1. Leukocytes traffic from the bloodstream to sites of infection or injury by adhering to and transmigrating through endothelial cells lining blood vessels. 2. This process, called the leukocyte extravasation cascade, involves selectins, chemokines, and integrins that mediate tethering, rolling, activation, firm adhesion, and transmigration of leukocytes. 3. Leukocytes must open endothelial cell-cell junctions in order to transmigrate through the vessel wall in a multi-step process that is tightly regulated to recruit immune cells only when and where needed.