Many exotoxins of Gram-
positive bacteria, such as superantigens [staphylococcal enterotoxins,toxic shock syndrome toxin-1 (TSST-1), and streptococcal pyrogenic exotoxins] and anthrax toxin arebioterrorism agents that cause diseases by immunostimulation or cytotoxicity. Glycerol monolaurate (GML),a fatty acid monoester found naturally in humans, has been reported to prevent synthesis of Gram-
positivebacterial exotoxins. This study explored the ability of GML to inhibit the effects of exotoxins on mammaliancells and prevent rabbit lethality from TSS. GML (
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10
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g/mL) inhibited superantigen (5
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g/mL)immunoproliferation, as determined by inhibition of
3H-thymidine incorporation into DNA of humanperipheral
blood mononuclear cells (1 × 10
6 cells/mL) as well as phospholipase C
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1, suggesting inhibitionof signal transduction. The compound (20
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g/mL) prevented superantigen (100
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g/mL) induced cytokinesecretion by human vaginal epithelial cells (HVECs) as measured by ELISA. GML (250
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g) inhibitedrabbit lethality as a result of TSST-1 administered vaginally. GML (10
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g/mL) inhibited HVEC andmacrophage cytotoxicity by anthrax toxin, prevented erythrocyte lysis by purified hemolysins (staphylococcal
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and
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) and
culture fluids containing streptococcal and
Bacillus anthracis hemolysins, and wasnontoxic to mammalian cells (up to 100
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g/mL) and rabbits (250
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g). GML stabilized mammalian cellmembranes, because erythrocyte lysis was reduced in the presence of hypotonic aqueous solutions (0-0.05 M saline) or staphylococcal
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- and
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-hemolysins when erythrocytes were pretreated with GML.GML may be useful in the management of Gram-
positive exotoxin illnesses; its action appears to bemembrane stabilization with inhibition of signal transduction.