PMID- 38267543 OWN - NLM STAT- MEDLINE DCOM- 20240408 LR - 20240408 IS - 1474-1784 (Electronic) IS - 1474-1776 (Linking) VI - 23 IP - 4 DP - 2024 Apr TI - Membrane transporters in drug development and as determinants of precision medicine. PG - 255-280 LID - 10.1038/s41573-023-00877-1 [doi] AB - The effect of membrane transporters on drug disposition, efficacy and safety is now well recognized. Since the initial publication from the International Transporter Consortium, significant progress has been made in understanding the roles and functions of transporters, as well as in the development of tools and models to assess and predict transporter-mediated activity, toxicity and drug-drug interactions (DDIs). Notable advances include an increased understanding of the effects of intrinsic and extrinsic factors on transporter activity, the application of physiologically based pharmacokinetic modelling in predicting transporter-mediated drug disposition, the identification of endogenous biomarkers to assess transporter-mediated DDIs and the determination of the cryogenic electron microscopy structures of SLC and ABC transporters. This article provides an overview of these key developments, highlighting unanswered questions, regulatory considerations and future directions. CI - (c) 2024. Springer Nature Limited. FAU - Galetin, Aleksandra AU - Galetin A AUID- ORCID: 0000-0002-3933-5217 AD - Centre for Applied Pharmacokinetic Research, School of Health Sciences, The University of Manchester, Manchester, UK. Aleksandra.Galetin@manchester.ac.uk. FAU - Brouwer, Kim L R AU - Brouwer KLR AUID- ORCID: 0000-0003-1945-4929 AD - Division of Pharmacotherapy and Experimental Therapeutics, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. FAU - Tweedie, Donald AU - Tweedie D AD - Independent Consultant, Guilford, CT, USA. FAU - Yoshida, Kenta AU - Yoshida K AUID- ORCID: 0000-0003-4967-3831 AD - Clinical Pharmacology, Genentech Research and Early Development, South San Francisco, CA, USA. FAU - Sjostedt, Noora AU - Sjostedt N AUID- ORCID: 0000-0001-6960-7757 AD - Division of Pharmaceutical Biosciences, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland. FAU - Aleksunes, Lauren AU - Aleksunes L AUID- ORCID: 0000-0002-0032-1037 AD - Department of Pharmacology and Toxicology, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA. FAU - Chu, Xiaoyan AU - Chu X AD - Department of Pharmacokinetics, Dynamics, Metabolism, and Bioanalytics, Merck & Co., Inc., Rahway, NJ, USA. FAU - Evers, Raymond AU - Evers R AD - Preclinical Sciences and Translational Safety, Johnson & Johnson, Janssen Pharmaceuticals, Spring House, PA, USA. FAU - Hafey, Michael J AU - Hafey MJ AD - Department of Pharmacokinetics, Dynamics, Metabolism, and Bioanalytics, Merck & Co., Inc., Rahway, NJ, USA. FAU - Lai, Yurong AU - Lai Y AUID- ORCID: 0000-0001-9505-333X AD - Drug Metabolism, Gilead Sciences Inc., Foster City, CA, USA. FAU - Matsson, Par AU - Matsson P AUID- ORCID: 0000-0002-9094-2581 AD - Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. FAU - Riselli, Andrew AU - Riselli A AUID- ORCID: 0000-0002-0714-5726 AD - Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA, USA. FAU - Shen, Hong AU - Shen H AD - Department of Drug Metabolism and Pharmacokinetics, Bristol Myers Squibb Research and Development, Princeton, NJ, USA. FAU - Sparreboom, Alex AU - Sparreboom A AD - Division of Pharmaceutics and Pharmacology, College of Pharmacy, The Ohio State University, Columbus, OH, USA. FAU - Varma, Manthena V S AU - Varma MVS AD - Pharmacokinetics, Dynamics and Metabolism, Medicine Design, Worldwide R&D, Pfizer Inc, Groton, CT, USA. FAU - Yang, Jia AU - Yang J AUID- ORCID: 0000-0002-3992-4070 AD - Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA, USA. FAU - Yang, Xinning AU - Yang X AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD, USA. FAU - Yee, Sook Wah AU - Yee SW AUID- ORCID: 0000-0001-8121-8746 AD - Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA, USA. FAU - Zamek-Gliszczynski, Maciej J AU - Zamek-Gliszczynski MJ AD - Drug Metabolism and PK, GlaxoSmithKline, Collegeville, PA, USA. FAU - Zhang, Lei AU - Zhang L AUID- ORCID: 0000-0002-0639-3162 AD - Office of Research and Standards, Office of Generic Drugs, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, MD, USA. FAU - Giacomini, Kathleen M AU - Giacomini KM AUID- ORCID: 0000-0001-8041-5430 AD - Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA, USA. Kathy.Giacomini@ucsf.edu. LA - eng PT - Journal Article PT - Review DEP - 20240124 PL - England TA - Nat Rev Drug Discov JT - Nature reviews. Drug discovery JID - 101124171 RN - 0 (Membrane Transport Proteins) SB - IM MH - Humans MH - *Membrane Transport Proteins MH - *Precision Medicine MH - Drug Interactions MH - Drug Development EDAT- 2024/01/25 00:42 MHDA- 2024/04/08 06:43 CRDT- 2024/01/24 23:21 PHST- 2023/12/12 00:00 [accepted] PHST- 2024/04/08 06:43 [medline] PHST- 2024/01/25 00:42 [pubmed] PHST- 2024/01/24 23:21 [entrez] AID - 10.1038/s41573-023-00877-1 [pii] AID - 10.1038/s41573-023-00877-1 [doi] PST - ppublish SO - Nat Rev Drug Discov. 2024 Apr;23(4):255-280. doi: 10.1038/s41573-023-00877-1. Epub 2024 Jan 24.