SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity

Despite the availability of potent antimicrobials, shock due to Gram-negative rod sepsis remains an important clinical concern in immunosuppressed patients. Current strategies for treating septic shock by removal of endotoxin (lipopolysaccharides [LPS]) or putative mediators have only been partially...

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Main Authors: Charles Lam, Eberhard Schütze, Emmanuel Quakyi, Ekke Liehl, Peter Stütz
Format: Article
Language:English
Published: Wiley 1992-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1992/591894
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author Charles Lam
Eberhard Schütze
Emmanuel Quakyi
Ekke Liehl
Peter Stütz
author_facet Charles Lam
Eberhard Schütze
Emmanuel Quakyi
Ekke Liehl
Peter Stütz
author_sort Charles Lam
collection DOAJ
description Despite the availability of potent antimicrobials, shock due to Gram-negative rod sepsis remains an important clinical concern in immunosuppressed patients. Current strategies for treating septic shock by removal of endotoxin (lipopolysaccharides [LPS]) or putative mediators have only been partially effective. An attractive alternative appears to be the induction of hyporesponsiveness to LPS by synthetic lipid A analogues. SDZ MRL 953, a novel prototype of lipid A analogues. was examined for its ability to induce early-phase tolerance against experimental endotoxemia in mice following single or multiple administrations 2, 24, or 72 h before challenge. The analogue protected mice against a lethal dose of LPS or infections in a time- and dose-dependent manner. Maximum effects were observed in animals pretreated with SDZ MRL 953 on three consecutive days before the LPS challenge or microbial inoculation. To examine the mechanisms involved, peritoneal macrophages from the tolerant mice were monitored ex v1vo for the release of tumour necrosis factor (TNF) and killing of an isolate of Escherichia coli. It was found that macrophages from endotoxin-tolerant mice produced only a fraction of the TNF released by cells from control groups in response to LPS. However, the killing of E coli by the macrophages was enhanced. In conclusion, SDZ MRL 953 may have a prophylactic potential in reducing the risk of endotoxic shock in traumatized or in myelosuppressed patients.
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spelling doaj-art-4cb3addcbd3e46f9ab643c57ec91ad3c2025-02-03T01:30:46ZengWileyCanadian Journal of Infectious Diseases1180-23321992-01-013Suppl B9410010.1155/1992/591894SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific ImmunityCharles LamEberhard SchützeEmmanuel QuakyiEkke LiehlPeter StützDespite the availability of potent antimicrobials, shock due to Gram-negative rod sepsis remains an important clinical concern in immunosuppressed patients. Current strategies for treating septic shock by removal of endotoxin (lipopolysaccharides [LPS]) or putative mediators have only been partially effective. An attractive alternative appears to be the induction of hyporesponsiveness to LPS by synthetic lipid A analogues. SDZ MRL 953, a novel prototype of lipid A analogues. was examined for its ability to induce early-phase tolerance against experimental endotoxemia in mice following single or multiple administrations 2, 24, or 72 h before challenge. The analogue protected mice against a lethal dose of LPS or infections in a time- and dose-dependent manner. Maximum effects were observed in animals pretreated with SDZ MRL 953 on three consecutive days before the LPS challenge or microbial inoculation. To examine the mechanisms involved, peritoneal macrophages from the tolerant mice were monitored ex v1vo for the release of tumour necrosis factor (TNF) and killing of an isolate of Escherichia coli. It was found that macrophages from endotoxin-tolerant mice produced only a fraction of the TNF released by cells from control groups in response to LPS. However, the killing of E coli by the macrophages was enhanced. In conclusion, SDZ MRL 953 may have a prophylactic potential in reducing the risk of endotoxic shock in traumatized or in myelosuppressed patients.http://dx.doi.org/10.1155/1992/591894
spellingShingle Charles Lam
Eberhard Schütze
Emmanuel Quakyi
Ekke Liehl
Peter Stütz
SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity
Canadian Journal of Infectious Diseases
title SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity
title_full SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity
title_fullStr SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity
title_full_unstemmed SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity
title_short SDZ MRL 953, A Novel Synthetic Lipid a Analogue, Induces Tolerance to the Lethal Effects of Endotoxin and Enhances Nonspecific Immunity
title_sort sdz mrl 953 a novel synthetic lipid a analogue induces tolerance to the lethal effects of endotoxin and enhances nonspecific immunity
url http://dx.doi.org/10.1155/1992/591894
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