“…Lipopolysaccharide from gram-negative bacteria possibly activates TLRs particularly TLR3, TLR4, TLR7, and TLR8, inducing NF-kB (inflammatory mediator), while lipoproteins (LPP) or peptidoglycans from gram-positive bacteria activates TLR2, which leads through a cascade of intermediary steps to NF-kB activation ( Figure 3 ) and thus, collectively initiating the pathogenesis of PE, including abnormal placentation and the maternal syndrome (Cotechini et al, 2014 ; Kell and Kenny, 2016 ). Although reports indicate that only humans are afflicted by PE (McCarthy et al, 2011 ; Xue et al, 2015 ), evidence from experimental animals, using a low dose infusion of lipopolysaccharide, show a pre-eclamptic-like syndrome, which includes hypertension, proteinuria, thrombocytopenia, increased anti-angiogenic factors, endothelial dysfunction, and elevated liver enzymes among others (Cotechini et al, 2014 ; Lip et al, 2017 ; Li et al, 2019 ). This implies that the lipopolysaccharide molecule is among the main mediators of PE ( Figure 4 ).…”