Early immune responses to intradermal lipopolysaccharide in healthy volunteers: prednisolone’s impact on TLR4-mediated inflammation - Report - MDSpire

Early immune responses to intradermal lipopolysaccharide in healthy volunteers: prednisolone’s impact on TLR4-mediated inflammation

  • By

  • Thomas P. Buters

  • Digna T. de Bruin

  • Pieter W. Hameeteman

  • Wouter ten Voorde

  • Hendrika W. Grievink

  • Michelle Osse

  • Marieke L. de Kam

  • Jeffrey Damman

  • Thierry P. P. van den Bosch

  • Elsa Neubert

  • Robert Rissmann

  • Jacobus Burggraaf

  • Naomi Klarenbeek

  • Manon A. A. Jansen

  • Matthijs Moerland

  • May 20, 2026

  • 0 min

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Initial Immune Reactions to Intradermal Lipopolysaccharide in Healthy Subjects

Overview

This study characterizes the early immune response to intradermal lipopolysaccharide (LPS) in healthy individuals, highlighting the rapid activation of neutrophils and cytokine release. Prednisolone was found to modulate some inflammatory responses but did not significantly affect early neutrophil recruitment or cytokine levels.

Background

Understanding the early immune response to LPS is crucial for developing therapies targeting inflammatory conditions. The intradermal LPS model provides insights into TLR4-mediated inflammation, which is relevant in various inflammatory and autoimmune disorders. Previous studies have not adequately captured the initial kinetics of this response, necessitating further investigation.

Data Highlights

Time PointResponse
1 hourPeak IL-8, neutrophil influx
3-6 hoursPeak IL-6, IL-1β
24 hoursPeak NET formation

Key Findings

  • Intradermal LPS injection triggers rapid skin perfusion and erythema within 1 hour.
  • IL-8 levels peak at 1 hour, while IL-6 and IL-1β peak at 3-6 hours post-injection.
  • Neutrophil influx and NET formation are observed as early as 1 hour, with peak NET formation at 24 hours.
  • NLRP3 inflammasome activation peaks at 3 hours, indicated by ASC and NLRP3 expression.
  • Oral prednisolone reduces vascular responses and intermediate monocyte infiltration but has limited effects on early cytokine levels and neutrophil responses.

Clinical Implications

Expand on how these findings could influence future therapeutic strategies beyond corticosteroids.

Conclusion

Reiterate the importance of early neutrophil responses in the context of developing new therapies.

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  4. Intensive Care Medicine, 2011 -- Variations in Cytokine and Chemokine Expression Induced by Lipopolysaccharides and Lipoteichoic Acid
  5. E6(R3) Good Clinical Practice (GCP) | FDA, 2025
  6. Frontiers, 2025 -- POLB 001, a p38 MAPK inhibitor, decreases local and systemic inflammatory responses following in vivo LPS administration in healthy volunteers: a randomised, double-blind, placebo-controlled study
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  8. E6(R3) Good Clinical Practice (GCP) | FDA
  9. Frontiers | POLB 001, a p38 MAPK inhibitor, decreases local and systemic inflammatory responses following in vivo LPS administration in healthy volunteers: a randomised, double-blind, placebo-controlled study
  10. The oral IRAK4 inhibitors zabedosertib and BAY1830839 suppress local and systemic immune responses in a randomized trial in healthy male volunteers - PubMed

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