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Updated: Mar 24, 2026

An Intestine/Liver Microphysiological System for Drug Pharmacokinetic and Toxicological Assessment
Published on: December 3, 2020
Effect of MRP2 and MRP3 Polymorphisms on Anastrozole Glucuronidation and MRP2 and MRP3 Gene Expression in Normal
Vineetha Koroth Edavana1, Rosalind B Penney2, Aiwei Yao-Borengasser1
1Division of Medical Genetics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Abstract:
Anastrozole is an aromatase inhibitor (AI) used as adjuvant therapy for breast cancer. Anastrozole is subject to direct glucuronidation catalyzed by UDP-glucuronosyltransferase1A4 (UGT1A4). Interindividual variability in anastrozole glucuronidation may be affected by UGT1A4 SNPs. Interplay between drug metabolizing genes such as UGT1A4 and transporter genes may also be affected by genetic variability. Thus, we hypothesize that genetic variability in MRPs could influence anastrozole glucuronidation. The correlation between UGT1A4 and MRP2 or MRP3 transporter gene expressions and the correlation between MRP2 or MRP3 mRNA and anastrozole glucuronidation were analyzed in normal human liver samples. MRP2 and MRP3 mRNA levels were significantly correlated with UGT1A4 mRNA, with anastrozole glucuronidation and with each other (p<0.05). The data also demonstrated that MRP2 SNPs are positively correlated with MRP2 mRNA expression, while there was no association between MRP3 SNPs from this study and MRP3 expression. Significant correlations (p<0.05) between certain MRP2 SNPs (3972C>T, 2366C>T and -24C>T) and anastrozole glucuronidation were observed. There were no observed correlations between MRP3 SNPs and anastrozole glucuronidation. MRP2 polymorphisms have been identified as playing a role in the disposition of other drugs, and the data presented here indicate for the first time that MRP2 SNPs could influence anastrozole metabolism and contribute to interindividual variation in treatment responses.
Insights
Genetic variations in MRP2 influence anastrozole glucuronidation, impacting breast cancer treatment response. This study highlights MRP2 single nucleotide polymorphisms (SNPs) as key factors in anastrozole metabolism.
Area of Science:
- Pharmacogenomics
- Drug Metabolism
- Oncology
Background:
- Anastrozole, an aromatase inhibitor, is crucial for breast cancer adjuvant therapy.
- Its metabolism involves direct glucuronidation by UDP-glucuronosyltransferase1A4 (UGT1A4).
- Interindividual variability in anastrozole glucuronidation may stem from genetic factors like UGT1A4 single nucleotide polymorphisms (SNPs) and transporter gene interactions.
Purpose of the Study:
- To investigate the hypothesis that genetic variability in multidrug resistance-associated proteins (MRPs) influences anastrozole glucuronidation.
- To analyze correlations between UGT1A4, MRP2, and MRP3 gene expressions and anastrozole glucuronidation in human liver samples.
Main Methods:
- Correlation analysis of UGT1A4 and MRP2/MRP3 gene expressions.
- Analysis of mRNA levels of MRP2 and MRP3 in relation to anastrozole glucuronidation.
- Investigation of the association between specific MRP2 and MRP3 SNPs and their respective mRNA expressions and anastrozole glucuronidation.
Main Results:
- MRP2 and MRP3 mRNA levels significantly correlated with UGT1A4 mRNA, anastrozole glucuronidation, and each other (p<0.05).
- MRP2 SNPs showed a positive correlation with MRP2 mRNA expression.
- Significant correlations were found between specific MRP2 SNPs (3972C>T, 2366C>T, -24C>T) and anastrozole glucuronidation (p<0.05).
Conclusions:
- MRP2 genetic variability, specifically certain SNPs, plays a role in anastrozole metabolism.
- These MRP2 SNPs may contribute to interindividual variations in anastrozole treatment response.
- This is the first study to identify MRP2 SNPs as influencing anastrozole metabolism.
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