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Am J Physiol Lung Cell Mol Physiol (July 15, 2005). doi:10.1152/ajplung.00196.2005
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Submitted on April 28, 2005
Accepted on July 8, 2005

TLR-4 pathway mediates the inflammatory response but not bacterial elimination in E. coli pneumonia

Janet S Lee1*, Charles W Frevert2, Gustavo Matute-Bello2, Mark M Wurfel2, Venus A Wong2, Shu-Min Lin3, John Ruzinski2, Steve Mongovin2, Richard B Goodman2, and Thomas R Martin2

1 Department of Medicine, VA Puget Sound Health Care System and the Division of Pulmonary and Critical Care Medicine, Seattle, WA, USA; Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Pittsburgh, PA, USA
2 Department of Medicine, VA Puget Sound Health Care System and the Division of Pulmonary and Critical Care Medicine, Seattle, WA, USA
3 Department of Thoracic Medicine II, Chang Gung Memorial Hospital, Taipei, Taiwan

* To whom correspondence should be addressed. E-mail: leejs3{at}upmc.edu.

We examined the role of TLR-4 in modifying the lung inflammatory response and its effects on the bacterial recovery from the lungs following inhaled E. coli using two different strains of TLR-4 mutant mice that are hyporesponsive to LPS. The C57Bl/10ScN(tlr4lps-del) mice containing a deletion mutation in the TLR-4 gene showed lower pro-inflammatory cytokine levels, lower lung MPO activity, and less parenchymal and peribronchial inflammation when compared to the C57Bl/10ScSn mice, a related TLR-4 wildtype substrain. However, the C57Bl/10ScN(tlr4lps-del) mutant showed lower bacterial recovery in the lungs following inhaled E. coli associated with a rapid but transient increase in airspace neutrophil counts at 6 h. In comparison, the C3H/HeJ(tlr4Lps-d) mutant mice containing a Pro712His substitution in TLR-4 demonstrated lower pro-inflammatory cytokine levels, lower lung MPO activity, and lower neutrophil accumulation in the airspaces but showed no differences in the bacterial burden of inhaled E. coli at 6 h, when compared with the TLR-4 wildtype C3H/HeSnJ mice. Thus, two different TLR-4 mutants showed attenuated inflammatory responses in the lungs, but the reduced inflammatory responses were not consistently associated with either improved or impaired bacterial elimination from the lungs. Our findings indicate that the inflammatory response to inhaled E. coli is TLR-4 dependent, but bacterial elimination depends on other factors in addition to TLR-4.




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