Plasma CD14 decreases monocyte responses to LPS by transferring cell-bound LPS to plasma lipoproteins

R L Kitchens1, P A Thompson, S Viriyakosol

  • 1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9113, USA. richard.kitchens@UTSouthwestern.edu

Insights

Soluble CD14 (sCD14) in human serum enhances the release of lipopolysaccharide (LPS) from monocytes, reducing cytokine production. This mechanism may prevent excessive inflammation during sepsis.

Area of Science:

  • Immunology
  • Infectious Disease

Background:

  • Soluble CD14 (sCD14) is a protein that binds microbial molecules like LPS, initiating innate immune responses.
  • Elevated sCD14 levels are observed during sepsis, but its role in modulating cellular responses is complex.

Purpose of the Study:

  • To investigate the mechanism by which sCD14 influences monocyte responses to LPS in human serum.
  • To determine if sCD14 affects LPS binding, release, and subsequent cellular activation.

Main Methods:

  • Studied the interaction of LPS with human monocytes in serum containing varying sCD14 concentrations.
  • Measured LPS release from monocyte surfaces and subsequent binding to plasma lipoproteins.
  • Assessed monocyte cytokine production in response to LPS.

Main Results:

  • sCD14 significantly increased the rate of LPS release from monocytes into serum.
  • This enhanced LPS efflux reduced monocyte cytokine production in response to LPS.
  • Septic patient serum, rich in sCD14, markedly reduced LPS-monocyte interactions, with depleted sCD14 restoring normal kinetics.
  • LPS bound to lipoproteins in septic serum was biologically inactivated.

Conclusions:

  • sCD14 diminishes monocyte inflammatory responses to LPS by facilitating LPS transfer to lipoproteins.
  • Increased sCD14 levels during sepsis may serve as a protective mechanism against overwhelming inflammation.

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