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and TNF-
Mediated Up-Regulation During Inflammation1


*
Nutrition and Toxicology Research Institute Maastricht, Department of General Surgery, University of Maastricht, Maastricht, The Netherlands; and
Department of Pulmonology, Leiden University Medical Center, Leiden, The Netherlands
The reported requirement of functional Toll-like receptor (TLR)4
for resistance to Gram-negative pyelonephritis prompted us to localize
the expression of TLR2 and TLR4 mRNA in the kidney at the cellular
level by in situ hybridization. The majority of the constitutive TLR2
and TLR4 mRNA expression was found to be strategically located in the
renal epithelial cells. Assuming that the TLR mRNA expression is
representative of apical protein expression, this suggests that these
cells are able to detect and react with bacteria present in the lumen
of the tubules. To gain insight in the regulation of TLR expression
during inflammation, we used a model for renal inflammation. Renal
inflammation evoked by ischemia markedly enhanced synthesis of TLR2 and
TLR4 mRNA in the distal tubular epithelium, the thin limb of Henles
loop, and collecting ducts. The increased renal TLR4 mRNA expression
was associated with significant elevation of renal TLR4 protein
expression as evaluated by Western blotting. Using RT-PCR, the enhanced
TLR2 and TLR4 mRNA expression was shown to be completely dependent on
the action of IFN-
and TNF-
. These results indicate a potential
mechanism of increased immunosurveillance during inflammation at the
site in which ascending bacteria enter the kidney tissue, i.e., the
collecting ducts and the distal part of the
nephron.
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