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Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
TLR-3 receptor activation protects the very immature brain from ischemic injury
Insights
Toll-like receptor 3 (TLR-3) agonist poly I:C preconditioning significantly reduces ischemic brain damage in immature P5 rats. This neuroprotection is mediated by TLR-3 signaling, highlighting its role in the developing brain.
Area of Science:
- Neuroscience
- Immunology
- Developmental Biology
Background:
- Lipopolysaccharide (LPS) preconditioning effectively reduces ischemic brain damage in P7 rats, but not in younger P3 or P5 pups.
- LPS is a Toll-like receptor 4 (TLR-4) ligand, suggesting other TLRs may mediate neuroprotection in the immature brain.
- Cerebral ischemic injury in developing brains of premature infants remains a significant clinical concern.
Purpose of the Study:
- To investigate the role of Toll-like receptors (TLRs) other than TLR-4 in mediating preconditioning against cerebral ischemic injury in the developing rat brain.
- To determine the expression patterns of TLR-2, TLR-3, TLR-4, and TLR-9 in rat brains at different postnatal ages (P3, P5, P7).
- To evaluate the neuroprotective effect of a TLR-3 specific agonist, poly I:C, in P5 rats subjected to hypoxic-ischemic (HI) injury.
Main Methods:
- Immunohistochemical staining was used to detect TLR-2, TLR-3, TLR-4, and TLR-9 expression in rat brains at P3, P5, and P7.
- P5 rats were pre-treated with either poly I:C (TLR-3 agonist) or saline.
- Hypoxic-ischemic (HI) injury was induced 48 hours post-injection, and infarct volumes were quantified 1 week later.
Main Results:
- TLR-2 and TLR-3 expression was high in P3 and P5 rat brains, while TLR-4 expression was lower compared to P7.
- TLR-3 was predominantly expressed in P5 pups.
- Poly I:C pre-treatment significantly reduced infarct volume in P5 rats, downregulating NF-κB and upregulating IRF3.
- Poly I:C did not provide neuroprotection in P7 rat brains.
Conclusions:
- Toll-like receptor expression and function are developmentally regulated.
- TLR-3 signaling pathways are implicated in poly I:C-induced preconditioning against ischemic injury in the immature brain.
- This study is the first to demonstrate TLR-3 expression in the immature brain and its role in mediating neuroprotection against ischemic injury.
Background:
We have shown that preconditioning by lipopolysaccharide (LPS) will result in 90% reduction in ischemic brain damage in P7 rats. This robust LPS neuroprotection was not observed in P3 or P5 pups (corresponding to human premature infant). LPS is a known Toll-like receptor 4 (TLR-4) ligand. We hypothesized that TLRs other than TLR-4 may mediate preconditioning against cerebral ischemic injury in the developing brain.
Methods:
TLR-2, TLR-3, TLR-4, and TLR-9 expression was detected in brain sections from P3, P5, and P7 rats by immuno-staining. In subsequent experiments, P5 rats were randomly assigned to TLR-3 specific agonist, poly I:C, or saline treated group. At 48 h after the injections, hypoxic-ischemic (HI) injury was induced by unilateral carotid artery ligation followed by hypoxia for 65 min. Brains were removed 1 week after HI injury and infarct volumes were compared in H&E stained sections between the two groups.
Results:
TLR-2 and TLR-3 were highly expressed in brains of P3 and P5 but not in P7 rats. The number of TLR-4 positive cells was lower in P3 and P5 compared to P7 brains (P <0.05). TLR-3 was predominately expressed in P5 pups (P <0.05). There was no significant difference in TLR-9 expression in the three age groups. There was a significant reduction in infarct volume (P=0.01) in poly I:C compared to saline pre-treated P5 pups. Pre-treatment with poly I:C downregulated NF-κB and upregulated IRF3 expression in P5 rat ischemic brains. Pre-treatment with poly I:C did not offer neuroprotection in P7 rat brains.
Conclusion:
TLRs expression and function is developmentally determined. Poly I:C-induced preconditioning against ischemic injury may be mediated by modulation of TLR-3 signaling pathways. This is the first study to show that TLR-3 is expressed in the immature brain and mediates preconditioning against ischemic injury.
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