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Published on: February 6, 2021
TLR4 is required for host resistance in Pseudomonas aeruginosa keratitis
Xi Huang1, Wenjin Du, Sharon A McClellan
1Department of Anatomy and Cell Biology, Wayne State University School of Medicine, 540 East Canfield Avenue, Detroit, MI 48201, USA. xhuang@med.wayne.edu
Purpose:
To determine the role of Toll-like receptor 4 (TLR4) in Pseudomonas aeruginosa (P. aeruginosa) keratitis in resistant (cornea-healing) BALB/c mice.
Methods:
Corneal TLR4 mRNA levels were tested by real-time PCR in BALB/c mice before and after infection. Clinical score, slit lamp, histopathology, bacterial counts, and polymorphonuclear neutrophil (PMN) quantitation were performed in the infected cornea of TLR4-deficient (TLR4(lps-d)) and wild-type BALB/c mice. mRNA for IL-1beta, MIP-2, IFN-gamma, IL-18, inducible nitric oxide synthase (iNOS), and beta-defensin-2 levels were measured by real-time PCR. Protein levels for IL-1beta, MIP-2, and IFN-gamma were tested by ELISA.
Results:
In resistant BALB/c mice, TLR4 mRNA expression was significantly upregulated in the cornea after P. aeruginosa infection. In contrast, TLR4-deficient mice were susceptible to infection with P. aeruginosa and showed increased corneal opacity, PMN infiltration, bacterial counts, and perforated infected corneas. After infection, TLR4-deficient mice also showed increased mRNA expression of proinflammatory cytokines (IL-1beta and MIP-2) and type-1-associated cytokines (IFN-gamma and IL-18) when compared with wild-type BALB/c mice. ELISA analyses showed that IL-1beta, MIP-2, and IFN-gamma protein levels also were significantly upregulated in the cornea of TLR4-deficient versus wild-type mice. In contrast, levels of iNOs and beta-defensin-2 were significantly decreased in TLR4-deficient compared with wild-type mice.
Conclusions:
TLR4 is critical in host resistance to P. aeruginosa, as its deficiency results in increased PMN infiltration and proinflammatory cytokine production, decreased iNOs and beta-defensin-2 production, impaired bacterial killing, and a susceptible phenotype.
Insights
Toll-like receptor 4 (TLR4) is crucial for resisting Pseudomonas aeruginosa eye infections. Lacking TLR4 leads to increased inflammation and susceptibility in mice.
Area of Science:
- Immunology
- Ophthalmology
- Microbiology
Background:
- Pseudomonas aeruginosa (P. aeruginosa) is a common cause of bacterial keratitis.
- The innate immune system plays a vital role in combating ocular infections.
- Toll-like receptors (TLRs) are key pattern recognition receptors involved in host defense.
Purpose of the Study:
- To investigate the role of Toll-like receptor 4 (TLR4) in the host's defense against P. aeruginosa keratitis.
- To evaluate the impact of TLR4 deficiency on the clinical and immunological outcomes of P. aeruginosa infection in a mouse model.
Main Methods:
- Real-time PCR was used to measure TLR4 mRNA expression in infected corneas.
- BALB/c mice, both wild-type and TLR4-deficient, were infected with P. aeruginosa.
- Clinical scoring, slit-lamp examination, histopathology, bacterial quantification, and immune cell/cytokine analysis were performed.
Main Results:
- TLR4 mRNA was significantly upregulated in resistant BALB/c mice post-infection.
- TLR4-deficient mice exhibited increased corneal opacity, PMN infiltration, and bacterial load.
- Deficiency in TLR4 led to elevated pro-inflammatory cytokines (IL-1beta, MIP-2) and type-1 cytokines (IFN-gamma, IL-18), but reduced iNOS and beta-defensin-2.
Conclusions:
- TLR4 is essential for host resistance against P. aeruginosa keratitis.
- TLR4 deficiency results in a susceptible phenotype characterized by heightened inflammation and impaired bacterial clearance.
- Targeting TLR4 pathways may offer therapeutic strategies for bacterial keratitis.
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