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Published on: August 2, 2016
The Role of Transporters in Future Chemotherapy
Johanna Huttunen1, Kristiina M Huttunen2
1School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland. johanna.huttunen@uef.fi.
Abstract:
The expression of membrane transporter is often altered in cancer cells compared to their corresponding healthy cells. Since these proteins, classified into solute carriers (SLCs) and ATP-binding cassettes (ABCs), can carry not only endogenous compounds, nutrients, and metabolites, but also drugs across the cell membranes, they have a crucial role in drug exposure and clinical outcomes of chemotherapeutics. Curiously, up-regulation of SLCs can be exploited to deliver chemotherapeutics, their prodrugs, and diagnostic radio-tracers to gain cancer cell-selective targeting, as exemplified with L-type amino acid transporter 1 (LAT1). SLCs can also be inhibited to limit the nutrient uptake of cancer cells and thus, cell growth and proliferation. Furthermore, LAT1 can be utilized to deliver ABC-inhibitors selectively into the cancer cells to block the efflux of other chemotherapeutics suffering from acquired or intrinsic efflux transport-related multidrug resistance (MDR). Taking into account the current literature, compounds that can affect transporter up- or down-regulation of transporters in a cancer cell-selective manner could be a valuable tool and promising chemotherapy form in the future.
Insights
Altered membrane transporters in cancer cells, like solute carriers (SLCs) and ATP-binding cassettes (ABCs), offer new chemotherapy strategies. Targeting these transporters enables selective drug delivery and nutrient restriction for cancer treatment.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Membrane transporter expression, including solute carriers (SLCs) and ATP-binding cassettes (ABCs), is frequently altered in cancer cells.
- These transporters play a critical role in cellular uptake and efflux of endogenous compounds, nutrients, and chemotherapeutic drugs, influencing treatment outcomes.
Purpose of the Study:
- To explore the potential of targeting membrane transporters for novel cancer therapies.
- To investigate the dual role of transporters in facilitating drug delivery and limiting cancer cell proliferation.
Main Methods:
- Review of current literature on membrane transporter expression and function in cancer.
- Analysis of strategies for exploiting transporter up-regulation (e.g., LAT1) for targeted drug delivery.
- Evaluation of transporter inhibition for restricting cancer cell nutrient uptake and overcoming multidrug resistance.
Main Results:
- Up-regulation of specific transporters, such as L-type amino acid transporter 1 (LAT1), can be leveraged for selective delivery of chemotherapeutics, prodrugs, and diagnostic agents.
- Inhibition of SLCs can limit nutrient supply to cancer cells, hindering their growth and proliferation.
- LAT1 can be used to deliver ATP-binding cassette (ABC) inhibitors, overcoming multidrug resistance by blocking drug efflux.
Conclusions:
- Targeting membrane transporters offers a promising approach for developing selective cancer therapies.
- Modulating transporter expression or activity presents a potential strategy for future chemotherapy and overcoming drug resistance.
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