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Updated: Aug 14, 2026

An Intestine/Liver Microphysiological System for Drug Pharmacokinetic and Toxicological Assessment
Published on: December 3, 2020
LST-2, a human liver-specific organic anion transporter, determines methotrexate sensitivity in gastrointestinal
1Division of Nephrology, Endocrinology, and Vascular Medicine, Department of Medicine, Tohoku University School of Medicine, Sendai, Japan. takaabe@mail.cc.tohoku.ac.jp
Background & Aims:
One approach to the development of targeted cancer chemotherapy exploits increased uptake of the agent into neoplastic cells. In this scenario, higher concentrations of the agent in cancer cells are responsible for differential killing, whereas the low concentration in normal human cells decreases side effects. The aim of this study was to isolate an organic anion transporter that is weak in normal cells, but abundantly expressed in cancer cells, to deliver the anticancer drugs to the cells.
Methods:
A human liver complementary DNA (cDNA) library was screened with liver-specific transporter (LST)-1 cDNA as a probe. Northern blot analyses were performed using the isolated cDNA (termed LST-2). An LST-2-specific antibody was raised, and immunohistochemical analyses including immunoelectron microscopy were performed. Xenopus oocyte expression system was used for functional analysis. We also established a permanent cell line that consistently expresses LST-2 to examine the relationship between methotrexate uptake and sensitivity.
Results:
The isolated cDNA, LST-2, has 79.7% of overall homology with human LST-1. LST-2 exclusively expressed in the liver under normal conditions and its immunoreactivity was highest at the basolateral membrane of the hepatocytes around the central vein. Although its weak expression in the liver, LST-2 is abundantly expressed in the gastric, colon, and pancreatic cancers. On the other hand, the LST-1 was only detected in a hepatic cell line. LST-2 transports methotrexate in a saturable and dose-dependent manner. Furthermore, introduction of the LST-2 gene into mammalian cells potentiates sensitivity to methotrexate.
Conclusions:
LST-2 is one of the prime candidate molecules for determining methotrexate sensitivity and may be a good target to deliver anticancer drugs to the gastrointestinal cancers.
Insights
Researchers identified LST-2, a transporter highly expressed in gastrointestinal cancers but not normal liver cells. This transporter facilitates methotrexate uptake, enhancing cancer cell sensitivity and offering a new target for chemotherapy delivery.
Area of Science:
- Molecular biology
- Cancer research
- Pharmacology
Background:
- Targeted cancer chemotherapy aims to increase drug concentration in cancer cells while minimizing effects on normal cells.
- Identifying transporters with differential expression between cancer and normal cells is crucial for targeted drug delivery.
Purpose of the Study:
- To isolate an organic anion transporter (LST-2) that is weakly expressed in normal cells but abundant in cancer cells.
- To evaluate LST-2's potential as a target for delivering anticancer drugs, specifically methotrexate, to gastrointestinal cancers.
Main Methods:
- Screening a human liver cDNA library using LST-1 cDNA as a probe to isolate LST-2.
- Northern blot and immunohistochemical analyses to determine LST-2 expression patterns.
- Xenopus oocyte expression system for functional analysis of methotrexate transport.
- Establishing a cell line expressing LST-2 to study methotrexate uptake and sensitivity.
Main Results:
- LST-2 shares high homology with LST-1 but is exclusively expressed in normal liver, primarily at the basolateral membrane.
- LST-2 is abundantly expressed in gastric, colon, and pancreatic cancers, unlike LST-1.
- LST-2 mediates saturable, dose-dependent methotrexate transport.
- LST-2 gene introduction enhances mammalian cell sensitivity to methotrexate.
Conclusions:
- LST-2 is a promising candidate for determining methotrexate sensitivity in cancer cells.
- LST-2 represents a viable molecular target for enhancing the delivery of anticancer drugs to gastrointestinal cancers.
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