The developmental and physiological processes regulated by nuclear receptors are the result of the interplay between the receptors, their small-molecule ligands (hormones), their response elements on the DNA and a large set of interacting proteins, the so-called cofactors [1,2]. Up to recently, the modulation of the function of nuclear receptors concentrated mainly on ligands with agonistic, antagonistic or partial (ant)agonistic properties that bind in the binding pocket of the ligand-binding domain (LBD), also occupied by the natural ligands. These types of ligands have proven very beneficial for the treatment of various diseases and the regulation of hormone functioning, as illustrated by many of the chapters in this book. Some of these ligands have even been shown to feature tissue-specific or -selective (ant) agonistic properties, which is often of crucial importance for the separation of the beneficial effects of nuclear receptor stimulation or inhibition from unwanted sideeffects, regulated by the same receptor [2]. Nevertheless, predictability and control over tissue specificity of these classical ligands is difficult. The physiological effects of some of the nuclear receptor ligands are sometimes also altered over a period of time. A typical example of this is the transition of nuclear receptor ligands used for the treatment of specific cancers from an antagonistic profile into an agonistic profile [3]. Interestingly, there are also nuclear receptors for which, up to now, no ligand, neither of natural nor of synthetic origin, has been found. These so-called orphan receptors seem not to be amenable to modulation by classical ligands.The limitations of the current nuclear receptor ligands generate a continuous quest for new ligands with optimized profiles in both industry and academia. The requirements of the effects of these ligands on the level of the organism are usually quite clear; the translation of these requirements to the level of the conformation of the protein and structure of the ligand is, however, usually not evident. This is due to a major extent to the large plethora of protein-protein interactions between nuclear receptors and their many cofactors [1,2]. Binding of a ligand results in a change of the Nuclear Receptors as Drug Targets. Edited by Eckhard Ottow and Hilmar Weinmann