2009
DOI: 10.3748/wjg.15.4745
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Role of LPS/CD14/TLR4-mediated inflammation in necrotizing enterocolitis: Pathogenesis and therapeutic implications

Abstract: AIM:To establish the roles of lipopolysaccharide (LPS)/CD14/toll-like receptor 4 (TLR4)-mediated inflammation in a rat model of human necrotizing enterocolitis (NEC). METHODS:Six pairs of intestinal samples from human NEC were collected before and after recovery for histological and molecular analysis of inflammatory cytokines and signaling components. In the rat NEC model, we isolated 10-cm jejunum segments and divided them into six groups (n = 6) for sham operation, treatment with LPS, bowel distension, comb… Show more

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Cited by 55 publications
(46 citation statements)
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“…It has been reported that TLR-4 expression is increased in the intestinal mucosa of mice, rats, and humans with NEC and that this TLR-4 expression in enterocytes may lead to an increase in death of the cells that line the intestine through the process of apoptosis [24][25][26]. These findings show that TLR-4 expression may lead to the development of intense and harmful effects in promoting intestinal injury and decreasing the ability of mucosal repair in the newborn small intestine.…”
Section: Discussionmentioning
confidence: 72%
“…It has been reported that TLR-4 expression is increased in the intestinal mucosa of mice, rats, and humans with NEC and that this TLR-4 expression in enterocytes may lead to an increase in death of the cells that line the intestine through the process of apoptosis [24][25][26]. These findings show that TLR-4 expression may lead to the development of intense and harmful effects in promoting intestinal injury and decreasing the ability of mucosal repair in the newborn small intestine.…”
Section: Discussionmentioning
confidence: 72%
“…He et al (19) observed that LPS could significantly inhibit apoptosis of gastric cancer cells and that this effect was considered to be closely associated with the activation of TLR4 and its downstream gene, nuclear factor-κB (NF-κB). Although CD14 is a high-affinity receptor of LPS, the CD14 protein has neither a transmembrane domain nor a cytoplasmic segment, and therefore, its effect on signal transmission into the nucleus is performed in coordination with TLR4 (20). Baumann et al (21) reported that the level of CD14 protein may affect TLR activity and thus interfere with the effect of certain anti-cancer therapies or anti-viral reactions.…”
Section: Discussionmentioning
confidence: 99%
“…When digested, E. coli contaminated food can cause watery diarrhea. Other more severe and rare diseases are kidney failure, blindness, paralysis, Necrotizing Entero Colitis (NEC) and even death [2].…”
Section: Introductionmentioning
confidence: 99%
“…If LPS gains entry to the bloodstream, it can bind the host cells, such as macrophages, through the CD14 receptors [3,4], triggering a cascade of adverse systemic responses and organ failure (septic shock) [5,6]. In the United States, there are an estimated 751,000 cases of severe sepsis every year [2].…”
Section: Introductionmentioning
confidence: 99%
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