2004
DOI: 10.1161/01.atv.0000143096.15099.ce
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PI3K-Akt Pathway Suppresses Coagulation and Inflammation in Endotoxemic Mice

Abstract: Objective-In endotoxemia, lipopolysaccharide (LPS) induces a systemic inflammatory response and intravascular coagulation. Monocytes orchestrate the innate immune response to LPS by expressing a variety of pro-inflammatory cytokines, such as tumor necrosis factor-␣ (TNF-␣), and the procoagulant molecule, tissue factor (TF). In this study, we analyzed the role of the phosphoinositide 3-kinase (PI3K)-Akt pathway in the activation of coagulation and the innate immune response in a mouse model of endotoxemia. Meth… Show more

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Cited by 221 publications
(195 citation statements)
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References 53 publications
(78 reference statements)
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“…PI3K and TLR signaling share several downstream signaling components (22,23,48), however, the role of PI3K in TLR4 signaling, such as LPS is controversial. Several papers (49,50) show that inhibition of PI3K leads to an increase in LPS-induced proinflammatory cytokines such TNF-␣ and tissue factor in monocytes and blood, suggesting that PI3K could be an endogenous inhibitor of LPS-induced cytokines. However, Ojaniemi et al (22) did show that TLR4 activation of IL-1␤ was dependent on PI3K activity.…”
Section: Discussionmentioning
confidence: 99%
“…PI3K and TLR signaling share several downstream signaling components (22,23,48), however, the role of PI3K in TLR4 signaling, such as LPS is controversial. Several papers (49,50) show that inhibition of PI3K leads to an increase in LPS-induced proinflammatory cytokines such TNF-␣ and tissue factor in monocytes and blood, suggesting that PI3K could be an endogenous inhibitor of LPS-induced cytokines. However, Ojaniemi et al (22) did show that TLR4 activation of IL-1␤ was dependent on PI3K activity.…”
Section: Discussionmentioning
confidence: 99%
“…123,124 In endothelial cells and monocytes, inhibition of the PI3K-Akt pathway has been shown to enhance LPSinduced cytokine production, suggesting a negative regulatory role for PI3K. 125 Activation of PI3K also reduces MyD88-dependent production of the proinflammatory molecules IL-12 in dendritic cells and TNFa in monocytes. 126,127 In C6 glial cells stimulated with LPS, inhibition of PI3K results in the induction of NOS.…”
Section: Phosphatidylinositol 3-kinasementioning
confidence: 99%
“…Recent studies provided evidence that PI3K regulates innate responses to microbial pathogens [16,17] and limits the production of inflammatory mediators in response to bacterial LPS [18][19][20][21][22]. PI3K was shown to regulate MyD88-dependent events [23][24][25][26] but its role in the TRIF-dependent signaling cascade has not been demonstrated so far.…”
Section: Introductionmentioning
confidence: 99%