ENDOTHELIAL cells play an important, active role in the onset and regu
lation of inflammatory and immune reactions, Through the production of
chemokines they attract leukocytes and activate their adhesive recept
ors. This leads to the anchorage of leukocytes to the adhesive molecul
es expressed on the endothelial surface, Leukocyte adhesion to endothe
lial cells is frequently followed by their extravasation. The mechanis
ms which regulate the passage of leukocytes through endothelial clefts
remain to be clarified, Many indirect data suggest that leukocytes mi
ght transfer signals to endothelial cells both through the release of
active agents and adhesion to the endothelial cell surface. Adhesive m
olecules (such as PECAM) on the endothelial cell surface might also 'd
irect' leukocytes through the intercellular junction by haptotaxis, Th
e information available on the molecular structure and functional prop
erties of endothelial chemokines, adhesive molecules or junction organ
ization is still fragmentary. Further work is needed to clarify how th
ey interplay in regulating leukocyte infiltration into tissues.