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Published on: March 8, 2018
[Anticancer drugs and ABC transporters]
Mikio Oka1, Minoru Fukuda, Hiroshi Soda
1Division of Respiratory Diseases, Dept. of Medicine, Kawasaki Medical School, Okayama, Japan.
Abstract:
Anticancer drugs interact directly with their molecular targets in cancer cells for effective cancer chemotherapy. The direct interaction between drug and cancer cell depends on the pharmacokinetics, which consists of absorption, distribution, metabolism, and excretion phases. In the excretion phase, ATP-binding cassette (ABC) transporters are the most important proteins in cell membranes. The ABC transporters export drugs out of cells by ATP-dependent energy, leading to drug resistance with reduced concentrations of intracellular drugs. In addition, the transporters sequestrate intracellular drugs into membrane vesicles in cytoplasm, also resulting in drug resistance. On the other hand, they are also involved in drug absorption. To date, 48 ABC genes have been isolated and classified into the seven groups of ABCA to ABCG. Among them, P-glycoprotein/ABCB 1, MRP 1/ ABCC 1, MRP 2/ABCC 2, MRP 3/ABCC 3, and BCRP/ABCG 2 strongly confer anticancer drug resistance, and they have different substrate drugs. Interestingly, recent molecular-targeted drugs, such as imatinib and gefitinib, were very recently found to be substrates for P-glycoprotein and/or BCRP. Additionally, polymorphism of ABC genes affects pharmacokinetics, drug effectiveness, and adverse events. Thus, ABC transporters are clinically important molecules, and much information is needed in the clinic.
Insights
ATP-binding cassette (ABC) transporters are crucial for drug excretion and absorption, influencing chemotherapy effectiveness. Understanding these transporters and their genetic variations is vital for overcoming drug resistance and improving patient outcomes.
Area of Science:
- Pharmacology
- Molecular Biology
- Oncology
Background:
- Anticancer drugs require specific pharmacokinetics for efficacy.
- ATP-binding cassette (ABC) transporters play a key role in drug absorption and excretion.
- ABC transporters mediate drug resistance by exporting drugs from cells or sequestering them.
Purpose of the Study:
- To review the role of ABC transporters in cancer chemotherapy.
- To highlight the clinical significance of ABC transporters in drug resistance and pharmacokinetics.
- To discuss the impact of ABC transporter genetic variations on treatment outcomes.
Main Methods:
- Literature review of ABC transporter functions in cancer chemotherapy.
- Analysis of ABC transporter involvement in drug absorption, distribution, metabolism, and excretion.
- Examination of specific ABC transporters (e.g., P-glycoprotein, BCRP) and their substrate drugs.
- Discussion of ABC gene polymorphism and its clinical implications.
Main Results:
- ABC transporters significantly influence intracellular drug concentrations and contribute to multidrug resistance.
- Key ABC transporters like P-glycoprotein/ABCB1 and BCRP/ABCG2 are implicated in resistance to various anticancer agents, including molecular-targeted drugs.
- Polymorphisms in ABC genes affect drug pharmacokinetics, treatment efficacy, and adverse drug reactions.
- ABC transporters are involved in both drug excretion and absorption processes.
Conclusions:
- ABC transporters are critical determinants of anticancer drug efficacy and resistance.
- Targeting or accounting for ABC transporter activity is essential for optimizing cancer chemotherapy.
- Further research into ABC transporter function and genetic variability is needed for clinical application.
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