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Updated: May 14, 2026

Isolation of Cerebral Capillaries from Fresh Human Brain Tissue
Published on: September 12, 2018
Constitutive androstane receptor upregulates Abcb1 and Abcg2 at the blood-brain barrier after CITCO activation
Julia Lemmen1, Iasson E P Tozakidis, Prachee Bele
1International Graduate School (GRK 1409/2), Westfälische Wilhelms-Universität Von-Esmarch-Str. 56, D-48149 Münster, Germany.
Abstract:
ATP-driven efflux transporters are considered to be the major hurdle in the treatment of central nervous system (CNS) diseases. Abcb1 (P-glycoprotein) and Abcg2 (breast cancer resistance protein/brain multidrug resistance protein) belong to the best known ABC-transporters. These ABC-transporters limit the permeability of the blood-brain barrier and protect the brain against toxic compounds in the blood but on the other hand they also reduce the efficacy of CNS pharmacotherapy. Even after 40 years of extensive research, the regulatory mechanisms of these efflux transporters are still not completely understood. To unravel the efflux transporter regulation, we analyzed the effect of the nuclear receptor CAR (constitutive androstane receptor) on the expression of Abcb1 and Abcg2 in primary cultures of porcine brain capillary endothelial cells (PBCEC). CAR is a xenobiotic-activated transcription factor, which is, like the other important nuclear receptor pregnane X receptor (PXR), highly expressed in barrier tissue and known to be a positive regulator of ABC-transporters. We demonstrate that activation of porcine CAR by the human CAR (hCAR) ligand CITCO (6-(4-chlorophenyl)-imidazo[2,1-b]thiazole-5-carbaldehyde) leads to an up-regulation of both transporters, whereas the mouse-specific CAR ligand TCPOBOP (1,4-bis-[2-(3,5-dichloropyridyloxy)]benzene) had no effect on transporter expression. The stimulation of PBCEC with CITCO caused a significant up-regulation of both efflux-transporters on RNA-level, protein level and transport level. Furthermore the additional application of a CAR inhibitor significantly decreased the transporter expression to control niveau. In conclusion our data prove CAR activation only by the human ligand CITCO leading to an increased ABC-transporter expression and transport activity.
Insights
Constitutive androstane receptor (CAR) activation by the human ligand CITCO up-regulates ABC-transporters like P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP) in brain endothelial cells, impacting CNS drug delivery.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- ATP-driven efflux transporters, including Abcb1 (P-glycoprotein) and Abcg2 (breast cancer resistance protein), are key regulators of blood-brain barrier (BBB) permeability.
- These transporters protect the brain from toxins but also impede central nervous system (CNS) drug efficacy.
- Understanding the regulation of these efflux transporters is crucial for improving CNS pharmacotherapy.
Purpose of the Study:
- To investigate the effect of the nuclear receptor CAR (constitutive androstane receptor) on the expression and activity of Abcb1 and Abcg2 in porcine brain capillary endothelial cells (PBCEC).
- To determine if human-specific CAR activation influences these efflux transporters relevant to CNS drug penetration.
Main Methods:
- Primary cultures of porcine brain capillary endothelial cells (PBCEC) were utilized.
- Cells were treated with specific ligands for CAR: CITCO (human CAR activator) and TCPOBOP (mouse CAR activator).
- Expression levels of Abcb1 and Abcg2 were analyzed at RNA, protein, and transport activity levels. CAR inhibitor was used to confirm specificity.
Main Results:
- Activation of porcine CAR by the human-specific ligand CITCO significantly upregulated both Abcb1 and Abcg2 expression and activity in PBCEC.
- The mouse-specific CAR ligand TCPOBOP showed no effect on transporter expression.
- Inhibition of CAR reversed the observed upregulation, confirming CAR's role.
Conclusions:
- Human CAR activation by CITCO effectively increases the expression and activity of key efflux transporters (Abcb1 and Abcg2) in brain endothelial cells.
- This finding highlights a potential mechanism influencing drug efflux at the BBB and has implications for CNS drug development strategies.
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