2005
DOI: 10.1602/neurorx.2.1.73
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Active efflux across the blood-brain barrier: Role of the solute carrier family

Abstract: Summary: The brain uptake of xenobiotics is restricted by the blood-brain brain barrier formed by brain capillary endothelial cells. Active efflux transport systems in the blood-brain barrier work as a detoxification system in the brain by facilitating removal of xenobiotic compounds from the brain. Drugs, acting in the brain, have to overcome such efflux mechanisms to achieve clinically significant concentration in the brain. Multiple transporters are involved in this efflux transport in the brain capillaries… Show more

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Cited by 208 publications
(148 citation statements)
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References 100 publications
(121 reference statements)
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“…Despite the high affinity of E 2 17βG with MRP1, there is a considerably lower expression level of MRP1 compared to MRP2 in Caco-2 cells. Hence, E 2 17βG could be considered as a relatively specific MRP2 substrate (42,43) in this study. One major advantage of the bi-directional transport study over the accumulation study was the polarization and tight junction formation of these Caco-2 cells, which provided the best possible in vitro simulation of intestinal epithelial cells.…”
Section: Discussionmentioning
confidence: 99%
“…Despite the high affinity of E 2 17βG with MRP1, there is a considerably lower expression level of MRP1 compared to MRP2 in Caco-2 cells. Hence, E 2 17βG could be considered as a relatively specific MRP2 substrate (42,43) in this study. One major advantage of the bi-directional transport study over the accumulation study was the polarization and tight junction formation of these Caco-2 cells, which provided the best possible in vitro simulation of intestinal epithelial cells.…”
Section: Discussionmentioning
confidence: 99%
“…Typically, molecules that are capable of crossing the BBB by passive diffusion are small (M r <500 Da), lipophilic and uncharged at physiological pH [12,13] . Various facilitated or energy-dependent transporters and receptors are highly expressed at the BBB; examples of such transporters include members of the organic cation transporter (OCT) families, organic anion transporters (OATs) and multidrug resistance proteins (MRPs) [14,15] . A number of studies aimed at enhancing the distribution of therapeutics in the brain based on carrier-and receptor-mediated transport systems have been performed [16][17][18] .…”
Section: Introductionmentioning
confidence: 99%
“…Because of highly developed tight junctions between adjacent cells and a paucity of fenestrae from the diffusion barrier, various transport systems play pivotal roles in both the uptake of water-soluble nutrients and peptides from the circulating blood and the efflux of xenobiotic and endogenous compounds from the brain interstitial space (Kusuhara and Sugiyama, 2005). The active efflux system in the BBB keeps the unbound concentrations of exogenous compounds in the brain interstitial space lower than those in the blood to attenuate their effect in the central nervous system and also inactivates neuroactive compounds produced in the brain by transferring them to the blood.…”
Section: Introductionmentioning
confidence: 99%
“…Characterization of this process using various organic anions as inhibitors has suggested that the efflux of amphipathic and hydrophilic organic anions is mediated by distinct transporters (Kusuhara and Sugiyama, 2005). Furthermore, a mutual inhibition study suggested that the efflux of amphipathic organic anions, such as bile acids and cyclo-D-Trp-D-Asp-Pro-D-ValLeu (BQ-123), is mediated by multiple transporters (Kitazawa et al, 1998).…”
Section: Introductionmentioning
confidence: 99%