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ATP-binding cassette transporters in immortalised human brain microvascular endothelial cells in normal and hypoxic conditionsKeywords: Blood–brain barrier, Ischemia/reperfusion injury, Hypoxia-inducible factor, Multidrug resistance, ABC transporters, Stroke Abstract: We exposed hCMEC/D3 cells to 24 hours of hypoxia alone and to hypoxia followed by 60 min of reoxygenisation as an in vitro model for I/R. Western blot showed mild upregulation of hypoxia inducible factor (HIF-1α) after hypoxia alone and RNA lysates were analysed with a well-established real-time RT-PCR-based TaqMan low-density array detecting 47 of 48 known human ABC transporters.No significant increases of ABC mRNA expression levels were detected neither in hypoxic nor in I/R samples. However, slight decrease of ABCC1 in hypoxic and I/R samples and of ABCA10 and ABCD3 in I/R samples was observed.Our data suggests that hCMEC/D3 cell line and – at the moment – in vitro models in general are a poor basis for stroke research but may be enhanced by co-culturing more cells of the neurovascular unit inducing an overall ischemic response at the BBB.The successful rescue of penumbral brain tissue by rapid reperfusion may be compromised by ischemia/reperfusion injury (I/R) and other secondary events, amongst them post-ischemic inflammatory response, excitotoxicity, excess of reactive oxygen species (ROS), and induction of apoptotic neuronal cell death [1-3]. The cerebral endothelium, which forms the blood–brain barrier (BBB) in-vivo, may play a crucial role in post-ischemic reperfusion for several reasons: 1.) it is the primary site where reperfusion occurs, 2.) it allows interaction between the brain’s and body’s immune system and, 3.) it strongly interacts with other cell types of the neurovascular unit via cell-cell, cell-matrix and neuro-endocrine cross talk, amongst others, determining the overall cerebral response to ischemia [4-6]. Several studies with I/R stroke models demonstrated a dynamic, even biphasic BBB permeability increase, whereas in clinical stroke neurology only early post-ischemic BBB disruption has been associated with life threatening oedema formation and increased risk of symptomatic intracerebral hemorrhage [7-10]. However, other than BBB tight junct
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