Macrophage migration inhibitory factor (MIF) is a cytokine that is an integral mediator of the innate immune system. Monocytes and macrophages constitutively express large amounts of MIF, which is rapidly released after exposure to bacterial toxins and cytokines. MIF exerts potent proinflammatory activities and is an important cytokine of septic shock. MIF regulates innate immune responses to endotoxin and gram-negative bacteria by modulating the expression of TLR4 , the signal-transducing molecule of the LPS receptor complex. A receptor complex consisting of a signaling subunit TLR4 and two accessory proteins: MD2 and CD14, recognizes LPS and Gram-negative bacteria...