TLR4 signaling drives tissue inflammation, Claudin-5 internalization, and vascular barrier breakdown in a mouse model

Philip V Seegren1,2, Amir Rattner1,2, Philip M Smallwood1,2

  • 1Department of Molecular Biology and Genetics, Johns Hopkins University School of Medicine, Baltimore, United States.

Elife
|August 18, 2026
PubMed

Insights

Neonatal bacterial meningitis involves Toll-like receptor 4 (TLR4) in non-myeloid cells. Blocking TLR4 reduces inflammation and vascular permeability during E. coli meningitis in mice.

Area of Science:

  • Neuroscience
  • Immunology
  • Microbiology

Background:

  • Neonatal bacterial meningitis poses significant risks to infant health.
  • The intricate cellular mechanisms of the leptomeningeal response to infection are not fully understood.

Purpose of the Study:

  • To investigate the role of Toll-like receptor 4 (TLR4) signaling in the host's response to neonatal Gram-negative bacterial meningitis.
  • To elucidate the molecular and cellular basis of the leptomeningeal response during infection.

Main Methods:

  • Utilized a mouse model of neonatal Escherichia coli meningitis.
  • Employed conditional gene knockouts, single-nucleus RNA sequencing of leptomeningeal cells, and endothelial cell cultures.
  • Examined NF-κB activation and Claudin-5 internalization in brain endothelial cells.

Main Results:

  • Deletion of Tlr4 in non-myeloid cells significantly diminished the inflammatory response across all leptomeningeal cell types.
  • Tlr4 knockout abrogated infection-induced increases in vascular permeability.
  • TLR4 was found to control an NF-κB-driven transcriptional program regulating the endothelial response to E. coli.

Conclusions:

  • TLR4 signaling in non-myeloid cells is critical for orchestrating the host response to neonatal Gram-negative bacterial meningitis.
  • TLR4 plays a key role in regulating brain endothelial cell responses, including vascular permeability and inflammatory signaling.