most commonly used anti-atherosclerotic medications because they display multiple anti-atherosclerotic properties. A prolonged administration of this group, however, may increase the risk of undesirable side effects, particularly in patients with multiple medical co-morbidities (Ramkumar et al., 2016).
Several studies have indicated the use of plant extract in the drug discovery process. Plant-derived phytocompounds have long been thought to be a source of non-toxic bioactive compounds. (Cazarolli et al., 2008; Savla et al., 2022). Pharmacological compounds derived from medicinal plants are an encouraging source of bioactive agents and hit compounds for drug formulation (Hiebl et al., 2018). Medicinal plant derived phytocompounds/formulations display fewer side effects and more safety, consequently, they can be considered as one of the prospective anti-atherosclerotic potent treatments (Kirichenko et al., 2020).
A number of lines of evidence suggest plant alkaloid known as berberine purified from Cortidis rhizoma reduced atherosclerosis by controlling many aspects of the disease progression activity by enhancing LXRα (Xing et al., 2021; Chi et al., 2014; Lee et al., 2010). Additional investigators demonstrated punicalagin, purified from pomegranate peels polyphenols increased the expression of LXRα receptor in a dose dependent manner in HL 7702 steatosis hepatic cell model highlighting the lipid lowering effect of pomegranate peels (Zhao et al., 2014). Study by Singh et al., 2021, demonstrated a similar role of curcumin, a natural polyphenolic compound present in Curcuma longa L rhizomes, as a potential anti-atherosclerotic agent. In addition, several phytocompounds have been investigated by in-silico analysis for their anti-atherosclerotic potential (Corchorus aestuans leaves and Solanum melongena peel), using LXR (Dhanalakshmi et al., 2015; Suresh Kumar et al., 2021). Luo et al., 2022 led researchers to a better understanding of the phytochemical saponins potential in atherosclerosis prevention and treatment. Similar studies showed the ability of total saponins of garlic in the prevention and treatment of atherosclerosis (Miao et al., 2020). In their study, Hesari and coworkers (2021) has described the various naturally occurring phytoconstituents having preventive effects of atherosclerosis. In this regard, information on the molecular structures of phytocompounds (from IMPPAT data base) offers an opportunity to identify lead molecules against atherosclerosis by regulating the LXRα.
Molecular docking, and in silico analysis, assists in predicting the binding modalities and molecular interactions of compounds in contact with a specific protein receptor. The methodology paves the way for ranking the lead compounds on a hierarchy specified by certain score system. Computational modelling thus has the potential to be used to generate new approaches to augment the existing treatment methods within the short time period and are less expensive. Moreover, estimating the pharmacokinetics (such as absorption, distribution, metabolism, excretion, and toxicity) characteristics of the promising drug compound is a significant challenge in the drug development process. Thus, targeting atherosclerosis possibly by the unique strategy of modifying LXRα by phytocompounds would give rise to more alternative strategies in the drug development process. Screening of potential phytocompounds is essential for the optimization of drugs properties and selection of better candidates which can be incorporated in clinical implication. Therefore, the present study focuses on the in silico analysis using molecular docking, molecular dynamics, ADMET prediction, free energy, and enrichment calculations of phytocompounds from IMPAAT database against LXRα in order to find out promising lead molecules to regulate atherosclerosis.