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Previous Topic | Next Topic  NBME 2: LPS mediated activ. of transcrip 




 
Kaplan Qbank USMLE



Author10 Posts
  #1

TNF is the primary mediator of hose responses initiated by LPS and leading to septic shock. LPS-mediated activation of transcription most likely depends on which o of TF?
A. c-ras
B. nuclear factor -kappa B
C. p53
D. Rb ptn
E. VP-16 (etoposide)

the answ. someone gave was B. i don't know why. plz help

  #2

yah it should be B............



the LPS actually binds to what are called "toll like receptors " - CD-14...on the


  #3

yah it should be B............



the LPS actually binds to what are called "toll like receptors " - CD-14...on the macrophages.........an


  #4

and activates the cascades in the cytoplasm and then the nucleus that causes release of cytokines like IL-2 etc etc.......and the pathway for IL-2 involves NFkB and someother proteins like "calcineurin" etc etc (most immunosupressive drugs also act to inhibit this pathway ) ... rest all options are related to oncogenesis and stuff........


  #5

lakshya, is CD14 the TLR?

the answ is b.

  #6

well i duuno exactly...but yah...in the cascade of events...CD-14 is activated and the TLR are activated.....*both on the macrophages*...need to check the book!


  #7

NF-κB plays a key role in regulating the immune response to infection. Consistent with this role, incorrect regulation of NF-κB has been linked to cancer, inflammatory and autoimmune diseases, septic shock, viral infection, and improper immune development. NF-κB has also been implicated in processes of synaptic plasticity and memory. " wikipedia"


___________________
Great works are performed not by strength, but by perseverance.

  #8

Many bacterial products can activate NF-κB. The identification of Toll-like receptors (TLRs) as specific pattern recognition molecules and the finding that stimulation of TLRs leads to activation of NF-κB improved our understanding of how different pathogens activate NF-κB. For example, studies have identified TLR4 as the receptor for the LPS component of Gram-Negative bacteria. TLRs are key regulators of both innate and adaptive immune responses.

"wikipedia"


___________________
Great works are performed not by strength, but by perseverance.

  #9

CD14 acts as a co-receptor (along with the Toll-like receptor TLR 4 and MD-2) for the detection of bacterial lipopolysaccharide


  #10

macrophages then present Ag particles to Th1 cell which then produce IL 2

thanks Lakshya and Jean







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