Increase of toll-like receptor 4 but decrease of interleukin-8 mRNA expression among ischemic stroke patients under aspirin treatment
Related Experiment Video
Updated: May 22, 2026

Isolation and Flow Cytometric Assessment of Neuroimmune Interactions in a Mini-Stroke Murine Model
Published on: June 20, 2025
Dean Wu1, Jehn-Shing Sheu, Hsing-Cheng Liu
1Department of Neurology, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan.
Objectives:
Toll-like receptors (TLRs) are molecules conserved in evolution for detecting pathogen invasions and tissue damage and are involved in atherogenesis. This study explores the mRNA expression of TLRs and their probable role in further disease occurrence among ischemic stroke patients.
Design And Methods:
A total of 89 ischemic stroke patients and 166 controls were recruited for this study. Total RNA was extracted and mRNA was reverse-transcribed to cDNA and was analyzed for TLRs and interleukin 8 (IL8).
Results:
The TLR4 mRNA expression level is significantly higher in the stroke group. Conversely, IL-8 mRNA levels decreased significantly in the patient group.
Conclusion:
Our results suggest that TLR4 overexpression in mRNA levels is observed in stroke patients, which might account for the probable inflammatory injury before or after stroke. A reduction of IL-8 expression could result from the downregulatory effects of aspirin.
Insights
Toll-like receptor 4 (TLR4) mRNA expression is elevated in ischemic stroke patients, potentially contributing to inflammation. Interleukin-8 (IL-8) mRNA levels decreased, possibly due to aspirin treatment.
Area of Science:
- Immunology
- Neurology
- Molecular Biology
Background:
- Toll-like receptors (TLRs) are crucial in pathogen detection and tissue damage responses.
- TLRs play a role in the development of atherosclerosis.
- Understanding TLR involvement in ischemic stroke is vital for disease management.
Purpose of the Study:
- To investigate the mRNA expression levels of TLRs in patients with ischemic stroke.
- To explore the potential role of TLRs in the occurrence of ischemic stroke.
- To examine the relationship between TLRs and Interleukin-8 (IL-8) in stroke patients.
Main Methods:
- Analysis of mRNA expression of TLRs and IL-8 in 89 ischemic stroke patients and 166 controls.
- RNA extraction, cDNA synthesis, and quantitative analysis.
- Comparison of gene expression between stroke patients and healthy controls.
Main Results:
- Significantly higher TLR4 mRNA expression was observed in the ischemic stroke group compared to controls.
- A significant decrease in IL-8 mRNA levels was found in patients with ischemic stroke.
- These findings suggest a differential role of TLRs and IL-8 in ischemic stroke pathophysiology.
Conclusions:
- Elevated TLR4 mRNA expression in stroke patients may indicate its involvement in inflammatory processes preceding or following stroke.
- Reduced IL-8 mRNA levels might be influenced by the potential downregulatory effects of aspirin therapy.
- Further research is warranted to elucidate the precise mechanisms of TLRs in ischemic stroke and their therapeutic implications.
Related Concept Videos
Ischemic Stroke ll: Pathophysiology
Ischemic Stroke l: Introduction