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Updated: Aug 12, 2026

Intravenous Endotoxin Challenge in Healthy Humans: An Experimental Platform to Investigate and Modulate Systemic Inflammation
Published on: May 16, 2016
Role of endotoxin in mononuclear phagocyte-mediated inflammatory responses
R W Watson1, H P Redmond, D Bouchier-Hayes
1Department of Surgery, RCSI, Beaumont Hospital, Dublin, Ireland.
Abstract:
Lipopolysaccharide (LPS), which is derived from the cell wall of gram-negative and some gram-positive bacteria, plays a major role is the pathogenesis of septic shock. Initiation of these responses depends on LPS interaction with a number of immune cells, not least the mononuclear phagocyte (MP). Mononuclear phagocytes bind the LPS/lipopolysaccharide-binding protein complex through the CD14 receptor and thus mediate the release of a wide range of inflammatory mediators. Release of these mediators is teleologically beneficial but under certain circumstances may be detrimental, resulting in the systemic inflammatory response syndrome. The development of this syndrome is not clearly understood but appears, in part, to be dependent on the ability of the host to respond to these mediators. This review evaluates the mechanisms of LPS-MP interaction and the therapeutic strategies aimed at inhibiting this interaction.
Insights
Lipopolysaccharide (LPS) from bacteria triggers septic shock by activating immune cells like mononuclear phagocytes (MP). This review examines LPS-MP interactions and potential therapies to inhibit them.
Area of Science:
- Immunology
- Pathogenesis
- Bacteriology
Background:
- Lipopolysaccharide (LPS) is a key component of gram-negative bacteria cell walls.
- LPS initiates septic shock by activating immune cells, particularly mononuclear phagocytes (MP).
- MP bind LPS via the CD14 receptor, releasing inflammatory mediators.
Purpose of the Study:
- To review the mechanisms of LPS-MP interaction.
- To explore therapeutic strategies targeting LPS-MP interaction.
- To understand the role of LPS in septic shock pathogenesis.
Main Methods:
- Literature review of LPS-immune cell interactions.
- Analysis of CD14 receptor-mediated signaling pathways.
- Evaluation of existing and potential therapeutic interventions.
Main Results:
- LPS-MP interaction is central to the inflammatory response in sepsis.
- CD14 receptor is crucial for LPS recognition by MP.
- Therapeutic inhibition of LPS-MP interaction shows promise.
Conclusions:
- Understanding LPS-MP interaction is vital for managing septic shock.
- Targeting the CD14 pathway offers a potential therapeutic avenue.
- Further research is needed to develop effective anti-LPS therapies.
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