Hydrodynamic and mechanical aspects of endothelial permeability

The passive transport of water through the endothelial cell layer junctions is considered from the standpoint of hydrodynamic theories based on ultrastructural information. The local geometry of tight junctions based on molecular level forces and elastic membrane properties has been modeled and leads to estimates of the hydraulic resistance of the clefts. It is shown that the large resistance measured experimentally can be accounted for in this model. The transport of large macromolecules via vesicles which diffuse across the endothelial cell has been developed, but recent experimental data do not appear to support this mechanism as a primary pathway. Fused vesicles forming an open channel appear to be rare. Leaky junctions, such as around dying endothelial cells or produced by cytoskeletal changes within the cells, may be important in control of endothelial permeability. Another kind of model is a fiber matrix model of the endocapillary layer, extending into the intercellular clefts which can also account for the molecular seiving properties of the endothelial cell layer but may produce a large resistance to water flux.