Target intelligence / Profile preview

Monocarboxylate transporter 6 (MCT6)

Target
MCT6
Molecular classification
Transporter, Solute carrier family, Monocarboxylate transporter, Major facilitator superfamily
01

Overview

Monocarboxylate transporter 6 (MCT6, encoded by SLC16A5) is a membrane protein belonging to the solute carrier family 16 and major facilitator superfamily. It functions primarily as a proton-linked transporter of monocarboxylates, including certain drugs (bumetanide, nateglinide, probenecid, thiazides, glibenclamide) and possibly endogenous substrates such as prostaglandin F2α. Although its physiological role is not fully annotated, evidence indicates MCT6 contributes to the regulation of prostaglandin F2α levels, especially under dietary modulation, and is expressed mainly in tissues involved in absorption and distribution (kidney, liver, intestine). Due to its ability to transport drugs and endogenous metabolites, it is considered a potential therapeutic target and a mediator of drug-drug and drug-diet interactions.

Other names
Solute carrier family 16 member 5SLC16A5MCT5Monocarboxylate transporter 5Monocarboxylate transporter 6
02

Mechanism of action

Inhibition or substrate competition at the transporter, potentially affecting drug or prostaglandin pharmacokinetics (e.g., probenecid or bumetanide inhibiting MCT6-mediated transport; substrate drugs using MCT6 for cellular entry or exit)

03

Biological functions

Proton-linked transmembrane transport of monocarboxylates (including drugs)Transport of bumetanide, prostaglandin F2α, nateglinide, probenecid, thiazides, glibenclamide, possibly other flavonoids and fatty acidsPutative regulation of prostaglandin F2α homeostasis, notably diet-dependent
04

Disease associations

Potential involvement in metabolic regulationPossible link to Allan–Herndon–Dudley syndromeAltered function may be implicated in drug interactions or adverse drug reactions
05

Safety considerations

Potential for clinically relevant drug-drug interactions due to co-administration of MCT6 substrates/inhibitorsUnknown chronic effects, given incomplete understanding of endogenous roleExpression and function are diet-dependent, leading to inter-individual variability
06

Interacting drugs

Bumetanide

5 more in the full profile.

07

Biomarkers

Plasma/urinary prostaglandin F2α levels may reflect MCT6 activity in some settingsNo well-established clinical biomarkers for efficacy or patient selection

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