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Aquaporin-9 (aquaglyceroporin) (AQP9)

Target
AQP9
Molecular classification
Transporter (aquaglyceroporin/aquaporin family), Peroxiporin (permeable to hydrogen peroxide)
01

Overview

Aquaporin-9 (AQP9) is a tetrameric transmembrane channel of the aquaglyceroporin subfamily. Each monomer (~28–31 kDa) forms an independent pore built from six transmembrane helices and two conserved NPA motifs, with a wider aromatic/arginine selectivity filter (ar/R filter, ~3.4–3.5 Å) that confers broad permeability to glycerol, water, urea, lactate, hydrogen peroxide, polyols, nucleobases, and metalloids such as arsenite. It is highly expressed on the sinusoidal (basolateral) membrane of hepatocytes, where it serves as the principal pathway for glycerol uptake to fuel gluconeogenesis. AQP9 expression is regulated by nutritional and insulin states (upregulated with fasting and diabetes, downregulated by insulin). It is implicated in metabolic diseases (e.g., obesity, diabetes, fatty liver) and cancer (e.g., hepatocellular carcinoma, astrocytic tumors), making it a promising therapeutic target. Beyond its hepatic role, AQP9 also transports H2O2 (acting as a peroxiporin), lactate (potentially involved in astrocyte-to-neuron shuttle), ammonia, mannitol, selenite, and 5-fluorouracil. Small-molecule modulators of AQP9 are under exploration, but clinically approved selective inhibitors are not yet established.

Other names
AQP9Aquaporin 9Aquaglyceroporin 9Hepatic glycerol channel AQP9
02

Mechanism of action

Substrate transport modulation: agents or conditions that inhibit or enhance AQP9 pore conductance alter cellular entry/exit of glycerol, urea, lactate, H2O2, and xenobiotics (e.g., arsenite, 5‑FU), impacting metabolism, redox signaling, and drug sensitivity. Targeting hepatic glycerol influx to reduce gluconeogenesis and improve glycemic control (therapeutic rationale).

03

Biological functions

Glycerol transport into hepatocytes for gluconeogenesisWater and urea transportTransport of small uncharged solutes (e.g., polyols, nucleobases)Hepatic urea extrusionH2O2 permeation (redox signaling/peroxiporin)Possible participation in astrocyte-to-neuron lactate shuttle via lactate permeability
04

Disease associations

Metabolic diseases (obesity, diabetes, fatty liver; altered hepatic glucose homeostasis)Cancer (expression changes in hepatocellular carcinoma; associations reported in astrocytic tumors)Cardiovascular and other disorders linked to aquaglyceroporin dysfunction (broader AQP9 involvement noted)Arsenic handling/toxicity mitigation via arsenite permeability
05

Safety considerations

Systemic inhibition may disrupt glycerol metabolism and glucose homeostasis, risking hypoglycemia or altered lipid balanceModulating H2O2 permeability could affect redox signaling and oxidative stress responsesAltered transport of xenobiotics (e.g., arsenite, 5‑FU) may change toxicity or efficacy profiles
06

Interacting drugs

Arsenic/arsenite (transported substrate influencing toxicity/excretion)

3 more in the full profile.

07

Biomarkers

Hepatic AQP9 expression as a marker of nutritional/insulin status and gluconeogenic capacity (upregulated with fasting and diabetes, downregulated by insulin)AQP9 expression levels in hepatocellular carcinoma and certain brain tumors as potential prognostic/diagnostic markers (context-dependent)

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