Our knowledge of adhesion molecules has exploded over the last 5 years
and has swamped most fields of medicine including nephrology. This is
not surprising because adhesion molecules play a pivotal role in all
aspects of cell to cell contact. Thus, they are involved in important
issues, such as fetal development, in any kind of inflammatory or immu
ne response including allograft rejection, as well as thrombus formati
on, and in tumor growth and metastasis (1-3). This short overview brie
fly reports some aspects of the biology of relevant adhesion molecules
and their significance in inflammatory kidney diseases and in hemodia
lysis and renal allograft rejection. Finally, new therapeutic opportun
ities that arise by blocking adhesion molecule function are discussed.