“…BBB impairment by METH has been reviewed in several mechanisms, including the hyperactivity of NADPH oxidase (NOX)-2 which generates excessive amounts of free radicals, such as reactive oxygen species (ROS) and reactive nitrogen species (RNS) (Ramirez et al, 2009;Park et al, 2012); the dysfunction of cytoskeleton and the transmembrane protein of tight junction, which is the controlling of paracellular permeability (Park et al, 2013;Fernandes et al, 2015); the dysfunction of the uptake and the efflux activities (Elali et al, 2012); and the activation of caspase cascade in cell death response or apoptosis (Abdul et al, 2011;Ma et al, 2014;Fisher et al, 2015). Moreover, overexpression of inflammatory mediators such as inducible nitric oxide synthase (iNOS), nitric oxide (NO), interleukin (IL)-1, and tumor necrosis factor (TNF) α, which is an important factor in inflammatory response, has also been reported (Fernandes et al, 2014;Coelho-Santos et al, 2015;Parikh et al, 2015;Zhang et al, 2015;Skaper et al, 2014;Hussain et al, 2015;Kothur et al, 2015).…”