IntroductionThe CNS is considered an immunoprivileged site where the endothelial blood-brain barrier (BBB) tightly controls lymphocyte entry into the CNS. Under physiological conditions lymphocyte traffic into the CNS is low, whereas during inflammatory diseases of the CNS, such as multiple sclerosis (MS) or in the animal model experimental autoimmune encephalomyelitis (EAE), a large number of circulating lymphocytes readily gain access to the CNS. EAE is a CD4 + T cell-mediated autoimmune disease of the CNS, which is initiated by autoaggressive T cells activated outside the CNS. These encephalitogenic T cell blasts enter the CNS parenchyma across the healthy BBB and start the molecular events leading to inflammation, edema, and demyelination. Thus, the interaction of encephalitogenic T cells with the healthy BBB endothelium is a critical initial step in the pathogenesis of EAE.In general, lymphocyte recruitment across the vascular wall is regulated by the sequential interaction of different adhesion or signaling molecules on lymphocytes and endothelial cells lining the vessel wall (1). An initial transient contact of the circulating leukocyte with the vascular endothelium, generally mediated by adhesion molecules of the selectin family and their respective carbohydrate ligands, slows down the leukocyte in the bloodstream. Subsequently, the leukocyte rolls along the vascular wall with greatly reduced velocity. The rolling leukocyte can receive endothelial signals resulting in its firm adhesion to the endothelial surface. These signals are transduced by chemokines via G protein-coupled receptors on the leukocyte surface. Binding of a chemokine to its receptor results in a pertussis toxin-sensitive activation of integrins on the leukocyte surface. Only activated integrins mediate the firm adhesion of the leukocytes to the vascular endothelium by binding to their endothelial ligands, which belong to the Ig superfamily. This ultimately leads to the extravasation of the leukocyte. Successful recruitment of circulating leukocytes into the tissue depends on the productive leukocyte/endothelial interaction during each of these sequential steps.The adhesion molecules mediating the initial contact of T lymphocytes with the BBB endothelium are not yet defined. Selectins are not involved in T cell interaction with the BBB. Encephalitogenic T cell blasts lack expression of L-selectin (2), and E-and Pselectin are neither expressed at the BBB (3) nor functionally involved in the recruitment of autoaggressive T lymphocytes across the BBB during EAE (4). In contrast, constitutive expression of VCAM-1 in the CNS microvasculature of healthy SJL/N mice has been observed (5), and upregulation of ICAM-1 and VCAM-1 was reported on cerebral vessels during EAE preceding the perivascular infiltration by lymphocytes and the onset of disease (6). Direct in vivo evidence is still lacking for α4-integrin-mediated T cell interaction with VCAM-1 on blood-brain barrier-endothelium in experimental autoimmune encephalomyelitis (EAE). To investiga...