Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
Macrophage migration inhibitory factor
A novel marker for endotoxemia
Jun Nishihira
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JOURNAL FREE ACCESS

2003 Volume 10 Issue 4 Pages 331-338

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Abstract
Macrophage migration inhibitory factor (MIF) was originally discovered as a soluble factor associated with the mechanism of delayed-type hypersensitivity. Today, MIF is widely accepted as a pluripotent cytokine involved in a broad-spectrum pathological events beyond the immune system. Following the cloning of MIF cDNA, previously unrecognized biological functions of MIF have been revealed. MIF is released as a hormone by the anterior pituitary gland in endotoxin shock, and as a proinflammatory cytokine and glucocorticoid-induced immunomodulator produced in response to a variety of inflammatory stimuli. Based on these findings, it is expected that MIF would be a novel marker which indicates septicemia. Recently, it was found that Toll-like-4 receptor could be regulated by MIF, suggesting its involvement in the innate immunity.
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