“…BBB properties are primarily determined by tight and adherens junctions between the capillary endothelial cells (Stamatovic et al, 2008), and is regulated by the unique surrounding microenvironment (basement membrane, astrocytes, and pericytes) which controls the secretion of a variety of soluble factors that affect transport, signaling, angiogenesis and drug degradation, forming an enzymatic barrier (Eyal et al, 2009;Mehta et al, 2010;Wilhelm et al, 2013). The BBB is known to exclude nearly all molecules from entering the brain except those that are either small or lipophilic through membrane transporter proteins such as P-glycoprotein, multidrug-resistance proteins MDRP1-9, ABCG2 (the breast cancer resistance protein) and organic anion transporters (OATs) present on capillary endothelial cells (Deng et al, 2018;Gil-Martins et al, 2020). Normally, BBB also prevents the transmigration of blood cells and cancer cells, however, studies suggest that the defenses of the BBB can be disrupted in the presence of brain metastases (Brosnan and Anders, 2018).…”