Bactericidal/permeability-increasing protein in host defense and its efficacy in the treatment of bacterial sepsis

被引:20
作者
Ofer Levy
Peter Elsbach
机构
[1] Children’s Hospital of Boston,Division of Infectious Diseases
关键词
Pediatric Intensive Care Unit; Meningococcal Sepsis; Bactericidal Permeability Increase; Lipopolysaccharide Binding Protein Level; Endotoxin Binding Protein;
D O I
10.1007/BF03160475
中图分类号
学科分类号
摘要
The 55-kD bactericidal/permeability-increasing protein (BPI) is a neutrophil-derived polypeptide belonging to a family of lipid and endotoxin binding proteins. BPI is composed of two functionally distinct structural domains: a potently antibacterial and antiendotoxin ∼ 20-kD aminoterminal half, and an opsonic carboxy-terminal portion. In multiple animal models, a recombinant amino-terminal fragment of BPI (rBPI21) is nontoxic and protects against gram-negative bacteria and endotoxin. In humans, rBPI21 is also nontoxic and nonimmunogenic and has undergone phase II/III clinical trials with apparent therapeutic benefit.
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页码:407 / 412
页数:5
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