Arya · Iranian journal of basic medical sciences 2025 · narrative review · n=?

Bacterial endotoxin-lipopolysaccharide role in inflammatory diseases: An overview.

Cited 9 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review detailing biological mechanisms without original clinical or empirical data.

PubMed 40666174 · doi:10.22038/ijbms.2025.82302.17799 · record verified 2026-08-28

What was done

This narrative review synthesized literature on the molecular mechanisms through which the Gram-negative bacterial endotoxin lipopolysaccharide (LPS) activates innate immunity, triggers local and systemic inflammation, and contributes to acute and chronic disease states, as well as potential downstream therapeutic targets.

What was found

The abstract reports no empirical data, sample sizes, or quantitative effect estimates. It qualitatively describes LPS acting as a pathogen-associated molecular pattern (PAMP) that stimulates immune and non-immune cells, upregulates inflammatory mediators, and contributes to septic shock, neurodegenerative diseases, cardiovascular diseases, and cancer via pathways involving TLR4, NLRP3, HMGA1, MAPK, and NF-kB.

Why it matters

Understanding the cellular and molecular pathways of LPS-induced inflammation helps map potential therapeutic targets for mitigating chronic inflammatory and degenerative diseases.

Limits

The paper is a non-systematic narrative review with no primary experimental or clinical data reported in the abstract. It lacks quantitative synthesis, risk of bias assessment of included studies, and direct evaluation of clinical drug efficacy.

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