1994
DOI: 10.1164/ajrccm.149.1.8111596
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Liver-lung interactions during E. coli endotoxemia. TNF-alpha:leukotriene axis.

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Cited by 45 publications
(59 citation statements)
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“…Kupffer cells in the liver detoxify and subsequently clear endotoxin from the portal circulation (58) and protect the lung in experimental models of sepsis and adult respiratory distress syndrome (59,60). However, if the capacity of the liver to clear an endotoxin challenge is exceeded, both inflammatory cytokines and unprocessed LPS can traverse into the systemic circulation and cause acute end organ damage (61)(62)(63). Support for this hypothesis is provided by clinical reports of acute noninfectious pulmonary toxicity associated with severe GVHD and venoocclusive disease (VOD) (2,64) and by our previous work demonstrating that exogenous LPS challenge of animals with extensive GVHD overwhelmed the capacity of the liver to detoxify the endotoxin surge and resulted in extensive hepatocellular damage and enhanced lung inflammation via a TNF-␣-mediated mechanism (16).…”
Section: Discussionmentioning
confidence: 99%
“…Kupffer cells in the liver detoxify and subsequently clear endotoxin from the portal circulation (58) and protect the lung in experimental models of sepsis and adult respiratory distress syndrome (59,60). However, if the capacity of the liver to clear an endotoxin challenge is exceeded, both inflammatory cytokines and unprocessed LPS can traverse into the systemic circulation and cause acute end organ damage (61)(62)(63). Support for this hypothesis is provided by clinical reports of acute noninfectious pulmonary toxicity associated with severe GVHD and venoocclusive disease (VOD) (2,64) and by our previous work demonstrating that exogenous LPS challenge of animals with extensive GVHD overwhelmed the capacity of the liver to detoxify the endotoxin surge and resulted in extensive hepatocellular damage and enhanced lung inflammation via a TNF-␣-mediated mechanism (16).…”
Section: Discussionmentioning
confidence: 99%
“…Studies in sheep suggest that lipoxygenase inhibition can modify the inflammatory response to endotoxin [22], and in rat models, DEC has been shown to improve red cell deformability and survival [10,23]. Furthermore, this modulation appears to be dependent on baseline hepatocyte function [8] and liver blood flow [24]. As IL-6 appears to function primarily as a metabolic cytokine, and because the liver is one of its primary targets, we further wished to define the effect of DEC pretreatment on TNF-· and IL-6 kinetics in a dog model of endotoxic shock.…”
Section: Introductionmentioning
confidence: 99%
“…Shock is usually difficulty to treat, because it is a systemic response involving not only changes in immunological parameters but inducing dysfunction of circulation, coagulation and fibrinolysis. 1) There have been many studies establishing and analyzing animal models of shock. We have also long been analyzing septic and endotoxic shock from various points of view such as, the detoxification of endotoxin by lysozyme, modulation of antibiotic action by lysozyme, 2,3) development of a monoclonal anti-CD14 antibody and its application, 4,5) and establishing an endogenous septic shock model using non-steroidal anti-inflammatory drugs.…”
mentioning
confidence: 99%
“…[24][25][26][27][28] The lethal toxicity of CAWS 8) and O9 LPS [29][30][31] is similar with respect to the following. 1) Lethal toxicity occurs 15-60 min after intravenous injection.…”
mentioning
confidence: 99%