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Published on: November 20, 2015
TLR3 impairment in human newborns
Lucija Slavica1, Inger Nordström, Merja Nurkkala Karlsson
11.University of Gothenburg, Guldhedsgatan 10A, Gothenburg, Sweden. lucija.slavica@rheuma.gu.se.
Insights
Newborns exhibit heightened susceptibility to viral infections due to underdeveloped innate immunity. Specifically, cord blood NK cells show deficient TLR3 expression, impairing their response to viral stimuli like HSV and contributing to neonatal infection vulnerability.
Area of Science:
- Immunology
- Neonatal Immunology
- Infectious Disease
Background:
- Newborns are vulnerable to viral infections.
- Innate immune responses, including virus-sensing receptors, are crucial for defense.
- Toll-like receptor 3 (TLR3) plays a role in antiviral immunity.
Purpose of the Study:
- To investigate the expression and function of innate virus-sensing receptors, particularly TLR3, in newborn immune cells.
- To understand the role of TLR3 in Natural Killer (NK) cell responses to viral stimulation in neonates.
- To elucidate the mechanisms underlying neonatal susceptibility to viral infections.
Main Methods:
- Analysis of mRNA and protein expression of TLR3, TLR7, TLR8, TLR9, RIG-I, MDA5, PKR, and IFI16 in cord blood mononuclear cells (CBMCs) and peripheral blood mononuclear cells (PBMCs).
- Functional assays assessing IFN-γ production and cytotoxic activity of cord blood NK cells upon stimulation with poly(I:C) and herpes simplex virus (HSV).
- Comparison of TLR3 expression in NK cells from cord blood, adult peripheral blood, and decidual samples.
Main Results:
- CBMCs expressed mRNA for most innate receptors, but lacked TLR3 mRNA.
- TLR3 mRNA was found in adult PBMCs, particularly in CD56(dim) NK cells, but was low in cord blood NK cells and absent as protein.
- Cord blood NK cells showed impaired IFN-γ production and cytotoxicity in response to poly(I:C) and HSV, unlike adult NK cells.
Conclusions:
- Cord blood NK cells exhibit deficient TLR3 expression and impaired responses to TLR3 ligands and HSV.
- This deficiency in TLR3-mediated immunity may explain the increased susceptibility of newborns to viral infections, such as neonatal HSV infections.
- TLR3 expression is not influenced by sex hormones but is low in decidual NK cells due to their CD56(bright) phenotype.
Abstract:
Newborns are highly susceptible to viral infections. We hypothesized that this susceptibility could be due to a dysregulated expression of innate virus-sensing receptors, i.e., TLR3, TLR7, TLR8, and TLR9 and the cytosolic receptors retinoic acid-inducible gene I, melanoma differentiation-associated protein 5, protein kinase R, and IFN-γ-inducible protein 16. Cord blood mononuclear cells (CBMCs) expressed mRNA for all these receptors except for TLR3. In peripheral blood mononuclear cells (PBMCs), TLR3 mRNA was preferentially expressed in cytotoxic cells, particularly CD56(dim) NK cells. Cord NK cells in contrast showed low TLR3 mRNA expression and lacked TLR3 protein expression. Cord NK cells did not produce IFN-γ in response to polyinosinic-polycytidylic acid [poly(I:C)], whereas strong IFN-γ production was observed in poly(I:C)-stimulated adult NK cells. Cord NK cells had poor cytotoxic function that was only marginally enhanced by exposure to the TLR3 ligand poly(I:C). Opposite to NK cells from adults, their cytotoxicity was not improved by herpes simplex virus (HSV) exposure and they were unable to kill HSV-infected cells. There were no differences in the TLR3 mRNA levels among men, women, and pregnant women, implying that TLR3 is not under sex hormone control. However, decidual NK cells expressed low levels of TLR3 mRNA, which was attributed to their CD56(bright) phenotype. Our data show that cord blood NK cells have deficient TLR3 expression associated with an inability to respond to poly(I:C) and HSV activation and to kill HSV-infected cells. This might explain why newborns are particularly sensitive to neonatal HSV infections.
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