Hematology and Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, OR, USA.
Division of Hematology, Oncology and Transplant, University of Minnesota, Minneapolis, MN, USA.
Am J Reprod Immunol. 2017 Oct;78(4). doi: 10.1111/aji.12709. Epub 2017 Jun 20.
Levels of placental growth factor (PlGF) peak during third trimester of pregnancy, a time when women are at increased risk of virus-induced morbidity. We hypothesized PlGF might contribute to an exaggerated inflammatory response to Toll-like receptor (TLR) activation.
Primary human adult and cord blood CD14 cells were cultured in the presence of TLR ligands and/or PlGF.
PlGF significantly enhanced the magnitude and duration of TNF messenger RNA and protein production by TLR-7/8-activated monocytes, and increased subsequent production of TNF-independent inflammatory cytokines. This PlGF/TLR effect involved multiple inflammatory cytokines/chemokines and was seen with the majority of TLR agonists. PlGF enhanced phosphorylation of IkappaB kinase (IKK) in monocytes stimulated with the TLR-7/8 agonist R848, and IKK inhibition completely suppressed the PlGF effect.
PlGF enhances TLR-signaling upstream of IKK and contributes to an exaggerated pathologic pro-inflammatory state in response to activation of maternal and fetal mononuclear phagocytes by specific TLR agonists.
胎盘生长因子 (PlGF) 的水平在妊娠晚期达到峰值,此时女性患病毒诱导疾病的风险增加。我们假设 PlGF 可能导致 Toll 样受体 (TLR) 激活的炎症反应过度。
原代人成人和脐带血 CD14 细胞在 TLR 配体和/或 PlGF 的存在下培养。
PlGF 显著增强了 TLR-7/8 激活的单核细胞中 TNF 信使 RNA 和蛋白的产生幅度和持续时间,并增加了随后产生的 TNF 非依赖性炎症细胞因子。这种 PlGF/TLR 效应涉及多种炎症细胞因子/趋化因子,并且与大多数 TLR 激动剂都有关。PlGF 增强了 TLR-7/8 激动剂 R848 刺激的单核细胞中 IKK 的磷酸化,而 IKK 抑制完全抑制了 PlGF 的作用。
PlGF 在 IKK 上游增强 TLR 信号传导,并导致母体和胎儿单核吞噬细胞被特定 TLR 激动剂激活时,过度病理促炎状态。