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 Leukocyte-endothelial adhesion molecules Carlos TM; Harlan JMBlood  1994[Oct]; 84 (7): 2068-101In the 9 years since the last review on leukocyte and endothelial interactions  was published in this journal many of the critical structures involved in  leukocyte adherence to and migration across endothelium have been elucidated.  With the advent of cell and molecular biology approaches, investigations have  progressed from the early descriptions by intravital microscopy and histology, to  functional and immunologic characterization of adhesion molecules, and now to the  development of genetically deficient animals and the first phase I trial of  "anti-adhesion" therapy in humans. The molecular cloning and definition of the  adhesive functions of the leukocyte integrins, endothelial members of the Ig gene  superfamily, and the selectins has already provided sufficient information to  construct an operative paradigm of the molecular basis of leukocyte emigration.  The regulation of these adhesion molecules by chemoattractants, cytokines, or  chemokines, and the interrelationships of adhesion pathways need to be examined  in vitro and, particularly, in vivo. Additional studies are required to dissect  the contribution of the individual adhesion molecules to leukocyte emigration in  various models of inflammation or immune reaction. Certainly, new adhesion  structures will be identified, and the current paradigm of leukocyte emigration  will be refined. The promise of new insights into the biology and pathology of  the inflammatory and immune response, and the potential for new therapies for a  wide variety of diseases assures that this will continue to be an exciting area  of investigation.|*Cell Adhesion[MESH]|*Cell Adhesion Molecules/*physiology[MESH]|Animals[MESH]|Carbohydrates[MESH]|Chemotactic Factors/physiology[MESH]|Chemotaxis, Leukocyte[MESH]|Cytokines/physiology[MESH]|Endothelium, Vascular/*cytology[MESH]|Integrins/physiology[MESH]|L-Selectin[MESH]|Leukocytes/*cytology[MESH]|Ligands[MESH]
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