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Divisions of
*
Pediatric Critical Care and
Pediatric Infectious Diseases, Steven Spielberg Pediatric Research Center Cedars-Sinai Medical Center, University of California, Los Angeles, School of Medicine, Los Angeles, CA 90048; and
Department of Microbiology, Montana State University, Bozeman, MT 59717
Active inflammation and NF-
B activation contribute fundamentally
to atherogenesis and plaque disruption. Accumulating evidence has
implicated specific infectious agents including
Chlamydia pneumoniae in the progression
of atherogenesis. Chlamydial heat shock protein 60 (cHSP60) has been
implicated in the induction of deleterious immune responses in human
chlamydial infections and has been found to colocalize with
infiltrating macrophages in atheroma lesions. cHSP60 might stimulate,
enhance, and maintain innate immune and inflammatory responses and
contribute to atherogenesis. In this study, we investigated the
signaling mechanism of cHSP60. Recombinant cHSP60 rapidly activated
NF-
B in human microvascular endothelial cells (EC) and in mouse
macrophages, and induced human IL-8 promoter activity in EC. The
inflammatory effect of cHSP60 was heat labile, thus excluding a role of
contaminating LPS, and was blocked by specific anti-chlamydial
HSP60 mAb. In human vascular EC which express Toll-like receptor 4
(TLR4) mRNA and protein, nonsignaling TLR4 constructs that act as
dominant negative blocked cHSP60-mediated NF-
B activation.
Furthermore, an anti-TLR4 Ab abolished cHSP60-induced cellular
activation, whereas a control Ab had no effect. In 293 cells,
cHSP60-mediated NF-
B activation required both TLR4 and MD2. A
dominant-negative MyD88 construct also inhibited cHSP60-induced NF-
B
activation. Collectively, our results indicate that cHSP60 is a potent
inducer of vascular EC and macrophage inflammatory responses, which are
very relevant to atherogenesis. The inflammatory effects are mediated
through the innate immune receptor complex TLR4-MD2 and proceeds via
the MyD88-dependent signaling pathway. These findings may help
elucidate the mechanisms by which chronic asymptomatic chlamydial
infection contribute to atherogenesis.
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