Tsujimoto Hironori, Ono Satoshi, Matsumoto Atsushi, Kawabata Toshinobu, Kinoshita Manabu, Majima Takashi, Hiraki Shuichi, Seki Shuhji, Moldawer Lyle L, Mochizuki Hidetaka
Department of Surgery I, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.
J Hepatol. 2006 Dec;45(6):836-43. doi: 10.1016/j.jhep.2006.07.024. Epub 2006 Sep 22.
Toll-like receptor (TLR)-9 plays a critical role in the recognition of the CpG motifs, which is frequently observed in bacterial DNA. To date, there have not been any reports regarding the role of bacterial DNA in the systemic circulation on the development of sepsis.
We examined the expression of TLR-9 in the liver and spleen in a murine peritonitis model (CLP mice). We also measured the cytokine response of mononuclear cells (MNCs) from normal and CLP mice to CpG oligodeoxynucleotides (ODN) in vitro and in vivo.
TLR-9 expression on F4/80(+) and NK1.1(+)CD3epsilon(+) cells in the liver of CLP mice was elevated compared to sham-operated mice. With regard to cytokine production, we found that CpG ODN markedly stimulated the production of inflammatory cytokines by murine macrophages and liver MNCs. The intravenous injection of CpG ODN in mice that underwent CLP 12h earlier led to their increased cytokine production and their increased mortality. In addition, the depletion of NK/NKT cells contributed to improve their survival rate.
Our results suggest that, in patients with overwhelming bacterial infection, bacterial DNA may induce liver toxicity that is mediated by liver NKT cells and macrophages that express high levels of TLR-9.
Toll样受体(TLR)-9在识别CpG基序中起关键作用,CpG基序在细菌DNA中经常出现。迄今为止,尚无关于全身循环中的细菌DNA在脓毒症发生发展中作用的报道。
我们在小鼠腹膜炎模型(CLP小鼠)中检测了肝脏和脾脏中TLR-9的表达。我们还在体外和体内测量了正常小鼠和CLP小鼠的单核细胞(MNC)对CpG寡脱氧核苷酸(ODN)的细胞因子反应。
与假手术小鼠相比,CLP小鼠肝脏中F4/80(+)和NK1.1(+)CD3epsilon(+)细胞上的TLR-9表达升高。关于细胞因子产生,我们发现CpG ODN显著刺激小鼠巨噬细胞和肝脏MNC产生炎性细胞因子。在12小时前接受CLP的小鼠中静脉注射CpG ODN导致其细胞因子产生增加和死亡率升高。此外,NK/NKT细胞的耗竭有助于提高其存活率。
我们的结果表明,在严重细菌感染患者中,细菌DNA可能诱导肝脏毒性,这是由表达高水平TLR-9的肝脏NKT细胞和巨噬细胞介导的。