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Review
. 2014 Jan 1;5(1):213-8.
doi: 10.4161/viru.27024. Epub 2013 Nov 5.

Gram-positive and gram-negative bacterial toxins in sepsis: a brief review

Affiliations
Review

Gram-positive and gram-negative bacterial toxins in sepsis: a brief review

Girish Ramachandran. Virulence. .

Abstract

Bacterial sepsis is a major cause of fatality worldwide. Sepsis is a multi-step process that involves an uncontrolled inflammatory response by the host cells that may result in multi organ failure and death. Both gram-negative and gram-positive bacteria play a major role in causing sepsis. These bacteria produce a range of virulence factors that enable them to escape the immune defenses and disseminate to remote organs, and toxins that interact with host cells via specific receptors on the cell surface and trigger a dysregulated immune response. Over the past decade, our understanding of toxins has markedly improved, allowing for new therapeutic strategies to be developed. This review summarizes some of these toxins and their role in sepsis.

Keywords: LPS; TLR4; TNFα; cytokine storm; sepsis; superantigens.

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References

    1. LaRosa SP, Opal SM. Sepsis strategies in development. Clin Chest Med. 2008;29:735–47, x-xi. doi: 10.1016/j.ccm.2008.06.007. - DOI - PubMed
    1. Visintin A, Halmen KA, Latz E, Monks BG, Golenbock DT. Pharmacological inhibition of endotoxin responses is achieved by targeting the TLR4 coreceptor, MD-2. J Immunol. 2005;175:6465–72. - PubMed
    1. Kim HM, Park BS, Kim JI, Kim SE, Lee J, Oh SC, Enkhbayar P, Matsushima N, Lee H, Yoo OJ, et al. Crystal structure of the TLR4-MD-2 complex with bound endotoxin antagonist Eritoran. Cell. 2007;130:906–17. doi: 10.1016/j.cell.2007.08.002. - DOI - PubMed
    1. Solomon SB, Cui X, Gerstenberger E, Danner RL, Fitz Y, Banks SM, Natanson C, Eichacker PQ. Effective dosing of lipid A analogue E5564 in rats depends on the timing of treatment and the route of Escherichia coli infection. J Infect Dis. 2006;193:634–44. doi: 10.1086/500147. - DOI - PubMed
    1. Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR. Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001;29:1303–10. doi: 10.1097/00003246-200107000-00002. - DOI - PubMed

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