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1 Department of Pediatrics, Columbia Univ College of Physicians and Surgeons, New York, New York, United States
2 Harvard School of Public Health, Boston, Massachusetts, United States
3 Department of Anesthesia and Medicine, University of California San Franicisco, San Francisco, California, United States
4 Medicine, Columbia University and St. Luke's-Roosevelt Hospital, New York, New York, United States
* To whom correspondence should be addressed. E-mail: jb39{at}columbia.edu.
The symposium addressed the burgeoning interest in fundamental mechanisms underlying the onset of pneumonia. Bacteria exploit the innate immune mechanism of the lung, resulting in pathophysiological cell signaling. As a consequence inflammation develops, leading to pneumonia. New mechanisms have been identified by which bacteria or bacterial products in the airway induce cross-compartmental signaling that leads to inflammatory consequences. The speakers addressed activation of the transcription factor, NF
B occurring as a consequence of bacterial interactions with specific receptors such as the toll-like receptors and the TNF receptor 1 (Prince), or as a consequence of cytokine induction (Mizgerd). Also considered were mechanisms of bacterial virulence in the clinical setting (Wiener-Kronish) and the role of alveolar-capillary signaling mechanisms in the initiation of lung inflammation.
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