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The Journal of Experimental Medicine
Article
License: CC BY NC SA
Data sources: UnpayWall
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PubMed Central
Other literature type . 2008
Data sources: PubMed Central
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PubMed Central
Other literature type . 2008
Data sources: PubMed Central
The Journal of Experimental Medicine
Article . 2008 . Peer-reviewed
Data sources: Crossref
The Journal of Experimental Medicine
Article . 2008 . Peer-reviewed
Data sources: Crossref
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TLR4-induced IFN-γ production increases TLR2 sensitivity and drives Gram-negative sepsis in mice

Authors: Carsten J. Kirschning; Stephan Spiller; Greg Elson; Stefan Dreher; Ruth Ferstl; Thomas E. Mueller; Marina A. Freudenberg; +2 Authors

TLR4-induced IFN-γ production increases TLR2 sensitivity and drives Gram-negative sepsis in mice

Abstract

Gram-negative bacterial infection is a major cause of sepsis and septic shock. An important inducer of inflammation underlying both syndromes is the cellular recognition of bacterial products through pattern recognition receptors (PRRs), including Toll-like receptors (TLRs). We identified a novel antagonistic mAb (named 1A6) that recognizes the extracellular portion of the TLR4–MD-2 complex. If applied to mice before infection with clinical isolates of Salmonella enterica or Escherichia coli and subsequent antibiotic therapy, 1A6 prevented otherwise fatal shock, whereas application of 1A6 after infection was ineffective. In contrast, coapplication of 1A6 and an anti-TLR2 mAb up to 4 h after infection with Gram-negative bacteria, in combination with the start of antibiotic therapy (mimicking clinical conditions), provided robust protection. Consistent with our findings in mice, dual blockade of TLR2 and TLR4 inhibited TNF-α release from human peripheral blood mononuclear cells upon Gram-negative bacterial infection/antibiotic therapy. Both murine splenocytes and human PBMCs released IFN-γ in a TLR4-dependent manner, leading to enhanced surface TLR2 expression and sensitivity for TLR2 ligands. Our results implicate TLR2 as an important, TLR4-driven sensor of Gram-negative bacterial infection and provide a rationale for blockade of both TLRs, in addition to antibiotic therapy for the treatment of Gram-negative bacterial infection.

Keywords

Male, Mice, Knockout, Salmonella Infections, Animal, Salmonella enterica, In Vitro Techniques, Corrections, Toll-Like Receptor 2, Anti-Bacterial Agents, Rats, Mice, Inbred C57BL, Toll-Like Receptor 4, Interferon-gamma, Mice, Sepsis, Brief Definitive Reports, Animals, Humans, Female, Rats, Wistar, Gram-Negative Bacterial Infections, Escherichia coli Infections

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
101
Top 10%
Top 10%
Top 10%
Green
hybrid