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Published on: May 27, 2016
[Role of ABC Transporters in Cancer Development and Malignant Alteration]
1Nagasaki International University.
Abstract:
ATP-binding cassette (ABC) transporters, which comprise the largest gene-family in humans, are membrane proteins that transport various substrates, depending on ATP hydrolysis. Among these transporters, several include ABCB1 (P-glycoprotein), identified here for the first time in humans, which exports anti-cancer drugs from cancer cells, thus participating in multidrug resistance (MDR). ABC transporters also export drugs, in general, from the human body, therefore affecting overall pharmacokinetics. We have contributed, here, to a better understanding of the role of these exporter proteins in two aspects. First, we have cloned the human ABCC2 gene and identified mutations in hereditary hyperbilirubinemia patients, demonstrating the role of ABCC2 as a xenobiotic export pump. Second, we also found an unexpected role of ABCB1 in cancer, in that it promotes tumor initiation independently of the MDR phenomenon, which was further confirmed by a chemoprevention experiment using verapamil, an ABCB1 inhibitor. In this review, I discuss the role of ABC transporters, both in biodefense against xenobiotics and in cancer development and malignant alterations, based on our results as well as the studies of others.
Insights
ATP-binding cassette (ABC) transporters are crucial for drug export and pharmacokinetics. This research reveals their dual role in cancer, impacting multidrug resistance and tumor initiation.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- ATP-binding cassette (ABC) transporters form the largest human gene family, mediating substrate transport via ATP hydrolysis.
- ABCB1 (P-glycoprotein) exports anti-cancer drugs, contributing to multidrug resistance (MDR) and affecting drug pharmacokinetics.
- ABC transporters play a vital role in xenobiotic efflux and overall drug disposition.
Approach:
- Cloned the human ABCC2 gene and identified mutations in hereditary hyperbilirubinemia patients.
- Investigated the role of ABCB1 in cancer, independent of MDR, using chemoprevention with verapamil.
- Reviewed the literature on ABC transporter functions in biodefense and cancer.
Key Points:
- Demonstrated ABCC2's function as a xenobiotic export pump through genetic studies.
- Uncovered an unexpected role for ABCB1 in promoting tumor initiation, separate from its MDR function.
- Provided evidence for ABCB1's involvement in early cancer development.
Conclusions:
- ABC transporters are critical in biodefense against xenobiotics and significantly influence drug pharmacokinetics.
- ABCC2 mutations are linked to hereditary hyperbilirubinemia, highlighting its role in xenobiotic transport.
- ABCB1 has a novel function in promoting cancer initiation, offering new therapeutic targets beyond MDR.
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