Apolipoprotein E controls ATP-binding cassette transporters in the ischemic brain
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Updated: Jun 8, 2026

Isolation of Cerebral Capillaries from Fresh Human Brain Tissue
Published on: September 12, 2018
1Department of Neurology, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, D-45122 Essen, Germany.
Insights
Apolipoprotein E (ApoE) signaling in ischemic brain capillaries affects drug transporter abundance, hindering brain drug delivery. Inhibiting ApoE signaling may improve therapeutic access to the brain.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- Adenosine triphosphate-binding cassette transporters (ABCB1 and ABCC1) are crucial for regulating drug permeability across the blood-brain barrier.
- Ischemic stroke alters the expression and localization of these transporters, limiting the efficacy of brain-targeted therapeutics.
Purpose of the Study:
- To investigate the role of apolipoprotein E (ApoE) in regulating the abundance of ABCB1 and ABCC1 transporters in ischemic cerebral capillaries.
- To explore the potential of targeting ApoE signaling pathways to enhance drug delivery to the ischemic brain.
Main Methods:
- Immunohistochemical analysis of ischemic and contralateral cerebral microvessels to detect apolipoprotein E (ApoE) and ApoE receptor-2 (ApoER2) expression.
- Assessment of c-Jun N-terminal kinase (JNK) activity in response to ApoE signaling.
- Quantification of ABCB1 and ABCC1 transporter abundance in post-ischemic brain tissue.
Main Results:
- Apolipoprotein E (ApoE) was found on ischemic microvessels but not in control tissues.
- ApoE signaling, via ApoE receptor-2 (ApoER2), reduced c-Jun N-terminal kinase (JNK) activity.
- ApoE modulated the post-ischemic abundance of ABCB1 and ABCC1, influencing drug accumulation in the brain.
Conclusions:
- Apolipoprotein E (ApoE) plays a significant role in regulating drug transporter expression in the ischemic brain.
- Inhibiting ApoE signaling presents a potential therapeutic strategy to overcome drug delivery barriers in ischemic stroke.
Abstract:
The adenosine triphosphate-binding cassette transporters ABCB1 and ABCC1 show coordinated changes in abundance at the luminal and abluminal membranes of ischemic cerebral capillaries that impede the brain access of pharmacological compounds. We found that apolipoprotein E (ApoE) was present on ischemic microvessels but not contralateral controls. ApoE signaled through ApoE receptor-2 (ApoER2), which was constitutively expressed on brain microvessels, to decrease c-Jun amino-terminal kinase 1 and 2 and c-Jun activities. ApoE regulated the postischemic abundance of ABCB1 and ABCC1, thereby controlling drug accumulation in the ischemic brain. Our data suggest that inhibition of ApoE signaling may enable improved delivery of drugs to the brain.
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