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Updated: May 12, 2026

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Endotoxin Activity Assay for the Detection of Whole Blood Endotoxemia in Critically Ill Patients
Published on: June 24, 2019
The flow dependency of Tie2 expression in endotoxemia
Neng F Kurniati1, Rianne M Jongman, Franziska vom Hagen
1Department of Pathology and Medical Biology, Medical Biology Section, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Intensive Care Medicine
|April 9, 2013
Summary
Sepsis and shock reduce Tie2 expression in endothelial cells, impacting vascular integrity. This loss is linked to altered shear stress and NF-κB signaling, suggesting therapeutic targets for sepsis-induced microvascular dysfunction.
Area of Science:
- Endothelial cell biology
- Vascular integrity
- Sepsis pathophysiology
Background:
- Tie2 receptor tyrosine kinase is crucial for endothelial cell function and vascular integrity.
- Sepsis and inflammatory conditions can disrupt microvascular function.
- Understanding Tie2 regulation during sepsis is vital for therapeutic development.
Purpose of the Study:
- To elucidate the molecular mechanisms behind Tie2 expression changes during sepsis.
- To investigate the role of lipopolysaccharide (LPS) and inflammatory cytokines on Tie2 levels.
- To explore the impact of hemodynamic changes on Tie2 expression.
Main Methods:
- In vivo studies using LPS-challenged mice and mice subjected to hemorrhagic shock.
- In vitro experiments with primary endothelial cells under static and flow conditions.
- Analysis of Tie2 mRNA and protein expression following inflammatory stimuli and shear stress alterations.
- Pharmacological inhibition of NF-κB signaling pathway.
Main Results:
- LPS challenge led to Tie2 mRNA loss in multiple organs and Tie2 protein loss in lungs and kidneys.
- Reduced shear stress, not direct LPS/cytokine stimulation, induced Tie2 loss in vitro.
- Hemorrhagic shock also caused Tie2 mRNA loss.
- NF-κB inhibition partially prevented Tie2 mRNA loss induced by TNFα in vitro and in vivo.
Conclusions:
- Tie2 down-regulation in sepsis and shock is primarily an indirect consequence of altered endothelial shear stress.
- NF-κB signaling pathway mediates TNFα-induced Tie2 mRNA loss.
- Targeting mechanisms that prevent Tie2 loss may restore vascular integrity in sepsis.

