The monolayer of endothelial cells that coats the luminal surface of the ve
ssel wall has numerous physiological functions, including the prevention of
coagulation, control of vascular permeability, maintenance of Vascular ton
e and regulation of leukocyte extravasation, Recently, we detected function
al Fas ligand (FasL) expression on the endothelial lining of blood vessels.
Fast induces apoptotic cell death in the multitude of cell types that expr
ess its receptor, Fas, Here, we review the function of vascular endothelium
in controlling leukocyte extravasation, and illustrate how the regulation
of endothelial Fast expression might contribute to this process. We also de
scribe the role of leukocyte extravasation in angiogenesis and atherosclero
sis, and we suggest that Fast gene transfer might provide a means of treati
ng diseases of the proliferative Vessel wall, particularly those that resul
t from the detrimental infiltration of inflammatory cells.