“…A most likely explanation for the assumption that primarily hepatotoxicity would occur is the fact that it was realised very early on that MCs cannot permeate across cell membranes but are transported actively into hepatocytes via organic anion transporters (Runnegar et al, 1991), for which bile acid salts (cholate and taurocholate) amongst others, are the bnaturalQ substrates (Frimmer and Ziegler, 1988;Meier, 1996;Meier and Stieger, 2002;Meier et al, 1997;Takikawa, 2002). However, these organic anion transporters are not only expressed in the liver but also in the gastrointestinal tract, the kidney and the brain (blood-brain barrier) (Craddock et al, 1998;Hagenbuch and Meier, 2003;Kullak-Ublick et al, 1998;Kusuhara et al, 1999;Nobre et al, 1999). Indeed, the most recent evidence strongly suggests that MC-LR can be transported across the human blood-brain barrier (Fischer et al, 2004), thus potentially explaining some of the observed neurological symptoms observed in the fatal incident at the renal dialysis station in Cuaruaru, Brazil (Azevedo et al, 2002;Pouria et al, 1998).…”