Tumor necrosis, cachexia, shock, and inflammation

A common mediator

B. Beutler, A. Cerami

Research output: Contribution to journalArticle

703 Citations (Scopus)

Abstract

A variety of disease states appear to result from the overexpression of immune mechanisms that orginally evolved for the protection of the host. During the past few years, it has become clear that ceveral host proteins can, of themselves, cause injury by triggering the release of terminal inflammatory mediators, and altering host metabolism. Prominent among these cytokines is a macrophage-derived protein known as cachectin. Cachectin, acting alone and in concert with other mediators, is capable of evoking a 'shock' state, in which hypotension, derangements of host lipid and glucose metabolism, metabolic acidosis, and widespread neutrophil activation lead to the demise of the organism. Cachectin also can induce a state of anorexia and wasting strongly reminiscent of cachexia as it occurs in chronic infectious and neoplastic disease. Moreover, perhaps through induction of a localized coagulopathic state, cachectin causes hemorrhagic necrosis of certain parenchymal organs, and of certain tumors. This latter effect led to use of the term 'tumor necrosis factor' to denote this cytokine. It would appear that cachectin/tumor necrosis factor serves as a general mediator of inflammatory processes, and that cachectin, as well as a limited number of other cytokines, may be essential elements in the pathogenesis of many human and animal diseases.

Original languageEnglish (US)
Pages (from-to)505-518
Number of pages14
JournalAnnual Review of Biochemistry
Volume57
StatePublished - 1988

Fingerprint

Cachexia
Tumors
Shock
Necrosis
Tumor Necrosis Factor-alpha
Inflammation
Neoplasms
Cytokines
Metabolism
Neutrophil Activation
Animal Diseases
Macrophages
Anorexia
Acidosis
Lipid Metabolism
Hypotension
Communicable Diseases
Animals
Proteins
Chemical activation

ASJC Scopus subject areas

  • Biochemistry

Cite this

Tumor necrosis, cachexia, shock, and inflammation : A common mediator. / Beutler, B.; Cerami, A.

In: Annual Review of Biochemistry, Vol. 57, 1988, p. 505-518.

Research output: Contribution to journalArticle

@article{541d1f6d9c2643f3932b65428151328e,
title = "Tumor necrosis, cachexia, shock, and inflammation: A common mediator",
abstract = "A variety of disease states appear to result from the overexpression of immune mechanisms that orginally evolved for the protection of the host. During the past few years, it has become clear that ceveral host proteins can, of themselves, cause injury by triggering the release of terminal inflammatory mediators, and altering host metabolism. Prominent among these cytokines is a macrophage-derived protein known as cachectin. Cachectin, acting alone and in concert with other mediators, is capable of evoking a 'shock' state, in which hypotension, derangements of host lipid and glucose metabolism, metabolic acidosis, and widespread neutrophil activation lead to the demise of the organism. Cachectin also can induce a state of anorexia and wasting strongly reminiscent of cachexia as it occurs in chronic infectious and neoplastic disease. Moreover, perhaps through induction of a localized coagulopathic state, cachectin causes hemorrhagic necrosis of certain parenchymal organs, and of certain tumors. This latter effect led to use of the term 'tumor necrosis factor' to denote this cytokine. It would appear that cachectin/tumor necrosis factor serves as a general mediator of inflammatory processes, and that cachectin, as well as a limited number of other cytokines, may be essential elements in the pathogenesis of many human and animal diseases.",
author = "B. Beutler and A. Cerami",
year = "1988",
language = "English (US)",
volume = "57",
pages = "505--518",
journal = "Annual Review of Biochemistry",
issn = "0066-4154",
publisher = "Annual Reviews Inc.",

}

TY - JOUR

T1 - Tumor necrosis, cachexia, shock, and inflammation

T2 - A common mediator

AU - Beutler, B.

AU - Cerami, A.

PY - 1988

Y1 - 1988

N2 - A variety of disease states appear to result from the overexpression of immune mechanisms that orginally evolved for the protection of the host. During the past few years, it has become clear that ceveral host proteins can, of themselves, cause injury by triggering the release of terminal inflammatory mediators, and altering host metabolism. Prominent among these cytokines is a macrophage-derived protein known as cachectin. Cachectin, acting alone and in concert with other mediators, is capable of evoking a 'shock' state, in which hypotension, derangements of host lipid and glucose metabolism, metabolic acidosis, and widespread neutrophil activation lead to the demise of the organism. Cachectin also can induce a state of anorexia and wasting strongly reminiscent of cachexia as it occurs in chronic infectious and neoplastic disease. Moreover, perhaps through induction of a localized coagulopathic state, cachectin causes hemorrhagic necrosis of certain parenchymal organs, and of certain tumors. This latter effect led to use of the term 'tumor necrosis factor' to denote this cytokine. It would appear that cachectin/tumor necrosis factor serves as a general mediator of inflammatory processes, and that cachectin, as well as a limited number of other cytokines, may be essential elements in the pathogenesis of many human and animal diseases.

AB - A variety of disease states appear to result from the overexpression of immune mechanisms that orginally evolved for the protection of the host. During the past few years, it has become clear that ceveral host proteins can, of themselves, cause injury by triggering the release of terminal inflammatory mediators, and altering host metabolism. Prominent among these cytokines is a macrophage-derived protein known as cachectin. Cachectin, acting alone and in concert with other mediators, is capable of evoking a 'shock' state, in which hypotension, derangements of host lipid and glucose metabolism, metabolic acidosis, and widespread neutrophil activation lead to the demise of the organism. Cachectin also can induce a state of anorexia and wasting strongly reminiscent of cachexia as it occurs in chronic infectious and neoplastic disease. Moreover, perhaps through induction of a localized coagulopathic state, cachectin causes hemorrhagic necrosis of certain parenchymal organs, and of certain tumors. This latter effect led to use of the term 'tumor necrosis factor' to denote this cytokine. It would appear that cachectin/tumor necrosis factor serves as a general mediator of inflammatory processes, and that cachectin, as well as a limited number of other cytokines, may be essential elements in the pathogenesis of many human and animal diseases.

UR - http://www.scopus.com/inward/record.url?scp=0023944339&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023944339&partnerID=8YFLogxK

M3 - Article

VL - 57

SP - 505

EP - 518

JO - Annual Review of Biochemistry

JF - Annual Review of Biochemistry

SN - 0066-4154

ER -