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HPLC-based Assay to Monitor Extracellular Nucleotide/Nucleoside Metabolism in Human Chronic Lymphocytic Leukemia Cells
Published on: July 20, 2016
Translocation of nucleoside analogs across the plasma membrane in hematologic malignancies
Paula X Fernández-Calotti1, Dolors Colomer, Marçal Pastor-Anglada
1Departament de Bioquímica i Biologia Molecular, Universitat de Barcelona, Institut de Biomedicina de la Universitat de Barcelona & CIBER EHD, Barcelona, Spain. pfernandezcalotti@ub.edu
Abstract:
Nucleoside analogs are currently used in the treatment of various hematologic malignancies due to their ability to induce apoptosis of lymphoid cells. For nucleoside-derived drugs to exert their action, they must enter cells via nucleoside transporters from two gene families, SLC28 and SLC29 (CNT and ENT, respectively). Once inside the cell, these drugs must be phosphorylated to their active forms. In contrast, some members of the ATP-binding cassette (ABC) protein family have been identified as responsible for the efflux of the phosphorylated forms of these nucleoside-derived drugs. Here, we review the main nucleoside analogs used in hematologic malignancies and focus especially on those that are currently used in chronic lymphocytic leukemia (CLL). Moreover, we discuss the pharmacological profile of the nucleoside transporters, which determines the bioavailability of and cell sensitivity to these nucleoside-derived drugs. We also discuss the expression of nucleoside transporters and their activities in CLL as well as the possibility of modulating these transporter activities as a means of modulating intracellular drug availability and, consequently, responsiveness to therapy.
Insights
Nucleoside analogs treat blood cancers by inducing lymphoid cell apoptosis. Understanding nucleoside transporters (SLC28/SLC29) and efflux proteins (ABC) is key to improving drug delivery and effectiveness in chronic lymphocytic leukemia (CLL).
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Nucleoside analogs are vital for treating hematologic malignancies by inducing lymphoid cell apoptosis.
- Cellular uptake and intracellular activation of these drugs depend on nucleoside transporters (SLC28/CNT and SLC29/ENT).
- ATP-binding cassette (ABC) proteins mediate the efflux of activated nucleoside analogs.
Purpose of the Study:
- To review nucleoside analogs used in hematologic malignancies, with a focus on chronic lymphocytic leukemia (CLL).
- To discuss the role of nucleoside transporters in drug bioavailability and cellular sensitivity.
- To explore the potential of modulating transporter activity to enhance therapeutic response in CLL.
Main Methods:
- Literature review of nucleoside analogs and their mechanisms of action.
- Analysis of the pharmacological profiles of nucleoside transporters (SLC28 and SLC29).
- Discussion of transporter expression and activity in CLL cells.
Main Results:
- Nucleoside analogs' efficacy is influenced by cellular uptake via SLC28/CNT and SLC29/ENT transporters.
- Drug efflux by ABC proteins affects intracellular drug concentrations.
- Nucleoside transporter expression and activity vary in CLL, impacting drug sensitivity.
Conclusions:
- Targeting nucleoside transporters presents a promising strategy to optimize nucleoside analog therapy in CLL.
- Modulating transporter activity can enhance intracellular drug availability and improve treatment outcomes.
- Further research into transporter modulation is crucial for advancing CLL treatment.
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