Role of nucleoside transporters in nucleoside-derived drug sensitivity
M Molina-Arcas1, M Pastor-Anglada
1Departament de Bioquímica i Biologia Molecular, Institut de Biomedicina de la Universitat de Barcelona, Universitat de Barcelona, and Centro de Investigación Biomédica en Red-Enfermedades Hepáticas y Digestivas, Barcelona, Spain.
Abstract:
Nucleoside-derived drugs are currently used clinically as anticancer drugs. To exert their pharmacological action first they need to enter into the cell across plasma membrane transporters and be metabolized. Thus, efficacy of treatment and acquisition of resistance can rely on a variety of events. In this article, we will focus in the role of nucleoside transporters in the sensitivity to nucleoside-derived drugs used in chemotherapy. Evidence of different transporter protein expression patterns in tumors compared to normal tissues, besides inter-individual variability in the levels of nucleoside transporters in tumors, suggest a major role of nucleoside transporters in the cytotoxicity of nucleoside analogs. In fact, different studies have linked nucleoside transporter function to drug sensitivity and clinical outcome in cancer patients. However, prospective clinical studies analysing nucleoside transporters and metabolic enzymes, as biomarkers of drug metabolism and action are required to better establish the role these proteins might play in cancer chemotherapy.
Insights
Nucleoside transporters are crucial for anticancer drug efficacy and resistance. Understanding their role can improve chemotherapy outcomes for cancer patients.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Nucleoside-derived drugs are vital anticancer agents.
- Cellular uptake and metabolism via transporters are essential for drug action.
- Drug efficacy and resistance are influenced by these cellular processes.
Purpose of the Study:
- To investigate the role of nucleoside transporters in the sensitivity of cancer cells to nucleoside-derived chemotherapy drugs.
- To highlight the potential of nucleoside transporters as biomarkers for predicting treatment response.
Main Methods:
- Review of existing literature on nucleoside transporters and their function in cancer chemotherapy.
- Analysis of studies examining transporter expression patterns in tumors versus normal tissues.
- Examination of research linking transporter activity to drug sensitivity and patient outcomes.
Main Results:
- Nucleoside transporters play a significant role in the cytotoxicity of nucleoside analogs.
- Differential expression of transporter proteins in tumors suggests a targeted therapeutic approach.
- Variability in transporter levels impacts individual patient responses to chemotherapy.
Conclusions:
- Nucleoside transporters are key determinants of sensitivity and resistance to nucleoside-derived anticancer drugs.
- Targeting or monitoring nucleoside transporters could personalize cancer chemotherapy.
- Further clinical studies are needed to validate nucleoside transporters and metabolic enzymes as predictive biomarkers.
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