What is Lipopolysaccharide-Binding Protein?
LBP is an acute-phase protein synthesised by hepatocytes and enterocytes that binds bacterial lipopolysaccharide (LPS, endotoxin) and transfers it to CD14 and TLR4 receptors, initiating innate immune responses. It is part of the host defence against Gram-negative bacteria, but persistent elevation reflects chronic low-grade endotoxaemia and is associated with metabolic inflammation and barrier compromise.