An effective response to injury or inflammation requires leukocyte mig
ration from the endovascular compartment into areas of inflammation. T
his process requires the appropriate expression of adhesion molecules,
which mediate cell-cell and cell-extracellular matrix interactions. A
better understanding of the roles of adhesion molecules in normal and
pathological conditions might lead to the development of more effecti
ve therapeutic interventions. Features of several classes of adhesion
molecules, including immunoglobulin superfamily, selectins, and integr
ins, are reviewed along with how they participate in leukocyte-endothe
lial interactions. The role of cell adhesion molecules in a variety of
pathological conditions, including graft rejection, reperfusion injur
y, and acute lung injury are discussed. In addition, some recent studi
es that explore therapeutic uses of adhesion molecules are summarized.