Wolburg Hartwig, Wolburg-Buchholz Karen, Engelhardt Britta
Institute for Pathology, University of Tübingen, Liebermeisterstrasse 8, 72076, Tübingen, Germany.
Acta Neuropathol. 2005 Feb;109(2):181-90. doi: 10.1007/s00401-004-0928-x. Epub 2004 Nov 10.
Diapedesis of leukocytes across endothelial barriers is generally believed to require the opening of endothelial tight junctions. At the blood-brain barrier (BBB), endothelial cells are interconnected by complex tight junctions. Here, we show by serial section conventional electron microscopy that during experimental autoimmune encephalomyelitis mononuclear cells traverse cerebral microvessels by a transcellular pathway, leaving the endothelial tight junctions intact. Cerebral endothelial cells were found to form filopodia-like membrane protrusions on their luminal aspect, thus embracing the mononuclear cells and forming cup-like structures, and eventually pores, through which the traversing cell could reach the abluminal side. At the abluminal side endothelial cell protrusions surrounding a migrating inflammatory cell were found to be progressively lined with basal lamina, suggesting a change from luminal to abluminal membrane characteristics of endothelial cell membranes during inflammatory cell diapedesis. Morphological evidence for the involvement of tight junctions in the diapedesis of mononuclear cells across the inflamed BBB could not be obtained in any case. Taken together, the presence of morphologically intact tight junctions and our novel finding of the presence of a basal lamina on both sides of abluminal endothelial cell protrusions surrounding migrating inflammatory cells suggests that during experimental autoimmune encephalomyelitis diapedesis of mononuclear cells occurs via a transendothelial process.
一般认为,白细胞穿越内皮屏障的渗出过程需要内皮紧密连接的开放。在血脑屏障(BBB)中,内皮细胞通过复杂的紧密连接相互连接。在此,我们通过连续切片传统电子显微镜显示,在实验性自身免疫性脑脊髓炎期间,单核细胞通过跨细胞途径穿过脑微血管,内皮紧密连接保持完整。发现脑内皮细胞在其管腔面形成丝状伪足样膜突起,从而包裹单核细胞并形成杯状结构,最终形成孔,穿越细胞可通过这些孔到达管腔外侧。在管腔外侧,发现围绕迁移炎性细胞的内皮细胞突起逐渐被基膜覆盖,这表明在炎性细胞渗出过程中,内皮细胞膜从管腔膜特征向管腔外侧膜特征发生了转变。在任何情况下均未获得紧密连接参与单核细胞穿越炎症性血脑屏障渗出过程的形态学证据。综上所述,形态学上完整的紧密连接的存在以及我们的新发现,即在围绕迁移炎性细胞的管腔外侧内皮细胞突起两侧均存在基膜,表明在实验性自身免疫性脑脊髓炎期间,单核细胞的渗出是通过跨内皮过程发生的。