@article{KimMcDonaghDengetal.2019,
  author    = {Kim, Brandon J. and McDonagh, Maura A. and Deng, Liwen and Gastfriend, Benjamin D. and Schubert-Unkmeir, Alexandra and Doran, Kelly S. and Shusta, Eric V.},
  title     = {Streptococcus agalactiae disrupts P-glycoprotein function in brain endothelial cells},
  series = {Fluids and Barriers of the CNS},
  volume    = {16},
  journal   = {Fluids and Barriers of the CNS},
  doi       = {10.1186/s12987-019-0146-5},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-201895},
  pages     = {26},
  year      = {2019},
  abstract  = {Bacterial meningitis is a serious life threatening infection of the CNS. To cause meningitis, blood-borne bacteria need to interact with and penetrate brain endothelial cells (BECs) that comprise the blood-brain barrier. BECs help maintain brain homeostasis and they possess an array of efflux transporters, such as P-glycoprotein (P-gp), that function to efflux potentially harmful compounds from the CNS back into the circulation. Oftentimes, efflux also serves to limit the brain uptake of therapeutic drugs, representing a major hurdle for CNS drug delivery. During meningitis, BEC barrier integrity is compromised; however, little is known about efflux transport perturbations during infection. Thus, understanding the impact of bacterial infection on P-gp function would be important for potential routes of therapeutic intervention. To this end, the meningeal bacterial pathogen, Streptococcus agalactiae, was found to inhibit P-gp activity in human induced pluripotent stem cell-derived BECs, and live bacteria were required for the observed inhibition. This observation was correlated to decreased P-gp expression both in vitro and during infection in vivo using a mouse model of bacterial meningitis. Given the impact of bacterial interactions on P-gp function, it will be important to incorporate these findings into analyses of drug delivery paradigms for bacterial infections of the CNS.},
  language  = {en}
}
@article{KimShustaDoran2019,
  author    = {Kim, Brandon J. and Shusta, Eric V. and Doran, Kelly S.},
  title     = {Past and current perspectives in modeling bacteria and blood-brain barrier interactions},
  series = {Frontiers in Microbiology},
  volume    = {10},
  journal   = {Frontiers in Microbiology},
  number    = {1336},
  doi       = {10.3389/fmicb.2019.01336},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-201766},
  year      = {2019},
  abstract  = {The central nervous system (CNS) barriers are highly specialized cellular barriers that promote brain homeostasis while restricting pathogen and toxin entry. The primary cellular constituent regulating pathogen entry in most of these brain barriers is the brain endothelial cell (BEC) that exhibits properties that allow for tight regulation of CNS entry. Bacterial meningoencephalitis is a serious infection of the CNS and occurs when bacteria can cross specialized brain barriers and cause inflammation. Models have been developed to understand the bacterial - BEC interaction that lead to pathogen crossing into the CNS, however, these have been met with challenges due to these highly specialized BEC phenotypes. This perspective provides a brief overview and outlook of the in vivo and in vitro models currently being used to study bacterial brain penetration, and opinion on improved models for the future.},
  language  = {en}
}