Burgmann H, Breyer S
Abteilung für Infektionen, Universitätsklinik für Innere Medizin I, Wien.
Wien Med Wochenschr. 1995;145(9):211-7.
This review is a brief attempt at providing an overview of a subject of enormous complexity-endotoxins and the mediators associated with its biological effects. More specifically it deals with biochemistry and biology of endotoxin, detection of endotoxin with the Limulus amebocyte lysate test, the molecular mechanisms and biological effects, and in the last part with future aspects of therapeutical strategies. It seems certain that the subject will become even more complex and possibly controversial as scientific knowledge further involves. However, because of the high mortality rate of patients suffering from gram-negative sepsis all efforts have to be made to find effective therapeutical strategies.
本综述旨在简要概述一个极其复杂的主题——内毒素及其相关生物效应的介质。更具体地说,它涉及内毒素的生物化学和生物学、鲎试剂检测内毒素、分子机制和生物效应,最后一部分则涉及治疗策略的未来发展方向。随着科学知识的进一步深入,这个主题似乎肯定会变得更加复杂,甚至可能引发争议。然而,由于革兰氏阴性菌败血症患者的死亡率很高,必须尽一切努力找到有效的治疗策略。