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Updated: Mar 17, 2026

Repressing Gene Transcription by Redirecting Cellular Machinery with Chemical Epigenetic Modifiers
Published on: September 20, 2018
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.
Introduction:
Members of the ATP-binding cassette (ABC) transmembrane transporters control the passage of several substrates across cell membranes, including drugs. This means that ABC transporters may exert a significant influence on the kinetics and dynamics of pharmacological agents, being responsible for the occurrence of multidrug-resistant (MDR) phenotype. Pharmacogenetic analyses have shed light on gene expression and polymorphisms as possible markers predictive of transporter activity. However, a non-negligible part of the variability in drug pharmacokinetics and pharmacodynamics still remains. Further research has demonstrated that different epigenetic mechanisms exert a coordinated control over ABC genes, and on the corresponding MDR phenotype. Areas covered: DNA methylation and histone modifications (namely acetylation, methylation, phosphorylation, etc.) significantly impact gene expression, as well as noncoding RNA molecules that are involved in the post-transcriptional control of the ABC transporters ABCB1, ABCC1 and ABCG2. We describe the epigenetic mechanisms of gene expression control for ABC transporters and their relevant association with the MDR phenotype in human cancer. Expert opinion: The clinical meaning of those observations is discussed in the review, highlighting the importance of the epigenetic control of the ABC transporters for the clinical therapeutic outcomes that despite their effects and applications, requires further investigation.
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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