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Published on: May 6, 2014
Toll-like receptors in atherosclerosis
1Department of Immunology, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA.
Abstract:
At one time, atherosclerosis was thought to be a simple lipid storage disease. However, it is now recognized as a chronic and progressive inflammation of the arterial wall. Gene deletion experiments in murine models of atherosclerosis that reduce the inflammatory process also reduce disease severity. Identifying the initiators and mediators of that inflammation can provide promising avenues for prevention or therapy. Two prominent risk factors, hyperlipidaemia and infectious disease, point to innate immune mechanisms as potential contributors to proatherogenic inflammation. The TLRs (Toll-like receptors), pro-inflammatory sensors of pathogens, are potential links between inflammation, infectious disease and atherosclerosis. A mechanism for hyperlipidaemic initiation of sterile inflammation can be postulated because oxidized lipoproteins or their component oxidized lipids have been identified as TLR ligands. Moreover, infectious agents are correlated with atherosclerosis risk. We have identified a role for TLR2 in atherosclerosis in mice deficient in low-density lipoprotein receptor. We observed that proatherogenic TLR2 responses to unknown endogenous or unknown endemic exogenous agonists are mediated by non-BMDC (bone-marrow-derived cells), which can include endothelial cells. In contrast, the proatherogenic TLR2 responses to the defined synthetic exogenous agonist Pam3 CSK4 are mediated at least in part by BMDC, which can include lymphocytes, monocytes/macrophages and dendritic cells. TLR2-mediated cell activation in response to endogenous and exogenous agents is proatherogenic in hyperlipidaemic mice.
Insights
Toll-like receptors (TLRs) link inflammation and atherosclerosis. TLR2 activation by various agents promotes atherosclerosis in hyperlipidaemic mice, involving both bone-marrow-derived cells and other cell types.
Area of Science:
- Immunology
- Cardiovascular Research
- Molecular Biology
Background:
- Atherosclerosis is now understood as a chronic inflammatory disease of the arterial wall, not merely a lipid storage issue.
- Innate immune mechanisms, particularly Toll-like receptors (TLRs), are implicated in atherosclerosis due to links with hyperlipidaemia and infection.
- Oxidized lipids and infectious agents can act as ligands for TLRs, potentially initiating or exacerbating inflammation in atherosclerosis.
Purpose of the Study:
- To investigate the role of Toll-like receptor 2 (TLR2) in the development of atherosclerosis.
- To identify the cellular sources of proatherogenic TLR2 responses in hyperlipidaemic conditions.
- To differentiate TLR2-mediated inflammatory pathways involving bone-marrow-derived cells (BMDC) versus non-BMDC.
Main Methods:
- Utilized murine models of atherosclerosis, specifically mice deficient in low-density lipoprotein receptor.
- Administered defined synthetic agonists (Pam3 CSK4) and studied responses to unknown endogenous/exogenous agonists.
- Differentiated cellular contributions by analyzing responses in bone-marrow-derived cells (BMDC) and non-BMDC, including endothelial cells.
Main Results:
- Demonstrated a significant role for TLR2 in promoting atherosclerosis in hyperlipidaemic mice.
- Showed that proatherogenic TLR2 responses to endogenous or unknown exogenous agonists are mediated by non-BMDC.
- Identified that TLR2 responses to the synthetic agonist Pam3 CSK4 are partly mediated by BMDC, including monocytes/macrophages and dendritic cells.
Conclusions:
- TLR2 activation by both endogenous and exogenous agents contributes to atherosclerosis in hyperlipidaemic mice.
- Both bone-marrow-derived cells and non-bone-marrow-derived cells, such as endothelial cells, mediate proatherogenic TLR2 signaling.
- Targeting TLR2 pathways presents a potential therapeutic strategy for atherosclerosis prevention and treatment.
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