ATP-binding cassette transmembrane transporters and their epigenetic control in cancer: an overview

Elena Arrigoni1, Sara Galimberti2, Mario Petrini2

  • 1a Section of Pharmacology, Department of Clinical and Experimental Medicine , University of Pisa , Pisa , Italy.

Abstract

Insights

Epigenetic mechanisms like DNA methylation and histone modifications regulate ATP-binding cassette (ABC) transporters. This control influences multidrug resistance (MDR) phenotype, impacting cancer treatment outcomes.

Area of Science:

  • Molecular Biology
  • Pharmacology
  • Cancer Research

Background:

  • ATP-binding cassette (ABC) transporters regulate drug passage across cell membranes, influencing drug pharmacokinetics and pharmacodynamics.
  • These transporters are implicated in the multidrug resistance (MDR) phenotype, a major challenge in cancer chemotherapy.
  • While pharmacogenetics offers insights, a significant portion of drug response variability remains unexplained.

Purpose of the Study:

  • To review the epigenetic mechanisms controlling ABC transporter gene expression.
  • To explore the association between epigenetic modifications and the MDR phenotype in human cancer.
  • To discuss the clinical implications of epigenetic regulation of ABC transporters for therapeutic outcomes.

Main Methods:

  • Review of literature on epigenetic mechanisms including DNA methylation and histone modifications.
  • Analysis of the role of noncoding RNAs in post-transcriptional control of ABC transporters (ABCB1, ABCC1, ABCG2).
  • Examination of the link between epigenetic regulation and MDR phenotype in cancer.

Main Results:

  • Epigenetic mechanisms, including DNA methylation, histone modifications (acetylation, methylation, phosphorylation), and noncoding RNAs, significantly impact ABC transporter gene expression.
  • These epigenetic alterations are closely associated with the development and maintenance of the MDR phenotype in various human cancers.
  • Specific ABC transporters (ABCB1, ABCC1, ABCG2) are key targets of this epigenetic control.

Conclusions:

  • Epigenetic regulation plays a crucial role in controlling ABC transporter activity and the MDR phenotype.
  • Understanding these epigenetic mechanisms is vital for predicting and overcoming drug resistance in cancer therapy.
  • Further investigation into the clinical applications of targeting epigenetic control of ABC transporters is warranted.

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