Region-specific blood-brain barrier transporter changes leads to increased sensitivity to amisulpride in Alzheimer's disease.


Journal

Fluids and barriers of the CNS
ISSN: 2045-8118
Titre abrégé: Fluids Barriers CNS
Pays: England
ID NLM: 101553157

Informations de publication

Date de publication:
17 Dec 2019
Historique:
received: 10 10 2019
accepted: 02 12 2019
entrez: 18 12 2019
pubmed: 18 12 2019
medline: 28 4 2020
Statut: epublish

Résumé

Research into amisulpride use in Alzheimer's disease (AD) implicates blood-brain barrier (BBB) dysfunction in antipsychotic sensitivity. Research into BBB transporters has been mainly directed towards the ABC superfamily, however, solute carrier (SLC) function in AD has not been widely studied. This study tests the hypothesis that transporters for organic cations contribute to the BBB delivery of the antipsychotics (amisulpride and haloperidol) and is disrupted in AD. The accumulation of [ In vitro BBB and in silico transporter studies indicated that [ Together our research indicates that the increased sensitivity of individuals with Alzheimer's to amisulpride is related to previously unreported changes in function and expression of SLC transporters at the BBB (in particular PMAT and MATE1). Dose adjustments may be required for drugs that are substrates of these transporters when prescribing for individuals with AD.

Sections du résumé

BACKGROUND BACKGROUND
Research into amisulpride use in Alzheimer's disease (AD) implicates blood-brain barrier (BBB) dysfunction in antipsychotic sensitivity. Research into BBB transporters has been mainly directed towards the ABC superfamily, however, solute carrier (SLC) function in AD has not been widely studied. This study tests the hypothesis that transporters for organic cations contribute to the BBB delivery of the antipsychotics (amisulpride and haloperidol) and is disrupted in AD.
METHODS METHODS
The accumulation of [
RESULTS RESULTS
In vitro BBB and in silico transporter studies indicated that [
CONCLUSIONS CONCLUSIONS
Together our research indicates that the increased sensitivity of individuals with Alzheimer's to amisulpride is related to previously unreported changes in function and expression of SLC transporters at the BBB (in particular PMAT and MATE1). Dose adjustments may be required for drugs that are substrates of these transporters when prescribing for individuals with AD.

Identifiants

pubmed: 31842924
doi: 10.1186/s12987-019-0158-1
pii: 10.1186/s12987-019-0158-1
pmc: PMC6915870
doi:

Substances chimiques

Antipsychotic Agents 0
Membrane Transport Proteins 0
Amisulpride 8110R61I4U
Haloperidol J6292F8L3D

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

38

Subventions

Organisme : Medical Research Council DTP
ID : MR/N013700/1
Organisme : Biotechnology and Biological Sciences Research Council
ID : BB/L01534X/1
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 080268
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K500811/1
Pays : United Kingdom
Organisme : Department of Health
ID : NIHR/CS/010/019
Pays : United Kingdom

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Auteurs

Gayathri Nair Sekhar (GN)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Alice L Fleckney (AL)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Sevda Tomova Boyanova (ST)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Huzefa Rupawala (H)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Rachel Lo (R)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Hao Wang (H)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Doaa B Farag (DB)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.
Faculty of Pharmacy, Misr International University, Cairo, 11431, Egypt.

Khondaker Miraz Rahman (KM)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK.

Martin Broadstock (M)

Wolfson Centre for Age-Related Diseases, King's College London, Guy's Campus, London, SE1 1UL, UK.
Maurice Wohl Clinical Neuroscience Institute, King's College London, 125 Coldharbour Lane, Camberwell, London, SE5 9N, UK.

Suzanne Reeves (S)

Division of Psychiatry, Faculty of Brain Sciences, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.

Sarah Ann Thomas (SA)

Faculty of Life Sciences and Medicine, School of Cancer and Pharmaceutical Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, Waterloo, London, SE1 9NH, UK. sarah.thomas@kcl.ac.uk.

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Classifications MeSH