Activation of innate immunity in the CNS triggers neurodegeneration through a Toll-like receptor 4-dependent pathway
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Innate immunity is an evolutionarily ancient system that provides organisms with immediately available defense mechanisms through recognition of pathogen-associated molecular patterns. We show that in the CNS, specific activation of innate immunity through a Toll-like receptor 4 (TLR4)-dependent pathway leads to neurodegeneration. We identify microglia as the major lipopolysaccharide (LPS)-responsive cell in the CNS. TLR4 activation leads to extensive neuronal death in vitro that depends on the presence of microglia. LPS leads to dramatic neuronal loss in cultures prepared from wild-type mice but does not induce neuronal injury in CNS cultures derived from tlr4 mutant mice. In an in vivo model of neurodegeneration, stimulating the innate immune response with LPS converts a subthreshold hypoxic-ischemic insult from no discernable neuronal injury to severe axonal and neuronal loss. In contrast, animals bearing a loss-of-function mutation in the tlr4 gene are resistant to neuronal injury in the same model. The present study demonstrates a mechanistic link among innate immunity, TLRs, and neurodegeneration.
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Activation of microglia with LPS and injection of LPS in the brain induce IL-1β and NO production via Nox1.
“activation of microglia with lipopolysaccharide (LPS), a component of Gram-negative bacteria commonly used to model proinflammatory and neurotoxic activation of microglia (Lehnardt et al., 2003;Qin et al., 2004), and injection of LPS in the brain induce IL-1 and NO⅐ production via Nox1”
From Neurotoxic Activation of Microglia Is Promoted by a Nox1-Dependent NADPH Oxidase (2008) · cites this paper as Lehnardt et al., 2003
LPS signals through TLR4, which promotes LPS-triggered microglial neurotoxicity.
“LPS signals through the toll-like receptor 4 (TLR4), which promotes LPS-triggered microglial neurotoxicity (Lehnardt et al., 2003)”
From Neurotoxic Activation of Microglia Is Promoted by a Nox1-Dependent NADPH Oxidase (2008) · cites this paper as Lehnardt et al., 2003
TLR4 is a unique pattern recognition receptor, and TLR4 in the brain is mainly expressed in microglia.
“As we know, toll-like receptor 4 (TLR4) is a unique pattern recognition receptor (PRR), and TLR4 in the brain is mainly expressed in microglia (Seija Lehnardt et al. 2003).”
From Therapeutic effect of GLP-1 engineered strain on mice model of Alzheimer’s disease and Parkinson’s disease (2020) · cites this paper as Seija Lehnardt et al. 2003
TLR4 expression is significantly elevated in brain tissue of AD and PD patients and mice, and the aggregation of α-syn and Aβ is related to the activation of TLR4.
“Studies also indicate that TLR4 expression is significantly elevated in brain tissue of AD and PD patients and mice, and the aggregation of α-syn and Aβ is related to the activation of TLR4 (Seija Lehnardt et al. 2003).”
From Therapeutic effect of GLP-1 engineered strain on mice model of Alzheimer’s disease and Parkinson’s disease (2020) · cites this paper as Seija Lehnardt et al. 2003
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- Authors
- Lehnardt, S., Massillon, L., Follett, P., Jensen, F. E., Ratan, R., Rosenberg, P. A., Volpe, J. J., & Vartanian, T.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Vartanian, Timothy
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2003-06-24
- Volume
- 100
- Issue
- 14
- Pages
- 8514-8519
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC166260
- OpenAlex
- W2109342780
- Cited by
- 1,052
- References
- 42
- Citations by year
- 2026: 17 · 2025: 26 · 2024: 34 · 2023: 28 · 2022: 36 · 2021: 71 · 2020: 52 · 2019: 30 · 2018: 59 · 2017: 50 · 2016: 47 · 2015: 51 · 2014: 64 · 2013: 70 · 2012: 57
- FWCI
- 20.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (K02N502028)
- National Institute of Neurological Disorders and Stroke (P01 NS 38475, P01NS038475)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD018655, P30HD-18655)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Keywords
- innate immunity, neurodegeneration, TLR4, microglia, lipopolysaccharide, neuronal cell death, hypoxia-ischemia, axonal loss, pathogen-associated molecular patterns, central nervous system
- MeSH terms
- Animals, Cerebral Cortex, Chick Embryo, Ganglia, Spinal, Immunity, Innate, Lipopolysaccharides, Mice, Inbred BALB C, Mice, Inbred C3H, Nerve Degeneration, Neurons, Spinal Cord, Rats, Sprague-Dawley, Apoptosis, Microglia, Coculture Techniques, Lipopolysaccharide Receptors, Hypoxia-Ischemia, Brain, Bystander Effect, Mice, Rats
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