Neuroscience Letters 452 (2009) 12–16
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Neuroscience Letters
journal homepage: www.elsevier.com/locate/neulet
Interactions between riluzole and ABCG2/BCRP transporter
Aline Milane
a
, Sarah Vautier
a
, Hélène Chacun
c
, Vincent Meininger
d
, Gilbert Bensimon
e
,
Robert Farinotti
a,b
, Christine Fernandez
a,b,∗
a
Université Paris-Sud XI, Laboratoire de Barrières et Passage des Médicaments, EA 2706, Faculty of Pharmacy, Chatenay-Malabry, France
b
Department of Pharmacy, Pitié Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
c
Université Paris-Sud XI, CNRS UMR 8612, Physico-Chimie, Pharmacotechnie and Biopharmacie, Faculty of Pharmacy, Chatenay-Malabry, France
d
Department of Neurology, Pitié Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
e
Department of Pharmacology, Pitié Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris and Université Pierre et Marie Curie (Paris-VI), Paris, France
article info
Article history:
Received 17 October 2008
Received in revised form 19 December 2008
Accepted 31 December 2008
Keywords:
BCRP
Riluzole
Amyotrophic lateral sclerosis
Blood–brain barrier
CF1 mdr1a (-/-) mice
BeWo cells
abstract
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative fatal disease. Drugs used in this disease need
to cross the blood–brain barrier (BBB). Only riluzole is approved for ALS treatment. We have investigated
riluzole as a breast cancer resistance protein (BCRP) substrate by studying its brain transport in CF1 mdr1a
(-/-) mice and its intracellular uptake on BeWo cells (human placental choriocarcinoma cell line). We
have also investigated the effect of riluzole on BCRP expression level and on its activity using the prazocin
as a test probe for brain transport and intracellular uptake. Assays on mdr1a (-/-) mice and BeWo
cells showed a higher uptake of riluzole when pretreated with a BCRP inhibitor. After repeated doses of
riluzole, BCRP activity was increased in CF1 mdr1a (-/-) mice, riluzole uptake was decrease and both
BCRP expression and activity were increased in BeWo cells. In conclusion, we report in this study that
riluzole is transported by BCRP at the BBB level and can enhance its function. These results taken with
our previous studies on riluzole and P-glycoprotein show that drug–drug interactions between riluzole
and efflux transporters substrates may occur at the BBB level and should be taken into account in future
clinical trial design in ALS.
© 2009 Elsevier Ireland Ltd. All rights reserved.
The blood–brain barrier (BBB) maintains the homeostasis of the
brain by preventing the entry of toxic and waste products from
the blood to the brain. This barrier is formed by a wall of capillary
endothelial cells and its tightness is enforced by the tight junctions
between the cells and by the astrocytic end feets and pericytes [2].
The presence of efflux transporters on the cell apical membrane
contribute to this protection by expelling their substrates out of
the brain [25]. In clinical development, CNS-acting drugs have the
poorest success rate due especially to the poor permeability of the
BBB.
The efflux transporters also called efflux pumps belong to the
superfamily of ATP Binding Cassette (ABC transporters). This fam-
ily includes ABCB1 (P-gp), ABCG2 (BCRP) and ABCC (MRPs) [25].
P-gp is the most studied and is highly expressed in the brain capil-
lary system. ABC transporters are usually split into two halves, each
with a nucleotide binding domain. At the opposite, BCRP is a half
transporter with only one nuclear binding domain and six trans-
membrane domains and its function requires homo-dimerization
∗
Corresponding author at: Laboratoire de Barrières et Passage des Médicaments,
EA 2706, Tour D1, Faculty of Pharmacy, 5 rue JB Clement, 92296 Chatenay-Malabry,
France. Tel.: +33 1 42 16 20 12; fax: +33 1 46 83 56 18.
E-mail address: christine.fernandez@psl.aphp.fr (C. Fernandez).
or tetramerization. BCRP is one of the latest discovered efflux
pumps to be involved in the multi drug resistance (MDR) phe-
nomenon and an increasing interest is given to this transporter
[16]. BCRP has been localized in various tissues and physiological
barriers, including the BBB. Like P-gp, BCRP is highly expressed at
the luminal side of the brain endothelium [11,32]. BCRP has sub-
sequently been reported to transport numerous molecules such as
anticancer agents (mitoxantrone, topotecan, methotrexate), cime-
tidine, fluoroquinolone antibiotics, prazocin and tyrosine kinase
inhibitors [5,9,16,18,22,25]. Drug–drug interactions (DDI) resulting
from modulation of multi-drug resistance proteins may be a clin-
ical concern. Therefore, FDA guidelines demand determination of
whether a drug candidate is a substrate and/or inhibitor of efflux
transporters [10].
Amyotrophic lateral sclerosis (ALS) is a late onset neurode-
generative disease characterized by progressive muscle weakness,
muscle atrophy and paralysis, usually leading to death within 2–5
years [7,12]. Only one drug, riluzole, has been shown to modify the
survival rate in ALS patients. The neuroprotective properties of rilu-
zole are due to its anti-glutamatergic effects. However, this drug
offers only a modest benefit [4,15]. We have already studied the
interactions of riluzole with P-gp at the BBB level and showed that
riluzole is transported out of the brain by P-gp [19]. To our knowl-
edge, there is no study on the interactions between riluzole and
0304-3940/$ – see front matter © 2009 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.neulet.2008.12.061