Hepatitis B virus (HBV) core promoter activity is positively and negatively regulated by nuclear receptors, a superfamily of ligand-activated transcription factors, via cis-acting sequences located in the viral genome. In this study, we investigated the role of farnesoid X receptor alpha (FXR␣) in modulating transcription from the HBV core promoter. FXR␣ is a liver-enriched nuclear receptor activated by bile acids recognizing hormone response elements by forming heterodimers with retinoid X receptor alpha (RXR␣). Electrophoretic mobility shift assays demonstrated that FXR␣-RXR␣ heterodimers can bind two motifs on the HBV enhancer II and core promoter regions, presenting high homology to the consensus (AGGTCA) inverted repeat FXR␣ response elements. In transient transfection of the human hepatoma cell line Huh-7, bile acids enhanced the activity of a luciferase reporter containing the HBV enhancer II and core promoter sequences through FXR␣. Moreover, using a greater-than-genome-length HBV construct, we showed that FXR␣ also increased synthesis of the viral pregenomic RNA and DNA replication intermediates. The data strongly suggest that FXR␣ is another member of the nuclear receptor superfamily implicated in the regulation of HBV core promoter activity and that bile acids could play an important role in the natural history of HBV infection.Hepatitis B virus (HBV) infection is limited to hepatocytes of humans and primates and is associated with chronic hepatitis, cirrhosis, and hepatocellular carcinoma (10,19). HBV is an enveloped virus containing a 3.2-kb partially doublestranded DNA genome with four open reading frames. These open reading frames encode the reverse transcriptase, precore, and core proteins; three surface antigen proteins (pre-S1, pre-S2, and S); and the X protein. Regulation of HBV transcription is under the control of four promoters (the core, pre-S1, pre-S2/S, and X promoters) and two enhancer regions (EN1 and EN2). For some authors, the core promoter corresponds to two distinct promoters, namely the precore and pregenomic promoters (44,46). The core promoter activity, modulated by the EN2 region, plays a critical role in the virus life cycle. It initiates the synthesis of the precore and pregenomic 3.5-kb RNAs. The precore RNA encodes the precore protein, also called HBe antigen. The pregenomic RNA encodes both the polymerase and the core protein and serves as the template for viral DNA synthesis (24, 34).Multiple cellular transcription factor binding sites have been identified on these regulatory sequences (26,29,31,40,48,51), in particular for several nuclear receptors (NR) belonging to the superfamily of ligand-activated transcription factors (1,11,13,14,22,23). Two important NR response elements (NRRE), situated in the EN2 (NRRE enhII ) and the core promoter (NRRE pre-C ) regions, are recognized by hepatocyte nuclear factor 4 alpha (HNF4␣) and RXR␣-peroxisome proliferatoractivated receptor alpha (PPAR␣) heterodimers (13,30,44).In hepatoma cell lines, HNF4␣ and PPAR␣-RXR␣ upregulate synthes...