-dependent neutral amino acid transporters A, ASC, and N of the blood-brain barrier: mechanisms for neutral amino acid removal. Am J Physiol Endocrinol Metab 287: E622-E629, 2004. First published May 27, 2004 10.1152/ajpendo.00187.2004.-Four Na ϩ -dependent transporters of neutral amino acids (NAA) are known to exist in the abluminal membranes (brain side) of the blood-brain barrier (BBB). This article describes the kinetic characteristics of systems A, ASC, and N that, together with the recently described Na ϩ -dependent system for large NAA (Na ϩ -LNAA), provide a basis for understanding the functional organization of the BBB. The data demonstrate that system A is voltage dependent (3 positive charges accompany each molecule of substrate). Systems ASC and N are not voltage dependent. Each NAA is a putative substrate for at least one system, and several NAA are transported by as many as three. System A transports Pro, Ala, His, Asn, Ser, and Gln; system ASC transports Ser, Gly, Met, Val, Leu, Ile, Cys, and Thr; system N transports Gln, His, Ser, and Asn; Na ϩ -LNAA transports Leu, Ile, Val, Trp, Tyr, Phe, Met, Ala, His, Thr, and Gly. Together, these four systems have the capability to actively transfer every naturally occurring NAA from the extracellular fluid (ECF) to endothelial cells and thence to the circulation. The existence of facilitative transport for NAA (L1) on both membranes provides the brain access to essential NAA. The presence of Na ϩ -dependent carriers on the abluminal membrane provides a mechanism by which NAA concentrations in the ECF of brain are maintained at ϳ10% of those of the plasma. active transport; brain extracellular fluid; capillaries; endothelial cells; essential amino acids AVAILABILITY of essential neutral amino acids (NAA) is necessary for normal brain function. Because NAA are hydrophilic, transport systems are necessary to transfer them across the blood-brain barrier (BBB). Large essential NAA enter the brain on system L1 1 , a high-affinity facilitative system that is present in the luminal and abluminal membranes of the endothelial cell (23,24,26,32,36,37). Nonessential NAA, most of which are smaller, have not been found to pass from blood to brain as readily; nevertheless, the uptake of small nonessential amino acids by the brain was greater than zero, suggesting some transport or leakage at a slow rate (1,23,24).The concentrations of all naturally occurring amino acids in the cerebrospinal fluid [presumably similar to the extracellular fluid (ECF) of brain], with the exception of glutamine, are ϳ10% of those in plasma (17,19,20,35). This situation cannot be explained by the consumption of NAA by brain, because the arteriovenous differences across the brain of most NAA are imperceptible (7,8,29), as are the arteriovenous differences of ammonia, a by-product of amino acid catabolism (6). These observations indicate that NAA leave the brain against a concentration gradient at the same rate they enter.The maintenance of an NAA gradient between plasma and ECF requires the ex...