Inhibiting drug efflux transporters improves efficacy of ALS therapeutics

Michael R. Jablonski,S. Markandaiah,Dena A. Jacob,Ni Meng,Ké Li,Victoria J. Gennaro,A. Lepore,D. Trotti,P. Pasinelli

Published 2014 in Annals of Clinical and Translational Neurology

ABSTRACT

Research identified promising therapeutics in cell models of Amyotrophic Lateral Sclerosis (ALS), but there is limited progress translating effective treatments to animal models and patients, and ALS remains a disease with no effective treatment. One explanation stems from an acquired pharmacoresistance driven by the drug efflux transporters P‐glycoprotein (P‐gp) and breast cancer‐resistant protein (BCRP), which we have shown are selectively upregulated at the blood‐brain and spinal cord barrier (BBB/BSCB) in ALS mice and patients. Pharmacoresistance is well appreciated in other brain diseases, but overlooked in ALS despite many failures in clinical trials.

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