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Alpha Adrenergic Induction of Transport of Lysosomal Enzyme across the Blood-Brain Barrier.

Abstract
The impermeability of the adult blood-brain barrier (BBB) to lysosomal enzymes impedes the ability to treat the central nervous system manifestations of lysosomal storage diseases. Here, we found that simultaneous stimulation of the alpha1 and alpha2 adrenoreceptor restores in adult mice the high rate of transport for the lysosomal enzyme P-GUS that is seen in neonates but lost with development. Beta adrenergics, other monoamines, and acetylcholine did not restore this transport. A high dose (500 microg/mouse) of clonidine, a strong alpha2 and weak alpha1 agonist, was able to act as monotherapy in the stimulation of P-GUS transport. Neither use of alpha1 plus alpha2 agonists nor the high dose clonidine disrupted the BBB to albumin. In situ brain perfusion and immunohistochemistry studies indicated that adrengerics act on transporters already at the luminal surface of brain endothelial cells. These results show that adrenergic stimulation, including monotherapy with clonidine, could be key for CNS enzyme replacement therapy.
AuthorsAkihiko Urayama, Shinya Dohgu, Sandra M Robinson, William S Sly, Jeffery H Grubb, William A Banks
JournalPloS one (PLoS One) Vol. 10 Issue 11 Pg. e0142347 ( 2015) ISSN: 1932-6203 [Electronic] United States
PMID26545208 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Adrenergic Agents
  • Biogenic Monoamines
  • Receptors, Adrenergic, alpha
  • Clonidine
  • Acetylcholine
  • Epinephrine
Topics
  • Acetylcholine (metabolism)
  • Adrenergic Agents (metabolism)
  • Animals
  • Biogenic Monoamines (metabolism)
  • Blood-Brain Barrier (enzymology, metabolism)
  • Brain (cytology, metabolism)
  • Clonidine (agonists, pharmacology)
  • Endothelial Cells (metabolism)
  • Epinephrine (metabolism)
  • L Cells
  • Lysosomal Storage Diseases (enzymology)
  • Mice
  • Protein Transport (drug effects)
  • Receptors, Adrenergic, alpha (metabolism)

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