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RESEARCH ARTICLE

In silico and biological analyses of missense variants of the human biliary efflux transporter ABCC2: effects of novel rare missense variants

Charlotte Kölz

Charlotte Kölz

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Cluster of Excellence iFIT (EXC 2180) “Image-Guided and Functionally Instructed Tumor Therapies”, University of Tübingen, Tübingen, Germany

Contribution: Conceptualization (equal), Formal analysis (equal), ​Investigation (equal), Methodology (equal), Writing - original draft (equal), Writing - review & editing (equal)

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Fabienne Z. Gaugaz

Fabienne Z. Gaugaz

Department of Pharmacy, Uppsala University, Uppsala, Sweden

Contribution: Formal analysis (equal), Funding acquisition (equal), ​Investigation (equal), Methodology (equal), Writing - review & editing (equal)

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Niklas Handin

Niklas Handin

Department of Pharmacy, Uppsala University, Uppsala, Sweden

Contribution: Formal analysis (equal), ​Investigation (equal), Methodology (equal), Writing - review & editing (equal)

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Elke Schaeffeler

Elke Schaeffeler

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Cluster of Excellence iFIT (EXC 2180) “Image-Guided and Functionally Instructed Tumor Therapies”, University of Tübingen, Tübingen, Germany

Contribution: Conceptualization (equal), Formal analysis (equal), Funding acquisition (equal), ​Investigation (equal), Methodology (equal), Writing - review & editing (equal)

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Roman Tremmel

Roman Tremmel

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Contribution: Formal analysis (equal), ​Investigation (equal), Writing - review & editing (equal)

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Stefan Winter

Stefan Winter

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Contribution: Formal analysis (equal), ​Investigation (equal), Writing - review & editing (equal)

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Kathrin Klein

Kathrin Klein

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Contribution: Formal analysis (equal), ​Investigation (equal), Writing - review & editing (equal)

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Ulrich M. Zanger

Ulrich M. Zanger

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Contribution: Formal analysis (equal), Methodology (equal), Writing - review & editing (equal)

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Per Artursson

Per Artursson

Department of Pharmacy, Uppsala University, Uppsala, Sweden

Contribution: Formal analysis (equal), ​Investigation (equal), Writing - review & editing (equal)

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Matthias Schwab

Corresponding Author

Matthias Schwab

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Cluster of Excellence iFIT (EXC 2180) “Image-Guided and Functionally Instructed Tumor Therapies”, University of Tübingen, Tübingen, Germany

Department of Clinical Pharmacology, Pharmacy and Biochemistry, University of Tuebingen, Tuebingen, Germany

Correspondence

Anne T. Nies and Matthias Schwab, Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Auerbachstrasse 112, D-70376 Stuttgart, Germany.

Email: [email protected] and

[email protected]

Contribution: Conceptualization (equal), Funding acquisition (equal), Supervision (equal), Writing - review & editing (equal)

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Anne T. Nies

Corresponding Author

Anne T. Nies

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

University of Tuebingen, Tuebingen, Germany

Cluster of Excellence iFIT (EXC 2180) “Image-Guided and Functionally Instructed Tumor Therapies”, University of Tübingen, Tübingen, Germany

Correspondence

Anne T. Nies and Matthias Schwab, Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Auerbachstrasse 112, D-70376 Stuttgart, Germany.

Email: [email protected] and

[email protected]

Contribution: Conceptualization (equal), Formal analysis (equal), Funding acquisition (equal), ​Investigation (equal), Methodology (equal), Writing - original draft (equal), Writing - review & editing (equal)

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First published: 02 August 2024

Abstract

Background and Purpose

The ATP-dependent biliary efflux transporter ABCC2, also known as multidrug resistance protein 2 (MRP2), is essential for the cellular disposition and detoxification of various xenobiotics including drugs as well as endogenous metabolites. Common functionally relevant ABCC2 genetic variants significantly alter drug responses and contribute to side effects. The aim of this study was to determine functional consequences of rare variants identified in subjects with European ancestry using in silico tools and in vitro analyses.

Experimental Approach

Targeted next-generation sequencing of the ABCC2 gene was used to identify novel variants in European subjects (n = 143). Twenty-six in silico tools were used to predict functional consequences. For biological validation, transport assays were carried out with membrane vesicles prepared from cell lines overexpressing the newly identified ABCC2 variants and estradiol β-glucuronide and carboxydichlorofluorescein as the substrates.

Key Results

Three novel rare ABCC2 missense variants were identified (W227R, K402T, V489F). Twenty-five in silico tools predicted W227R as damaging and one as potentially damaging. Prediction of functional consequences was not possible for K402T and V489F and for the common linked variants V1188E/C1515Y. Characterisation in vitro showed increased function of W227R, V489F and V1188E/C1515Y for both substrates, whereas K402T function was only increased for carboxydichlorofluorescein.

Conclusion and Implications

In silico tools were unable to accurately predict the substrate-dependent increase in function of ABCC2 missense variants. In vitro biological studies are required to accurately determine functional activity to avoid misleading consequences for drug therapy.

CONFLICT OF INTEREST STATEMENT

The authors declare no conflicts of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request. Some data may not be made available because of privacy or ethical restrictions.