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Blood, Vol. 94 No. 5 (September 1), 1999:
pp. 1711-1716
I B Kinase Complex Is an Intracellular Target for Endotoxic
Lipopolysaccharide in Human Monocytic Cells
Jacek Hawiger,
Ruth Ann Veach,
Xue-Yan Liu,
Sheila Timmons, and
Dean W. Ballard
From the Department of Microbiology and Immunology and Howard Hughes
Medical Institute, Vanderbilt University Medical Center, Nashville, TN.
Endotoxic lipopolysaccharide (LPS) is a proinflammatory agonist
produced by gram-negative bacteria and a contributor to the majority of
the 400,000 septic shock cases recorded annually in US hospitals. The
primary target cells for LPS are monocytes and macrophages. Their
response consists of massive production of proinflammatory cytokines,
reactive oxygen- and nitrogen-intermediates, procoagulants, and cell
adhesion molecules. In turn, expression of these LPS-responsive factors
contributes to collapse of the circulatory system, to disseminated
intravascular coagulation, and to a 30% mortality rate. A common
intracellular mechanism responsible for the expression of septic shock
genes in monocytes and macrophages involves the activation of NF- B.
This transcription factor is regulated by a family of structurally
related inhibitors including I B , I B , and I B , which
trap NF- B in the cytoplasm. In this report, the investigators show
that LPS derived from different gram-negative bacteria activates
cytokine-responsive I B kinases containing catalytic subunits termed
IKK (IKK1) and IKK (IKK2). The kinetics of IKK and IKK
activation in LPS-stimulated human monocytic cells differ from that
recorded on their stimulation with tumor necrosis factor- , thereby
implying a distinct activation mechanism. LPS-activated IKK complexes
phosphorylate all 3 inhibitors of NF- B: I B , I B , and
I B . Moreover, LPS activates IKK preferentially, relative to
IKK . Thus, IKK complex constitutes the main intracellular target for
LPS-induced NF- B signaling to the nucleus in human monocytic cells
to activate genes responsible for septic shock.

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