Target intelligence / Profile preview

Solute carrier family 46 member 3 (SLC46A3)

Target
SLC46A3
Molecular classification
Transporter, Solute carrier family, Major facilitator superfamily, Lysosomal transporter
01

Overview

Solute carrier family 46 member 3 (SLC46A3) is a lysosomal membrane transporter belonging to the major facilitator superfamily and SLC46 family. It preferentially recognizes and transports lipophilic steroid conjugates and bile acids using a proton-coupled mechanism, and is critical for the lysosomal export of catabolites generated from noncleavable linker antibody-drug conjugates, such as T-DM1 and other maytansine-based ADCs, into the cytoplasm. Expression of SLC46A3 is associated with cellular sensitivity to these ADCs, as its absence results in lysosomal entrapment of drug catabolites and therapeutic resistance. Besides its role in drug transport, SLC46A3 is also implicated in hepatic copper homeostasis, lipid metabolism, and innate immune responses by transporting pathogen-associated and immunostimulatory molecules in myeloid cells. Its inhibition or downregulation can attenuate the cytotoxic effects of key anti-cancer drugs, and it may also serve as a biomarker for ADC responsiveness.

Other names
Lysosomal proton-coupled steroid conjugate and bile acid symporter SLC46A3FKSG16DKFZp686A1775FLJ42613solute carrier family 46 member 3lysosomal proton-coupled steroid conjugate and bile acid transporterS46A3_HUMAN
02

Mechanism of action

Lysosomal export (efflux) of noncleavable ADC catabolites, enabling cytotoxic activity in the cytoplasm. Proton-coupled, transporter-mediated movement of substrates such as steroid conjugates, bile acids, and Lys-SMCC-DM1 from lysosomes to cytoplasm.

03

Biological functions

Transport of steroid conjugates and bile acids across lysosomal membranesExport of antibody-drug conjugate (ADC) catabolites from lysosomes to cytoplasmModulation of hepatic copper homeostasisDelivery of pathogen-associated molecular patterns for innate immune responseSelective transport of bacterial muramyl dipeptide (MDP) and cyclic GMP-AMP dinucleotides (cGAMPs) in myeloid cells
04

Disease associations

Cancer (especially drug resistance in ADC-treated cancers)Potential roles in hepatic copper homeostasis and lipid metabolismInvolvement in inflammatory and infectious processes (via MDP, cGAMP transport)
05

Safety considerations

Acquired resistance to ADC therapy in cancers with low or absent SLC46A3 expressionPotential for drug–drug interactions via inhibition by commonly used antibiotics (clarithromycin, erythromycin, rifabutin)Possible impact on copper homeostasis and liver metabolism (less well characterized)
06

Interacting drugs

Trastuzumab emtansine (T-DM1)

5 more in the full profile.

07

Biomarkers

SLC46A3 expression (as a predictor of sensitivity or resistance to T-DM1 and similar ADCs)

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