ABCB1 1199G>A polymorphism (rs2229109) affects the transport of imatinib, nilotinib and dasatinib
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Updated: Mar 19, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Géraldine Dessilly1, Laure Elens2, Nadtha Panin1
1Louvain Centre for Toxicology & Applied Pharmacology, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium.
Aim:
ABCB1 (or P-glycoprotein) is implicated in the multidrug-resistance phenotype, including the resistance toward anticancer drugs such as tyrosine kinase inhibitors (TKIs). The purpose of this study was to evaluate in vitro the influence of the ABCB1 1199G>A SNP on ABCB1 transport activity toward selected TKIs (imatinib, nilotinib and dasatinib) that are currently used in chronic myelogenous leukemia.
Material & Methods:
Two different cell lines, HEK293 and K562, were stably transfected with ABCB1 1199G wild-type or ABCB1 1199A variant allele. The impact of this polymorphism on accumulation and antiproliferative effects of imatinib, nilotinib and dasatinib was evaluated.
Results:
In K562 models, the expression of Asn400 variant protein was associated with lower antiproliferative effects of imatinib, nilotinib and dasatinib compared with Ser400 wild-type protein. Moreover, in HEK293 cells, imatinib and nilotinib intracellular accumulation were lower in variant compared with wild-type models.
Conclusion:
Imatinib, nilotinib and dasatinib are transported more efficiently by the ABCB1 variant (Asn400) compared with the wild-type (Ser400) protein. The impact of ABCB1 1199G>A SNP on TKI response should be further investigated in chronic myelogenous leukemia patients.
Insights
The ABCB1 1199G>A single nucleotide polymorphism (SNP) affects tyrosine kinase inhibitor (TKI) transport. This variant protein shows increased TKI transport, potentially impacting chronic myelogenous leukemia treatment response.
Area of Science:
- Pharmacogenomics
- Molecular Biology
- Oncology
Background:
- ABCB1 (P-glycoprotein) mediates multidrug resistance, affecting anticancer drug efficacy.
- Tyrosine kinase inhibitors (TKIs) are crucial in chronic myelogenous leukemia (CML) treatment.
- Genetic variations in ABCB1 may influence TKI response.
Purpose of the Study:
- To investigate the in vitro impact of the ABCB1 1199G>A single nucleotide polymorphism (SNP) on ABCB1 transport activity.
- To evaluate the influence of this SNP on the accumulation and antiproliferative effects of imatinib, nilotinib, and dasatinib.
Main Methods:
- Stable transfection of HEK293 and K562 cell lines with wild-type (1199G) or variant (1199A) ABCB1 alleles.
- Assessment of intracellular accumulation of TKIs in transfected cells.
- Evaluation of antiproliferative effects of TKIs in relation to ABCB1 genotype.
Main Results:
- The ABCB1 1199A variant (Asn400) exhibited lower antiproliferative effects for imatinib, nilotinib, and dasatinib in K562 cells compared to the wild-type (Ser400).
- Intracellular accumulation of imatinib and nilotinib was reduced in HEK293 cells expressing the ABCB1 1199A variant compared to the wild-type.
- The variant ABCB1 protein (Asn400) demonstrated more efficient transport of imatinib, nilotinib, and dasatinib than the wild-type protein (Ser400).
Conclusions:
- The ABCB1 1199G>A SNP influences the transport activity of ABCB1 for imatinib, nilotinib, and dasatinib.
- The variant ABCB1 protein facilitates more efficient TKI transport, potentially contributing to reduced drug efficacy.
- Further clinical investigation of the ABCB1 1199G>A SNP's impact on TKI response in CML patients is warranted.
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