Otitis media induced by peptidoglycan-polysaccharide (PGPS) in TLR2-deficient (Tlr2(-/-)) mice for developing drug

Xiaolin Zhang1, Tihua Zheng2, Lu Sang2

  • 1Transformative Otology and Neuroscience Center, Binzhou Medical University, Yantai 264003, Shandong, PR China; Department of Otolaryngology-HNS, Case Western Reserve University, Cleveland, OH 44106, USA.

Abstract

Insights

Toll-like receptor 2 knockout mice develop stable otitis media (OM) when exposed to peptidoglycan-polysaccharide (PGPS), offering a new model for OM research. Sodium aescinate (SA) treatment effectively reduced inflammation and damage in this model.

Area of Science:

  • Immunology
  • Otolaryngology
  • Microbiology

Background:

  • Toll-like receptor 2 (TLR2) signaling influences otitis media (OM) pathogenesis.
  • An optimal animal model is lacking to fully understand TLR2's role in OM.
  • Bacterial peptidoglycan-polysaccharide (PGPS) activates TLR2 signaling and induces inflammation.

Purpose of the Study:

  • To investigate OM pathogenesis induced by PGPS in Tlr2(-/-) mice.
  • To evaluate the therapeutic potential of sodium aescinate (SA) in a PGPS-induced OM model.

Main Methods:

  • Wild-type (WT) and Tlr2(-/-) mice were used.
  • Middle ears (MEs) were inoculated with streptococcal PGPS.
  • Mice received daily intravenous treatment with vehicle or SA.

Main Results:

  • Tlr2(-/-) mice showed increased susceptibility to PGPS-induced OM compared to WT mice.
  • Tlr2(-/-) mice experienced greater hearing loss, tympanic membrane damage, and ME mucosal changes.
  • SA treatment reduced neutrophil infiltration, modulated TLR2 gene expression, and improved ciliary organization.

Conclusions:

  • PGPS reliably induces OM in Tlr2(-/-) mice, establishing a novel model for OM research.
  • SA treatment ameliorates pathogenic damage in the middle ear, suggesting its therapeutic value for OM intervention.