Abstract
Drug metabolism is in most cases a detoxification process allowing the organism to inactivate and eliminate foreign substances to which it is exposed. While the liver is the main site of drug metabolism, drug-metabolizing enzymes that catalyze functionalization and conjugation reactions have been detected in the brain, and several of these enzymes are notably enriched at blood–brain interfaces. This chapter summarizes the principles of drug metabolism, reviews the molecular and functional evidence for drug-metabolizing enzyme location at both the blood–brain barrier (BBB) and blood–CSF barrier (BCSFB), and discusses their functional significance for modulating cerebral drug delivery and brain toxin exposure.
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Acknowledgement
This work was supported by the European Union (HEALTH- F2-2009-241778) to Nathalie Strazielle and Jean-François Ghersi-Egea.
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Declèves, X., Strazielle, N., Scherrmann, JM., Ghersi-Egea, JF. (2014). Drug Metabolism at the Blood–Brain and Blood–CSF Barriers. In: Hammarlund-Udenaes, M., de Lange, E., Thorne, R. (eds) Drug Delivery to the Brain. AAPS Advances in the Pharmaceutical Sciences Series, vol 10. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9105-7_4
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