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Review ArticleReview Article

Monocarboxylate Transporters (SLC16): Function, Regulation, and Role in Health and Disease

Melanie A. Felmlee, Robert S. Jones, Vivian Rodriguez-Cruz, Kristin E. Follman and Marilyn E. Morris
Lynette C. Daws, ASSOCIATE EDITOR
Pharmacological Reviews April 2020, 72 (2) 466-485; DOI: https://doi.org/10.1124/pr.119.018762
Melanie A. Felmlee
Department of Pharmaceutics and Medicinal Chemistry, Thomas J. Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, California (M.A.F.); Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York (R.S.J., V.R.-C., M.E.M.); and Certara Strategic Consulting, Certara USA, Princeton, New Jersey (K.E.F.)
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Robert S. Jones
Department of Pharmaceutics and Medicinal Chemistry, Thomas J. Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, California (M.A.F.); Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York (R.S.J., V.R.-C., M.E.M.); and Certara Strategic Consulting, Certara USA, Princeton, New Jersey (K.E.F.)
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Vivian Rodriguez-Cruz
Department of Pharmaceutics and Medicinal Chemistry, Thomas J. Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, California (M.A.F.); Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York (R.S.J., V.R.-C., M.E.M.); and Certara Strategic Consulting, Certara USA, Princeton, New Jersey (K.E.F.)
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Kristin E. Follman
Department of Pharmaceutics and Medicinal Chemistry, Thomas J. Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, California (M.A.F.); Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York (R.S.J., V.R.-C., M.E.M.); and Certara Strategic Consulting, Certara USA, Princeton, New Jersey (K.E.F.)
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Marilyn E. Morris
Department of Pharmaceutics and Medicinal Chemistry, Thomas J. Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, California (M.A.F.); Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York (R.S.J., V.R.-C., M.E.M.); and Certara Strategic Consulting, Certara USA, Princeton, New Jersey (K.E.F.)
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Lynette C. Daws
Roles: ASSOCIATE EDITOR
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Article Figures & Data

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  • Fig. 1.
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    Fig. 1.

    The proposed topology of the MCT family members. CD147, the ancillary protein that associates with MCT1 and MCT4, is also shown. The N and C termini and the large loop between transmembrane domains 6 and 7 show the greatest variation between family members, whereas the TMDs themselves are highly conserved. Adapted from Halestrap and Meredith (2004) and Halestrap (2013a).

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    Fig. 2.

    The phylogenetic tree of human MCT isoforms. Sequence alignments were performed using Clustal Omega, and phylogeny trees were made using interactive Tree Of Life (iTOL). The bar indicates the number of per amino acid residue, with one corresponding to a distance of one substitution per 10 amino acid residues. Adapted from Halestrap (2012).

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    Fig. 3.

    Tissue protein expression of MCT isoforms in humans, based on data compiled by Morris and Felmlee (2008).

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    Fig. 4.

    The proton antenna effect of CAs in the regulation of MCT1/4. CAII/IX, carbonic anhydrase II/IX; GLUT, glucose transporter; H+, proton; LDH, lactate dehydrogenase. Adapted from Noor et al., 2018. Created with BioRender.com.

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    Fig. 5.

    A representation of the Warburg Effect by which glycolytic and oxidative cancer cells participate in lactate shuttling. GLUT, glucose transporter; H+, proton; LDHA/B, lactate dehydrogenase A/B; TCA, tricarboxylic acid cycle. Created with BioRender.com.

Tables

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    TABLE 1

    A summary of the percent amino acid identity of the human MCT isoforms (matrix was generated using Clustal Omega)

    MCT1MCT2MCT3MCT4MCT5MCT6MCT7MCT8MCT9MCT10MCT11MCT12MCT13MCT14
    MCT110059.2139.4344.5724.1129.0729.0522.8423.0324.2328.829.3730.8124.94
    MCT259.2110042.7746.7426.3932.1631.6124.2226.8824.3832.0529.8331.8327.23
    MCT339.4342.7710056.9324.7137.528.1226.3426.4626.6136.0533.4734.4423.98
    MCT444.5746.7456.9310025.4336.8131.8226.6828.6826.3332.6434.8530.5627.95
    MCT524.1126.3924.7125.4310024.2327.4822.4325.9124.1626.5929.9129.825.58
    MCT629.0732.1637.536.8124.2310028.5724.1923.9423.8130.3230.1828.4324.71
    MCT729.0531.6128.1231.8227.4828.5710021.2226.6220.525.7825.4834.3622.74
    MCT822.8424.2226.3426.6822.4324.1921.2210025.9452.1726.0122.4323.1323.68
    MCT923.0326.8826.4628.6825.9123.9426.6225.9410027.2327.4725.6829.2432.16
    MCT1024.2324.3826.6126.3324.1623.8120.552.1727.2310025.8423.6424.2826.44
    MCT1128.832.0536.0532.6426.5930.3225.7826.0127.4725.8410030.2346.9327.51
    MCT1229.3729.8333.4734.8529.9130.1825.4822.4325.6823.6430.2310033.0128.57
    MCT1330.8131.8334.4430.5629.828.4334.3623.1329.2424.2846.9333.0110026.93
    MCT1424.9427.2323.9827.9525.5824.7122.7423.6832.1626.4427.5128.5726.93100
    • View popup
    TABLE 2

    Tissue and subcellular distribution of monocarboxylate transporters

    TransporterUnigene NameTissue DistributionSubcellular LocalizationExpressionSpeciesReferences
    MCT1SLC16A1UbiquitousApical and basolateral membraneHumanHalestrap and Meredith, 2004; Gill et al., 2005
    MCT2SLC16A7LiverBasolateral membraneProteinHumanGarcia et al., 1994; Lin et al., 1998; Halestrap and Meredith, 2004; Wilson et al., 2005; Becker et al., 2010b
    KidneyBasolateral membraneProteinHuman
    ApicalMouse
    Skeletal muscleProteinHuman
    HeartProteinHuman
    BrainProteinHuman
    SpleenProteinHuman
    TestisBasolateral membraneProteinHuman
    PancreasProteinHuman
    MCT3SLC16A8Retinal pigment epitheliumBasolateral membraneHalestrap and Meredith, 2004
    MCT4SLC16A3KidneyBasolateral membraneProteinHumanDimmer et al., 2000; Halestrap and Meredith, 2004; Settle et al., 2004; Gill et al., 2005; Wang et al., 2006b
    Skeletal muscleProteinHuman
    IntestineBasolateral membraneProteinHuman
    HeartProteinHuman
    LungProteinHuman
    MCT5SLC16A4LivermRNARatFelmlee
    KidneymRNARat
    MCT6SLC16A5KidneymRNARatFelmee
    IntestineBasolateral membraneProteinHumanGill et al., 2005
    MCT7SLC16A6KidneymRNARatFelmlee
    MCT8SLC16A2LiverSinusoidal membranemRNAHuman, RatBonen et al., 2006; Nishimura and Naito, 2008; Roberts et al., 2008
    KidneyBasolateral membrane (proximal tubule)mRNAHuman, RatFelmlee
    Adrenal glandmRNAHuman
    Brain (neurons, blood brain barrier)mRNAHuman
    Choroid plexusApical membraneProteinHuman
    Mouse
    OvarymRNAHuman
    Thyroid glandmRNAHuman
    UterusmRNAHuman
    PlacentamRNAHuman
    HeartmRNAHuman
    ProteinRat
    LungmRNARat
    MCT10SLC16A10LivermRNARatFelmlee
    KidneymRNARat
    IntestinemRNARat
    LungmRNARat
    MCT11SLC16A11LivermRNARatFelmlee
    KidneymRNARat
    LungmRNARat
    MCT12SLC16A12LivermRNARatFelmlee
    KidneymRNARat
    LungmRNARat
    MCT13SLC16A13LivermRNARatFelmlee
    KidneymRNARat
    IntestinemRNARat
    LungmRNARat
    MCT14SLC16A14Peripheral blood mononuclear cellsmRNAHumanBanerjee et al., 2017
    KidneymRNARatFelmlee
    • View popup
    TABLE 3

    Substrates and inhibitors of monocarboxylate transporters

    Km, Ki, and IC50 values were obtained from the listed references and Morris and Felmlee (2008).

    IsoformSpeciesExpression SystemSubstrateKm (mM)InhibitorKi or IC50 (µM)References
    MCT1HumanCaco-2HesperetinNAShen et al., 2015
    Xenopus oocytesLactate3.5–6Phloretin28aBröer et al., 1998; Lin et al., 1998; Juel and Halestrap, 1999; Cuff et al., 2002; Cundy et al., 2004; Nancolas et al., 2016; Curtis et al., 2017
    Pyruvate1.8–2.5QuercetinNA
    α-Ketoisovalerate1.3CHC425a
    α-Oxoisohexanoate0.67pCMBSNA
    α-Oxoisovalerate1.25XP135120.62b
    Butyrate9Lonidamine36.8a
    XP135120.22
    Jurkat membranesAZD39650.0016a
    RatMDA-MB231GHB4.6Phloretin28bBröer et al., 1998, 1999; Wang et al., 2006a
    Xenopus oocytesLactate3.5Quercetin14b
    GHB4.6Benzobromaron22b
    CHC425b
    MCT2HumanXenopus oocytesPyruvate0.025CHCNALin et al., 1998; Nancolas et al., 2016
    L-LactateNA
    GHBNA
    Lonidamine36.4a
    RatXenopus oocytesLactate0.74Phloretin14bBroer et al., 1999; Curtis et al., 2017
    PyruvateNAQuercetin5b
    Benzobromaron9b
    CHC24b
    Recombinant MCT2-expressing yeast membranesAZD39650.020a
    MCT3HumanARPE-19 cellsLactateNAPhilp et al., 2003
    MCT4HumanXenopus oocytesL-lactate28pCMBS21aManning Fox et al., 2000; Kobayashi et al., 2006; Nancolas et al., 2016
    D-lactate519CHC991a
    Pyruvate153Phloretin41a
    D-β-hydroxybutyrate130NPPB240a
    Acetoacetate216Fluvastatin32b
    α-Ketobutyrate57Atorvastatin32b
    α-Ketoisocaproate95Lovastatin44b
    α-Ketoisovalerate113Simvastatin79b
    Lonidamine40.4a
    RatXenopus oocytesL-lactate34CHC350bDimmer et al., 2000
    Pyruvate36pCMBSNA
    2-Oxoisohexanoate13
    Acetoacetate31
    β-Hydroxybutyrate65
    MCT5Unknown
    MCT6HumanXenopus oocytesBumetanide0.084Furosemide46bMurakami et al., 2005; Kohyama et al., 2013
    Nateglinide0.046Azosemide21b
    Prostaglandin F2αNAPiretanide163b
    ProbenecidNATorasemide13b
    ThiazidesNA
    ProbenecidNA
    GlibenclamideNA
    Nateglinide5.4a
    Quercetin25bJones et al., 2017
    LuteolinNA
    Phloretin23a, 17b
    Morin33b
    MCT7HumanKetone bodies (β-hydroxybutyrate)NAHugo et al., 2012
    ZebrafishNA
    MCT8HumanCOS1 and JEG3 cellsT3NAFriesema et al., 2006
    T4NA
    RatXenopus oocytesT3NAN-bromoacetyl-T3NAFriesema et al., 2003
    T4NABromosulfophthaleinNA
    MCT9CarnitineNAJones and Morris, 2016
    MCT10RatXenopus oocytesL-Trytophan3.8Kim et al., 2001
    L-Tyrosine2.6
    L-Phenylalanine7.0
    L-DOPA6.4
    MCT11UnknownJones and Morris, 2016
    MCT12HumanXenopus oocytesCreatinine0.57Abplanalp et al., 2013
    RatCreatinineNAAbplanalp et al., 2013
    MCT13UnknownJones and Morris, 2016
    MCT14UnknownJones and Morris, 2016
    • CHC, α-cyano-4-hydroxycinnamate; GHB, gamma-hydroxybutyric acid; NA, not available; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; pCMBS, p-chloromercuribenzene sulfonate.

    • ↵a Ki.

    • ↵b IC50.

    • View popup
    TABLE 4

    MCT variants and MCT up/downregulation in disease

    Health/Disease RelationReference
    MCT1, 2, 4High expression in many cancer types, including breast, bone, colon, bladder, prostate, and renal cancersPark et al., 2018
    MCT1Mutations in promoter region lead to exercise-induced hyperinsulinemiaOtonkoski et al., 2007
    The missense mutation (1470T > A) results in an amino acid substitution leading to less efficient lactate transportOnali et al., 2018
    Deficiency has also been associated with recurrent ketoacidosis in childrenFisel et al., 2018
    Acute exercise-induced upregulation in skeletal muscleBickham et al., 2006
    MCT2SNPs (rs10506398 and rs10506399) were associated with increased infertility in Korean menJones and Morris, 2016
    Implicated as a potential biomarker and treatment of prostate cancerPertega-Gomes et al., 2013
    MCT4Increased expression in obesity, followed by a decreased expression with weight lossFisel et al., 2018
    Upregulation via hypoxia through a HIF-1α–dependent pathwayUllah et al., 2006
    MCT3 and 4Wounded RPE results in a decrease in expression of MCT3, and an increase in the expression of MCT4Gallagher-Colombo et al., 2010
    MCT5Gene expression was significantly upregulated in colorectal adenocarcinomaLiu et al., 2018
    SNP (rs17025736) results in an intron variant of the human MCT5 gene, which is associated with adolescent idiopathic scoliosisBuniello et al., 2019
    Enhancement of West Nile virus infection was demonstrated when MCT5 was silencedKrishnan et al., 2008; Fisel et al., 2018
    MCT6Plays a role in the intestinal absorption of nateglinide, bumetanide’s brain penetrationKohyama et al., 2013; Romermann et al., 2017
    Hypomethylation of MCT6, along with hypermethylation of a ZFN206, results in significantly prolonged event-free survival in neuroblastomasSugito et al., 2013
    May play a role as a biomarker in Alzheimer’s disease riskBoada et al., 2014; Wei et al., 2019
    Significant variant (rs4788863) resulted in a significant decrease in cisplatin-induced ototoxicity severity in testicular cancer patientsDrögemöller et al., 2017
    MCT7Suggested to play a role in liver disease primarily from evidence gathered in preclinical modelsHugo et al., 2012; Kim et al., 2016; Karanth and Schlegel, 2019
    MCT8Various mutations results in AHDS, which results in increased serum thyroid hormone: T3, due to the decrease in the cellular uptakeFriesema et al., 2003; Dumitrescu et al., 2004, 2006; Schwartz et al., 2005; Trajkovic et al., 2007; Wirth et al., 2009
    MCT10A SNP in the gene was found to result in lower free plasma T3 concentrationsvan der Deure et al., 2007
    Importance in maintaining circulating and liver aromatic amino acid concentrations in vivoMariotta et al., 2012
    Functional role in aromatic amino acid transport and its relation to NASH due to the significant downregulation of gene expressionLake et al., 2015
    MCT11Mutations in the gene encoding for MCT11 have been implicated in the risk of T2DWilliams et al., 2014; Rusu et al., 2017; Kimura et al., 2018
    SNP (rs13342232) was found to be significantly associated with the occurrence of T2D in adults and childrenMiranda-Lora et al., 2017
    MCT12Mutation in the gene encoding for MCT12 was identified in a Swiss family with autosomal dominant juvenile cataracts, microcornea, as well as renal glucosuriaKloeckener-Gruissem et al., 2008
    A SNP was identified in the 5′UTR of MCT12, which provided evidence for its role in regulation of translational efficiency that could potentially be associated with age-related cataractsZuercher et al., 2010
    Mutation in MCT12’s coding region of exon 6 yielded evidence that suggested that the variant most likely impacts correct protein folding and trafficking with basiginCastorino et al., 2011b
    In vitro and in vivo evidence for MCT12’s role in creatinine transporter, which supported a plausible mechanism by which MCT12 mutations lead to perturbations in the eyeAbplanalp et al., 2013
    Impacts the renal handling of creatinine transport and systemic concentrations of its precursor, guanidinoacetateDhayat et al., 2016
    MCT13May also play a functional role in T2D riskRusu et al., 2017
    MCT14Gene expression was shown to increase 2.1-fold following treatment with ethanol for 48 hours vs. no treatment in immortalized lymphoblastoid cells originally isolated from subjects enrolled in the Collaborative Study on the Genetics of AlcoholismMcClintick et al., 2019
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Review ArticleReview Article

Monocarboxylate Transporters in Health and Disease

Melanie A. Felmlee, Robert S. Jones, Vivian Rodriguez-Cruz, Kristin E. Follman and Marilyn E. Morris
Pharmacological Reviews April 1, 2020, 72 (2) 466-485; DOI: https://doi.org/10.1124/pr.119.018762

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Review ArticleReview Article

Monocarboxylate Transporters in Health and Disease

Melanie A. Felmlee, Robert S. Jones, Vivian Rodriguez-Cruz, Kristin E. Follman and Marilyn E. Morris
Pharmacological Reviews April 1, 2020, 72 (2) 466-485; DOI: https://doi.org/10.1124/pr.119.018762
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  • Article
    • Abstract
    • I. Introduction
    • II. Structure and Function
    • III. Expression and Localization
    • IV. Substrates and Inhibitors
    • V. Regulation and Development
    • VI. Monocarboxylate Transporters in Health and Disease
    • VII. Findings from the Use of Genetically-Modified Mct Rodent Models
    • VIII. Conclusions and Future Studies
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