and multi-organ failure. The resulting septic shock syndrome has a mortality rate of 20-50% and causes approximately 100,000 deaths annually in the USA [5]. On the other hand, low doses of LPS are thought to be beneficial for the host, e.g. by causing immunostimulation and enhanced resistance to infections and malignancy [6]. The harmful as well as the beneficial host responses to LPS are mediated by endogenous mediators, cytokines, which are released by various cells, e.g. monocytes/macrophages, vascular cells, polymorphonuclear cells and T cells [7][8][9][10][11][12][13], the most important cytokine-producing being the cells of the monocyte/macrophage lineage.The obvious biomedical importance of LPS during infection, trauma and shock and its immunostimulatory and anti-tumor activity have attracted the attention of the scientific community and resulted in great efforts for the elucidation of -the structure of LPS and the mechanisms of its biological action. This contribution summarizes our kno$ledge about the chemical composition and structure of LPS and the mechanisms of LPS action.
Structure of bacterial endotoxinsThe general structure of LPS is shown in Fig. 1. LPS consist of a lipid (the lipid A) which anchors the molecule in the outer membrane and which is covalently substituted by a saccharide portion. This