PMID- 26903515 OWN - NLM STAT- MEDLINE DCOM- 20161110 LR - 20210205 IS - 1083-351X (Electronic) IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 291 IP - 18 DP - 2016 Apr 29 TI - Functional Validation of ABCA3 as a Miltefosine Transporter in Human Macrophages: IMPACT ON INTRACELLULAR SURVIVAL OF LEISHMANIA (VIANNIA) PANAMENSIS. PG - 9638-47 LID - 10.1074/jbc.M115.688168 [doi] AB - Within its mammalian host, Leishmania resides and replicates as an intracellular parasite. The direct activity of antileishmanials must therefore depend on intracellular drug transport, metabolism, and accumulation within the host cell. In this study, we explored the role of human macrophage transporters in the intracellular accumulation and antileishmanial activity of miltefosine (MLF), the only oral drug available for the treatment of visceral and cutaneous leishmaniasis (CL). Membrane transporter gene expression in primary human macrophages infected in vitro with Leishmania Viannia panamensis and exposed to MLF showed modulation of ABC and solute liquid carrier transporters gene transcripts. Among these, ABCA3, a lipid transporter, was significantly induced after exposure to MLF, and this induction was confirmed in primary macrophages from CL patients. Functional validation of MLF as a substrate for ABCA3 was performed by shRNA gene knockdown (KD) in THP-1 monocytes. Intracellular accumulation of radiolabeled MLF was significantly higher in ABCA3(KD) macrophages. ABCA3(KD) resulted in increased cytotoxicity induced by MLF exposure. ABCA3 gene expression inversely correlated with intracellular MLF content in primary macrophages from CL patients. ABCA3(KD) reduced parasite survival during macrophage infection with an L. V. panamensis strain exhibiting low in vitro susceptibility to MLF. Confocal microscopy showed ABCA3 to be located in the cell membrane of resting macrophages and in intracellular compartments in L. V. panamensis-infected cells. These results provide evidence of ABCA3 as an MLF efflux transporter in human macrophages and support its role in the direct antileishmanial effect of this alkylphosphocholine drug. CI - (c) 2016 by The American Society for Biochemistry and Molecular Biology, Inc. FAU - Dohmen, Luuk C T AU - Dohmen LC AD - From the Centro Internacional de Entrenamiento e Investigaciones Medicas, Cra. 125 # 19-225 Cali, Colombia, the Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3508 TB Utrecht, The Netherlands. FAU - Navas, Adriana AU - Navas A AD - From the Centro Internacional de Entrenamiento e Investigaciones Medicas, Cra. 125 # 19-225 Cali, Colombia. FAU - Vargas, Deninson Alejandro AU - Vargas DA AD - From the Centro Internacional de Entrenamiento e Investigaciones Medicas, Cra. 125 # 19-225 Cali, Colombia. FAU - Gregory, David J AU - Gregory DJ AD - the Molecular and Integrative Physiological Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts 02115. FAU - Kip, Anke AU - Kip A AD - the Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3508 TB Utrecht, The Netherlands, the Department of Pharmacy and Pharmacology, Antoni van Leeuwenhoek Hospital/Slotervaart Hospital, 1066 CX Amsterdam, The Netherlands, and. FAU - Dorlo, Thomas P C AU - Dorlo TP AD - the Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3508 TB Utrecht, The Netherlands, the Department of Pharmaceutical Biosciences, Uppsala University, 751 24 Uppsala, Sweden. FAU - Gomez, Maria Adelaida AU - Gomez MA AD - From the Centro Internacional de Entrenamiento e Investigaciones Medicas, Cra. 125 # 19-225 Cali, Colombia, mgomez@cideim.org.co. LA - eng GR - D43 TW006589/TW/FIC NIH HHS/United States GR - R01 AI104823/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20160222 PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 0 (ABCA3 protein, human) RN - 0 (ATP-Binding Cassette Transporters) RN - 107-73-3 (Phosphorylcholine) RN - 53EY29W7EC (miltefosine) SB - IM MH - ATP-Binding Cassette Transporters/genetics/*metabolism MH - Biological Transport, Active/drug effects/genetics MH - Cell Line, Tumor MH - Gene Knockdown Techniques MH - Humans MH - Leishmania/genetics/*metabolism MH - Leishmaniasis/*drug therapy/genetics/metabolism MH - Macrophages/*metabolism/*parasitology/pathology MH - Phosphorylcholine/*analogs & derivatives/pharmacokinetics/pharmacology PMC - PMC4850301 OTO - NOTNLM OT - ABC transporter OT - ABCA3 OT - Leishmania OT - drug transport OT - host-pathogen interaction OT - macrophage OT - miltefosine OT - pharmacodynamics EDAT- 2016/02/24 06:00 MHDA- 2016/11/11 06:00 PMCR- 2017/04/29 CRDT- 2016/02/24 06:00 PHST- 2015/08/26 00:00 [received] PHST- 2016/02/24 06:00 [entrez] PHST- 2016/02/24 06:00 [pubmed] PHST- 2016/11/11 06:00 [medline] PHST- 2017/04/29 00:00 [pmc-release] AID - S0021-9258(20)43103-5 [pii] AID - M115.688168 [pii] AID - 10.1074/jbc.M115.688168 [doi] PST - ppublish SO - J Biol Chem. 2016 Apr 29;291(18):9638-47. doi: 10.1074/jbc.M115.688168. Epub 2016 Feb 22.