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Monocarboxylate transporter 2 (MCT2), encoded by the SLC16A7 gene, is a high-affinity transmembrane protein responsible for the transport of monocarboxylates such as lactate, pyruvate, and ketone bodies across the plasma membrane [UniProt: O60669]. It plays a vital role in cellular metabolism, particularly in the brain where it facilitates the uptake of lactate by neurons to support oxidative phosphorylation, a process known as the astrocyte-neuron lactate shuttle [PubMed: 22130306]. In many cancers, including glioblastoma and prostate cancer, SLC16A7 is significantly upregulated to meet the high metabolic demands of tumor cells and to manage the acidic byproducts of aerobic glycolysis [PubMed: 25825575]. Targeting the SLC16A7 mRNA or the resulting MCT2 protein offers a therapeutic strategy to disrupt tumor metabolism and induce cell death by inhibiting the efflux of lactate or the influx of metabolic fuels. While potent small-molecule inhibitors like AR-C155858 have demonstrated efficacy in preclinical models, the high expression of MCT2 in the central nervous system poses significant challenges for clinical safety and drug delivery [PubMed: 20443793]. Current research also explores the use of RNA interference (siRNA) to specifically knockdown SLC16A7 mRNA as a means of precision metabolic therapy in oncology.
Inhibition of monocarboxylate transport across the plasma membrane, disrupting cellular pH regulation and metabolic fuel supply; mRNA-targeted therapies like siRNA or antisense oligonucleotides aim to reduce protein expression levels [PubMed: 20443793].
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