PMID- 17140851 OWN - NLM STAT- MEDLINE DCOM- 20070309 LR - 20220223 IS - 1471-4906 (Print) IS - 1471-4906 (Linking) VI - 28 IP - 1 DP - 2007 Jan TI - What is the blood-brain barrier (not)? PG - 5-11 AB - In 1900, summarizing his experiments with toxins and Ehrlich's earlier observations with intravital dyes, the Berlin physician Lewandowski concluded that "brain capillaries must hold back certain molecules". Illustrating this phenomenon with persuasive beauty, the subsequently evolving metaphor of a 'Bluthirnschranke' (blood-brain barrier, BBB) gained wide acceptance, but the extension of its meaning into the context of inhibiting leukocyte recruitment into the brain is imprecise. On the basis of the original work by Ehrlich, Lewandowski and Goldmann we re-define the BBB as a capillary barrier for solutes, and clarify that leukocyte recruitment requires two differentially regulated steps: (i) passage across postcapillary venules into Virchow-Robin spaces, and (ii) subsequent progression across the glia limitans into the neuropil. We propose that the second step frequently involves perivascular antigen-recognition and the induction of ectoenzymes, for example matrix metalloproteinases (MMPs). FAU - Bechmann, Ingo AU - Bechmann I AD - Dr. Senckenbergische Anatomie, Institute of Clinical Neuroanatomy, Johann Wolfgang Goethe-University, 60 590 Frankfurt, Germany. Bechmann@med.uni-frankfurt.de FAU - Galea, Ian AU - Galea I FAU - Perry, V Hugh AU - Perry VH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20061130 PL - England TA - Trends Immunol JT - Trends in immunology JID - 100966032 SB - IM MH - Blood-Brain Barrier/*immunology MH - Brain/*blood supply/*immunology MH - Humans MH - Models, Immunological EDAT- 2006/12/05 09:00 MHDA- 2007/03/10 09:00 CRDT- 2006/12/05 09:00 PHST- 2006/09/11 00:00 [received] PHST- 2006/10/30 00:00 [revised] PHST- 2006/11/16 00:00 [accepted] PHST- 2006/12/05 09:00 [pubmed] PHST- 2007/03/10 09:00 [medline] PHST- 2006/12/05 09:00 [entrez] AID - S1471-4906(06)00329-2 [pii] AID - 10.1016/j.it.2006.11.007 [doi] PST - ppublish SO - Trends Immunol. 2007 Jan;28(1):5-11. doi: 10.1016/j.it.2006.11.007. Epub 2006 Nov 30.