Expression of P-Glycoprotein in Human Cerebral Cortex MicrovesselsDaniela Virgintinoa, David Robertsonb, Mariella Erredea, Vincenzo Benagianoc, Francesco Girolamoa, Eugenio Maioranod, Luisa Roncalia, and Mirella Bertossica Department of Human Anatomy and Histology, University of Bari School of Medicine, Bari, Italy b Breakthrough Breast Cancer Centre, Institute of Cancer Research, Chester Beatty Laboratory, London, United Kingdom c Department of Clinical and Basic Medical Sciences, University of Foggia School of Medicine, Foggia, Italy d Department of Pathological Anatomy and Genetics, University of Bari School of Medicine, Bari, Italy Correspondence to: Daniela Virgintino, Dept. of Human Anatomy and Histology, University of Bari School of Medicine, Piazza Giulio Cesare, I-70124 Bari, Italy. E-mail: virgintino@histology.uniba.it P-Glycoprotein (P-gp) is an ATP-dependent efflux transporter that extrudes non-polar molecules, including cytotoxic substances and drugs, from the cells. It was initially found in cancer cells and then was shown to be a normal component of complex transport systems working at the bloodbrain barrier (BBB). Previous studies have demonstrated that, in the brain, P-gp is localized on the luminal plasmalemma of BBB endothelial cells and that it may interact with the caveolar compartment of these cells. The aim of this study was to identify the site of cellular expression of P-gp in human brain in situ and to morphologically determine whether an association may exist between P-gp and caveolin-1, a structural and functional protein of the caveolar frame. The study was carried out on human cerebral cortex by immunoconfocal microscopy with antibodies to both P-gp and caveolin-1. The results show that P-gp marks the microvessels of the cortex and that the transporter is localized in the luminal endothelial compartment, where it co-localizes with caveolin-1. The demonstration of this co-localization of P-gp with caveolin-1 contributes a morphological backing to biochemical studies on P-gp/caveolin-1 relationships and leads us to suggest that interactions between these molecules may occur at the BBB endothelia. (J Histochem Cytochem 50:16711676, 2002) Key Words: P-glycoprotein, caveolin-1, human brain microvessels, bloodbrain barrier, immunoconfocal microscopy
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