Indiana University-Purdue University Indianapolis (IUPUI) / Human BCRP is one of the major ATP-binding cassette transporters involved in the development of multidrug resistance in cancer chemotherapy. Overexpression of BCRP in the tumor cell plasma membrane and apical membrane of the gastrointestinal tract leads to decreased intracellular accumulation of various anticancer drugs as well as reduced drug bioavailability. BCRP has been shown to exist on the plasma membrane as higher forms of homo-oligomers. In addition, the oligomerization domain of BCRP has been mapped to the carboxyl-terminal TM5-ECL3-TM6 and this truncated domain, when co-expressed with the full-length BCRP, displays a dominant inhibitory activity on BCRP function. Thus, the oligomerization of BCRP could be a promising target in reversing multidrug resistance mediated by BCRP. To further dissect the oligomerization domains of human BCRP and test the hypothesis that TM5, ECL3, and TM6 each plays a role in BCRP oligomerization and function, we engineered a series of BCRP domain-swapping constructs with alterations at TM5-ECL3-TM6 and further generated HEK293 cells stably expressing wild-type or each domain-swapping construct of BCRP. Using co-immunoprecipitation and chemical cross-linking, we found that TM5, ECL3, and TM6 all appear to partially contribute to BCRP oligomerization, which are responsible for the formation of oligomeric BCRP. However, only TM5 appears to be a major contributor to the transport activity and drug resistance mediated by BCRP, while ECL3 or TM6 is insufficient for BCRP functions. Taken together, these findings suggest that homo-oligomeric human BCRP may be formed by the interactions among TM5, ECL3 and TM6, and TM5 is a crucial domain for BCRP functions and BCRP-mediated drug resistance. These findings may further be used to explore targets for therapeutic development to reverse BCRP-mediated drug resistance and increase the bioavailability of anti-cancer drugs for better treatment of multidrug resistant cancers.

ATP-Binding-Cassette (ABC) transporters are primary active pumps that typically couple the binding and hydrolysis of ATP to the translocation of compounds across cellular membranes. Some, like ABCB1, ABCC1 and ABCC3, are polyspecific and can efflux clinically important drugs which may contribute to their therapeutic failure. In this study I have investigated (1) the mechanism of ABC transporter function, (2) studied the potential for regulation by ubiquitin ligases (both using ABCB1 as a model), and (3) tested the involvement of ABCC1 and ABCC3 in autocrine signalling in cancer. (1) In 1966, Jardetzky et. al [1] proposed that membrane pumps function by exposing their ligand-binding pocket alternately on different sides of the membrane. For ABC transporters, this coupling of the aspect and affinity of the ligand-binding cavities of the two transmembrane domains (TMDs) to the ATP catalytic cycle of the two nucleotide-binding domains (NBDs) is fundamental to the transport mechanism but is poorly understood at the molecular level. Structure data suggest signals are transduced through intracellular loops of the TMDs which slot into grooves on the top surface of the NBDs. At the base of these grooves is the Q-loop. By analysing the function of Q-loop mutants in combination with ligand binding cavity mutants I have discovered that the Q-loops are crucial to the transport cycle and that they are required to couple ligand binding to conformational changes at the NBDs necessary to drive the transporter into an inward closed state. 4 (2) ABCB1 is known to be a key component of chemical barrier separating the circulation from the cerebrospinal fluid. It has also been reported to transport β-amyloid across the lumenal membrane and into the circulation. Loss of ABCB1 from the barrier with age has therefore been suggested to play a role in Alzheimer’s Disease. The ubiquitin ligase Nedd4-1 has been implicated in the post-translational regulation of ABCB1 abundance in cells. Here, I report that ABCB1 can be ubiquitinated by Nedd4-1 in vitro and identify the residues modified (by mass spectrometry). (3) Lysophosphatidylinositol (LPI) is an autocrine metabolite produced by cancer cells that binds to the G-protein coupled transmembrane receptor GPR55 on the surface of cells. Stimulation of GPR55 activates a signalling cascade that induces proliferation and metastases of the cancer cells. How LPI is released from the cells was not known. In this study I show that ABCC1 and ABCC3, which are known to be expressed in ovarian and pancreatic cancers, can transport LPI into inside-out vesicles suggesting a new role for these “drug resistance” transporters in cancer biology.

<p>The appearance of adverse drug reactions is a common reason for hospitalization in Western countries. Research on underlying biological mechanisms for interindividual variability in drug response aims to better identify patients with exceptional genetic traits, disease conditions or risk of drug-drug interactions and thereby help to prevent adverse drug reactions. </p><p>Active transport mechanisms are involved in the absorption and disposition of several therapeutic agents. The main objective of this thesis was to investigate factors potentially affecting transport proteins and thus contributing to variability in drug absorption and disposition. Studies of physiological, genetic, environmental, and pathological factors were included. The main focus was the two ATP-binding cassette (ABC) transporters: P-glycoprotein 170 (Pgp) and Breast Cancer Resistance Protein (BCRP). </p><p>Quantification of transport protein mRNAs along the human intestine indicated that eight of the nine investigated drug transporters were expressed in a region-dependent manner. Effects of drug-drug interactions may therefore vary depending on the site of absorption. The genetic aspect was illustrated by identification of sequence variation in the gene encoding BCRP, the most highly expressed ABC transporter along the human intestine. Drug-drug interactions are important environmental causes of interindividual variability. An evaluation of the effects of Pgp-mediated drug-drug interactions showed that patients receiving Pgp inhibitors had elevated serum concentrations of the Pgp substrate digoxin and that digoxin concentrations were positively correlated with the number of co-administered Pgp inhibitors. The final topic in this thesis was that of drug-disease interactions. BCRP and Pgp were down-regulated during active inflammation in patients with ulcerative colitis. This may contribute to altered concentrations of drug in the intestinal mucosa during periods of inflammation and possibly to changes in drug absorption.</p><p>To summarize, results of this thesis emphasize the complex background to the interindividual variability of drug transport proteins, where physiological, genetic, environmental and pathological factors all can contribute.</p>

The appearance of adverse drug reactions is a common reason for hospitalization in Western countries. Research on underlying biological mechanisms for interindividual variability in drug response aims to better identify patients with exceptional genetic traits, disease conditions or risk of drug-drug interactions and thereby help to prevent adverse drug reactions. Active transport mechanisms are involved in the absorption and disposition of several therapeutic agents. The main objective of this thesis was to investigate factors potentially affecting transport proteins and thus contributing to variability in drug absorption and disposition. Studies of physiological, genetic, environmental, and pathological factors were included. The main focus was the two ATP-binding cassette (ABC) transporters: P-glycoprotein 170 (Pgp) and Breast Cancer Resistance Protein (BCRP). Quantification of transport protein mRNAs along the human intestine indicated that eight of the nine investigated drug transporters were expressed in a region-dependent manner. Effects of drug-drug interactions may therefore vary depending on the site of absorption. The genetic aspect was illustrated by identification of sequence variation in the gene encoding BCRP, the most highly expressed ABC transporter along the human intestine. Drug-drug interactions are important environmental causes of interindividual variability. An evaluation of the effects of Pgp-mediated drug-drug interactions showed that patients receiving Pgp inhibitors had elevated serum concentrations of the Pgp substrate digoxin and that digoxin concentrations were positively correlated with the number of co-administered Pgp inhibitors. The final topic in this thesis was that of drug-disease interactions. BCRP and Pgp were down-regulated during active inflammation in patients with ulcerative colitis. This may contribute to altered concentrations of drug in the intestinal mucosa during periods of inflammation and possibly to changes in drug absorption. To summarize, results of this thesis emphasize the complex background to the interindividual variability of drug transport proteins, where physiological, genetic, environmental and pathological factors all can contribute.

Dissertation (Ph.D.)--University of South Florida, 2009. / Title from PDF of title page. Document formatted into pages; contains 86 pages. Includes vita. Includes bibliographical references.

Dissertation (Ph.D.)--University of South Florida, 2009. / Includes vita. Includes bibliographical references. Also available online.

ABCG2 est un transporteur de la famille ABC impliqué dans le phénotype de résistance aux drogues développé par certaines cellules, par exemple les cellules cancéreuses. Ce transporteur a aussi un rôle physiologique de détoxication de composés endogènes, notamment les porphyrines, molécules indispensables mais qui présentent une toxicité potentielle. Cette toxicité nécessite une prise en charge particulière, évitant à ces composés d’être libres en solution. Dans ce contexte, nous avons fait l’hypothèse qu’ABCG2 pourrait participer à cette détoxication en limitant l’accumulation des porphyrines dans les cellules en les présentant à un partenaire extracellulaire. Nous montrons qu’ABCG2 transporte de l’hème ainsi que certains de ses dérivés et précurseurs et que ces porphyrines, contrairement aux autres substrats d’ABCG2, se fixent sur un domaine extracellulaire spécifique d’ABCG2, ECL3, composé d’environ 70 acides aminés. L’affinité d’ECL3 pour les porphyrines est de 0,5 à 3,5 μM, suffisamment affine pour permettre leur fixation après transport.Nous montrons aussi que l’albumine sérique humaine, impliquée dans la détoxication de l’hème, récupère les porphyrines fixées sur ECL3 par une interaction directe avec ABCG2. L’ensemble de ce travail a donc permis d’une part de mieux comprendre le rôle d’ABCG2 dans la régulation de l’homéostasie des porphyrines, notamment l’hème, et d’autre part, de façon originale, d’identifier le mécanisme moléculaire par lequel cette détoxication s’effectue. / ABCG2 belongs to the ABC-transporter family, involved in drug resistance developed by cells, notably cancer cells. This transporter has also a physiological role of endobiotic detoxification, in particular porphyrins that are essential but potentially toxic molecules. This toxicity implies a specific handle, to avoid them to remain free in solution. In that context, we hypothesized that ABCG2 participate to this detoxification, limiting the intracellular porphyrin accumulation by presenting them to an extracellular partner. We show that ABCG2 transports heme and some of its derivatives and precursors. Interestingly, these porphyrins, unlike other ABCG2 (non-porphyric) substrates, can bind to an extracellular domain, specific of ABCG2, ECL3, 70 residues-long. ECL3 displays affinities for porphyrins in the range of 0.5 to 3.5 μM, high enough to allow their binding after transport. We also show that human serum albumin, implicated in heme detoxification, releases porphyrins bound to ECL3 by a direct interaction with ABCG2. This work established a better comprehension of ABCG2 role in porphyrin and in particular heme homeostasis regulation. In addition, our results contribute to elucidate part of the molecular mechanism by which such regulation is carried out.

Os transportadores da família ABC são proteínas transmembrânicas envolvidas com o tráfego de substâncias endógenas e exógenas do meio intracelular para o extracelular, sendo alvos de estudo na resistência celular a agentes quimioterápicos. O ABCC2 é um transportador transmembrânico que exporta ativamente fármacos aniônicos conjugados e facilita o transporte de agentes anticâncer. O ABCG2 é outro transportador transmembrânico que tem influência na farmacocinética e farmacodinâmica de certos xenobióticos e substratos endógenos; além disso, acredita-se que este gene contribui para a resistência a várias drogas. Por esses motivos identificamos por sequenciamento ou PCR-RFLP os polimorfismos dos genes ABCC2 (Val417Ile, Ser789Phe e Ala1450Thr) e ABCG2 (Val12Met, Gly126stop códon, Gly141Lys) em 90 pacientes portadores de carcinoma epidermóide de cabeça e pescoço (HNSCC) e tentamos correlacionar a presença do polimorfismo com resposta a tratamento que incluiu cisplatina em todos os pacientes. Não encontramos nenhuma correlação entre a presença de polimorfismo para Val12Met, Gly141Lys e Val417Ile, determinados em 68 pacientes tratados exclusivamente com cisplatina e radioterapia, e a resposta ao tratamento. As curvas de sobrevida, determinadas por Kaplan-Meier, considerando polimórfico os pacientes que continham pelo menos um dos alelos alterados e selvagem os que não tivessem nenhum deles, mostraram que os pacientes selvagens para o polimorfismo Val12Met tiveram tendência a uma pior sobrevida (sobrevida mediana de 18,7 meses) em relação aos pacientes polimórficos (sobrevida mediana não atingida; P=0,089 Teste de log-rank), já os pacientes selvagens para o polimorfismo Gly141Lys tiveram tendência a uma pior sobrevida (sobrevida mediana de 15,8 meses) em relação aos pacientes polimórficos (sobrevida mediana de 25,6 meses; P = 0,16 Teste de logrank). Não observamos correlação entre os outros polimorfismos e sobrevida. Quanto ao GLY126stop, somente um paciente foi identificado como polimórfico. Conclusões: No nosso estudo, a freqüência do polimorfismo Val12Met de 10% está próxima dos 18% descrito na população normal (Kobayashi 2004). Nosso trabalho foi o primeiro a correlacionar estes polimorfismos com resposta ao tratamento em pacientes com carcinoma epidermóide de cabeça e pescoço e indica que Val12Met e Gly141Lys e o gene ABCG2 como um todo são candidatos a um estudo maior / ATP binding cassette (ABC) transporters form one of the largest transmembrane protein families. These proteins use cellular ATP to drive the transport of various substrates across cell membranes including many exogenous and endogenous compounds, which includes drugs used in cancer treatment. ABCC2 is an ATP binding cassette transporter which accepts a diverse range of substrates, including glutathione, glucuronide, and sulfate conjugates of many metabolites and xenobiotics. ABCG2 is a member of the ATP binding cassette (ABC) transporters whose function is to pump out of the cell a wide variety of endogenous and exogenous compounds. Widely expressed in stem cells, ABCG2 is also recognized as a universal marker of stem cells. For these reasons we had identified the following polymorphisms of ABCC2 gene: -Val417Ile, Ser789Phe and Ala1450Thr- and of ABCG2 gene as well: -Val12Met, Gly126stop códon, Gly141Lys in 88 patients with head and neck squamous cell carcinoma (HNSCC). Methodology included PCR - RFLP and direct sequencing. Survival analysis was done using Kaplan-Meier curves and response measured by RECIST criteria. Comparisons were done between polymorphic patients in which at least one polymorphism was present as opposed to the patients without the polymorphism. Correlation with response to treatment was studied for Val12Met, Gly141Lys e Val417Il in 68 patients exclusively treated with concomitant cisplatin and radiotherapy and no correlation was found between these markers and treatment response. Patients without the Val12Met presented a trend towards shorter survival (median survival 18.7 months) as compared to polymorphic patients (median survival not reached, long rank p= 0.089). Although statistical significance was not reached, patients wild type for Gly141Lys polymorphism (median survival 15.8 months) had shorter survival than polymorphic patients (25.6 months, p=0.16). We did not observe any other correlation between other polymorphisms and survival. With respect to Gly126stop, only one patient was identified as polymorphic and survival analysis was not possible. As far as we know this is the first study to try to correlate these polymorphisms with treatment response and survival in HNSCC patients. Although we were unable to draw any definitive conclusions, our results indicate that Val12Met and Gly141Lys deserve to be further studied in the future.

Os transportadores da família ABC são proteínas transmembrânicas envolvidas com o tráfego de substâncias endógenas e exógenas do meio intracelular para o extracelular, sendo alvos de estudo na resistência celular a agentes quimioterápicos. O ABCC2 é um transportador transmembrânico que exporta ativamente fármacos aniônicos conjugados e facilita o transporte de agentes anticâncer. O ABCG2 é outro transportador transmembrânico que tem influência na farmacocinética e farmacodinâmica de certos xenobióticos e substratos endógenos; além disso, acredita-se que este gene contribui para a resistência a várias drogas. Por esses motivos identificamos por sequenciamento ou PCR-RFLP os polimorfismos dos genes ABCC2 (Val417Ile, Ser789Phe e Ala1450Thr) e ABCG2 (Val12Met, Gly126stop códon, Gly141Lys) em 90 pacientes portadores de carcinoma epidermóide de cabeça e pescoço (HNSCC) e tentamos correlacionar a presença do polimorfismo com resposta a tratamento que incluiu cisplatina em todos os pacientes. Não encontramos nenhuma correlação entre a presença de polimorfismo para Val12Met, Gly141Lys e Val417Ile, determinados em 68 pacientes tratados exclusivamente com cisplatina e radioterapia, e a resposta ao tratamento. As curvas de sobrevida, determinadas por Kaplan-Meier, considerando polimórfico os pacientes que continham pelo menos um dos alelos alterados e selvagem os que não tivessem nenhum deles, mostraram que os pacientes selvagens para o polimorfismo Val12Met tiveram tendência a uma pior sobrevida (sobrevida mediana de 18,7 meses) em relação aos pacientes polimórficos (sobrevida mediana não atingida; P=0,089 Teste de log-rank), já os pacientes selvagens para o polimorfismo Gly141Lys tiveram tendência a uma pior sobrevida (sobrevida mediana de 15,8 meses) em relação aos pacientes polimórficos (sobrevida mediana de 25,6 meses; P = 0,16 Teste de logrank). Não observamos correlação entre os outros polimorfismos e sobrevida. Quanto ao GLY126stop, somente um paciente foi identificado como polimórfico. Conclusões: No nosso estudo, a freqüência do polimorfismo Val12Met de 10% está próxima dos 18% descrito na população normal (Kobayashi 2004). Nosso trabalho foi o primeiro a correlacionar estes polimorfismos com resposta ao tratamento em pacientes com carcinoma epidermóide de cabeça e pescoço e indica que Val12Met e Gly141Lys e o gene ABCG2 como um todo são candidatos a um estudo maior / ATP binding cassette (ABC) transporters form one of the largest transmembrane protein families. These proteins use cellular ATP to drive the transport of various substrates across cell membranes including many exogenous and endogenous compounds, which includes drugs used in cancer treatment. ABCC2 is an ATP binding cassette transporter which accepts a diverse range of substrates, including glutathione, glucuronide, and sulfate conjugates of many metabolites and xenobiotics. ABCG2 is a member of the ATP binding cassette (ABC) transporters whose function is to pump out of the cell a wide variety of endogenous and exogenous compounds. Widely expressed in stem cells, ABCG2 is also recognized as a universal marker of stem cells. For these reasons we had identified the following polymorphisms of ABCC2 gene: -Val417Ile, Ser789Phe and Ala1450Thr- and of ABCG2 gene as well: -Val12Met, Gly126stop códon, Gly141Lys in 88 patients with head and neck squamous cell carcinoma (HNSCC). Methodology included PCR - RFLP and direct sequencing. Survival analysis was done using Kaplan-Meier curves and response measured by RECIST criteria. Comparisons were done between polymorphic patients in which at least one polymorphism was present as opposed to the patients without the polymorphism. Correlation with response to treatment was studied for Val12Met, Gly141Lys e Val417Il in 68 patients exclusively treated with concomitant cisplatin and radiotherapy and no correlation was found between these markers and treatment response. Patients without the Val12Met presented a trend towards shorter survival (median survival 18.7 months) as compared to polymorphic patients (median survival not reached, long rank p= 0.089). Although statistical significance was not reached, patients wild type for Gly141Lys polymorphism (median survival 15.8 months) had shorter survival than polymorphic patients (25.6 months, p=0.16). We did not observe any other correlation between other polymorphisms and survival. With respect to Gly126stop, only one patient was identified as polymorphic and survival analysis was not possible. As far as we know this is the first study to try to correlate these polymorphisms with treatment response and survival in HNSCC patients. Although we were unable to draw any definitive conclusions, our results indicate that Val12Met and Gly141Lys deserve to be further studied in the future.

Orientador: Andrea Balan Fernandes / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-27T08:19:27Z (GMT). No. of bitstreams: 1 Pegos_VanessaRodrigues_D.pdf: 41543267 bytes, checksum: 0c6ab77fc1de1527fad27fbf8c4b1e70 (MD5) Previous issue date: 2015 / Resumo: Xanthomonas axonopodis pv. citri (X. citri) é o causador do cancro cítrico em diversas espécies de citrus, sobretudo, laranjas. As epidemias de cancro cítrico tem causado severas perdas econômicas à citricultura mundial uma vez que não há estratégias de combate efetiva contra essa bactéria no campo. Diversos estudos demonstraram a importância de genes para a patogênese de X. citri, mas ainda não foram investigados genes envolvidos na aquisição e no metabolismo de micronutrientes tais como o fosfato. X. citri conserva o sistema de transporte do tipo ABC de fosfato inorgânico codificado pelo óperon pstSCAB. Adicionalmente a bactéria possui dois outros operons oprO/phoX e phoBR, os quais codificam, respectivamente, uma porina de membrana externa e uma proteína periplasmática ligadora e o sistema dois componentes de sinalização celular, ambos integrantes do regulon de fosfato (regulon pho). Neste trabalho, estudamos a resposta destes operons à carência de fosfato, bem como o papel da proteína ligadora periplasmática PstS, por meio de análises proteômica, metabolômica, estruturais baseadas em cristalografia de raio-X e funcionais utilizando um mutante de X. citri portador de deleção no gene pstS (Xac::pstS). Os dados obtidos foram comparados entre as linhagens selvagem e mutante. Primeiramente evidenciamos que o sistema ABC de fosfato é ativado em carência do íon, incluindo um aumento de expressão de PhoX e PstS de 49 e 33 vezes, respectivamente, e que X. citri apresenta a maioria dos genes do regulon pho. PhoX e PstS são proteínas ligadoras de fosfato que partilham 70% de identidade de aminoácidos e são originadas de uma duplicação gênica. Na ausência de PstS, PhoX parece exercer a função de captação, mas não é capaz de recuperar todos os fenótipos da bactéria selvagem. Adicionalmente, ensaios de transporte de fosfato com as bactérias selvagem e mutante mostraram diferenças no transporte e que o sistema ABC permance constitutivo na linhagem mutante. A deleção de pstS também culminou no retardamento do crescimendo da bactéria em folhas de C. sinensis, mas não interferiu na adesão bacteriana e na produção da goma, estas sim, influenciadas diretamente pela concentração de fosfato no meio. Análises de metabolômica evidenciaram que a carência de fosfato induz mudanças nas rotas bioquímicas, sobretudo na linhagem mutante que utiliza da via das pentoses e do metabolismo do piruvato para a produção de ATP. Este é o primeiro trabalho que evidencia o papel do sistema ABC de transporte de fosfato nesta bactéria e que relaciona de uma forma multidisciplinar, o papel do íon e dos componentes do regulon pho na bactéria X. citri. Adicionalmente, uma vez que o sistema é bem conservado em outras espécies, os resultados obtidos servem como modelo para o gênero Xanthomonas / Abstract: ! Xanthomonas axonopodis pv. citri (X. citri) is the cause of citrus canker in several species of citrus, especially oranges. The citrus canker epidemics have caused severe economic losses to the citrus industry worldwide since no effective combat strategies against this bacterium. Several studies have demonstrated the importance of genes related to the pathogenesis of X. citri, but there is no studies about mechanisms of micronutrients acquisition such as phosphate. X. citri has an ATP-Binding Cassete transport system for inorganic phosphate encoded by pstSCAB operon. In addition, the bacterium has two other operons oprOphoX and phoBR, which encode respectively, an outer membrane porin and a periplasmic binding protein and two-components system. The three operons and other related genes are members of the phosphate regulon (pho regulon). In this work we studied the response of these operons in phosphate deprivation, and the role of periplasmic-binding protein PstS through proteomics analysis, metabolomics, crystallography and functionally based on a X. citri mutant deleted for pstS gene (Xac::pstS). Data were compared between wild type and mutant strains. We showed that the phosphate ABC system is activated during the ion depletion, including PstS and PhoX that showed increased levels of 49 and 30 times, respectively. In addition, we showed that X. citri displays most of the genes of the pho regulon. PhoX and PstS are phosphate binding proteins that share 70% amino acid identity and have origin from a gene duplication. In the absence of PstS, PhoX seems to complement the uptake function, but it is not able to recover all phenotypes of the wild type bacteria. Additionally, phosphate transport assays with wild type and mutant bacteria showed differences in transport and constitutivity of the ABCsystem in the mutant strain. The deletion of pstS also resulted in slowing of bacteria growth in Citrus sinensis leaves, but did not interfere with bacterial adhesion and gum production, two phenomena directly influenced by the phosphate concentration in the medium. Metabolomic analyzes showed that phosphate deprivation induces changes in biochemical pathways, especially the mutant strain that uses the pentose and pyruvate metabolism for ATP production. This is the first work that highlights the role of the ABC system for phosphate in this bacterium and that reveals in a multidisciplinary way, the role of the ion and the pho regulon components in the phytopathogenic bacterium. Additionally, once the system is well preserved in other species, the results serve as a model for the genus Xanthomonas / Doutorado / Genetica de Microorganismos / Doutora em Genética e Biologia Molecular