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Updated: Mar 30, 2026

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Published on: May 21, 2020
Deficiency of multidrug resistance 2 contributes to cell transformation through oxidative stress
Ali Tebbi, Florence Levillayer, Grégory Jouvion1
1Unité d'Histopathologie humaine et modèles animaux.
Abstract:
Multidrug resistance 2 (Mdr2), also called adenosine triphosphate-binding cassette B4 (ABCB4), is the transporter of phosphatidylcholine (PC) at the canalicular membrane of mouse hepatocytes, which plays an essential role for bile formation. Mutations in human homologue MDR3 are associated with several liver diseases. Knockout of Mdr2 results in hepatic inflammation, liver fibrosis and hepatocellular carcinoma (HCC). Whereas the pathogenesis in Mdr2 (-/-) mice has been largely attributed to the toxicity of bile acids due to the absence of PC in the bile, the question of whether Mdr2 deficiency per se perturbs biological functions in the cell has been poorly addressed. As Mdr2 is expressed in many cell types, we used mouse embryonic fibroblasts (MEF) derived from Mdr2 (-/-) embryos to show that deficiency of Mdr2 increases reactive oxygen species accumulation, lipid peroxidation and DNA damage. We found that Mdr2 (-/-) MEFs undergo spontaneous transformation and that Mdr2 (-/-) mice are more susceptible to chemical carcinogen-induced intestinal tumorigenesis. Microarray analysis in Mdr2-/- MEFs and cap analysis of gene expression in Mdr2 (-/-) HCCs revealed extensively deregulated genes involved in oxidation reduction, fatty acid metabolism and lipid biosynthesis. Our findings imply a close link between Mdr2 (-/-) -associated tumorigenesis and perturbation of these biological processes and suggest potential extrahepatic functions of Mdr2/MDR3.
Insights
Multidrug resistance 2 (Mdr2) deficiency causes cellular damage and increases cancer susceptibility. This study reveals Mdr2's role beyond bile formation, impacting cellular functions and potentially other organs.
Area of Science:
- Hepatology
- Molecular Biology
- Cancer Research
Background:
- Multidrug resistance 2 (Mdr2/ABCB4) transports phosphatidylcholine (PC) in hepatocytes, crucial for bile formation.
- MDR3 mutations link to human liver diseases; Mdr2 knockout mice develop liver issues.
- The direct cellular impact of Mdr2 deficiency beyond bile acid toxicity is understudied.
Purpose of the Study:
- To investigate the intrinsic cellular functions of Mdr2 beyond its role in bile formation.
- To explore the consequences of Mdr2 deficiency in non-hepatic cells and its link to tumorigenesis.
Main Methods:
- Utilized Mdr2 knockout mouse embryonic fibroblasts (MEFs) to assess cellular functions.
- Analyzed gene expression via microarray in MEFs and cap analysis in Mdr2 knockout HCCs.
- Assessed susceptibility to chemical carcinogen-induced intestinal tumorigenesis in Mdr2 knockout mice.
Main Results:
- Mdr2 deficiency in MEFs led to increased reactive oxygen species, lipid peroxidation, and DNA damage.
- Mdr2 knockout MEFs exhibited spontaneous transformation; Mdr2 knockout mice showed heightened susceptibility to intestinal tumorigenesis.
- Gene expression profiling revealed deregulation in oxidation-reduction, fatty acid metabolism, and lipid biosynthesis pathways.
Conclusions:
- Mdr2 deficiency directly impairs cellular functions, contributing to DNA damage and transformation.
- Perturbations in lipid and oxidation-reduction pathways are linked to Mdr2-associated tumorigenesis.
- Mdr2/MDR3 may possess significant extrahepatic functions impacting cellular health and disease.
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