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Published on: November 22, 2024
Pathogenic strains of Acanthamoeba are recognized by TLR4 and initiated inflammatory responses in the cornea
Hassan Alizadeh1, Trivendra Tripathi1, Mahshid Abdi1
1Department of Cell Biology and Immunology, University of North Texas Health Science Center, and North Texas Eye Research Institute, Fort Worth, Texas, United States of America.
Abstract:
Free-living amoebae of the Acanthamoeba species are the causative agent of Acanthamoeba keratitis (AK), a sight-threatening corneal infection that causes severe pain and a characteristic ring-shaped corneal infiltrate. Innate immune responses play an important role in resistance against AK. The aim of this study is to determine if Toll-like receptors (TLRs) on corneal epithelial cells are activated by Acanthamoeba, leading to initiation of inflammatory responses in the cornea. Human corneal epithelial (HCE) cells constitutively expressed TLR1, TLR2, TLR3, TLR4, and TLR9 mRNA, and A. castellanii upregulated TLR4 transcription. Expression of TLR1, TLR2, TLR3, and TLR9 was unchanged when HCE cells were exposed to A. castellanii. IL-8 mRNA expression was upregulated in HCE cells exposed to A. castellanii. A. castellanii and lipopolysaccharide (LPS) induced significant IL-8 production by HCE cells as measured by ELISA. The percentage of total cells positive for TLR4 was higher in A. castellanii stimulated HCE cells compared to unstimulated HCE cells. A. castellanii induced upregulation of IL-8 in TLR4 expressing human embryonic kidney (HEK)-293 cells, but not TLR3 expressing HEK-293 cells. TLR4 neutralizing antibody inhibited A. castellanii-induced IL-8 by HCE and HEK-293 cells. Clinical strains but not soil strains of Acanthamoeba activated TLR4 expression in Chinese hamster corneas in vivo and in vitro. Clinical isolates but not soil isolates of Acanthamoeba induced significant (P< 0.05) CXCL2 production in Chinese hamster corneas 3 and 7 days after infection, which coincided with increased inflammatory cells in the corneas. Results suggest that pathogenic species of Acanthamoeba activate TLR4 and induce production of CXCL2 in the Chinese hamster model of AK. TLR4 may be a potential target in the development of novel treatment strategies in Acanthamoeba and other microbial infections that activate TLR4 in corneal cells.
Insights
Toll-like receptor 4 (TLR4) is activated by pathogenic Acanthamoeba, initiating inflammatory responses in the cornea. This suggests TLR4 is a potential therapeutic target for Acanthamoeba keratitis (AK).
Area of Science:
- Ophthalmology
- Immunology
- Microbiology
Background:
- Acanthamoeba keratitis (AK) is a severe corneal infection caused by Acanthamoeba species.
- Innate immunity, particularly Toll-like receptors (TLRs), plays a crucial role in combating AK.
Purpose of the Study:
- To investigate whether Acanthamoeba activates TLRs on corneal epithelial cells, triggering inflammatory responses.
- To determine the specific role of TLR4 in the pathogenesis of AK.
Main Methods:
- Human corneal epithelial (HCE) cells and HEK-293 cells expressing TLRs were stimulated with Acanthamoeba castellanii.
- Gene and protein expression of inflammatory markers (IL-8, CXCL2) and TLRs were analyzed.
- In vivo studies used a Chinese hamster model of AK, assessing TLR4 activation and CXCL2 production.
Main Results:
- Acanthamoeba castellanii upregulated TLR4 and IL-8 in HCE cells.
- TLR4 activation by Acanthamoeba led to IL-8 production in HEK-293 cells, which was inhibited by a TLR4 neutralizing antibody.
- Clinical strains of Acanthamoeba activated TLR4 and induced CXCL2 production in vivo, correlating with inflammation.
Conclusions:
- Pathogenic Acanthamoeba species activate TLR4, leading to inflammatory cytokine production.
- TLR4 is implicated in the innate immune response to Acanthamoeba keratitis.
- TLR4 represents a potential therapeutic target for AK and other microbial corneal infections.
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