Pathogenesis
• PYROGENS
• ▸ Pyrogens arefeverproducingsubstances,which aremetabolicproducts of
microorganisms.
• Chemically,theyarelipidsubstancesassociatedwithacarrier molecule,whichis usuallya
polysaccharide. The carrier may alsobe a peptide. These carriers increase thesolubility ofthe
lipid.
• ▸ Pyrogens areproducedbymanymicroorganismsincluding bacteria, yeasts and moulds.
Mostpotentpyrogensaretheendotoxinsproducedfromthecell walls oftheGram-negative
bacteria.
Classification of pyrogens
• Classification of Pyrogens
• ▸ Exogenous Pyrogen (Exotoxins)
• > Endogenous Pyrogen (Endotoxin)
Classification of pyrogens
• 1.Endogenous pyrogen
• low-molecular-weightprotein is produced by phagocytic leukocytes in response to
stimulation by exogenous pyrogensand released into the circulation.
• It induces fever by acting on the preoptic area of the hypothalamusto raise the set-point
of the hypothalamicthermostat..
Classification of pyrogens
• 2.Exogenous pyrogen
• fever-producing agents of external origin,
• e.g.,bacterialendotoxinsandothermicrobialproducts,antigen-antibodycomplexes,
virusesand syntheticpolynucleotides, incompatiblebloodandbloodproducts,and
androgen breakdown products such as etiocholanolone.
Source of pyrogens
• Source of pyrogen
• water used at the end stages of the purification.
• ⚫ crystallization of the drug or excipients: water used during
• processing.
• ⚫ packaging components; chemicals, raw materials or equipment used in the preparation of the product.
• • The presence of endotoxins on devices may be attributed to water in the manufacturing process.
• Washingofcomponentssuch asfilter media(filters). Washing/rinsingoftubingorother plasticdevices
prior to their sterilization.

pyrexia of unknown origin pathogenesis.pptx

  • 1.
    Pathogenesis • PYROGENS • ▸Pyrogens arefeverproducingsubstances,which aremetabolicproducts of microorganisms. • Chemically,theyarelipidsubstancesassociatedwithacarrier molecule,whichis usuallya polysaccharide. The carrier may alsobe a peptide. These carriers increase thesolubility ofthe lipid. • ▸ Pyrogens areproducedbymanymicroorganismsincluding bacteria, yeasts and moulds. Mostpotentpyrogensaretheendotoxinsproducedfromthecell walls oftheGram-negative bacteria.
  • 2.
    Classification of pyrogens •Classification of Pyrogens • ▸ Exogenous Pyrogen (Exotoxins) • > Endogenous Pyrogen (Endotoxin)
  • 3.
    Classification of pyrogens •1.Endogenous pyrogen • low-molecular-weightprotein is produced by phagocytic leukocytes in response to stimulation by exogenous pyrogensand released into the circulation. • It induces fever by acting on the preoptic area of the hypothalamusto raise the set-point of the hypothalamicthermostat..
  • 4.
    Classification of pyrogens •2.Exogenous pyrogen • fever-producing agents of external origin, • e.g.,bacterialendotoxinsandothermicrobialproducts,antigen-antibodycomplexes, virusesand syntheticpolynucleotides, incompatiblebloodandbloodproducts,and androgen breakdown products such as etiocholanolone.
  • 5.
    Source of pyrogens •Source of pyrogen • water used at the end stages of the purification. • ⚫ crystallization of the drug or excipients: water used during • processing. • ⚫ packaging components; chemicals, raw materials or equipment used in the preparation of the product. • • The presence of endotoxins on devices may be attributed to water in the manufacturing process. • Washingofcomponentssuch asfilter media(filters). Washing/rinsingoftubingorother plasticdevices prior to their sterilization.