PMID- 8584471 OWN - NLM STAT- MEDLINE DCOM- 19960315 LR - 20190818 IS - 0724-8741 (Print) IS - 0724-8741 (Linking) VI - 12 IP - 10 DP - 1995 Oct TI - Cerebrovascular permeability to peptides: manipulations of transport systems at the blood-brain barrier. PG - 1395-406 AB - The study of peptide transport across the blood-brain barrier (BBB) is a field fraught with conflicting interpretations. This review presents a fairly strong case that peptides can be differentially transported at the BBB. However, minimal transport of peptides could have important impact on central nervous system (CNS) functions since only small amounts are needed for physiologic pharmacologic and/or pathologic effects. Several BBB peptide transport mechanisms (i.e., receptor-mediated, absorptive-mediated, carrier-mediated and non-specific passive diffusion), as well as non-transport processes (i.e., endocytosis without transcytosis, absorption and metabolism) are discussed. It is emphasized that peptide transport systems at the BBB could be important targets for both therapeutic delivery of peptides and the development of certain brain pathologies. Strategies to manipulate peptide BBB transport processes have been discussed including lipidization, chemical modifications of the N-terminal end, coupling of transport with post-BBB metabolism and formation of potent neuroactive peptides, up-regulation of putative peptide transporters, use of chimeric peptides in which non-transportable peptide is chemically linked to a transportable peptide, use of monoclonal antibodies against peptide receptors, and binding of circulating peptides to apolipoproteins. It is suggested that future directions should be directed towards development of molecular strategies to up-regulate specific BBB peptide transporters to enhance brain delivery of peptide neuropharmaceuticals, or to down-regulate transport of peptides with potential role in cerebral pathogenesis. FAU - Zlokovic, B V AU - Zlokovic BV AD - Department of Neurological Surgery, Children's Hospital Los Angeles, University of Southern California School of Medicine 90033, USA. LA - eng GR - AG08051/AG/NIA NIH HHS/United States GR - EY 09399/EY/NEI NIH HHS/United States GR - NS31945/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Pharm Res JT - Pharmaceutical research JID - 8406521 RN - 0 (Peptides) RN - GAN16C9B8O (Glutathione) SB - IM MH - Animals MH - Biological Transport MH - *Blood-Brain Barrier MH - *Capillary Permeability MH - *Cerebrovascular Circulation MH - Glutathione/metabolism MH - Peptides/chemistry/*pharmacokinetics RF - 72 EDAT- 1995/10/01 00:00 MHDA- 1995/10/01 00:01 CRDT- 1995/10/01 00:00 PHST- 1995/10/01 00:00 [pubmed] PHST- 1995/10/01 00:01 [medline] PHST- 1995/10/01 00:00 [entrez] AID - 10.1023/a:1016254514167 [doi] PST - ppublish SO - Pharm Res. 1995 Oct;12(10):1395-406. doi: 10.1023/a:1016254514167.