Cyclodextrins (CDs) can be envisaged to cure some diseases related to the brain, but the behavior of these compounds toward the blood-brain barrier (BBB) remains largely unexplored to envisage such clinical applications. To fulfill this gap, the toxicity and endothelial permeability for native, methylated, and hydroxypropylated ␣-, -, and ␥-CDs have been studied on an in vitro model of BBB. As shown by the endothelial permeability for sucrose and immunofluorescence stainings, the native CDs are the most toxic CDs (␣-Ͼ -Ͼ ␥-CD). Whereas the chemical modification of -CD did not affect the toxicity of this CD, differences are observed for the ␣-and ␥-CD. To determine the origin of toxicity, lipid effluxes on the brain capillary endothelial cells were performed in the presence of native CDs. It was found that ␣-CD removed phospholipids and that -CD extracted phospholipids and cholesterol. ␥-CD was less lipidselective than the other CDs. Finally, the endothelial permeability of each CD has been determined. Surprisingly, no structure/ permeability relationship has been observed according to the nature and chemical modifications of CDs.Cyclodextrins (CDs) are cyclic oligosaccharides composed of 6, 7, or 8 glucose units named ␣-, -, or ␥-cyclodextrin, respectively. These compounds are widely used in the pharmaceutical field to improve the dissolution rate,