Open Access
Leukocyte transmigration across the blood-brain barrier: perspectives on neuroAIDS
Toni Kay Roberts1,Clarisa Michelle Buckner1,Joan W Berman1
Department of Pathology, Albert Einstein College of Medicine, Bronx, NY 10461, USA
DOI: 10.2741/3631 Volume 15 Issue 2, pp.478-536
Published: 01 January 2010
(This article belongs to the Special Issue Leukocyte trans-endothelial migration)

Leukocyte trafficking serves a critical function in central nervous system (CNS) immune surveillance. However, in many disease states leukocyte entry into the CNS is increased, which can disrupt the blood-brain barrier (BBB) and propagate neuroinflammation. These pathologic processes result in BBB permeability, glial activation, and neuronal compromise, all of which contribute to CNS damage. The resulting neuronal injury and loss are characteristic of many neuroinflammatory conditions including Alzheimer disease, multiple sclerosis, HIV-1 encephalopathy, sepsis, ischemia and reperfusion, and CNS tumors. HIV-1 encephalopathy is unique among these processes in that viral activity exacerbates CNS immune dysregulation and promotes chronic neuroinflammation and neurodegeneration. Thus, a significant number of HIV-1-infected persons exhibit neurocognitive and/or motor impairment. This review discusses the mechanisms that regulate leukocyte recruitment into the CNS and how HIV-1 infection dysregulates this process and contributes to neuropathology. Experimental BBB models to study leukocyte transmigration and the potential of targeting this transmigration across the BBB as a therapeutic strategy are also discussed.

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Toni Kay Roberts, Clarisa Michelle Buckner, Joan W Berman. Leukocyte transmigration across the blood-brain barrier: perspectives on neuroAIDS. Frontiers in Bioscience-Landmark. 2010. 15(2); 478-536.