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Arthritis Res Ther (2016) 18:271

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101 Extravasation of leukocytes is achieved by three fundamental processes: Adhesion of integrin to VCAM and ICAM, which are overexpressed in response to stress cytokines secreted by glial cells Extravasation adhesion signals a conformational change in the actin cytoskeleton, which creates a window in the BBB for extravasation of cells