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Monocarboxylate transporter 5 (SLC16A4)

Target
SLC16A4
Molecular classification
Transporter, Plasma membrane protein, Solute carrier family
01

Overview

Monocarboxylate transporter 5 (SLC16A4) is a transmembrane protein belonging to the solute carrier family 16 of monocarboxylate transporters, involved in the proton-dependent transport of metabolic monocarboxylates such as lactate, pyruvate, ketone bodies (acetoacetate, beta-hydroxybutyrate), and branched-chain oxo acids across the plasma membrane[1][3][4]. It plays key roles in cellular metabolism, pH regulation, and cell migration, particularly under hypoxic conditions. SLC16A4 is candidate therapeutic and prognostic target in cancers (e.g., pseudomyxoma peritonei, pancreatic cancer, certain colorectal tumors) where it is frequently overexpressed, and contributes to metabolic adaptation and cell migration in the tumor microenvironment[1][2][4]. While inhibitors have not yet been clinically developed for SLC16A4 specifically, the protein remains of significant interest for oncology drug discovery and precision biomarker panels[1][2].

Other names
Solute carrier family 16 member 4Monocarboxylate transporter 4MCT4MCT5
02

Mechanism of action

No specific mechanism of action for drugs directly targeting SLC16A4 is described; mechanisms for related isoforms involve inhibition of monocarboxylate transport leading to disruption of tumor metabolic adaptation.

03

Biological functions

Transport of monocarboxylates (e.g., lactate, pyruvate, ketone bodies, branched-chain oxo acids)Regulation of cellular metabolismpH regulationCell migration
04

Disease associations

Cancer (specifically overexpressed in certain tumors, e.g., pseudomyxoma peritonei, some colorectal tumors, pancreatic cancer, pharynx squamous cell carcinoma)Metabolic reprogramming in cancer
05

Safety considerations

Potential issues related to systemic disruption of normal acid–base and metabolic balance due to widespread physiological roles in normal tissue, especially under hypoxiaChallenges from redundancy and compensation among the monocarboxylate transporter family in therapeutic targeting
06

Biomarkers

Included in a 9-gene model for hypoxia and tumor environment classification in head and neck squamous cell carcinomaPrognostic implications in conditions characterized by hypoxia or metabolic reprogramming

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