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Solute carrier family 22 member 18 (SLC22A18) is an imprinted tumor-suppressor gene and a transmembrane transporter protein primarily involved in organic cation transport, likely using a proton antiport mechanism. It plays an important role in xenobiotic and drug excretion in the kidney, lipid metabolism regulation, and has preferential maternal allele expression. Mutations and loss of function are associated with a variety of cancers (lung, breast, Wilms tumor, rhabdomyosarcoma, adrenocortical carcinoma) and congenital syndromes such as Beckwith-Wiedemann syndrome. SLC22A18 mediates transmembrane export of drugs (including chloroquine and quinidine derivatives), and dysfunction may contribute to drug pharmacokinetics and cancer risk.
Transport inhibition or modulation (drugs may interfere with transporter function, affecting organic cation and drug excretion, e.g., by blocking efflux, substrate competition, or altering the proton antiport mechanism)
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