Endotoxins are toxic substances that are part of the outer membrane of certain types of bacteria. They are released when the bacteria die and their cell walls break down. Endotoxins can cause a variety of harmful effects in the body, including fever, inflammation, and septic shock. They are different from exotoxins, which are released by living bacteria and can cause damage to the host organism.
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Google Gemini AI
more than 2 weeks ago
Definition:
Endotoxins are toxic substances that are an integral part of the outer membrane of Gram-negative bacteria.
Structure:
- Composed primarily of lipopolysaccharides (LPS) - LPS consists of three regions: - Lipid A: hydrophobic fatty acid core embedded in the bacterial membrane - Core oligosaccharide: variable region that connects Lipid A to the O-antigen - O-antigen: outermost layer; highly variable, responsible for bacterial serotype
Properties:
- Heat-stable: Can withstand high temperatures (e.g., 121°C for 30 minutes) - Acid-fast: Resistant to staining with acid-fast dyes - Pyrogenic: Can cause fever and systemic inflammatory response - Mitogenic: Can stimulate the proliferation of lymphocytes and other immune cells
Mechanism of Action:
Upon release from Gram-negative bacteria, endotoxins interact with various immune receptors, including Toll-like receptor 4 (TLR4), which is expressed on macrophages, dendritic cells, and endothelial cells. This interaction triggers a cascade of inflammatory responses:
- Activation of the innate immune system - Release of pro-inflammatory cytokines and chemokines (e.g., TNF-α, IL-1β, IL-6) - Activation of coagulation cascade - Induction of fever and hypotension
Effects:
Exposure to high levels of endotoxins can lead to several harmful conditions:
- Sepsis: Severe systemic inflammatory response syndrome - Toxic shock syndrome - Endotoxic shock: Life-threatening condition characterized by low blood pressure, organ failure, and death - Fever and inflammation - Blood clots - Tissue damage
Clinical Significance:
Endotoxins are a major concern in the medical field, especially in the context of:
- Contamination of medical devices and pharmaceuticals - Hospital-acquired infections - Sepsis and related conditions - Vaccine production and testing