“…In fact, in May 2021, Food and Drug Administration (FDA) published a safety communication that can be found on fda.gov, stating that FDA restricts use of OCA in PBC patients with advanced cirrhosis, due to risk of serious liver injury. A recent review by Jiang et al describes a full spectrum of small molecules including agonists, partial agonists, and antagonists of FXR, designed to be applied for BA-related liver diseases [58]. The article reveals not only a multitude of various 3D structures of the ligand binding domain of FXR upon binding different types of ligands, but also the structures of steroidal agonists (e.g., OCA, EDP-305, BAR502), nonsteroidal agonists (e.g., GW4064, Nidufexor, Cilofexor, Tropifexor/LJN452), partial agonist (TERN-101, DM175), as well as natural (ivermectin, tuberatolites,) and synthetic (T3, DY268, FLG249) antagonists of FXR [59].…”