1999
DOI: 10.1164/ajrccm.160.1.9808144
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Variable Airway Responsiveness to Inhaled Lipopolysaccharide

Abstract: Individuals exposed to inhaled endotoxin (lipopolysaccharide [LPS]) can develop airway symptomatology and exacerbations of asthma. Moreover, among those occupationally exposed to organic dusts, the progression of airflow obstruction is related to the endotoxin concentration in the bioaerosol. Not everyone exposed to high concentrations of LPS develops these problems. To determine whether individuals express a differential response to inhaled LPS, we challenged 72 healthy volunteers with increasing doses of LPS… Show more

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Cited by 204 publications
(163 citation statements)
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“…The involvement of TLR4 signaling in neutrophil recruitment in response to aerosol LPS was shown by others in C3H/ HeJ endotoxin resistant mice bearing a point mutation of the tlr4 gene and in C57BL/10ScNCr mice with a complete deletion of the tlr4 gene (37) and recently in TLR4-deficient mice (42)(43)(44). In humans, mutations affecting the extracellular domain of the TLR4 receptor were shown to be associated with blunted response to inhaled LPS (6,7). However, the role of TLR4-signaling in direct LPS-induced bronchoconstriction was not investigated before in mice.…”
Section: Discussionmentioning
confidence: 88%
See 1 more Smart Citation
“…The involvement of TLR4 signaling in neutrophil recruitment in response to aerosol LPS was shown by others in C3H/ HeJ endotoxin resistant mice bearing a point mutation of the tlr4 gene and in C57BL/10ScNCr mice with a complete deletion of the tlr4 gene (37) and recently in TLR4-deficient mice (42)(43)(44). In humans, mutations affecting the extracellular domain of the TLR4 receptor were shown to be associated with blunted response to inhaled LPS (6,7). However, the role of TLR4-signaling in direct LPS-induced bronchoconstriction was not investigated before in mice.…”
Section: Discussionmentioning
confidence: 88%
“…Moreover, inhaled endotoxin may play an important role in the development and progression of airway inflammation in asthma (2)(3)(4)(5). Pathologic changes induced by endotoxin inhalation include bronchospasm, airflow obstruction, recruitment of inflammatory cells, injury of the alveolar epithelium, and disruption of pulmonary capillary integrity leading to proteinrich fluid leak in the alveolar space (6,7). The majority of these pathologic features of human airway inflammation have also been observed in experimental lung injury models.…”
mentioning
confidence: 99%
“…Inflammatory responses to inhaled endotoxin have been studied in both humans (2,(32)(33)(34) and mice (35)(36)(37)(38). In general, inhalation or nasal aspiration of endotoxin by mice induces similar host responses and changes (35,39), and these reflect human airway responsiveness (33).…”
Section: Discussionmentioning
confidence: 99%
“…2009. 39: 1587-1596 DOI 10.1002 Innate immunity 1587 function and bronchoconstriction, cytokine and chemokine production, PMN recruitment, increased permeability of the alveolar epithelium and the associated endothelium [3][4][5][6]. TLR4 [7], together with MD-2, LPS-binding protein and CD14 detect endotoxins and play a critical role in the initiation of the pulmonary response to systemic and mucosal endotoxin administration [5,[8][9][10].…”
mentioning
confidence: 99%