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School of Biomedical and Life Sciences, University of Surrey, Guildford, UK;
* New York Medical College, Valhalla, New York; and
St. Vincents Hospital, Harrison, New York
Correspondence: Dr. L-J. Eales-Reynolds, Senior Lecturer in Immunology, School of Biomedical and Life Sciences, University of Surrey, Guildford, GU2 7XH UK. E-mail: L.Reynolds{at}surrey.ac.uk
The production of reactive oxygen and nitrogen intermediates is a
common response to infectious challenge in vivo. These agents have been
implicated in the modulation of cytokine responses and are produced in
large amounts in response to endotoxins produced by a number of
infectious agents. The antigen-presenting cell activation caused by
these lipopolysacchardies (LPS) has been exploited in the use of these
agents as adjuvants. In recent years, less-toxic derivatives have been
sought. One such agent, monophosphoryl lipid A (MPL), has been used
increasingly in vivo as an adjuvant and as a modulator of the
inflammatory process. It is known that this agent modulates the
inflammatory response and cytokine production. In addition, we have
shown its effect on the production of reactive nitrogen intermediates.
In this paper, we show that MPL stimulates the release of high levels
of superoxide (O2-) and hydrogen peroxide
(H2O2), the latter being greater than that seen
with LPS and appearing to be related to the inability of MPL to
stimulate catalase activity. When cells were pretreated with LPS or MPL
and subsequently challenged with LPS, the production of
O2- and
H2O2 was inhibited significantly by
LPS and MPL. The concentration of MPL required to induce significant
hyporesponsiveness to subsequent LPS challenge was 10 times lower than
that of LPS. Hyporesponsiveness was greatest when induced by 10 µg/ml
MPL, the same concentration that induced the maximum release of
H2O2 in primary stimulation. In
addition, we have shown that following MPL pretreatment, LPS
stimulation does not cause the loss of cytoplasmic I
B
, which
occurs when human monocytes are cultured with LPS. From our results, we
propose a model for the reduced toxicity of MPL.
Key Words: mononuclear phagocytes lipopolysaccharide I
B
adjuvants
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S. Klaus, K. H Staubach, M. Heringlake, J. Gliemroth, P. Schmucker, and L. Bahlmann Tissue metabolism during endotoxin shock after pretreatment with monophosphoryl lipid A Cardiovasc Res, July 1, 2003; 59(1): 105 - 112. [Abstract] [Full Text] [PDF] |
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