2022
DOI: 10.3390/diagnostics13010079
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Endotoxin in Sepsis: Methods for LPS Detection and the Use of Omics Techniques

Abstract: Lipopolysaccharide (LPS) or endotoxin, the major cell wall component of Gram-negative bacteria, plays a pivotal role in the pathogenesis of sepsis. It is able to activate the host defense system through interaction with Toll-like receptor 4, thus triggering pro-inflammatory mechanisms. A large amount of LPS induces inappropriate activation of the immune system, triggering an exaggerated inflammatory response and consequent extensive organ injury, providing the basis of sepsis damage. In this review, we will br… Show more

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Cited by 23 publications
(13 citation statements)
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“…While the local acute inflammation helps to combat the infection, an excessive response to the infection leads to sepsis with a potentially fatal outcome. On the other hand, a prolonged low-grade inflammation contributes to the development of type 2 diabetes, cardiovascular disease, and other diseases [ 3 , 4 ]. Such chronic inflammation is potentiated by the activity of cytoplasmic NLRP3 inflammasome which can be activated downstream of TLR4 signaling [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…While the local acute inflammation helps to combat the infection, an excessive response to the infection leads to sepsis with a potentially fatal outcome. On the other hand, a prolonged low-grade inflammation contributes to the development of type 2 diabetes, cardiovascular disease, and other diseases [ 3 , 4 ]. Such chronic inflammation is potentiated by the activity of cytoplasmic NLRP3 inflammasome which can be activated downstream of TLR4 signaling [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…Polymyxin-B-coated polystyrene fibers have been included in a special adsorption cartridge (Toraymyxin, Toray, Japan) and are capable of removal of circulating endotoxin up to approximately 20 μg in a two-hour treatment. [31][32][33] The controversial results achieved so far in studies involving extracorporeal hemoadsorption with Toraymyxin [34,35] could be attributable to the remarkable heterogeneity of the treated populations in different studies. [30,36] Analyses have demonstrated that positive results are more likely in patients with significant organ failure and in patients with endotoxin activity between 0.6 and 0.9.…”
Section: The Case Of the Critically Ill Patient With Sepsis Or Sa-akimentioning
confidence: 99%
“…Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response to infection [7]. Its pathogenesis includes various steps, such as infection, hyperactivation of the immune system, endothelial dysfunction leading to loss of barrier integrity, followed by tissue damage, and finally, multi-organ failure and death [8] (Figure 1).…”
Section: Sepsismentioning
confidence: 99%