ABCC5
ATP binding cassette subfamily C member 5
Named by Dr Will Powers
Gene summary
A protein-coding gene on chromosome 3 (drug and xenobiotic transporters). The protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intra-cellular membranes.
Source: NCBI Gene, accessed 2026-10-07.
Protein reference (UniProt)
- Protein
ATP-binding cassette sub-family C member 5
- Function
ATP-dependent transporter of the ATP-binding cassette (ABC) family that actively extrudes physiological compounds, and xenobiotics from cells. Mediates ATP-dependent transport of endogenous metabolites such as cAMP and cGMP, folic acid and N-lactoyl-amino acids (in vitro). Also acts as a general glutamate conjugate and analog transporter that can limit the brain levels of endogenous metabolites, drugs, and toxins. Confers resistance to the antiviral agent PMEA. Able to transport several anticancer drugs including methotrexate, and nucleotide analogs in vitro, however it does with low affinity, thus the exact role of ABCC5 in mediating resistance still needs to be elucidated. Acts as a heme transporter required for the translocation of cytosolic heme to the secretory pathway. May play a role in energy metabolism by regulating the glucagon-like peptide 1 (GLP-1) secretion from enteroendocrine cells (By similarity).
- Subcellular location
Basolateral cell membrane; Golgi apparatus lumen; Endosome membrane; Cytoplasmic granule; Apical cell membrane.
- Tissue specificity
Ubiquitously expressed, but levels in brain and muscle are especially high. All isoforms are equally expressed in retina.
Source: UniProtKB/Swiss-Prot O15440, release 2026_03, licensed CC BY 4.0. This is the protein’s normal biology, not evidence about post-drug syndromes; associated conditions are inherited disorders of the gene, not PFS, PSSD or PRSD.
Why its pathway is in the library
Transporters set systemic exposure to finasteride/SSRIs and clear conjugated steroid metabolites — directly relevant to both drug pharmacokinetics and Powers' clearance-centered PFS mechanism.
Written for the whole drug transporters family, not for ABCC5 specifically.
Powers’ note (his unpublished theorizing)
Powers named the ABCC transporter family (2026 summit interview, unpublished) as intracellular transporter genes implicated in metabolite clearance in his experimentally verifiable mechanism; individual ABCC members not separately named.
Mentioned in 3 corpus records
- Powers · Reddit commentCurated Powers pick
Re: Anhedonic Substance Blockage with PFS/PSSD/PAS
u/drwillpowers · r/DrWillPowers
Powers' current theory of anhedonic substance blockage: dopaminergic signaling breaks down because efflux pump/transporter defects let substances accumulate intra- or extracellularly, destroying concentration gradients and effectively silencing signaling…
ABCC5PRH-11912026-04-20T22:15:56ZPFSPSSDPRSDPowers Reddit history - Powers · Reddit commentCurated Powers pick
Re: I collect more and more labs/genome/dutch tests that support my theory on PFS. I really think I have it nailed down. I d...
u/drwillpowers · r/DrWillPowers
Powers argued that finasteride is an irreversible "suicide inhibitor" that permanently disables any 5AR enzyme it touches, requiring 2–3 weeks for the enzyme to be degraded and remade — so even a single pill can suffice if the patient's system is already at…
ABCC2ABCC5COMTPRH-13632026-04-04T15:55:18ZPFSPSSDPowers Reddit history - Powers · Reddit commentCurated Powers pick
Re: List of treatments for post finasteride syndrome…
u/drwillpowers · r/DrWillPowers
In a reply on his own treatments-list post, Powers states that the mechanism of PFS is, in his view, settled: every PFS patient in his practice shows the same underlying lab pattern with minor variations, which he describes as a near-complete resolution of…
ABCC5PRH-14942026-04-05T04:43:28ZPFSPSSDPowers Reddit history
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solute carrier family 18 member A2
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chr 12· Drug transporters· 1 record - ABCB11
ATP binding cassette subfamily B member 11
chr 2· Drug transporters· Pathway candidate
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