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The Journal of Immunology, 2003, 171: 6187-6197.
Copyright © 2003 by The American Association of Immunologists

Toll-Like Receptor-2, but Not Toll-Like Receptor-4, Is Essential for Development of Oviduct Pathology in Chlamydial Genital Tract Infection 1

Toni Darville2,*,{dagger}, Joshua M. O’Neill*, Charles W. Andrews, Jr.{ddagger}, Uma M. Nagarajan{dagger}, Lynn Stahl§ and David M. Ojcius§

* Division of Pediatric Infectious Diseases, Arkansas Children’s Hospital and University of Arkansas for Medical Sciences, Little Rock, AR 72202; {dagger} Department of Microbiology/Immunology, University of Arkansas for Medical Sciences, Little Rock, AR 72205; {ddagger} Metroplex Pathology Associates, Austin, TX 78703; and § Université Paris 7, Institut Jacques Monod, Centre National pour Recherche Scientifique, Unité Mixte de Recherche 7592, 75251 Paris cedex 5, France

The roles of Toll-like receptor (TLR) 2 and TLR4 in the host inflammatory response to infection caused by Chlamydia trachomatis have not been elucidated. We examined production of TNF-{alpha} and IL-6 in wild-type TLR2 knockout (KO), and TLR4 KO murine peritoneal macrophages infected with the mouse pneumonitis strain of C. trachomatis. Furthermore, we compared the outcomes of genital tract infection in control, TLR2 KO, and TLR4 KO mice. Macrophages lacking TLR2 produced significantly less TNF-{alpha} and IL6 in response to active infection. In contrast, macrophages from TLR4 KO mice consistently produced higher TNF-{alpha} and IL-6 responses than those from normal mice on in vitro infection. Infected TLR2-deficient fibroblasts had less mRNA for IL-1, IL-6, and macrophage-inflammatory protein-2, but TLR4-deficient cells had increased mRNA levels for these cytokines compared with controls, suggesting that ligation of TLR4 by whole chlamydiae may down-modulate signaling by other TLRs. In TLR2 KO mice, although the course of genital tract infection was not different from that of controls, significantly lower levels of TNF-{alpha} and macrophage-inflammatory protein-2 were detected in genital tract secretions during the first week of infection, and there was a significant reduction in oviduct and mesosalpinx pathology at late time points. TLR4 KO mice responded to in vivo infection similarly to wild-type controls and developed similar pathology. TLR2 is an important mediator in the innate immune response to C. trachomatis infection and appears to play a role in both early production of inflammatory mediators and development of chronic inflammatory pathology.




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