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Published on: June 14, 2020
Expression of Toll-like receptors on peripheral blood white cells in acute otitis media
Krzysztof Trzpis1, Edwina Kasprzycka2, Bożena Skotnicka1
1Department of Pediatric Otolaryngology, Medical University, Bialystok, Poland.
Insights
Children with recurrent acute otitis media (AOM) show increased expression of Toll-like receptors (TLRs) on monocytes. This finding may help understand AOM susceptibility and develop targeted therapies.
Area of Science:
- Immunology
- Pediatrics
- Infectious Diseases
Background:
- Recurrent acute otitis media (AOM) affects 10-15% of children.
- Genetic variations in Toll-like receptors (TLRs) and CD14 are linked to AOM susceptibility.
- TLRs are crucial for resolving bacterial infections, as shown in animal models.
Purpose of the Study:
- To investigate the expression levels of TLR1, TLR2, and TLR4 on lymphocytes, monocytes, and granulocytes in the peripheral blood of children with recurrent or persistent AOM.
Main Methods:
- Flow cytometry was used to analyze TLR expression on peripheral blood white cells from 25 children with recurrent AOM and a control group.
- Results were quantified using mean fluorescence intensity (MFI).
- Statistical analysis was performed using the Mann-Whitney U test.
Main Results:
- Monocytes exhibited the highest TLR expression, while lymphocytes showed the lowest in both AOM and control groups.
- TLR1 expression was consistently lowest, and TLR4 expression was highest across all cell types.
- Significantly elevated expression of all examined TLRs was observed on monocytes in children with recurrent AOM.
Conclusions:
- Peripheral blood monocytes display heightened TLR expression during recurrent AOM.
- This suggests a potential role for monocyte TLRs in the pathogenesis or immune response to recurrent AOM in children.
Objective:
From 10 to 15% of children suffer from recurrent acute otitis media (AOM). An association between polymorphism in TLRs and their co-receptor CD14 with otitis media proneness has been described in children. Moreover, the experiments on animal models have shown that TLRs and their signaling molecules are critical for timely resolution of bacterial otitis.
Aim:
The aim of this study was to determine the expression of TLR1, TLR2 and TLR4 on lymphocytes, monocytes and granulocytes in peripheral blood in children with recurrent or persistent AOM.
Methods:
The study was performed on a group of 25 children hospitalized for recurrent AOM, failures of previous treatments and/or acute mastoiditis. The results were compared to the control group of healthy children at the same age. The expression of TLRs on peripheral blood white cells was measured by flow cytometric analysis. The results were expressed as mean fluorescence intensity (MFI). The statistical analysis was performed using the Mann-Whitney U test.
Results:
The highest expression of TLR was found on monocytes, the lowest on lymphocytes in both groups of children (AOM and the control one). The expression of TLR1 was the lowest and expression of TLR4 was the highest on all examined cells. The expression of all examined TLRs on monocytes was significantly higher in the AOM group.
Conclusions:
Peripheral blood monocytes are characterized by increased expression of TLRs in the course of recurrent AOM.
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