TGF-β1 regulation of multidrug resistance P-glycoprotein in the developing male blood-brain barrier
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Updated: May 5, 2026

Isolation of Cerebral Capillaries from Fresh Human Brain Tissue
Published on: September 12, 2018
Stephanie Baello1, Majid Iqbal, Enrrico Bloise
1Department of Physiology (S.B., M.I., E.B., M.J., S.G.M.), Obstetrics and Gynecology (S.G.M.), and Medicine (S.G.M.), Faculty of Medicine, University of Toronto, Toronto, Ontario M5S 1A8, Canada; and Department of Obstetrics and Gynecology (W.G.), and Cellular and Molecular Medicine (W.G.), Faculty of Medicine, University of Ottawa, Ottawa, Ontario K1H 8M5, Canada.
Insights
Transforming growth factor-beta 1 (TGF-β1) regulates P-glycoprotein (P-gp) in the developing fetal brain's blood-brain barrier (BBB). This study reveals TGF-β1's role in P-gp function via ALK5 and age-dependent ALK1 pathways, impacting brain protection.
Area of Science:
- Neuroscience
- Developmental Biology
- Pharmacology
Background:
- P-glycoprotein (P-gp), an efflux transporter encoded by the abcb1 gene, is crucial for protecting the developing fetal brain.
- P-gp levels in blood-brain barrier (BBB) endothelial cells increase during peak brain growth, coinciding with elevated TGF-β1 release.
- The precise mechanisms by which TGF-β1 regulates P-gp activity and brain protection in the developing BBB remain largely unknown.
Purpose of the Study:
- To investigate the hypothesis that TGF-β1 increases abcb1 gene expression and P-gp activity in the fetal and postnatal BBB in an age-dependent manner.
- To elucidate the specific signaling pathways, including ALK1 and ALK5, involved in TGF-β1-mediated regulation of P-gp function.
Main Methods:
- Utilized guinea pig brain endothelial cells (BECs) derived from different gestational and postnatal ages.
- Administered TGF-β1, ALK1/ALK5 inhibitors (dorsomorphin, ALK5 inhibitors), and ALK1 agonists (BMP-9) to BECs.
- Quantified abcb1 mRNA levels and P-gp function.
Main Results:
- TGF-β1 significantly increased P-gp function in both fetal and postnatal BECs, with more pronounced effects earlier in gestation.
- ALK5 inhibition demonstrated its necessity for TGF-β1's effects on P-gp function.
- TGF-β1 signaling through ALK1 was age-dependent, with ALK1 inhibition attenuating TGF-β1 effects in postnatal but not fetal BECs.
Conclusions:
- TGF-β1 plays a critical role in regulating P-gp at the fetal and neonatal BBB.
- Both ALK5 and ALK1 signaling pathways are implicated in TGF-β1-mediated P-gp regulation.
- Aberrant TGF-β1 levels during BBB development could alter fetal brain exposure to P-gp substrates, potentially affecting brain development.
Abstract:
P-glycoprotein (P-gp), an efflux transporter encoded by the abcb1 gene, protects the developing fetal brain. Levels of P-gp in endothelial cells of the blood-brain barrier (BBB) increase dramatically during the period of peak brain growth. This is coincident with increased release of TGF-β1 by astrocytes and neurons. Although TGF-β1 has been shown to modulate P-gp activity in a number of cell types, little is known about how TGF-β1 regulates brain protection. In the present study, we hypothesized that TGF-β1 increases abcb1 expression and P-gp activity in fetal and postnatal BBB in an age-dependent manner. We found TGF-β1 to potently regulate abcb1 mRNA and P-gp function. TGF-β1 increased P-gp function in brain endothelial cells (BECs) derived from fetal and postnatal male guinea pigs. These effects were more pronounced earlier in gestation when compared with BECs derived postnatally. To investigate the signaling pathways involved, BECs derived at gestational day 50 and postnatal day 14 were exposed to ALK1 and ALK5 inhibitors and agonists. Through inhibition of ALK5, we demonstrated that ALK5 is required for the TGF-β1 effects on P-gp function. Activation of ALK1, by the agonist BMP-9, produced similar results to TGF-β1 on P-gp function. However, TGF-β1 signaling through the ALK1 pathway is age-dependent as dorsomorphin, an ALK1 inhibitor, attenuated TGF-β1-mediated effects in BECs derived at postnatal day 14 but not in those derived at gestational day 50. In conclusion, TGF-β1 regulates P-gp at the fetal and neonatal BBB and both ALK5 and ALK1 pathways are implicated in the regulation of P-gp function. Aberrations in TGF-β1 levels at the developing BBB may lead to substantial changes in fetal brain exposure to P-gp substrates, triggering consequences for brain development.
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