Nuclear receptors are members of a large family of ligand-inducible transcr
iption factors that regulate gene programs underlying a plethora of (patho)
physiological phenomena. The recent determination of the crystal structures
of nuclear receptor ligand-binding domains has provided an extremely detai
led insight into the intra- and intermolecular mechanisms that constitute t
he initial events of receptor activation and signal transduction. Here, a c
omprehensive mechanistic view of agonist and antagonist action will be pres
ented. Furthermore, the novel class of partial agonists-antagonists will be
described and the multiple challenges and novel perspectives for nuclear-r
eceptor-based drug design will be discussed.