Skip to main content

The Molecular Basis of Shock: The Role of Cachectin

  • Chapter
Update 1988

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 5))

  • 158 Accesses

Abstract

In its final stages, shock, regardless of the cause, evokes a picture familiar to all clinicians. Diffuse end-organ damage, a coagulopathic state, metabolic acidosis, hypotension, and sequestration of fluid are all elements of this picture. Yet, these common features reveal little about the molecular pathogenesis of shock, or about the events that lead to its development.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Michalek SM, Moore RN, McGhee JR, et al (1980) The primary role of lymphoreticular cells in the mediation of host responses to bacterial endotoxin. J Inf Dis 141:55–63.

    Article  CAS  Google Scholar 

  2. Rouzer CA, Cerami A (1980) Hypertriglyceridemia associated with Trypanosoma brucei infection in rabbits: role of defective triglyceride removal. Molec Biochem Parasitol 2:31–38.

    Article  CAS  Google Scholar 

  3. Kawakami M, Cerami A (1981) Studies of endotoxin-induced decrease in lipoprotein lipase activity. J Exp Med 154:631–639.

    Article  PubMed  CAS  Google Scholar 

  4. Beutler B, Mahoney J, Le Trang N, et al (1985) Purification of cachectin, a lipoprotein lipase-suppressing hormone secreted by endotoxin-induced RAW 264.7 cells. J Exp Med 161:984–995.

    Article  PubMed  CAS  Google Scholar 

  5. Beutler B, Greenwald D, Hulmes JD, et al (1985) Identity of tumour necrosis factor and the macrophage-secreted factor cachectin. Nature 316:552–554.

    Article  PubMed  CAS  Google Scholar 

  6. Caput D, Beutler B, Hartog K, et al (1986) Identification of a common nucleotide sequence in the 3′-untranslated region of mRNA molecules specifying inflammatory mediators. Proc Natl Acad Sci 83:1670–1674.

    Article  PubMed  CAS  Google Scholar 

  7. Carswell EA, Old LJ, Kassel RL, et al (1975) An endotoxin-induced serum factor that causes necrosis of tumors. Proc Natl Acad Sci 72:3666–3670.

    Article  PubMed  CAS  Google Scholar 

  8. Aggarwal BB, Kohr WJ, Hass PE, et al (1985) Human tumor necrosis factor. Production, purification, and characterization. J Biol Chem 260:2345–2354.

    PubMed  CAS  Google Scholar 

  9. Beutler B, Milsark IW, Cerami A (1985) Passive immunization against cachectin/tumor necorsis factor (TNF) protects mice from the lethal effect of endotoxin. Science 229:869–871.

    Article  PubMed  CAS  Google Scholar 

  10. Tracey KJ, Beutler B, Lowry SF, et al (1986) Shock and tissue injury induced by recombinant human cachectin. Science 234:470–474.

    Article  PubMed  CAS  Google Scholar 

  11. Tracey KJ, Lowry SF, Fahey III TJ, et al (1987) Cachectin/tumor necrosis factor induces lethal shock and stress hormone responses in the dog. Surg Gynecol Obstet 164:415–422.

    PubMed  CAS  Google Scholar 

  12. Tracey K, Lowry S, Beutler B, et al (1986) Cachectin/tumor necrosis factor mediates changes in skeletal muscle transmembrane potential. J Exp Med 164:1368–1373.

    Article  PubMed  CAS  Google Scholar 

  13. Dayer JM, Beutler B, Cerami A (1985) Cachectin/tumor necrosis factor (TNF) stimulates collagenase and PGE2 production by human synovial cells and dermal fibroblasts. J Exp Med 162:2163–2168.

    Article  PubMed  CAS  Google Scholar 

  14. Kettelhut IC, Fiers W, Goldberg AL (1987) The toxic effects of tumor necrosis factor in vivo and their prevention by cyclooxygenase inhibitors. Proc Natl Acad Sci 84:4273–4277.

    Article  PubMed  CAS  Google Scholar 

  15. Oliff A, Defeo-Jones D, Boyer M, et al (1987) Tumors secreting human TNF/cachectin induce cachexia in mice. Cell 50:555–563.

    Article  PubMed  CAS  Google Scholar 

  16. Lehmann V, Freudenberg MA, Galanos C (1987) Lethal toxicity of lipopolysaccharide and tumor necrosis factor in normal and d-galactosamine-treated mice. J Exp Med 165:657–663.

    Article  PubMed  CAS  Google Scholar 

  17. Aggarwal BB, Eessalu TE, Hass PE (1985) Characterization of receptors for human tumor necrosis factor and their regulation by gamma-interferon. Nature 318:665–667.

    Article  PubMed  CAS  Google Scholar 

  18. Beutler B, Cerami A (1986) Cachectin and tumor necrosis factor as two sides of the same biological coin. Nature 320:584–588.

    Article  PubMed  CAS  Google Scholar 

  19. Beutler B, Krochin N, Milsark IW, et al (1986) Control of cachectin (tumor necrosis factor) synthesis: mechanisms of endotoxin resistance. Science 232:977–980.

    Article  PubMed  CAS  Google Scholar 

  20. Grau GE, Fajardo LF, Piguet PF, et al (1987) Tumor necrosis factor (cachectin) as an essential mediator in murine cerebral malaria. Science 237:1210–1212.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Beutler, B. (1988). The Molecular Basis of Shock: The Role of Cachectin. In: Vincent, J.L. (eds) Update 1988. Update in Intensive Care and Emergency Medicine, vol 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83392-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-83392-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-18981-7

  • Online ISBN: 978-3-642-83392-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics