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The full spectrum of OCT1 (SLC22A1) mutations bridges transporter biophysics to drug pharmacogenomics

Yee, Sook Wah (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Macdonald, Christian (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Mitrovic, Darko (författare)
KTH,Biofysik,Science for Life Laboratory, SciLifeLab
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Zhou, Xujia (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Koleske, Megan L. (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Yiang, Jia (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Buitrago Silva, Dina (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Rockefeller Grimes, Patrick (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Trinidad, Donovan (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
More, Swati (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Kachuri, Linda (författare)
Epidemiology and Population Health, Stanford University, California, United States
Witte, John (författare)
Epidemiology and Population Health, Stanford University, California, United States
Delemotte, Lucie (författare)
KTH,Biofysik,Science for Life Laboratory, SciLifeLab
Giacomini, Kathleen M. (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
Coyote-Maestas, Willow (författare)
Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, United States
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 (creator_code:org_t)
Engelska.
  • Annan publikation (övrigt vetenskapligt/konstnärligt)
Abstract Ämnesord
Stäng  
  • Membrane transporters play a fundamental role in the tissue distribution of endogenous compounds and xenobiotics and are major determinants of efficacy and side effects profiles. Polymorphisms within these drug transporters result in inter-individual variation in drug response, with some patients not responding to the recommended dosage of drug whereas others experience catastrophic side effects. For example, variants within the major hepatic Human organic cation transporter OCT1 (SLC22A1) can change endogenous organic cations and many prescription drug levels. To understand how variants mechanistically impact drug uptake, we systematically study how all known and possible single missense and single amino acid deletion variants impact expression and substrate uptake of OCT1. We find that human variants primarily disrupt function via folding rather than substrate uptake. Our study revealed that the major determinants of folding reside in the first 300 amino acids, including the first 6 transmembrane domains and the extracellular domain (ECD) with a stabilizing and highly conserved stabilizing helical motif making key interactions between the ECD and transmembrane domains. Using the functional data combined with computational approaches, we determine and validate a structure-function model of OCT1s conformational ensemble without experimental structures. Using this model and molecular dynamic simulations of key mutants, we determine biophysical mechanisms for how specific human variants alter transport phenotypes. We identify differences in frequencies of reduced function alleles across populations with East Asians vs European populations having the lowest and highest frequency of reduced function variants, respectively. Mining human population databases reveals that reduced function alleles of OCT1 identified in this study associate significantly with high LDL cholesterol levels. Our general approach broadly applied could transform the landscape of precision medicine by producing a mechanistic basis for understanding the effects of human mutations on disease and drug response.

Ämnesord

NATURVETENSKAP  -- Biologi -- Biofysik (hsv//swe)
NATURAL SCIENCES  -- Biological Sciences -- Biophysics (hsv//eng)

Nyckelord

Biologisk fysik
Biological Physics

Publikations- och innehållstyp

vet (ämneskategori)
ovr (ämneskategori)

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