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Review Article

Vascular permeability—the essentials

Pages 135-143 | Received 09 Jun 2015, Accepted 13 Jun 2015, Published online: 29 Jul 2015

Figures & data

Figure 1. Different mechanisms for extravasation of solute, cells, and molecules. Specialized capillaries in endocrine organs have pores, fenestrae, in the plasma membrane. Fenestrae allow rapid exchange of solute and molecules such as hormones. Transcellular gaps provide a route for inflammatory cells, which, however, also may exit through paracellular junctions. Disintegration of junctions allows extravasation of molecules.

Figure 1. Different mechanisms for extravasation of solute, cells, and molecules. Specialized capillaries in endocrine organs have pores, fenestrae, in the plasma membrane. Fenestrae allow rapid exchange of solute and molecules such as hormones. Transcellular gaps provide a route for inflammatory cells, which, however, also may exit through paracellular junctions. Disintegration of junctions allows extravasation of molecules.

Figure 2. Opening of adherens junction in molecular extravasation. Panel A outlines schematically how VE-cadherin (VEC) engaged in hemophilic interactions at adherens junctions is regulated by hyperphosphorylation, correlating with internalization and degradation of VE-cadherin. VE-cadherin may also recycle; see text. Panel B shows leaky mouse tracheal vasculature after tail-vein injection of VEGF and fluorescent microspheres (white), followed by whole-mount immunostaining for VE-cadherin (red). VEGF-induced vascular leakiness leads to edema.

Figure 2. Opening of adherens junction in molecular extravasation. Panel A outlines schematically how VE-cadherin (VEC) engaged in hemophilic interactions at adherens junctions is regulated by hyperphosphorylation, correlating with internalization and degradation of VE-cadherin. VE-cadherin may also recycle; see text. Panel B shows leaky mouse tracheal vasculature after tail-vein injection of VEGF and fluorescent microspheres (white), followed by whole-mount immunostaining for VE-cadherin (red). VEGF-induced vascular leakiness leads to edema.

Figure 3. Signal transduction regulating opening of adherens junctions. Three main pathways are depicted: 1) VEGF-induced activation of c-Src leading to VE-cadherin (VE-cad) hyperphosphorylation (pY); 2) activation of eNOS leading to NO generation and effects on adherens junctions; and 3) activation of small GTPases such as RAC followed by rearrangement of the actin cytoskeleton and cell retraction. For details, see text.

Figure 3. Signal transduction regulating opening of adherens junctions. Three main pathways are depicted: 1) VEGF-induced activation of c-Src leading to VE-cadherin (VE-cad) hyperphosphorylation (pY); 2) activation of eNOS leading to NO generation and effects on adherens junctions; and 3) activation of small GTPases such as RAC followed by rearrangement of the actin cytoskeleton and cell retraction. For details, see text.