The Roles of P-Glycoprotein and MRP1 in the Blood-Brain and Blood-Cerebrospinal Fluid Barriers

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Biological Reactive Intermediates VI

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 500))

Abstract

The brain is one of the most critical and sensitive organs in vertebrates. It is therefore understandably well shielded from various disturbing influences, including the occurrence of potential toxins that may be present in the bloodstream. It has long been recognized that there is a selective barrier between the bloodstream and the brain tissue. This barrier, called the blood-brain barrier, allows efficient uptake of nutrients in order to meet the extensive metabolic needs of the brain, but at the same time withholds many compounds from entering brain tissue, whereas these same compounds can readily penetrate most other tissues in the body (for reviews see Pardridge, 1998). The specialized structure of the endothelial cells in the blood capillaries of the brain is largely responsible for these unique barrier properties. Recent work has provided compelling evidence that at least one active efflux drug transporter in the blood-brain barrier, P-glycoprotein (P-gp), makes an important contribution to the special barrier properties.

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References

  • Cordon-Cardo, C., O’Brien, J. P., Casals, D., Rittman-Grauer, L., Biedler, J.L., Melamed, M.R., and Bertino, J.R., 1989, Multidrug-resistance gene (P-glycoprotein) is expressed by endothelial cells at blood-brain barrier sites Proc. Natl. Acad. Sci. U.S.A. 86: 695–698.

    Article  PubMed  CAS  Google Scholar 

  • Flens, M.J., Zaman, G.J.R., van der Valk, P., Izquierdo, M.A., Schroeijers, A.B., Scheffer, G.L., van der Groep, P., de Haas, M., Meijer, C.J.L.M., and Scheper, R.J., 1994, Tissue distribution of the multidrug resistance protein Am. J. Pathol. 148: 1237–1247.

    Google Scholar 

  • Gottesman, M.M., and Pastan, I., 1993, Biochemistry of multidrug resistance mediated by the multidrug transporter Annu. Rev. Biochem. 62: 385–427.

    Article  PubMed  CAS  Google Scholar 

  • Hipfner, D.R., Deeley, R.G., and Cole, S.P.C., 1999, Structural, mechanistic and clinical aspects of MRP1 Biochim. Biophys. Acta 1461: 359–376.

    Article  PubMed  CAS  Google Scholar 

  • Kim, R.B., Fromm, M.F., Wandel, C., Leake, B., Wood, A.J.J., Roden, D.M., and Wilkinson, G.R., 1998, The drug transporter P-glycoprotein limits oral absorption and brain entry of HIV-1 protease inhibitors J. Clin. Invest. 101: 289–294.

    Article  PubMed  CAS  Google Scholar 

  • König, J., Nies, A. T., Cui, Y., Leier, I., and Keppler, D., 1999, Conjugate export pumps of the multidrug resistance protein (MRP) family: localization, substrate specificity, and MRP2-mediated drug resistance Biochim. Biophys. Acta 1461: 377–394.

    Article  PubMed  Google Scholar 

  • Lankas, G.R., Wise, L.D., Cartwright, M.E., Pippert, T., and Umbenhauer, D.R., 1998, Placental Pglycoprotein deficiency enhances susceptibility to chemically induced birth defects in mice Reprod. Toxicol. 12: 457–463.

    Article  PubMed  CAS  Google Scholar 

  • Lorico, A., Rappa, G., Finch, R.A., Yang, D., Flavell, R.A., and Sartorelli, A.C., 1997, Disruption of the murine MRP (multidrug resistance protein) gene leads to increased sensitivity to etoposide (VP-16) and increased levels of glutathione Cancer Res. 57: 5238–5242.

    PubMed  CAS  Google Scholar 

  • Nishino, J.-I., Suzuki, H., Sugiyama, D., Kitazawa, T., Ito, K., Hanano, M., and Sugiyama, Y., 1999, Transepithelial transport of organic anions across the choroid plexus: possible involvement of organic anion transporter and multidrug resistance-associated protein J. Pharmacol. Exp. Ther. 290: 289–294.

    PubMed  CAS  Google Scholar 

  • Pardridge, W.M. (ed.), 1998 Introduction to the Blood-Brain Barrier. Methodology Biology and Pathology Cambridge University Press, Cambridge, U.K.

    Google Scholar 

  • Rao, V.V., Dahlheimer, J.L., Bardgett, M.E., Snyder, A.Z., Finch, R.A., Sartorelli, A.C., and Piwnica-Worms, D., 1999, Choroid plexus epithelial expression of MDR1 P-glycoprotein and multidrug resistance-associated protein contribute to the blood-cerebrospinal-fluid drug-permeability barrier Proc. Natl. Acad. Sci. U.S.A. 96: 3900–3905.

    Article  PubMed  CAS  Google Scholar 

  • Schinkel, A.H., 1997, The physiological function of the drug-transporting P-glycoproteins Semin. Cancer Biol. 8: 161–170.

    Article  PubMed  CAS  Google Scholar 

  • Schinkel, A.H., 1999, P-glycoprotein, a gatekeeper in the blood-brain barrier Adv. Drug Deliv. Rev. 36: 179–194.

    Article  PubMed  CAS  Google Scholar 

  • Segal, M., 1998, The blood-CSF barrier and the choroid plexus, in: Introduction to the Blood-Brain Barrier. Methodology Biology and Pathology Pardridge W.M., ed., Cambridge University Press, Cambridge, U.K.

    Google Scholar 

  • Sikic, B.I., 1997, Pharmacologic approaches to reversing multidrug resistance Semin. Hematol. 34: 40–47.

    PubMed  CAS  Google Scholar 

  • Smit, J.W., Huisman, M.T., van Tellingen, O., Wiltshire, H.R., and Schinkel, A.H., 1999, Absence or pharmacological blocking of placental P-glycoprotein profoundly increases fetal drug exposure J. Clin. Invest. 104: 1441–1447.

    Article  PubMed  CAS  Google Scholar 

  • Sugawara, I., Kataoka, I., Morishita, Y., Hamada, H., Tsuruo, T., Itoyama, S., and Mori, S., 1988, Tissue distribution of P-glycoprotein encoded by a multidrug-resistant gene as revealed by a monoclonal antibody, MRK 16 Cancer Res. 48: 1926–1929.

    PubMed  CAS  Google Scholar 

  • Thiebaut, F., Tsuruo, T., Hamada, H., Gottesman, M.M., Pastan I., and Willingham, M.C., 1987, Cellular localization of the multidrug resistance gene product in normal human tissues Proc. Natl. Acad. Sci. U.S.A. 84: 7735–7738.

    Article  PubMed  CAS  Google Scholar 

  • Wijnholds, J., Evers, R., van Leusden, M.R., Mol, C.A.A.M., Zaman, G.J.R., Mayer, U., Beijnen, J.H., van der Valk, M., Krimpenfort, P., and Borst, P., 1997, Increased sensitivity to anticancer drugs and decreased inflammatory response in mice lacking the multidrug resistance-associated protein Nature Med. 3: 1275–1279.

    Article  PubMed  CAS  Google Scholar 

  • Wijnholds, J., Scheffer, G.L., van der Valk, M., van der Valk, P., Beijnen, J.H., Scheper, R.J., and Borst, P., 1998, Multidrug resistance protein 1 protects the oropharyngeal mucosal layer and the testicular tubes against drug-induced damage J. Exp. Med. 188:797–808.

    Article  PubMed  CAS  Google Scholar 

  • Wijnholds, J., de Lange, E.C.M., Scheffer, G.L., van den Berg, D.-J., Mol, C.A.A.M., van der Valk, M., Schinkel, A.H., Scheper, R.J., Breimer, D.D., and Borst, P., 2000, Multidrug resistance protein 1 protects the choroid plexus epithelium and contributes to the blood-cerebrospinal fluid barrier J. Clin. Invest. 105:279–285.

    Article  PubMed  CAS  Google Scholar 

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Schinkel, A.H. (2001). The Roles of P-Glycoprotein and MRP1 in the Blood-Brain and Blood-Cerebrospinal Fluid Barriers. In: Dansette, P.M., et al. Biological Reactive Intermediates VI. Advances in Experimental Medicine and Biology, vol 500. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0667-6_60

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  • DOI: https://doi.org/10.1007/978-1-4615-0667-6_60

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5185-6

  • Online ISBN: 978-1-4615-0667-6

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