The orderly migration of various white blood cell types to inflammator
y sites is a highly regulated process that involves a diversity of adh
esion and signaling molecules. This cellular influx is initiated by re
latively low affinity interactions that allow for leukocytes to roll a
long the vascular surface. This rolling phenomenon is mediated by adhe
sive interactions between lectin containing adhesion molecules, termed
selectins, on both the vascular endothelium and leukocytes, and carbo
hydrate ligands immobilized on mucin-like scaffolds. This adhesion all
ows for a rapid recognition of various cell types under the conditions
of vascular flow, with the result that inflammatory cells are specifi
cally decelerated adjacent to sites of inflammation. This review focus
es on the various biochemical aspects of the interactions between the
selectins and their cognate carbohydrate ligands, with an emphasis on
the importance of these adhesive events to the inflammatory response.