2002
DOI: 10.1179/096805102125000641
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The role of the liver in the response to LPS: experimental and clinical findings

Abstract: The liver plays an important physiological role in lipopolysaccharide (LPS) detoxification and, in particular, hepatocytes are involved in the clearance of endotoxin of intestinal derivation. In experimental shock models, tumor necrosis factor (TNF)-alpha induces hepatocyte apoptosis and lethal effects are due to secreted TNF-alpha and not to cell-associated TNF-alpha. An exaggerated production of TNF-alpha has been reported in murine viral infections, in which mice become sensitized to low amounts of LPS and … Show more

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Cited by 115 publications
(95 citation statements)
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“…28,29 Most of the LPS will be quickly inactivated and cleared by monocytes in blood, macrophages in tissue, and Kupffer cells in liver. [30][31][32] In our study, each dose of LPS injection was very low (0.0078 mg/rat), and the interval between injections was 2 days. This protocol is unlikely to lead to a continuous endotoxemia.…”
Section: Discussionmentioning
confidence: 99%
“…28,29 Most of the LPS will be quickly inactivated and cleared by monocytes in blood, macrophages in tissue, and Kupffer cells in liver. [30][31][32] In our study, each dose of LPS injection was very low (0.0078 mg/rat), and the interval between injections was 2 days. This protocol is unlikely to lead to a continuous endotoxemia.…”
Section: Discussionmentioning
confidence: 99%
“…19,35 Increased expression of MD2 and CD14 may render hepatocytes more susceptible to LPS-induced apoptosis, cell activation, and, ultimately, liver damage. 36 Furthermore, STAT1, a key signaling molecule for IFN-␥ induced by the initial P. acnes priming, was recently shown to play a central role in LPS-induced hepatocyte damage. 37 Thus, increased levels of MD-2 and CD14 on hepatocytes may contribute to direct LPS sensitivity in addition to cytokine (TNF-␣)-mediated changes in hepatocyte function.…”
Section: Discussionmentioning
confidence: 99%
“…The liver has a crucial, physiological role in LPS detoxification from the circulation, as bacterially derived products from the intestine translocate into the portal system, where they are sensed and cleared by Kupffer cells through interactions with cell surface CD14 (120). However, in the setting of liver disease, bacterial overgrowth, intestinal edema, and altered hepatic architecture result in the increased entry of LPS into the peripheral circulation, in turn activating Kupffer cells.…”
Section: Microbial Translocation In Liver Diseasementioning
confidence: 99%