Blood-brain barrier transport pathways for cytoprotective thiols

Am J Ther. 2013 Sep-Oct;20(5):469-79. doi: 10.1097/MJT.0b013e31829e8b7f.

Abstract

The purpose of this study is to further define transport pathways for biological thiols by blood-brain barrier (BBB) endothelial cells, as a means of identifying endogenous cytoprotective mechanisms and potential therapeutic protocols for oxidative injury. Similar low-affininty, high-capacity passive carriers for glutathione (GSH) were observed at both the luminal (blood-facing) and abluminal (brain-facing) plasma membranes of BBB endothelial cells. These carriers are voltage dependent, favoring outward movement of intact peptide across both membrane domains, including efflux at the luminal plasmalemma where γ-glutamyl transpeptidase is located. Although present at both cell surfaces, the carriers are distributed unequally, with more appearing in the abluminal membrane. By contrast, high-affinity, low-capacity sodium-dependent GSH cotransport (Na-GSH) is observed only at the abluminal membrane, indicative of an inwardly directed active peptide carrier at the brain-facing plasma membrane. Treatment of cultured BBB endothelial cells with the GSH precursor γ-glutamyl-cysteine reduces cell damage under conditions simulating ischemia and reperfusion. These findings are consistent with the presence of (1) a typical γ-glutamyl cycle at the luminal membrane of BBB endothelial cells, (2) a significant efflux pathway at the abluminal membrane allowing passive movement of BBB GSH into brain extracellular fluid, (3) a Na-dependent, brain-to-blood pathway for transcellular transport of GSH, and (4) a mechanism for cytoprotection by γ-glutamyl cysteine, under conditions of ischemia and reperfusion.

MeSH terms

  • Biological Transport
  • Blood-Brain Barrier / metabolism*
  • Cell Membrane / metabolism
  • Cells, Cultured
  • Chromatography, High Pressure Liquid
  • Cytoprotection / physiology*
  • Dipeptides / metabolism
  • Endothelial Cells / metabolism
  • Glutathione / metabolism*
  • Humans
  • Ischemia / physiopathology
  • Reperfusion Injury / physiopathology
  • Sodium / metabolism
  • Sulfhydryl Compounds / pharmacology*
  • gamma-Glutamyltransferase / metabolism

Substances

  • Dipeptides
  • Sulfhydryl Compounds
  • Sodium
  • gamma-Glutamyltransferase
  • Glutathione
  • gamma-glutamylcysteine