Agonistic and antagonistic properties of LPS and partial structures in
the induction of cytokines are reviewed. Studies on structure-activit
y relationships of LPS and lipid A with human mononuclear cells reveal
that S- and notably R-form LPS are very potent cytokine inducers. Syn
thetic E. coli lipid A is somewhat less active, whereas synthetic S. m
innesota-type lipid A is significantly less active. Pentaacylated form
s of lipid A are less potent than hexaacylated forms, and tetraacylate
d synthetic precursor la and bisacylated disaccharides and monosacchar
ides are completely inactive, indicating that a structure-dependent hi
erarchy of LPS and lipid A partial structures determines the monokine-
inducing capacity in human mononuclear cells. Precursor Ia is a potent
LPS antagonist. The mechanism of its inhibitory activity is shown to
be due to competitive binding to cellular binding sites (receptors). P
roinflammatory and antiinflammatory cytokines, receptor antagonists, a
nd soluble cytokine receptors influence the cytokine-inducing activity
of LPS, suggesting a complex regulatory network.