Zhou Shiwei, Shu Yan
Pharmaceutical Sciences, University of Maryland, United States.
Pharmaceutical Sciences, University of Maryland, United States
Drug Metab Dispos. 2022 May 29;50(9):1238-50. doi: 10.1124/dmd.121.000704.
Facilitated transport is necessitated for large size, charged, and/or hydrophilic drugs to move across the membrane. The drug transporters in the solute carrier (SLC) superfamily, mainly including organic anion-transporting polypeptides (OATPs), organic anion transporters (OATs), organic cation transporters (OCTs), organic cation/carnitine transporters (OCTNs), peptide transporters (PEPTs), and multidrug and toxin extrusion proteins (MATEs), are critical facilitators of drug transport and distribution in human body. The expression of these SLC drug transporters is found in tissues throughout the body, with high abundance in the epithelial cells of major organs for drug disposition, such as intestine, liver, and kidney. These SLC drug transporters are clinically important in drug absorption, metabolism, distribution, and excretion. The mechanisms underlying their regulation have been revealing in recent years. Epigenetic and nuclear receptor-mediated transcriptional regulation of SLC drug transporters have particularly attracted much attention. This review focuses on the transcriptional regulation of major SLC drug transporter genes. Revealing the mechanisms underlying the transcription of those critical drug transporters will help us understand pharmacokinetics and pharmacodynamics, ultimately improving drug therapeutic effectiveness while minimizing drug toxicity. It has become increasingly recognized that solute carrier (SLC) drug transporters play a crucial, and sometimes determinative, role in drug disposition and response, which is reflected in decision-making during not only clinical drug therapy but also drug development. Understanding the mechanisms accounting for the transcription of these transporters is critical to interpret their abundance in various tissues under different conditions, which is necessary to clarify the pharmacological response, adverse effects, and drug-drug interactions for clinically used drugs.
对于大尺寸、带电和/或亲水性药物而言,促进性转运是其跨膜移动所必需的。溶质载体(SLC)超家族中的药物转运体,主要包括有机阴离子转运多肽(OATP)、有机阴离子转运体(OAT)、有机阳离子转运体(OCT)、有机阳离子/肉碱转运体(OCTN)、肽转运体(PEPT)和多药及毒素外排蛋白(MATE),是人体药物转运和分布的关键促进因子。这些SLC药物转运体在全身各组织中均有表达,在药物处置的主要器官(如肠道、肝脏和肾脏)的上皮细胞中含量丰富。这些SLC药物转运体在药物吸收、代谢、分布和排泄方面具有重要临床意义。近年来,其调控机制逐渐被揭示。SLC药物转运体的表观遗传和核受体介导的转录调控尤其受到关注。本综述聚焦于主要SLC药物转运体基因的转录调控。揭示这些关键药物转运体转录的机制将有助于我们理解药代动力学和药效学,最终提高药物治疗效果并将药物毒性降至最低。人们越来越认识到,溶质载体(SLC)药物转运体在药物处置和反应中起着至关重要、有时甚至是决定性的作用,这不仅体现在临床药物治疗决策中,也体现在药物研发过程中。了解这些转运体转录的机制对于解释它们在不同条件下在各种组织中的丰度至关重要,这对于阐明临床使用药物的药理反应、不良反应和药物相互作用是必要的。