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ABC Transporters at the Blood–Brain Barrier

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Part of the book series: Topics in Medicinal Chemistry ((TMC,volume 10))

Abstract

In the blood–brain barrier several ABC transporters are expressed at the luminal, blood-facing, plasma membrane of the brain capillary endothelial cells. There they function as ATP-driven efflux pumps for xenobiotics and endogenous metabolites, thus providing an important element of the barrier. When these transporters limit neurotoxicant entry into the CNS, they are neuroprotective; when they limit therapeutic drug entry, they become major obstacles to drug delivery to treat CNS diseases. Here I review function and regulation of ABC transporters at the blood–brain barrier, with an emphasis on recently disclosed mechanisms that alter transporter expression and transport activity.

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Abbreviations

ABC:

ATP-binding cassette

AD:

Alzheimer’s disease

AEDs:

Antiepileptic drugs

AhR:

Arylhydrocarbon receptor

Akt:

Protein kinase B

ApoE:

Apolipoprotein E

BCRP:

Breast cancer resistance protein (ABCG2)

BSEP:

Bile salt export pump

CAR:

Constitutive androstane receptor

CFTR:

Cystic fibrosis transmembrane regulator (ABCC7)

CNS:

Central nervous system

COX-2:

Cyclo-oxygenase-2

E2:

17-β-estradiol

EP-1:

Prostaglandin E2 receptor

ER:

Estrogen receptor

FXR:

Farnesyl-X receptor

GSK-3β:

Glycogen synthase kinase 3 beta

hAPP:

Human amyloid precursor protein

iNOS:

Inducible nitric oxide synthase

JNK:

c-Jun N-terminal kinase

LXR:

Liver-X receptor

MRP:

Multidrug resistance-associated protein

NF-κB:

Nuclear factor kappa-light-chain-enhancer of activated B cells

NMDA:

N-methyl-d-aspartate

PCBs:

Polychlorinated biphenyls

PCN:

Pregnenolone-16-alpha-carbonitrile

PCR:

Polymerase chain reaction

PI3-K:

Phosphatidylinositide 3-kinase

PK:

Pharmacokinetics

PKCβ1:

Protein kinase C isoform β1

PTEN:

Phosphatase and tensin homolog

PXR:

Pregnane-X receptor

S1P:

Sphingosine-1-phosphate

S1PR1:

Sphingosine-1-phosphate receptor 1

TNF-α:

Tumor necrosis factor-α

VDR:

Vitamin D receptor

VEGF:

Vascular endothelial growth factor

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Acknowledgements

This work was supported by the Intramural Research Program of the National Institute of Environmental Health Sciences, National Institutes of Health. I thank all the past and present members of my laboratory for their hard work and creativity.

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Miller, D.S. (2013). ABC Transporters at the Blood–Brain Barrier. In: Fricker, G., Ott, M., Mahringer, A. (eds) The Blood Brain Barrier (BBB). Topics in Medicinal Chemistry, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/7355_2013_31

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