Differential permeability of the bbb in acute eae: enhanced transport of tnf[alpha]. Pan, Weihong, William A. Banks, Mary K. Kennedy, Enrique G. Gutierrez, and Abba J. Kastin. Departments of Neuroscience and Medicine, Tulane University School of Medicine, and VA Medical Center, New Orleans, LA 70146, and Department of Immunology, Immunex Research and Development Corporation, Seattle, Washington, USA
APStracts 3:0109E, 1996.
The impairment of the blood-brain barrier (BBB) in experimental autoimmune encephalomyelitis (EAE) has been frequently attributed to disruption without much consideration of saturable transport processes. In mice with EAE we studied the permeability of the BBB for radioactively labeled albumin and sucrose, markers of BBB disruption, and tumor necrosis factor-[alpha] (TNF[alpha]), a cytokine transported across the BBB by a saturable system and thought to play a role in the pathogenesis of EAE. Permeation of the BBB was increased to all three substances during the acutely ill stage, was greatest in the lumbar spine, and returned to normal with recovery. The change in BBB permeability to sucrose was greater than to the larger albumin, and is consistent with a partial disruption of the BBB. The enhanced permeability to TNF[alpha] was comparable to that for sucrose even though TNF[alpha] is similar in size to albumin. This paradoxically high uptake of TNF[alpha] could be explained by an enhancement of its endogenous saturable transport system. Thus, the changes in BBB function during EAE extend beyond disruption to include changes in the saturable transport systems for substances involved in the disease process.

Received 24 December 1995; accepted in final form 17 May 1996.
APS Manuscript Number E601-5.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 17 June 96