“…The primary event of neurodegeneration that is caused by METH has been direct impairment of the BBB prior to mediation of the central nervous system (CNS) damage (Banks and Ericson, 2010). BBB impairment by METH has been reviewed in several mechanisms, including the hyperactivity of NADPH oxidase (NOX)-2 which generates excessive amounts of free radicals, such as reactive oxygen species (ROS) and reactive nitrogen species (RNS) (Ramirez et al, 2009;Park et al, 2012); the dysfunction of cytoskeleton and the trans-membrane protein of tight junction, which is the controlling of paracellular permeability (Park et al, 2013;Fernandes et al, 2015); the dysfunction of the uptake and the efflux activities (ElAli et al, 2012); and the activation of caspase cascade in cell death response or apoptosis (Abdul-Muneer et al, 2011;Ma et al, 2014;Fisehr et al, 2015). Moreover, overexpression of inflammatory mediators such as inducible nitric oxide synthase (iNOS), nitric oxide (NO), interleukin (IL)-1, and tumor necrosis factor (TNF), which is an important factor in inflammatory response, has also been reported (Fernandes et al, 2014;CoelhoSantos et al, 2015;Parikh et al, 2015;Zhang et al, 2015;Skaper et al, 2014;Husain et al, 2015;Kothur et al, 2015).…”