“…PECAM-1 has been shown in a number of laboratories to be an important contributor to the maintenance of the vascular permeability barrier as well as to its restoration following thrombotic or inflammatory insult (15,16,52,53). The ability of PECAM-1 to localize to, and concentrate at, cell-cell junctions, where it carries out this function, is completely dependent on its ability to form trans PECAM-1/PECAM-1 homophilic interactions, an adhesive property of the PECAM-1 extracellular domain that was first proposed more than 25 years ago (54), shown to be due to diffusion trapping of the receptor at cell-cell junctions 10 years later (9) and most recently found to support endothelial cell junctional integrity in a potentially regulatable manner (17,55). Interestingly, Cioffi et al (56) have shown recently that not only are sialic acids an important determinant of endothelial barrier integrity but that, although the arterial endothelium is likely to display both ␣2,3 and ␣2,6 sialic acid residues, the cell surface receptors of microvascular endothelial cells are primarily ␣2,3-sialylated.…”