PMID- 15173891 OWN - NLM STAT- MEDLINE DA - 20040602 DCOM- 20040629 LR - 20041117 PUBM- Print IS - 0021-9738 VI - 113 IP - 11 DP - 2004 Jun TI - Receptor for advanced glycation end products (RAGE) regulates sepsis but not the adaptive immune response. PG - 1641-50 AB - While the initiation of the adaptive and innate immune response is well understood, less is known about cellular mechanisms propagating inflammation. The receptor for advanced glycation end products (RAGE), a transmembrane receptor of the immunoglobulin superfamily, leads to perpetuated cell activation. Using novel animal models with defective or tissue-specific RAGE expression, we show that in these animal models RAGE does not play a role in the adaptive immune response. However, deletion of RAGE provides protection from the lethal effects of septic shock caused by cecal ligation and puncture. Such protection is reversed by reconstitution of RAGE in endothelial and hematopoietic cells. These results indicate that the innate immune response is controlled by pattern-recognition receptors not only at the initiating steps but also at the phase of perpetuation. AD - Department of Molecular Immunology, Division of Tumor Immunology, German Cancer Research Center, Heidelberg, Germany. FAU - Liliensiek, Birgit AU - Liliensiek B FAU - Weigand, Markus A AU - Weigand MA FAU - Bierhaus, Angelika AU - Bierhaus A FAU - Nicklas, Werner AU - Nicklas W FAU - Kasper, Michael AU - Kasper M FAU - Hofer, Stefan AU - Hofer S FAU - Plachky, Jens AU - Plachky J FAU - Grone, Herman-Josef AU - Grone HJ FAU - Kurschus, Florian C AU - Kurschus FC FAU - Schmidt, Ann Marie AU - Schmidt AM FAU - Yan, Shi Du AU - Yan SD FAU - Martin, Eike AU - Martin E FAU - Schleicher, Erwin AU - Schleicher E FAU - Stern, David M AU - Stern DM FAU - Hammerling G, G unterJ AU - Hammerling G G FAU - Nawroth, Peter P AU - Nawroth PP FAU - Arnold, Bernd AU - Arnold B LA - eng PT - Journal Article PL - United States TA - J Clin Invest JID - 7802877 RN - 0 (Receptors, Immunologic) RN - 0 (advanced glycosylation end-product receptor) SB - AIM SB - IM MH - Animals MH - Cecum/injuries MH - Immune System/immunology/*metabolism MH - Mice MH - Mice, Knockout MH - Peritonitis/metabolism MH - Receptors, Immunologic/genetics/immunology/*metabolism MH - Research Support, Non-U.S. Gov't MH - Sepsis/*metabolism MH - Shock, Septic/metabolism MH - Time Factors EDAT- 2004/06/03 05:00 MHDA- 2004/06/30 05:00 PHST- 2003/04/18 [received] PHST- 2004/03/26 [accepted] AID - 10.1172/JCI200418704 [doi] PST - ppublish SO - J Clin Invest 2004 Jun;113(11):1641-50.