[¹¹C]befloxatone brain kinetics is not influenced by Bcrp function at the blood-brain barrier: a PET study using Bcrp

Benoit Hosten1, Raphaël Boisgard, Aude Jacob

  • 1INSERM U705, CNRS UMR8206, Faculté de Pharmacie, Université Paris Descartes, Sorbonne Paris Cité, Université Paris Diderot, Paris F-75006, France.

Insights

A new Bcrp knockout rat model shows no P-gp compensation, making it suitable for studying breast cancer resistance protein (Bcrp) function at the blood-brain barrier (BBB). This finding is crucial for understanding drug transport and brain barrier research.

Area of Science:

  • Neuroscience and Pharmacology
  • Blood-Brain Barrier (BBB) Transport Mechanisms
  • Drug Discovery and Development

Background:

  • P-glycoprotein (P-gp) and breast cancer resistance protein (Bcrp) are key ABC-transporters at the BBB, influencing drug distribution to the brain.
  • Knockout (KO) models are valuable for studying transporter function, but compensatory upregulation of other transporters can be a confounding factor.
  • Understanding the interplay between P-gp and Bcrp is essential for predicting drug efficacy and toxicity.

Purpose of the Study:

  • To evaluate the Bcrp knockout (KO) rat model for potential compensatory changes in P-glycoprotein (P-gp) expression or distribution at the blood-brain barrier (BBB).
  • To assess the influence of Bcrp deficiency on the brain and peripheral pharmacokinetics of its substrate, [(11)C]befloxatone, using positron emission tomography (PET).
  • To investigate the combined effects of Bcrp deficiency and P-gp inhibition on [(11)C]befloxatone brain uptake.

Main Methods:

  • Comparison of P-gp distribution and expression levels at the BBB in Bcrp KO rats versus wild-type (WT) rats using confocal microscopy and western blot.
  • In vivo PET imaging to determine the brain and peripheral kinetics of [(11)C]befloxatone in Bcrp KO rats.
  • Pharmacokinetic assessment of [(11)C]befloxatone in Bcrp KO rats following administration of the P-gp inhibitor elacridar.

Main Results:

  • P-gp distribution and expression at the BBB were comparable between Bcrp KO and WT rats, indicating no compensatory upregulation of P-gp.
  • The absence of Bcrp did not affect the brain or peripheral kinetics of [(11)C]befloxatone.
  • Inhibition of P-gp did not alter [(11)C]befloxatone brain uptake in Bcrp-deficient rats.

Conclusions:

  • The Bcrp KO rat model is a suitable tool for studying Bcrp function independently of P-gp at the BBB due to the absence of compensatory mechanisms.
  • Despite in vitro substrate selectivity, [(11)C]befloxatone brain imaging may not be significantly confounded by Bcrp dysfunction in vivo.
  • This study validates a novel model for investigating transporter roles in drug disposition at the blood-brain barrier.