ABSTRACT:Expression of breast cancer resistance protein (Bcrp) at the bloodbrain barrier (BBB) has been revealed recently. To investigate comprehensively the potential role of Bcrp at the murine BBB, a chemically diverse set of model compounds (cimetidine, alfuzosin, dipyridamole, and LY2228820) was evaluated using a multiexperimental design. Bcrp1 stably transfected MDCKII cell monolayer transport studies demonstrated that each compound had affinity for Bcrp and that polarized transport by Bcrp was abolished completely by the Bcrp inhibitor chrysin. However, none of the compounds differed in brain uptake between Bcrp wild-type and knockout mice under either an in situ brain perfusion or a 24-h subcutaneous osmotic minipump continuous infusion experimental paradigm. In addition, alfuzosin and dipyridamole were shown to undergo transport by P-glycoprotein (P-gp) in an MDCKII-MDR1 cell monolayer model. Alfuzosin brain uptake was 4-fold higher in mdr1a(؊/؊) mice than in mdr1a(؉/؉) mice in in situ and in vivo studies, demonstrating for the first time that it undergoes P-gpmediated efflux at the BBB. In contrast, P-gp had no effect on dipyridamole brain penetration in situ or in vivo. In fact, in situ BBB permeability of these solutes appeared to be primarily dependent on their lipophilicity in the absence of efflux transport, and in situ brain uptake clearance correlated with the intrinsic transcellular passive permeability from in vitro transport and cellular accumulation studies. In summary, Bcrp mediates in vitro transport of various compounds, but seems to play a minimal role at the BBB in vivo.The blood-brain barrier (BBB) is composed of brain capillary endothelial cells, which are characterized by highly developed tight junctions, a lack of fenestrations, and a paucity of pinocytic and transcytotic activities. Expression of metabolic enzymes and efflux transporters in these and associated glial cells provides additional limiting factors at the BBB. Insufficient drug exposure at the pharmacologic target within the brain, as a consequence of limited flux from blood to brain, represents a major obstacle for effective treatment of central nervous system (CNS) disorders (Begley, 2004;Pardridge, 2005). It is widely accepted that P-glycoprotein (P-gp) is expressed abundantly at the BBB and functions as an efflux pump that extrudes toxic substances and therapeutic agents in the brain-to-blood direction, representing a functional barrier to brain uptake (Schinkel, 1999). The potential role of other members of the ATP-binding cassette (ABC) efflux transporter family, such as multidrug resistance-associated proteins (Mrps) and breast cancer resistance protein (Bcrp), at the BBB is less clear, although the proteins appear to be expressed at the BBB in various species (Yousif et al., 2007).Bcrp is a recently identified member of the ABC efflux transporter family encoded by gene Abcg2 (Doyle et al., 1998). Bcrp is widely expressed in the intestine, liver, mammary gland, and placenta. The functional efficiency of Bcrp in the...