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Updated: Apr 24, 2026

An Epithelial Abrasion Model for Studying Corneal Wound Healing
Published on: December 29, 2021
The role of toll-like receptor 4 in corneal epithelial wound healing
Medi Eslani1, Asadolah Movahedan1, Neda Afsharkhamseh1
1Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois, United States.
Purpose:
We evaluated the role of Toll-like receptor 4 (TLR4) in corneal epithelial wound healing.
Methods:
The expression of TLR4 during in vivo corneal epithelial wound healing was examined by immunostaining in mice. The expression and activation of TLR4 was studied in primary or telomerase-immortalized human corneal epithelial cells (HCEC). Scratch assay was performed to evaluate in vitro wound closure using live time-lapse microscopy. Transwell migration assay and Ki67 immunostaining were done to evaluate migration and proliferation, respectively. Lipopolysaccharide (LPS) was used to activate TLR4, whereas CLI-095 was used for its inhibition. The expression of inflammatory cytokines was determined by RT-PCR and ELISA. The activation of p42/44 and p38 was determined by immunoblotting.
Results:
In the murine model, TLR4 immunostaining was noted prominently in the epithelium 8 hours after wounding. There was a 4-fold increase in the expression of TLR4 6 hours after in vitro scratch wounding (P < 0.001). Confocal microscopy confirmed the membrane localization of TLR4/MD2 complex. There was a significant increase in migration, proliferation, and wound closure in HCEC treated with LPS (P < 0.05), while there was significant decrease with TLR4 inhibition (P < 0.05). Addition of LPS to wounded HCEC resulted in a significant increase in the expression of IL-6, TNF-α, CXCL8/IL8, and CCL5/RANTES at the mRNA and protein levels. Likewise, LPS increased the activation of p42/44 and p38 in wounded HCEC.
Conclusions:
These results suggest that epithelial wounding induces the expression of functional TLR4. Toll-like receptor 4 signaling appears to contribute to early corneal epithelial wound repair by enhancing migration and proliferation.
Insights
Toll-like receptor 4 (TLR4) signaling enhances corneal epithelial wound repair. Studies show TLR4 activation promotes cell migration and proliferation, crucial for early healing.
Area of Science:
- Ophthalmology
- Immunology
- Cell Biology
Background:
- Corneal epithelial wound healing is a complex process involving cell migration, proliferation, and inflammation.
- Toll-like receptors (TLRs) are key components of the innate immune system, but their specific roles in ocular surface repair are not fully understood.
Purpose of the Study:
- To investigate the role of Toll-like receptor 4 (TLR4) in the process of corneal epithelial wound healing.
- To determine if TLR4 activation influences the migration and proliferation of human corneal epithelial cells (HCEC).
Main Methods:
- Examined TLR4 expression in vivo using immunostaining in a murine corneal wound model.
- Assessed TLR4 expression and activation in primary and immortalized HCEC.
- Utilized scratch assays, Transwell migration assays, and Ki67 immunostaining to evaluate wound closure, migration, and proliferation.
- Administered lipopolysaccharide (LPS) to activate TLR4 and CLI-095 to inhibit it.
- Measured inflammatory cytokine expression (IL-6, TNF-α, CXCL8/IL8, CCL5/RANTES) and signaling pathway activation (p42/44, p38).
Main Results:
- TLR4 expression was significantly upregulated in the corneal epithelium following wounding, both in vivo and in vitro.
- Activation of TLR4 with LPS significantly enhanced HCEC migration, proliferation, and wound closure.
- Inhibition of TLR4 led to a significant decrease in these repair processes.
- LPS treatment increased the expression of pro-inflammatory cytokines and activated key signaling pathways (p42/44, p38).
Conclusions:
- Epithelial wounding induces the expression and activation of functional TLR4 on corneal epithelial cells.
- TLR4 signaling plays a crucial role in promoting early corneal epithelial wound repair by enhancing cell migration and proliferation.
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