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Title: Relationship between leukotriene B4 and prostaglandin I2 in patients with sepsis. Author: Nakae H, Endo S, Inada K, Watanabe M, Baba N, Yoshida M. Journal: Res Commun Mol Pathol Pharmacol; 1994 Oct; 86(1):37-42. PubMed ID: 7850255. Abstract: To examine the roles of leukotriene B4 (LTB4) and prostaglandin I2 (PGI2), the metabolites of arachidonic acid found in patients with sepsis, we measured the serum levels of LTB4 and a stable metabolite of PGI2, 6-keto-prostaglandin F1 alpha (6-keto-PGF1 alpha), in 22 patients with sepsis. Results were analyzed in relation to patients' survival. The serum levels of both LTB4 and 6-keto-PGF1 alpha were significantly higher in patients who died than in those who survived, thus serving as indicators of illness severity. There was a significant correlation between LTB4 and 6-keto-PGF1 alpha levels. The present study suggests that LTB4, a potent leukocyte activator, induces damage to vascular endothelial cells in patients with sepsis, resulting in the excessive production of PGI2 and, consequently, serious illness.[Abstract] [Full Text] [Related] [New Search]