“…For instance, overexpression of miR-451 (Kovalchuk et al, 2008), miR-145 (Ikemura et al, 2013), miR-298 (Bao et al, 2012) and miR-27a (Zhao et al, 2011;Zhang et al, 2010) are found to inhibit the MDR1 gene expression, but miR-331-5p (Feng et al, 2011) increase MDR1 expression by direct interaction with the 3 0 -UTR of the MDR1 mRNA region. Several miRs have been described as DOI: 10.3109/03602532.2015.1007012 Role of MDR1 in pharmacokinetic changes under hypoxia 5 Drug Metabolism Reviews Downloaded from informahealthcare.com by University of Calgary on 02/03/15 ''possibly indirect regulators'' of MDR1, for instance, miR-451, miR-27a, miR-21 (Seca et al, 2013), miR-130a (Yang et al, 2012) and miR-let-7 (Boyerinas et al, 2012), by targeting other mRNAs, which code for intermediate proteins or transcription factors involved in MDR1 gene activation ( Figure 5).…”