Abstract
Several noncoding microRNAs (miR or miRNA) have been shown to regulate the expression of drug-metabolizing enzymes and transporters. Xenobiotic drug-induced changes in enzyme and transporter expression may be associated with the alteration of miRNA expression. Therefore, this study investigated the impact of 19 xenobiotic drugs (e.g., dexamethasone, vinblastine, bilobalide and cocaine) on the expression of 10 miRNAs (miR-18a, -27a, -27b, -124a, -148a, -324-3p, -328, -451, -519c and -1291) in MCF-7, Caco-2, SH-SY5Y and BE(2)-M17 cell systems. Our data revealed that miRNAs were differentially expressed in human cell lines and the change in miRNA expression was dependent on the drug, as well as the type of cells investigated. Notably, treatment with bilobalide led to a 10-fold increase of miR-27a and a 2-fold decrease of miR-148a in Caco-2 cells, whereas no change of miR-27a and a 2-fold increase of miR-148a in MCF-7 cells. Neuronal miR-124a was generally down-regulated by psychoactive drugs (e.g., cocaine, methadone and fluoxetine) in BE(2)-M17 and SH-SY5Y cells. Dexamethasone and vinblastine, inducers of drug-metabolizing enzymes and transporters, suppressed the expression of miR-27b, -148a and -451 that down-regulate the enzymes and transporters. These findings should provide increased understanding of the altered gene expression underlying drug disposition, multidrug resistance, drug-drug interactions and neuroplasticity.
Keywords: miRNA; drug disposition; metabolism; regulation, xenobiotic
Introduction
Absorption, distribution, metabolism and excretion processes determine the levels of drugs that eventually reach the target sites, exerting pharmacological or toxicological responses. Drug-metabolizing enzymes are responsible for metabolic elimination and transporters affect absorption, distribution and excretion. Different levels of expression of drug-metabolizing enzymes and/or transporters, controlled by genetic or epigenetic factors [1–6], may significantly alter the pharmacokinetic properties of a drug, leading to therapeutic failure or toxicity.
MicroRNAs (miRNAs) are short (~21 nt long), noncoding RNAs that control the posttranscriptional expression of target genes [7]. They act on a partially complementary segment within the 3'-untranslated region (3'UTR) of target transcript, leading to translation inhibition and/or mRNA cleavage. miRNAs have been shown to play an important role in development and metabolism as well as cell differentiation, proliferation and apoptosis. Recent studies have also demonstrated the importance of miRNAs in xenobiotic metabolism and disposition through the regulation of drug-metabolism enzymes, transporters and/or nuclear receptors [1–3]. Examples include the regulation of cytochrome P450 1B1 (CYP1B1) and CYP3A4 by miR-27b [8, 9], CYP2E1 by miR-378 [10], P-glycoprotein (MDR1/ABCB1) by miR-451 and -27a [11, 12], breast cancer resistance protein (MCRP/ABCG2) by miR-519c and -328 [13–15], multidrug resistance associated protein 1 (MRP1/ABCC1) by miR-326 [16], MRP2/ABCC2 by miR-379 [17], pregnane X receptor (PXR/NR1I2) by miR-148a [18], and vitamin D receptor (VDR/NR1I1) by miR-27b [9] and miR-125b [19, 20]. As a result, these enzyme and transporter regulatory miRNAs may modulate the capacity of drug metabolism and disposition, and affect the response of cells to xenobiotic drugs.
On the other hand, medications, drugs of abuse, toxins or hormones readily alter the expression of miRNAs in cells or tissues (reviewed in [1, 21]). Modulation of miRNA expression by a xenobiotic drug, which regulates drug-metabolizing enzymes or transporters, might lead to considerable change in pharmacokinetic and pharmacodynamic properties of a concomitant agent or the drug itself. Thus it is unclear how drug-metabolizing enzyme and transporter regulatory miRNAs are affected by xenobiotic drugs. Therefore, this study investigated the impact of xenobiotic drugs on expression of drug metabolism and disposition regulatory miRNAs (e.g., miR-27a, -27b, -148a, -328, -451 and -519c) in different cell lines. Caco-2, a human intestine cancer cell model widely used in drug absorption studies and MCF-7, a model for human breast cancer research, were used to examine possible effects of anticancer drugs (e.g., gemcitabine, taxol, doxorubicin, vinblastine, imatinib and mitoxantrone) and natural products (e.g., daidzein, tanshinone IIA and bilobalide) on miRNA expression. In addition, two neuroblastoma cell models, SH-SY5Y and BE(2)-M17, were employed to explore potential influence of psychoactive drugs (e.g., desipramine, DMT, 5-MeO-DMT, harmaline, fluoxetine and methadone) on expression of neuronal miRNAs (e.g., miR-124a, -18a and -328), as well as enzyme and transporter regulatory miR-27b. Our data revealed that xenobiotic drugs could have distinct effects on miRNA expression in different type of cells.
Material and Methods
Chemicals and Reagents
Gemcitabine, tanshinone IIA, vinblastine and taxol were purchased from LKT Laboratories, Inc. (St. Paul, MN). Daidzen and doxorubicin were bought from LC Laboratories (Woburn, MA). Dexamethasone, bilobalide and imatinib were purchased from VWR International, LLC (Bridgeport, NJ). Mitoxantrone, desipramine, fluoxetine, harmaline, disulfiram, cocaine, 5-methoxy-N,N-dimethyltryptamine (5-MeODMT), methadone and methylphenidate were bought from Sigma-Aldrich (St. Louis, MO). N,N-dimethyltryptamine (DMT) was supplied by RTI International (Research Triangle Park, NC). RPMI1640, MEM, F12:MEM and fetal bovine serum (FBS) were bought from Hyclone (Waltham, MA). Oligonucleotide primers were synthesized by Integrated DNA Technologies (Skokie, IL). SyBR Green was purchased from Invitrogen (Carlsbad, CA), and GoTaq master mix, RNAsin, M-MLV RT enzyme, and dNTPs were from Promega (Madison, WI). Cell lines were bought from ATCC (Manassas, VA).
Cell Culture
Human breast cancer (MCF-7), human colorectal adenocarcinoma (Caco-2), and human neuroblastoma SH-SY5Y and BE(2)-M17 cells were cultured in RPMI 1640, MEM medium, and F12:MEM (1:1) medium supplemented with 10% of fetal bovine serum, respectively. The cells were cultured at 37°C in a humidified atmosphere with 5% CO2/95% air. Cell culture media consisted of 10,000 units/mL of penicillin and 10,000 units/mL of streptomycin. Media were replaced three times (MCF-7 and Caco-2 cells) or twice (SH-SY5Y and BE(2)-M17) a week, and cells were trypsinized and subcultured every 7 days.
Drug Treatment
MCF-7, Caco-2, and SH-SY5Y/ BE(2)-M17 cells were seeded on a 24-well plate at a density of 1.0 × 105, 2.0 × 105 and 3.0 × 105 cells per well, respectively, 24 h prior to treatment. The final concentration of methanol or dimethyl sulfoxide (DMSO) in the culture medium was less than 0.1%. Preliminary experiments showed that methanol and DMSO at these concentrations did not show any cytotoxicity. The concentration, drug vehicle and time of treatment are shown in Table 1. A number of drugs (e.g., desipramine, DMT, 5-MeO-DMT, harmaline, fluoxetine and methadone) acting on the central nervous system were chosen to treat the neuroblastoma cell lines. Several anticancer drugs (e.g., gemcitabine, taxol, doxorubicin, vinblastine, imatinib and mitoxantrone) and natural products (e.g., daidzein, tanshinone IIA and bilobalide) were used to treat MCF-7 and Caco-2 cells. Drug concentrations were chosen according to those reported previously [22–34], which did not cause cytotoxicity to the cells.
Table 1.
Drug | Concentration (μM) | Vehicle | Cell lines | Time of exposure (h) |
---|---|---|---|---|
Cocaine | 10 | Water | SH-SY5Y/BE(2)-M17 | 24* |
Desipramine | 10 | Methanol | SH-SY5Y/BE(2)-M17 | 24 |
DMT | 100 | Water | SH-SY5Y/BE(2)-M17 | 24* |
5-MeO-DMT | 10 | Water | SH-SY5Y/BE(2)-M17 | 24* |
Harmaline | 10 | Water | SH-SY5Y/BE(2)-M17 | 24* |
Disulfiram | 1 | DMSO | SH-SY5Y/BE(2)-M17 | 24 |
Fluoxetine | 10 | Water | SH-SY5Y/BE(2)-M17 | 24 |
Methadone | 10 | Water | SH-SY5Y/BE(2)-M17 | 24 |
Methylphenidate | 10 | Water | SH-SY5Y/BE(2)-M17 | 24* |
Bilobalide | 100 | DMSO | MCF-7/ Caco-2 | 48 |
Daidzein | 30 | DMSO | MCF-7/ Caco-2 | 48 |
Dexamethasone | 5 | DMSO | MCF-7/ Caco-2 | 48 |
Doxorubicin | 10 | Water | MCF-7/ Caco-2 | 48 |
Gemcitabine | 10 | Water | MCF-7/ Caco-2 | 48 |
Imatinib | 10 | Water | MCF-7/ Caco-2 | 48 |
Mitoxantrone | 5 | Water | MCF-7/ Caco-2 | 48 |
Tanshinone IIA | 1 | DMSO | MCF-7/ Caco-2 | 48 |
Taxol | 5 | DMSO | MCF-7/ Caco-2 | 48 |
Vinblastine | 1 | Water | MCF-7/ Caco-2 | 48 |
Multiple doses; cells treated every 8 h during a 24-h period.
Stem Loop Reverse Transcription
Total RNA was extracted from cells with Trizol (Invitrogen, Carlsbad, CA). Stem-loop reverse transcription (RT) was conducted as described [15], using miRNA-selective primers (Supplemental Table S1). Specifically, each RT reaction contained 450 ng of total RNA, 2 μL of 5× RT buffer (Promega), 0.5 μL of 10 mM dNTP mix, 0.3 μL of RNAsin inhibitor (40U/μL), 0.4 μL of M-MLV RT enzyme (Promega) and 0.4 μL of primer (1 μM). The reactions were carried out on a 96-well plate at 16°C for 30 min, 42°C for 30 min, 85°C for 5 min and then maintained at 4°C.
Real-Time PCR
SYBR Green Real-time quantitative PCR (qPCR) reactions were conducted on a MyIQ real-time PCR system (Bio-Rad, Hercules, CA), as previously described [9, 15]. In general, each reaction included 10 μL of RT product 10× diluted, 1× GoTaq Master Mix (containing 0.15× SYBR Green), 0.5 μM miRNA specific forward primer and 0.25 μM universal reverse primer (Supplemental Table S1). The reactions were conducted on a 96-well plate at 95°C for 5 min, followed by 45 cycles of 95°C for 4 sec, 65°C for 18 sec, and 72°C for 5 sec. All qPCR reactions were performed in duplicate. The cycle number (CT) at which the amplicon crossed a defined threshold was defined for each individual miRNA. The relative level of each miRNA over internal standard was calculated using the formula 2−ΔCT, where ΔCT was the difference in CT values between miRNA and internal standard, U74 small nucleolar RNA.
Statistical analyses
Drug treatment was performed in triplicate, and each experiment was repeated once with cells pertaining to different passages. All values were expressed as mean ± SD. Different treatments were compared by unpaired Student's t test or One-Way ANOVA. Statistical analyses were carried out using GraphPad Prism version 5.00 (GraphPad Software Inc., San Diego, CA). Difference was considered statistically significant when probability was less than 0.05 (P < 0.05).
Results
MicroRNA profiling in human cell lines
First, we determined the relative abundance of individual miRNAs in Caco-2, MCF-7, SH-SY5Y and BE(2)-M17 cell model systems which may contribute to regulation of drug metabolism and disposition or neuronal actions. Our data (Table 2) showed that miR-27a/b, -324-3p and -148a were highly expressed (CT values below 25) in Caco-2 cells, whereas they were moderately (CT values between 25 and 30) expressed in MCF-7 cells. In contrast, miR-1291, -519c and -451 expression levels were relatively low (CT values higher than 30) in both Caco-2 and MCF-7 cells. miR-328 was expressed at a moderate level in Caco-2 and MCF-7 cells, in contrast to a higher level in neuroblastoma SH-SY5Y and BE(2)-M17 cell lines. In addition, miR-27b and -18a were highly expressed and miR-124a was moderately expressed in SH-SY5Y and BE(2)-M17 cells. Acquisition of miRNA profiles is essential for the following studies aiming to explore the impact of xenobiotic drugs on miRNA expression. As an example, because miR-1291 and miR-519c levels were revealed to be too low in MCF-7 and Caco-2 cells, respectively, miR-1291 and miR-519c were not studied in MCF-7 and Caco-2 cells, respectively, following the treatment with different drugs.
Table 2.
miRNA | Caco-2 cells | MCF-7 cells | SH-SY5Y | BE(2)-M17 | ||||
---|---|---|---|---|---|---|---|---|
CT value | Abundance* | CT value | Abundance* | CT value | Abundance* | CT value | Abundance* | |
miR-18a | - | - | - | - | 18.3 | High | 20.3 | High |
miR-27a | 24.6 | High | 28.1 | Moderate | - | - | - | - |
miR-27b | 22.9 | High | 27.6 | Moderate | 24.1 | High | 23.3 | High |
miR-124a | - | - | - | - | 28.9 | Moderate | 28.3 | Moderate |
miR-148a | 24.5 | High | 27.1 | Moderate | - | - | - | - |
miR-324-3p | 22.7 | High | 27.9 | Moderate | - | - | - | - |
miR-328 | 27.4 | Moderate | 29.6 | Moderate | 24.9 | High | 24.1 | High |
miR-451 | 30.2 | Low | 32.1 | Low | ||||
miR-519c | - | - | 36.2 | Low | - | - | - | - |
miR-1291 | 30.2 | Low | - | - | - | - | - | - |
Arbitrary miRNA abundance was classified according to CT values: high (CT below 25), moderate (CT between 25 and 30), and low (CT above 30).“-” not measured.
Effects of different xenobiotic drugs on miRNA expression in Caco-2 and MCF-7 cells
After a 24- or 48-h exposure to individual drugs, expression of some miRNAs was altered significantly, whereas others remained unchanged in MCF-7 and Caco-2 cells (Fig. 1 and 2). Mitoxantrone did not alter the expression of any tested miRNAs in MCF-7 cells (Fig. 1), and vinblastine did not affect the expression of any tested miRNAs in Caco-2 cells (Fig. 2). In contrast, mitoxantrone had significant influence on the expression of miR-27a, -324-3p and -1291 in Caco-2 cells (Fig. 2), and vinblastine exhibited considerable impact on the expression of miR-27a, -27b, 324-3p, 328, -148a and -451 in MCF-7 cells (Fig. 1). The cell type-specific change in miRNA expression was also true for other xenobiotic drugs such as daidzein, doxorubicin and imatinib. Furthermore, one drug may have distinct effects on the expression of different miRNAs in the same type of cells. For example, treatment with bilobalide led to a 10-fold increase of miR-27a and a 2-fold increase of miR-1291 but a 2-fold decrease of miR-148a and -451 in Caco-2 cells (Fig. 2). Taxol resulted in a 5-fold increase of miR-27a but a 2-to 3-fold decrease of miR-27b, -324-3p and -451 in Caco-2 cells (Fig. 2). In addition, none of the tested miRNAs was affected by gemcitabine in either MCF-7 or Caco-2 cells. The results indicate that different xenobiotic drugs could have distinct effects on miRNA expression, dependent upon the cell system chosen.
A separate study was conducted to evaluate the effects of drugs on miRNA expression over time (0–72 h). Expression of miRNA-519c was elevated more than 5-fold (5.51 ± 1.21) at 24 h and 2-fold (1.95 ± 0.28) at 48 h, and then back to normal (1.00 ± 0.30) at 72 h in MCF-7 cells following the treatment with bilobalide. Another interesting finding is that, after 72 h of treatment with doxorubicin or mitoxantrone, miR-27a and -1291 levels were still increased more than 2-fold (2.20 ± 0.37) and 5-fold (5.44 ± 1.27), respectively, in Caco-2 cells. The results demonstrate a time-dependent change of miRNA expression in cells when exposed to xenobiotic drugs.
Effects of psychoactive drugs on miRNA expression in SH-SY5Y and BE(2)-M17 cells
We further employed human neuroblastoma SH-SY5Y and BE(2)-M17 cell model systems to examine the impact of a number of therapeutic and abused drugs on the expression of miR-124a, -18a, -27b and -328. Similar to the findings from Caco-2 and MCF-7 cells (Fig. 1 and 2), some miRNAs were not affected by any of the drugs tested whereas others were changed significantly (Fig. 3). For example, none of the tested drugs altered the expression of miR-27b and -328 in SH-SY5Y cells. In contrast, miR-27b and -328 were both elevated significantly by cocaine and DMT in BE(2)-M17 cells. Most interestingly, the neuron-specific miR-124a was markedly down-regulated by all tested drugs except disulfiram in SHSY5Y and BE(2)-M17 cells (Fig. 3). miR-18a seemed to be generally down-regulated by these psychoactive drugs including DMT, 5-MeO-DMT, harmaline, methylphenidate and methadone. The results indicate that psychoactive agents might significantly alter the expression of neuronal miRNAs.
Additive effect of drugs on miRNA expression
5-MeO-DMT is often used with a monoamine oxidase-A (MAO-A) inhibitor such as harmaline. Coadministration of harmaline results in an increased and prolonged exposure to 5-MeO-DMT [35, 36]. To test if concurrent harmaline potentiates 5-MeO-DMT drug effects, we compared miRNA expression in human neuroblastoma cells treated with 5-MeO-DMT alone and combined with harmaline. Consistent with the above findings (Fig. 3), harmaline and 5-MeO-DMT decreased the expression of miR-18a and -124a, whereas it had none or only a minor impact on miR-27b in SH-SY5Y and BE(2)-M17 cells. A significant additive effect of harmaline and 5-MeO-DMT was only observed for miR-18a in BE(2)-M17 cells (0.85 ± 0.37 for 5-MeO-DMT alone versus 0.38 ± 0.19 for 5-MeO-DMT plus harmaline) (Fig. 4).
Discussion
There is accumulating evidence that noncoding miRNAs may contribute to epigenetic regulation of drug metabolism and disposition [1–3]. Because miRNAs can modulate the expression of drug-metabolizing enzymes and/or transporter, change of miRNA expression might alter miRNA signaling in cells. The present study clearly demonstrates that xenobiotic drugs may significantly affect miRNA expression in different type of cell model systems. The change of miRNA expression may be dependent upon the type of cells, as well as the drugs that cells are exposed to.
A number of miRNAs have been shown to control posttranscriptional gene regulation of CYP1B1 (miR-27b), CYP3A4 (miR-27b), ABCB1/P-gp (miR-451), ABCG2/BCRP (miR-519c and -328), NR1I2/PXR (miR-148a) or NR1I1/VDR (miR-27b) [8, 9, 11–14, 18] critical for drug disposition. Suppression of miRNA expression in control of drug metabolism and disposition may help explain the change in expression of efflux transporters or enzymes underlying potential drug-drug interaction as well as multidrug resistance [1]. For instance, dexamethasone is a well-known inducer of CYP3A4 and ABCB1, at least partially through the activation of PXR/NR1I2 [37]. Given our finding that dexamethasone lowers the expression of miR-27b, -451 and -148a in Caco-2 cells (Fig. 2), induction of CYP3A4 and ABCB1 presumably involves the actions of dexamethasone on miR-27b, -148a and -451. Another example is vinblastine, which has been shown to up-regulate ABCC1 expression in MCF-7 cells [38], ABCB1 in LS180 cells [39] and CYP3A4 in HepG2 cells [40]. Our data reveal that vinblastine reduces the expression of miR-27a/b, -324-3p, -328, -148a and -451 in MCF-7 cells (Fig. 1). Therefore, dysfunction of miRNA signaling likely contributes to vinblastine-caused overexpression of CYP3A4, ABCB1 and ABCC1 underlying multidrug resistance. Nevertheless, whether the change of miRNAs will lead to a significant alternation of miRNA targets and their biological functions awaits further investigation.
Treatment with natural compounds can also modulate miRNA expression in cells. The most prominent effect found in the present study is the increase of miR-27a/b, -451, -328 and -148a expression by bilobalide (Fig. 1 and 2). It is noteworthy that bilobalide is a major constituent of Ginkgo Biloba, an herbal medication used worldwide. Some in vivo and in vitro studies suggest that the extract of Ginkgo biloba leaves and some of the constituents show anticancer activity [41], whereas regular use of Ginkgo biloba does not reduce the risk of cancer in humans [42]. Alteration of miRNA expression may be associated with the action of bilobalide in modulation of drug metabolism and disposition [43]. Another interesting observation is that bilobalide has distinct effects on different miRNAs (miR-27a is increased 10-fold but miR-148a is decreased 2-fold) in the same type of cells (e.g., Caco-2; Fig. 2). Moreover, the same miRNA (e.g., miR-148a) may be altered by bilobalide in the opposite way in different type of cells, e.g., a 2-fold increase in MCF-7 cells but a 2-fold decrease in Caco-2 cells (Fig. 1 and 2). The differential effects of a drug on miRNAs expression in different type of cells are likely related to cell-specific biogenesis of miRNAs [7].
In agreement with the previous finding that neuronal miR-124a is suppressed in cocaine-treated rats [44], cocaine reduces miR-124a expression in both BE(2)-M17 and SH-SY5Y human neuroblastoma cell lines (Fig. 3). Brain-specific miR-124a is a major regulator in control of neuronal identity [45, 46]. A general suppression of miR-124a by psychoactive drugs (Fig. 3) may indicate neuroplasticity in response to xenobiotic agents. An equally important finding is the reduction of miR-18a expression by many psychoactive drugs (e.g., DMT and 5-MeO-DMT) in SH-SY5Y cells. miR-18a has been shown to control posttranscriptional gene regulation of glucocorticoid receptor (GR/NR3C1) [47] and estrogen receptor-alpha (ERα/NR3A1) [48, 49], ligand-inducible transcription factors controlling development, metabolism, immune response or neuronal differentiation. Interestingly, miR-18a is elevated by desipramine, a tricyclic antidepressant. A prolonged treatment with desipramine decreases the expression of GR/NR3C1 in Wistar-Kyoto rats with depressive behavior [50], which might be related to the elevation of miR-18a by desipramine (Fig. 3).
miR-328 is ubiquitously expressed in human tissues including brain [51]. miR-328 level has been shown to be elevated in schizophrenia [52]. As schizophrenic patients have a lifetime prevalence rate for cocaine abuse between 15 and 50%, adjuvant treatment with desipramine decreases cocaine usage and improves psychiatric symptoms [53]. The opposite effects of desipramine and cocaine on miR-328 expression in BE(2)-M17 cells suggest that desipramine may attenuate the impact of cocaine on miR-328 expression.
One limitation of the present study is that the mechanisms of drug-caused change of miRNA expression were not investigated. Since miRNAs are derived from miRNA precursors that are directly transcribed from the human genome or through mRNA splicing pathways, change of miRNA expression may be related to the actions of drugs on transcription factors of miRNA precursors. For instance, ERα/NR3A1 has been shown to regulate the maturation of a large number of miRNAs [54]. Meanwhile, xenobiotic drugs may act on other proteins within miRNA processing machineries, leading to an altered expression of mature miRNAs. As an example, enoxacin improves RNA interference and promotes miRNA processing through enhancing the RNA-binding protein [55, 56]. Identification of the underlying mechanisms would ultimately provide increased understanding of drug actions and cellular defense against xenobiotic agents.
Conclusion
This study has demonstrated that noncoding miRNAs are differentially expressed in human cell lines and the expression of some miRNAs may be significantly altered by specific xenobiotic drugs. A change in miRNA expression is not only dependent on the drug that cells are exposed to but also the type of cells. Delineation of the impact of xenobiotic drugs on miRNA processing would advance mechanistic understanding of altered gene expression underlying drug disposition, multidrug resistance, drug-drug interaction and neuroplasticity. Rather, further studies are warranted to identify the mechanisms for drug-induced change of miRNA expression and to define the specific impact of altered miRNA function on target gene expression.
Supplementary Material
Acknowledgements
This project was supported by Interdisciplinary Research Development Fund, University at Buffalo, The State University of New York, and in part by grant (R01DA021172) from National Institutes of Health. Rodrigues, A.C. was a recipient of fellowship from Fundação do Amparo à Pesquisa do Estado de São Paulo (FAPESP), Sao Paulo, Brazil (2008/014065-9).
Abbreviations
- miRNA/miR
microRNA
- DMT
dimethyltryptamine
- 5-MeO-DMT
5-methoxy-N,N-dimethyltryptamine
- DMSO
dimethyl sulfoxide
- CYP3A4
cytochrome P450 3A4
- MDR1/ABCB1
P-glycoprotein
- BCRP/ABCG2
breast cancer resistance protein
- MRP1/ABCC1
multidrug resistance associated protein 1
- PXR/NR1I2
pregnane X receptor
- VDR/NR1I1
vitamin D receptor
- RT
reverse transcriptase
- qPCR
real-time quantitative PCR
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