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Abstract. Here we hypothesized that the water-soluble lysosomal enzymes may cross the bloodâbrain-barrier and reach the brain using the mechanism of unspecific fluid-phase endocytosis.n fact, there has been increasing evidence that when high serum levels of lysosomal enzymes are achieved, either by GT or ERT, a small fraction of the enzyme is able to cross the BBB by mechanisms not clearly understood [6] , [7] and [8] . Table 1.
The blood-brain barrier is made up of very small blood vessels (capillaries) that are lined with thin, flat endothelial cells. In other parts of the body, endothelial cells have small spaces between them that allow substances to move in and out of the capillary so they can reach other cells and tissues.In the brain, the endothelial cells are packed tightly together so substances cannot pass out of the bloodstream into the brain.n other parts of the body, endothelial cells have small spaces between them that allow substances to move in and out of the capillary so they can reach other cells and tissues. In the brain, the endothelial cells are packed tightly together so substances cannot pass out of the bloodstream into the brain.