Recent progress has been made in understanding the diverse effects of
bacterial endotoxin (LPS) on animal systems. Experiments from our labo
ratory, as well as those from several other groups, have provided stro
ng evidence supporting the presence of different sites of interaction
with LPS in cells of immunological interest. However, the sequence of
expression of receptors, and their interrelations, are poorly understo
od. In this reveiw, we summarize the essentials of these studies, with
particular emphasis on experiments from our own laboratory. Our resul
ts suggest that the ''positive'' signals which trigger the activation
of B lymphocytes and bone-marrrow cells, as well as the ''negative'' s
ignals which trigger macrophage desensitization and tolerance to LPS,
might be delivered by sparsely represented and yet unidentifed LPS rec
eptors. The indentification of these molecules would clarify the mecha
nisms involved in the immunostimulatory as well as in the pathophysiol
ogical effects of endotoxin, and should have significant impact upon p
otential therapeutic intervention in endotoxin-mediated disease.