Perivascular leukocyte infiltration into the central nervous system is char
acteristic of multiple sclerosis (MS) pathology. Interferon-beta (IFN-beta)
has shown efficacy in the treatment of patients with MS, but the relevant
mechanisms remain incompletely understood. In this study the effects of IFN
-beta on leukocyte transendothelial migration were investigated using cells
relevant to MS pathogenesis, namely human brain microvascular endothelial
cells (HB-MVEC). Activated, but not resting leukocytes exhibited a high tra
nsendothelial migration capacity. HB-MVEC prestimulated with tumor necrosis
factor (TNF) and IFN-gamma significantly promoted leukocyte transendotheli
al migration. IFN-beta inhibited the activated leukocyte transendothelial m
igration on TNF/IFN-gamma-activated HB-MVEC in a dose-dependent manner. A m
atrix metalloproteinase (MMP) inhibitor and monoclonal antibodies to lympho
cyte function antigen-1 (LFA-1) or intercellular adhesion molecule-1 (ICAM-
1), but not to very late antigen-4 or to vascular cell adhesion molecule-1
significantly inhibited the transendothelial migration of stimulated leukoc
ytes, suggesting that this phenomenon involves the LFA-1/ICAM-1 interaction
and MMP. However IFN-beta did not interfere with the binding of leukocytes
to HB-MVEC unless IFN-beta was preincubated with leukocytes or added to HB
-MVEC ai:the time of stimulation. Furthermore IFN-beta did not modulate the
expression of adhesion molecules on either stimulated leukocytes or activa
ted HB-MVEC, but partially reduced TNF and interleukin-l production from st
imulated leukocytes during coculture with HB-MVEC. Interestingly, in the pr
esence of IFN-beta, a significant down-regulation of MMP-9 release from sti
mulated leukocytes was found, especially for the activated form of MMP-9. T
hese results indicate that inhibition of leukocyte transendothelial migrati
on is an important mechanism accounting for the beneficial effects of IFN-b
eta in the treatment MS patients.