RLIP76, a non-ABC transporter, and drug resistance in epilepsyReportar como inadecuado

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BMC Neuroscience

, 6:61

First Online: 27 September 2005Received: 05 April 2005Accepted: 27 September 2005


BackgroundPermeability of the blood-brain barrier is one of the factors determining the bioavailability of therapeutic drugs and resistance to chemically different antiepileptic drugs is a consequence of decreased intracerebral accumulation. The ABC transporters, particularly P-glycoprotein, are known to play a role in antiepileptic drug extrusion, but are not by themselves sufficient to fully explain the phenomenon of drug-resistant epilepsy. Proteomic analyses of membrane protein differentially expressed in epileptic foci brain tissue revealed the frequently increased expression of RLIP76-RALBP1, a recently described non-ABC multi-specific transporter. Because of a significant overlap in substrates between P-glycoprotein and RLIP76, present studies were carried out to determine the potential role of RLIP76 in AED transport in the brain.

ResultsRLIP76 was expressed in brain tissue, preferentially in the lumenal surface of endothelial cell membranes. The expression was most prominent in blood brain barrier tissue from excised epileptic foci. Saturable, energy-dependent, anti-gradient transport of both phenytoin and carbamazepine were demonstrated using recombinant RLIP76 reconstituted into artificial membrane liposomes. Immunotitration studies of transport activity in crude membrane vesicles prepared from whole-brain tissue endothelium showed that RLIP76 represented the dominant transport mechanism for both drugs. RLIP76 knockout mice exhibited dramatic toxicity upon phenytoin administration due to decreased drug extrusion mechanisms at the blood-brain barrier.

ConclusionWe conclude that RLIP76 is the predominant transporter of AED in the blood brain barrier, and that it may be a transporter involved in mechanisms of drug-resistant epilepsy.

Abbreviations usedRALBP1official human genome designation for human Ral-binding protein-1, synonymous with RALBP1, and homologous to rat RALBP1 and mouse RIP1. We refer to the mouse, rat and human proteins as RLIP76 in the present communication

AEDanti-epileptic drug

BBBblood-brain barrier


ECendothelial cells


GS-Eglutathione electrophile conjugates


MCDBmodified Czapek Dox broth


Electronic supplementary materialThe online version of this article doi:10.1186-1471-2202-6-61 contains supplementary material, which is available to authorized users.

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Autor: Sanjay Awasthi - Kerri L Hallene - Vince Fazio - Sharad S Singhal - Luca Cucullo - Yogesh C Awasthi - Gabriele Dini - Da

Fuente: https://link.springer.com/

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