RT Journal Article SR Electronic T1 Apolipoprotein A-I crosses the blood-brain barrier through clathrin-independent and cholesterol-mediated endocytosis JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP jpet.118.254201 DO 10.1124/jpet.118.254201 A1 Andrew L Zhou A1 Suresh K Swaminathan A1 Geoffry L Curran A1 Joseph F Poduslo A1 Val J Lowe A1 Ling Li A1 Karunya K Kandimalla YR 2019 UL http://jpet.aspetjournals.org/content/early/2019/04/10/jpet.118.254201.abstract AB Recent studies suggest that apolipoprotein A-I (ApoA-I), the major protein constituent of high density lipoprotein particles, plays a critical role in preserving cerebrovascular integrity and reducing Alzheimer's risk. ApoA-I present in brain is thought to be primarily derived from the peripheral circulation. Although plasma-to-brain delivery of ApoA-I is claimed to be handled by the blood-cerebrospinal fluid barrier (BCSFB), contribution by the blood-brain barrier (BBB), which serves as a major portal for protein delivery to brain, cannot be ruled out. In this study, we assessed the permeability-surface area product (PS) of radioiodinated ApoA-I (125I-ApoA-I) in various brain regions of wild-type rats following an intravenous bolus injection. The PS value at the cortex, caudate putamen, hippocampus, thalamus, brain stem, and cerebellum was found to be 0.39, 0.28, 0.28, 0.36, 0.69, and 0.76 (mL/g/s x 10-6), respectively. Solutes delivered into brain via the BCSFB are expected to show greater accumulation in thalamus due to its periventricular location. The modest permeability for 125I-ApoA-I into thalamus relative to other regions suggests that BCSFB transport accounts for only a portion of total brain uptake and therefore BBB transport cannot be neglected. In addition, we show that Alexa Flourâ„¢ 647-labeled ApoA-I (AF647-ApoA-I) undergoes clathrin-independent and cholesterol-mediated endocytosis in transformed human cerebral microvascular endothelial cells (hCMEC/D3). Further, Z-series confocal images of the hCMEC/D3 monolayers and western blot detection of intact ApoA-I on the abluminal side demonstrated AF647-ApoA-I transcytosis across the endothelium. These findings implicate the BBB as a significant portal for ApoA-I delivery into brain.