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                                                                Synonyms: B1287 | E5564
                                 
                                                         
                            
                            
                            
                                Compound class: 
                                                            Synthetic organic
                                 
                                
                                    
                                        Comment: Eritoran is a synthetic analogue of lipid A, the bacterial LPS component. It is referred to as a Toll-like receptor 4 (TLR4) antagonist, but rather than direct interaction, eritoran binds to MD-2 and prevents formation of the MD-2.TLR4 protein complex. Thus, eritoran appears to antagonise LPS-induced TLR4 activation. 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
                                    Eritoran has been investigated as a therapeutic for the management of sepsis, but failed to show sufficient clinical effect [1].  | 
                                    
                                        
                                         
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| References | 
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                                                                         1. Barochia A, Solomon S, Cui X, Natanson C, Eichacker PQ. (2011)
                                         Eritoran tetrasodium (E5564) treatment for sepsis: review of preclinical and clinical studies. Expert Opin Drug Metab Toxicol, 7 (4): 479-94. [PMID:21323610]  | 
                                                                
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                                                                         2. Ingalls RR, Monks BG, Savedra R, Christ WJ, Delude RL, Medvedev AE, Espevik T, Golenbock DT. (1998)
                                         CD11/CD18 and CD14 share a common lipid A signaling pathway. J Immunol, 161 (10): 5413-20. [PMID:9820516]  | 
                                                                
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                                                                         3. Tidswell M, Tillis W, Larosa SP, Lynn M, Wittek AE, Kao R, Wheeler J, Gogate J, Opal SM, Eritoran Sepsis Study Group. (2010)
                                         Phase 2 trial of eritoran tetrasodium (E5564), a toll-like receptor 4 antagonist, in patients with severe sepsis. Crit Care Med, 38 (1): 72-83. [PMID:19661804]  |