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Copper transport protein 1 (CTR1), encoded by the SLC31A1 gene, is the primary high-affinity transporter responsible for the influx of copper ions across the plasma membrane into the cytoplasm (UniProt: O15431). It is essential for maintaining copper homeostasis, which supports the activity of vital cuproenzymes involved in energy production, iron metabolism, and antioxidant defense (PubMed: 21339183). In clinical oncology, CTR1 is a critical determinant of the efficacy of platinum-based chemotherapy, as it serves as a major gateway for the entry of drugs like cisplatin and carboplatin into tumor cells (PubMed: 12023331). Reduced expression of CTR1 is frequently associated with the development of platinum resistance, making it a target for strategies aimed at modulating drug uptake (PubMed: 16166297). Beyond cancer, the broader copper transport system, including the efflux transporters ATP7A and ATP7B, is implicated in genetic disorders such as Menkes and Wilson diseases (NIH: GeneReviews). In these conditions, impaired transport leads to systemic copper deficiency or toxic accumulation, respectively, requiring therapeutic intervention with copper supplements or chelators (PubMed: 23535945). Emerging research also links copper transport dysregulation to neurodegenerative diseases like Alzheimer's, where copper-mediated oxidative stress plays a role (PubMed: 22524482). Drugs like tetrathiomolybdate are being investigated for their ability to inhibit CTR1 and reduce copper levels in both Wilson disease and certain cancers (PubMed: 15623864).
The primary mechanism of action for drugs interacting with this target involves serving as substrates for facilitated transport into cells, as seen with platinum-based chemotherapeutics like cisplatin (PubMed: 12023331). Other agents, such as tetrathiomolybdate, act by inhibiting the transporter or its associated chaperones to reduce copper uptake (PubMed: 15623864). Additionally, chelating agents like penicillamine and trientine lower the availability of copper ions for transport, thereby managing conditions of copper overload (NIH: GeneReviews).
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