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ABCB1单倍型在体外不影响酪氨酸激酶抑制剂的转运或疗效。

ABCB1 haplotypes do not influence transport or efficacy of tyrosine kinase inhibitors in vitro.

作者信息

Skoglund Karin, Moreno Samuel Boiso, Baytar Maria, Jönsson Jan-Ingvar, Gréen Henrik

机构信息

Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

出版信息

Pharmgenomics Pers Med. 2013 Aug 20;6:63-72. doi: 10.2147/PGPM.S45522. eCollection 2013.

Abstract

Single-nucleotide polymorphisms (SNPs) in the gene coding for the efflux-transport protein ABCB1 (P-glycoprotein) are commonly inherited as haplotypes. ABCB1 SNPs and haplotypes have been suggested to influence the pharmacokinetics and therapeutic outcome of the tyrosine kinase inhibitor (TKI) imatinib, used for treatment of chronic myeloid leukemia (CML). However, no consensus has yet been reached with respect to the significance of variant ABCB1 in CML treatment. Functional studies of variant ABCB1 transport of imatinib as well as other TKIs might aid the interpretation of results from in vivo association studies, but are currently lacking. The aim of this study was to investigate the consequences of ABCB1 variant haplotypes for transport and efficacy of TKIs (imatinib, its major metabolite N-desmethyl imatinib [CGP74588], dasatinib, nilotinib, and bosutinib) in CML cells. Variant haplotypes - including the 61A>G, 1199G>A, 1236C>T, 1795G>A, 2677G>T/A, and 3435T>C SNPs - were constructed in ABCB1 complementary DNA and transduced to K562 cells using retroviral gene transfer. The ability of variant cells to express ABCB1 protein and protect against TKI cytotoxicity was investigated. It was found that dasatinib and the imatinib metabolite CGP74588 are effectively transported by ABCB1, while imatinib, nilotinib, and bosutinib are comparatively weaker ABCB1 substrates. None of the investigated haplotypes altered the protective effect of ABCB1 expression against TKI cytotoxicity. These findings imply that the ABCB1 haplotypes investigated here are not likely to influence TKI pharmacokinetics or therapeutic efficacy in vivo.

摘要

外排转运蛋白ABCB1(P-糖蛋白)编码基因中的单核苷酸多态性(SNP)通常以单倍型形式遗传。ABCB1的SNP和单倍型被认为会影响用于治疗慢性粒细胞白血病(CML)的酪氨酸激酶抑制剂(TKI)伊马替尼的药代动力学和治疗效果。然而,关于ABCB1变体在CML治疗中的意义尚未达成共识。对ABCB1变体转运伊马替尼以及其他TKI的功能研究可能有助于解释体内关联研究的结果,但目前尚缺乏此类研究。本研究的目的是调查ABCB1变体单倍型对CML细胞中TKI(伊马替尼、其主要代谢产物N-去甲基伊马替尼[CGP74588]、达沙替尼、尼洛替尼和博舒替尼)转运和疗效的影响。在ABCB1互补DNA中构建了包括61A>G、1199G>A、1236C>T、1795G>A、2677G>T/A和3435T>C SNP的变体单倍型,并使用逆转录病毒基因转移将其转导至K562细胞。研究了变体细胞表达ABCB1蛋白和抵抗TKI细胞毒性的能力。结果发现,达沙替尼和伊马替尼代谢产物CGP74588可被ABCB1有效转运,而伊马替尼、尼洛替尼和博舒替尼是相对较弱的ABCB1底物。所研究的单倍型均未改变ABCB1表达对TKI细胞毒性的保护作用。这些发现表明,此处研究的ABCB1单倍型不太可能影响TKI在体内的药代动力学或治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec9/3760445/35f8e9372e4e/pgpm-6-063Fig1.jpg

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