Toll-like receptor 4 mutation protects obese mice against endothelial dysfunction by decreasing NADPH oxidase

Chao-Fan Liang1, Jacky Tc Liu, Yu Wang

  • 1Department of Pharmacology, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.

Abstract

Insights

Toll-like receptor 4 (TLR4) mutation protects against diabetes-associated endothelial dysfunction by reducing oxidative stress. This finding highlights TLR4

Area of Science:

  • Metabolic disease research
  • Cardiovascular research
  • Immunology

Background:

  • Obesity and type 2 diabetes are linked to endothelial dysfunction.
  • Toll-like receptor 4 (TLR4) is implicated in metabolic disorders and inflammation.
  • The precise role of TLR4 in diabetes-associated endothelial dysfunction requires further elucidation.

Purpose of the Study:

  • To investigate the role of toll-like receptor 4 (TLR4) in modulating metabolism and endothelial function in type 2 diabetes.
  • To determine if TLR4 mutation impacts hyperglycemia, hypertension, and vascular responses.

Main Methods:

  • Utilized type 2 diabetic mice with mutated toll-like receptor 4 (DWM) and control diabetic mice (Lepr(db/db)).
  • Measured isometric tension in arterial rings to assess endothelial-dependent relaxations and contractions.
  • Analyzed endothelial nitric oxide synthase (eNOS) dimer/monomer ratio, eNOS phosphorylation, and cyclooxygenase-1 (COX-1) activity.
  • Quantified mRNA and protein levels of NADPH oxidase isoforms (NOX1, NOX4).
  • Administered lipopolysaccharide (LPS) to induce endothelial dysfunction.

Main Results:

  • DWM mice were protected from hyperglycemia and hypertension, despite increased body weight.
  • Acetylcholine-induced relaxations were preserved in DWM mice aortae and mesenteric arteries.
  • Endothelial NO synthase dimer/monomer ratio and phosphorylation were higher in DWM mice, an effect abolished by apocynin.
  • Endothelium-dependent contractions involved cyclooxygenase-1 (COX-1) and were modulated by TLR4 mutation.
  • NADPH oxidase isoforms NOX1 and NOX4 were downregulated in DWM mice arteries.
  • LPS induced endothelial dysfunction in wild-type but not DWM mice.

Conclusions:

  • Toll-like receptor 4 (TLR4) is a key mediator of obesity and diabetes-associated endothelial dysfunction.
  • TLR4 signaling contributes to endothelial dysfunction primarily through increased oxidative stress.
  • Targeting TLR4 may offer a therapeutic strategy for managing metabolic and cardiovascular complications.

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