1. The blood-brain barrier is essential for the maintenance and regulation
of the neural microenvironment. The blood-brain barrier endothelial cells c
omprise an extremely low rate of transcytotic vesicles and a restrictive pa
racellular diffusion barrier. The latter is realized by the tight junctions
between the endothelial cells of the brain microvasculature, which are sub
ject of this review. Morphologically, blood-brain barrier-tight junctions a
re more similar to epithelial tight junctions than to endothelial tight jun
ctions in peripheral blood vessels.
2. Although blood-brain barrier-tight junctions share many characteristics
with epithelial tight junctions, there are also essential differences. Howe
ver, in contrast to tight junctions in epithelial systems, structural and f
unctional characteristics of tight junctions in endothelial cells are highl
y sensitive to ambient factors.
3. Many ubiquitous molecular constituents of tight junctions have been iden
tified and characterized including claudins, occludin, ZO-1, ZO-2, ZO-3, ci
ngulin, and 7H6. Signaling pathways involved in tight junction regulation c
omprise, among others, G-proteins, serine, threonine, and tyrosine kinases,
extra- and intracellular calcium levels, cAMP levels, proteases, and TNF a
lpha. Common to most of these pathways is the modulation of cytoskeletal el
ements which may define blood-brain barrier characteristics. Additionally,
cross-talk between components of the tight junction- and the cadherin-calen
in system suggests a close functional interdependence of the two cell-cell
contact systems.
4. Recent studies were able to elucidate crucial aspects of the molecular b
asis of tight junction regulation. An integration of new results into previ
ous morphological work is the central intention of this review.