SLC22A3 (OCT3): Organic Cation Transporter 3 in Drug Disposition and Disease

A comprehensive biomedical overview of the SLC22A3 gene, encoding the polyspecific organic cation transporter OCT3, with emphasis on its role in transport, disease associations, and clinical relevance.

Gene Information Card

Symbol SLC22A3
Full Name solute carrier family 22 member 3
Gene Type protein coding
Chromosomal Location 6q25.3
NCBI Gene ID 6581 ncbi.nlm.nih.gov/gene/6581
Ensembl ID ENSG00000146477
UniProt ID O75751
OMIM ID 604842
HGNC ID 10967
Aliases OCT3, EMT, OCTN3, SLC22A3

Description

SLC22A3 encodes the organic cation transporter 3 (OCT3), a polyspecific transporter belonging to the solute carrier family 22. OCT3 mediates the sodium-independent uptake of various organic cations, including endogenous compounds (e.g., dopamine, histamine) and xenobiotics (e.g., metformin, cisplatin). It is widely expressed in tissues such as liver, kidney, placenta, and brain, and plays a role in drug disposition, neurotransmitter clearance, and cellular homeostasis. Genetic variations in SLC22A3 have been associated with altered drug response and disease susceptibility, including cancer and cardiovascular conditions.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Prostate cancer Reduced expression of SLC22A3 may contribute to tumor progression; genetic variants associated with risk. ClinVar, COSMIC
Coronary artery disease Polymorphisms in SLC22A3 have been linked to altered risk, possibly via effects on catecholamine metabolism. ClinVar, literature
Cisplatin-induced nephrotoxicity Variants affecting OCT3 transport activity may influence renal accumulation of cisplatin. ClinVar, literature
Metformin response (type 2 diabetes) SLC22A3 variants can affect hepatic uptake of metformin, altering glycemic response. ClinVar, literature

Expression Profile

Tissue Expression
Tissue nTPM level
Liver High (approx. 30-40 nTPM) High expression in hepatocytes; involved in hepatic clearance of organic cations.
Kidney Moderate (approx. 15-25 nTPM) Expressed in renal tubular cells; contributes to renal secretion of cationic drugs.
Placenta High (approx. 50-60 nTPM) Abundant in trophoblast; may mediate fetal-maternal transfer of compounds.
Brain Low to moderate (approx. 5-10 nTPM) Present in neurons and glia; involved in neurotransmitter transport.
Skeletal muscle Low (approx. 2-5 nTPM) Minimal expression; role less defined.
Cell Line Expression
Cell Line nTPM Notes
HepG2 (liver cancer) Approx. 20-30 nTPM Moderate expression; used in drug transport studies.
Caco-2 (colon cancer) Approx. 5-10 nTPM Low expression; intestinal absorption model.
HK-2 (kidney proximal tubule) Approx. 15-20 nTPM Relevant for renal transport studies.
SH-SY5Y (neuroblastoma) Approx. 8-12 nTPM Neuronal model; OCT3 expression may affect neurotransmitter handling.
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
rs8187715 (c.1199G>A, p.Arg400His) Missense Allele frequency ~5-10% in some populations Reduced transport activity for some substrates; associated with altered drug response.
rs12212674 (c.1456C>T, p.Leu486Phe) Missense Allele frequency ~2-5% Potential impact on substrate specificity; clinical significance uncertain.
rs2048327 (intronic variant) Intronic Common (MAF >20%) May affect splicing or expression; linked to disease associations in some studies.
Copy number loss (partial deletion) Structural variant Rare Loss of function; may contribute to reduced OCT3 expression in tumors.
Mutation functional classification

Loss of Function (LOF)

Missense variants such as p.Arg400His can reduce transport capacity, leading to decreased cellular uptake of substrates like metformin and cisplatin, potentially affecting drug efficacy and toxicity.

Gain of Function (GOF)

No clear gain-of-function mutations have been reported for SLC22A3; most variants are loss-of-function or neutral.

Dominant Negative (DN)

No evidence for dominant-negative effects; SLC22A3 functions as a monomer, and heterozygous loss may not exert dominant effects.

Gene Ontology (GO)

• transmembrane transport • organic cation transport
• plasma membrane • integral component of membrane
• transport activity • symporter activity

Pathways

Organic cation transport
Drug metabolism - cytochrome P450
Metformin pathway
Catecholamine metabolism

Protein Summary

OCT3 is a 556-amino acid polyspecific transporter with 12 predicted transmembrane domains. It facilitates the bidirectional, sodium-independent transport of organic cations, driven by the electrochemical gradient. OCT3 is characterized by broad substrate specificity, including endogenous amines (dopamine, epinephrine, histamine) and numerous drugs (metformin, cisplatin, oxaliplatin). It is expressed in multiple tissues, with highest levels in placenta, liver, and kidney. OCT3 plays a critical role in hepatic and renal clearance of cationic drugs, and its dysfunction has been implicated in drug-induced toxicity and disease pathogenesis. Post-translational modifications and oligomerization may modulate its activity.

Related Products

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