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Pregnane X receptor-mediated liver growth: a controlled clinical trial in healthy volunteers and identification of the role of AKT-MTOR pathway in mouse.

Lassila P, Karpale M, Kummu O et al. · 2026 · Archives of Toxicology · Atlas ID LASSILA2026

What this study shows

One week of rifampicin increased the liver volume-to-body-weight ratio by 2.7% in 16 healthy volunteers, and PXR activation enlarged the liver in male mice through the proliferative AKT-MTOR pathway rather than YAP.

Abstract

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Pregnane X receptor (PXR) is a master xenobiotic nuclear receptor. Activation of PXR has been linked to liver growth in mice, usually via interaction with YAP, but this adaptive response had not been observed in humans. The authors investigated the effect of the human PXR agonist rifampicin on liver size in a controlled clinical trial in healthy volunteers. One-week rifampicin treatment caused a 2.7% mean increase in liver volume-to-body weight ratio without affecting liver fat content (n=16).

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At a glance

Evidence type H Human study Marked H because it is direct evidence from a human clinical trial or human cohort; the code names the kind of study, not its quality -- a small, well-run trial is still H.
Study type2 - Human Clinical Trial
Model systemHuman controlled clinical trial (n=16); mouse (PXR-humanised, PCN)
JournalArchives of Toxicology
Year2026
Peer reviewedYes
Record last updated2026-08-22
SourceDOI 10.1007/s00204-026-04526-5

Extracted findings

InterventionRifampicin (human); pregnenolone-16α-carbonitrile (mouse)
TargetPXR; AKT-MTOR; YAP
ModelHuman; mouse
Effect2.7% increase in liver volume-to-body-weight ratio in humans; PXR-driven hepatomegaly and improved glucose tolerance in male mice via AKT-MTOR

Cite this paper

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Lassila, P., et al. (2026). Pregnane X receptor-mediated liver growth: a controlled clinical trial in healthy volunteers and identification of the role of AKT-MTOR pathway in mouse. Archives of Toxicology. https://doi.org/10.1007/s00204-026-04526-5

@article{LASSILA2026,
  author       = {Lassila, P. and Karpale, M. and Kummu, O. and others},
  title        = {{Pregnane X receptor-mediated liver growth: a controlled clinical trial in healthy volunteers and identification of the role of AKT-MTOR pathway in mouse}},
  journal      = {Archives of Toxicology},
  year         = {2026},
  doi          = {10.1007/s00204-026-04526-5},
}

Cite this Atlas record

The record is the Atlas's own work — the evidence label, the extracted findings and the links. It is cited as part of the dataset, not as the paper.

Barton, O. (2026). Oliver's mTOR Atlas (record LASSILA2026) [Data set]. https://mtor-atlas.org/study/LASSILA2026/ · Dataset DOI 10.5281/zenodo.22059963

@misc{atlas_LASSILA2026,
  author       = {Barton, Oliver},
  title        = {{Oliver's mTOR Atlas}, record LASSILA2026},
  howpublished = {Data set},
  year         = {2026},
  url          = {https://mtor-atlas.org/study/LASSILA2026/},
  doi          = {10.5281/zenodo.22059963}
}