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Vol. 299, Issue 2, 483-493, November 2001
Department of Pharmaceutical Sciences, University of Nebraska
Medical Center, Omaha, Nebraska (E.V.B., S.L., S.V.V., D.W.M., A.V.K.);
and Supratek Pharma Inc., Laval, Quebec, Canada (V.Y.A)
Pluronic block copolymer, P85, inhibits the P-glycoprotein (Pgp) drug
efflux system and increases the permeability of a broad spectrum of
drugs in the blood-brain barrier (BBB). This study examines the
mechanisms by which P85 inhibits Pgp using bovine brain microvessel
endothelial cells (BBMEC) as an in vitro model of the BBB. The
hypothesis was that simultaneous alterations in intracellular ATP
levels and membrane fluidization in BBMEC monolayers by P85 results in
inhibition of the drug efflux system. The methods included the use of
1) standard Pgp substrate rhodamine 123 to assay the Pgp efflux system
in BBMEC, 2) luciferin/luciferase assay for ATP intracellular levels,
and 3) 1,6-diphenyl-1,3,5-hexatriene for membrane microviscosity. Using
3H-labeled P85 and fluorescein-labeled P85 for confocal
microscopy, this study suggests that P85 accumulates in the cells
and intracellular organelles such as the mitochondria where it can
interfere with metabolic processes. Following exposure of BBMEC to P85,
the ATP levels were depleted, and microviscosity of the cell membranes was decreased. Furthermore, P85 treatment decreased Pgp ATPase activity
in membranes expressing human Pgp. A combination of experiments examining the kinetics, concentration dependence, and directionality of
P85 effects on Pgp-mediated efflux in BBMEC monolayers suggests that
both energy depletion (decreasing ATP pool available for Pgp) and
membrane fluidization (inhibiting Pgp ATPase activity) are critical
factors contributing to the activity of the block copolymer in the BBB.
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