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溶质载体家族肝脏细胞表达特征及其在药物性肝损伤中的分子机制与靶向策略

Hepatic cell-specific expression patterns, molecular mechanisms, and therapeutic targeting strategies of solute carrier transporters in drug-induced liver injury

  • 摘要: 药物性肝损伤(drug-induced liver injury, DILI)是临床常见且机制复杂的药物不良反应,也是导致药物研发失败和上市后撤药的重要原因之一。溶质载体(solute carrier, SLC)转运体是一类由400多种成员组成、广泛分布于细胞膜和细胞器膜上的大型膜蛋白超家族,是人类基因组中仅次于G蛋白偶联受体(G protein-coupled receptors, GPCR)的第二大膜蛋白家族。SLC转运体在肝脏不同细胞中具有明显的特异性表达特征,其转运底物不仅包括药物,还涵盖胆汁酸、氨基酸、乳酸等多种内源性代谢物,因此在DILI的病理机制中发挥着重要调控作用。本文系统综述主要SLC转运体在不同类型肝脏细胞中的表达特征及其在DILI启动、炎症放大、胆汁淤积和纤维化进展中的作用机制,并进一步总结了SLC相关药物及靶向策略的研究进展。SLC转运体不仅影响药物在肝内的暴露水平,还参与肝脏多细胞网络中的代谢与炎症耦联,有望成为DILI风险预测和精准干预的重要靶点。

     

    Abstract: Drug-induced liver injury (DILI) is a common and mechanistically complex adverse drug reaction in clinical practice and is one of the major causes of drug development failure and post-marketing drug withdrawal. Solute carrier (SLC) transporters constitute a large membrane protein superfamily comprising more than 400 members that are widely distributed across the plasma membrane and organelle membranes. They represent the second-largest membrane protein family in the human genome, surpassed only by G protein-coupled receptors (GPCRs). SLC transporters exhibit distinct cell-specific expression patterns across different hepatic cell types. Their substrates include not only drugs but also various endogenous metabolites, such as bile acids, amino acids, and lactate. Therefore, SLC transporters play important regulatory roles in the pathogenesis of DILI. This review systematically summarizes the expression patterns of major SLC transporters in different hepatic cell types and discusses their roles and underlying mechanisms in DILI initiation, inflammatory amplification, cholestasis, and fibrotic progression. Recent advances in SLC-related pharmacological agents and therapeutic targeting strategies are also reviewed. SLC transporters not only influence intrahepatic drug exposure but also participate in metabolic–inflammatory coupling within the multicellular hepatic network, suggesting that they may serve as important targets for DILI risk prediction and precision intervention.

     

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