Vorinosat induces P-glycoprotein (P-gp) activity in blood-brain barrier endothelium. The study hypothesized that the histone deacetylase inhibitor vorinosat modulates the activity and expression of P-gp transporters in brain microvascular endothelial cells. Experiments showed that vorinosat enhanced P-gp activity in mouse and human blood-brain barrier endothelial cell lines and primary mouse cells, as measured by ATPase activity, P-gp expression assays, and increased efflux of the P-gp substrate rhodamine 123. The results suggest vorinosat may increase P-gp transporter activity in the blood-brain barrier, which could limit its effectiveness as a potential brain cancer therapeutic by enhancing