Target intelligence / Profile preview

Multidrug resistance-associated protein 1 (MRP1) and Multidrug resistance-associated protein 2 (MRP2) (MRP1, MRP2)

Target
MRP1, MRP2
Molecular classification
Transporter, ATP-binding cassette (ABC) transporter, Organic anion transporter, Multidrug transporter
01

Overview

Multidrug resistance-associated protein 1 (MRP1, ABCC1) and multidrug resistance-associated protein 2 (MRP2, ABCC2) are members of the ATP-binding cassette (ABC) transporter superfamily, specifically the C subfamily. They function as unidirectional efflux pumps for a broad range of xenobiotics and endogenous compounds, conferring resistance to multiple drugs by actively exporting them out of cells using energy derived from ATP hydrolysis. MRP1 is widely expressed in human tissues (notably blood-tissue barriers, lung, testis, kidney, placenta), while MRP2 is mainly localized to the canalicular membrane of hepatocytes and the apical membrane of renal tubules. Both play important roles in chemo-resistance, the disposition and toxicity of drugs, protection against oxidative stress, and transport of inflammatory and signaling molecules. MRP2 is essential for biliary secretion of organic anions and drugs, and genetic deficiency leads to Dubin–Johnson syndrome. Both transporters are implicated in human disease, especially cancer chemoresistance, and may serve as biomarkers and therapeutic targets[1][2][3][4][5].

Other names
ABCC1ATP-binding cassette sub-family C member 1ABC29GS-XMRPABCC2canalicular multispecific organic anion transporter 1 (cMOAT)ATP-binding cassette sub-family C member 2
02

Mechanism of action

ATP-dependent efflux of structurally diverse drugs and metabolites across cellular membranes, reducing cellular drug accumulation and contributing to resistance; Transport of glucuronide, glutathione, and sulfate conjugates; Transport of neutral drugs in complex with glutathione (MRP1/2); Inhibitory drugs may act via direct transporter inhibition, altering drug pharmacokinetics and toxicity profiles

03

Biological functions

Efflux of xenobiotics (foreign substances/drugs)Efflux of endogenous metabolites (e.g., glutathione conjugates, cysteinyl leukotriene C4)Drug resistance (by reducing intracellular drug accumulation)Biliary and renal excretion (MRP2 in canalicular hepatocytes and renal proximal tubule cells)Defense against oxidative stress (mainly MRP1)Regulation of inflammatory mediators (MRP1)
04

Disease associations

Cancer (chemoresistance)InflammationLiver disease (e.g., Dubin–Johnson syndrome for MRP2)Neurodegenerative disease (suggested for MRP1)Cardiovascular diseaseOther drug resistance-associated conditions
05

Safety considerations

Contribution to clinical multidrug resistance limits chemotherapy efficacyInhibition may cause accumulation of toxic endogenous metabolitesMRP2 loss leads to mild liver disease (Dubin–Johnson syndrome), manifesting as conjugated hyperbilirubinemiaGenetic polymorphisms may alter drug response and toxicity
06

Interacting drugs

vinblastine (anticancer)

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07

Biomarkers

Elevated MRP1 or MRP2 expression as a marker for multidrug resistance in tumorsMRP2 deficiency (genetic or acquired) as a biomarker for Dubin–Johnson syndrome

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