Toll-like receptor 9 inhibition confers protection from liver ischemia-reperfusion injury Journal Article

Authors: Bamboat, Z. M.; Balachandran, V. P.; Ocuin, L. M.; Obaid, H.; Plitas, G.; DeMatteo, R. P.
Article Title: Toll-like receptor 9 inhibition confers protection from liver ischemia-reperfusion injury
Abstract: Endogenous ligands such as high-mobility group box 1 (HMGB1) and nucleic acids are released by dying cells and bind Toll-like receptors (TLRs). Because TLR9 sits at the interface of microbial and sterile inflammation by detecting both bacterial and endogenous DNA, we investigated its role in amodel of segmental liver ischemia-reperfusion (I/R) injury. Mice were subjected to 1 hour of ischemia and 12 hours of reperfusion before assessment of liver injury, cytokines, and reactive oxygen species (ROS). Wild-type (WT) mice treated with an inhibitory cytosine-guanosine dinucleotide (iCpG) sequence and TLR9 -/- mice had markedly reduced serum alanine aminotransferase (ALT) and inflammatory cytokines after liver I/R. Liver damage was mediated by bone marrow-derived cells because WT mice transplanted with TLR9-/- bone marrow were protected from hepatic I/R injury. Injury in WT mice partly depended on TLR9 signaling in neutrophils, which enhanced production of ROS, interleukin-6 (IL-6), and tumor necrosis factor (TNF). In vitro, DNA released from necrotic hepatocytes increased liver nonparenchymal cell (NPC) and neutrophil cytokine secretion through a TLR9-dependent mechanism. Inhibition of both TLR9 and HMGB1 caused maximal inflammatory cytokine suppression in neutrophil cultures and conferred even greater protection from I/R injury in vivo. Conclusion: TLR9 serves as an endogenous sensor of tissue necrosis that exacerbates the innate immune response during liver I/R. Combined blockade of TLR9 and HMGB1 represents a clinically relevant, novel approach to limiting I/R injury. Copyright © 2009 by the American Association for the Study of Liver Diseases.
Keywords: controlled study; nonhuman; animal cell; mouse; animals; mice; animal experiment; animal model; mice, inbred c57bl; alanine aminotransferase blood level; alanine aminotransferase; liver; neutrophil; interleukin 6; reactive oxygen metabolite; bone marrow cell; liver cell; cytokine release; liver injury; tumor necrosis factor; toll-like receptor 9; high mobility group b1 protein; toll like receptor 9; liver ischemia reperfusion injury; hmgb1 protein; reperfusion injury
Journal Title: Hepatology
Volume: 51
ISSN: 0270-9139
Publisher: John Wiley & Sons  
Date Published: 2010-01-01
Start Page: 621
End Page: 632
Language: English
DOI: 10.1002/hep.23365
PUBMED: 19902481
PROVIDER: scopus
PMCID: PMC3164814
Notes: --- - "Cited By (since 1996): 13" - "Export Date: 20 April 2011" - "CODEN: HPTLD" - "Source: Scopus"
Citation Impact
MSK Authors
  1. Ronald P DeMatteo
    636 DeMatteo
  2. George Plitas
    90 Plitas
  3. Lee Ocuin
    13 Ocuin
  4. Zubin Mickey Bamboat
    33 Bamboat
  5. Hebroon Obaid
    9 Obaid