Cited by 136Neuroinflammation and Neurodegeneration MechanismsAlzheimer's disease research and treatmentsImmune Response and Inflammation

Role of Toll Like Receptor 4 in Alzheimer’s Disease

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Calvo-Rodriguez, Maria, García-Rodríguez, Carmen, Villalobos, Carlos, Núñez, Lucía·2020·Frontiers in Immunology

Abstract

Long-term evidence has confirmed the involvement of an inflammatory component in neurodegenerative disorders including Alzheimer’s disease (AD). This view is supported, in part by data suggesting protection provided by selected non-steroidal anti-inflammatory drugs (NSAIDs). Additionally, molecular players of the innate immune system have been recently proposed to contribute to these diseases. Toll-like receptors (TLRs) are transmembrane pattern-recognition receptors of the innate immune system that recognize different pathogen-derived and tissue damage-related ligands. TLR4 mediated signalling has been reported to contribute to the pathogenesis of age-related neurodegenerative diseases, including AD. Although the pathophysiology of AD is not clear, soluble aggregates (oligomers) of the amyloid β peptide (Aβo) have been proved to be key players in the pathology of AD. Among others, Aβo promote Ca2+ entry and mitochondrial Ca2+ overload leading to cell death in neurons. TLR4 has been recently involved in AD but the mechanisms are unclear. Our group recently reported that lipopolysaccharide (LPS), a TLR4 receptor agonist, increases cytosolic Ca2+ concentration leading to apoptosis. Strikingly, this effect was only observed in long-term cultured primary neurons considered a model of aging neurons, but not in short-term cultured neurons resembling young neurons. These effects were prevented significantly by pharmacological blockade of TLR4 receptor signalling. Moreover, TLR4 expression in rat hippocampal neurons increased significantly in aged neurons in vitro. Therefore, molecular patterns associated to infection and/or brain cell damage may activate TLR4 and Ca2+ signalling, an effect exacerbated during neuronal aging. Here, we briefly review the data regarding the involvement of TLR4 in AD.

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  • RNA expression of TLR4 is increased in APP/PS1 mice and in brain tissue of patients with AD in association with plaque deposition.

    “RNA expression of TLR4 is increased in APP/PS1 mice and in brain tissue of patients with AD in association with plaque deposition [126, 127].”

    From Microglial function, INPP5D/SHIP1 signaling, and NLRP3 inflammasome activation: implications for Alzheimer’s disease (2023) · cites this paper as [127]

    The “TLR4 and Alzheimer’s Disease” section reports increased TLR4 gene expression in the cortex of APP/PS1 mice and in the frontal cortex of patients with AD relative to age-matched samples. It describes the mice as a model of cerebral amyloidosis, but does not establish that the increased RNA expression in either group is associated specifically with plaque deposition; page numbers are unavailable in our copy. (LLM, conf=0.83)

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  1. [1]Kawai T Akira S. The role of pattern-recognition receptors in innate immunity: update on Toll-like receptors. Nat Immunol. (2010) 11: 373– 84. 10.1038/ni.1863 20404851 · DOI · Paper page
  2. [2]Tartey S Takeuchi O. Pathogen recognition and Toll-like receptor targeted therapeutics in innate immune cells, International reviews of immunology. Int Rev Immunol. (2017) 36: 57– 73. 10.1080/08830185.2016.1261318 28060562 · DOI
  3. [3]Moresco EM LaVine D Beutler B. Toll-like receptors. Curr Biol. (2011) 21: R488– 93. 10.1016/j.cub.2011.05.039 21741580 · DOI · Paper page
  4. [4]Ionita MG Arslan F De Kleijn DP Pasterkamp G. Endogenous inflammatory molecules engage Toll-like receptors in cardiovascular disease. J Innate Immun. (2010) 2: 307– 15. 10.1159/000314270 20431283 · DOI
  5. [5]Takeda K Kaisho T Akira S. Toll-like receptors. Annu Rev Immunol. (2003) 21: 335– 76. 10.1146/annurev.immunol.21.120601.141126 12524386 · DOI · Paper page
  6. [6]Drexler SK Foxwell BM. The role of toll-like receptors in chronic inflammation. Int J Biochem Cell Biol. (2010) 42: 506– 18. 10.1016/j.biocel.2009.10.009 19837184 · DOI
  7. [7]García-Rodríguez C Parra-Izquierdo I Castaños-Mollor I López J San Román JA Sánchez Crespo M. Toll-Like receptors, inflammation, and calcific aortic valve disease. Front Physiol. (2018) 9: 201. 10.3389/fphys.2018.00201 29593562 PMC5857550 · DOI
  8. [9]Paschon V Takada SH Ikebara JM Sousa E Raeisossadati R Ulrich H Interplay between exosomes, microRNAs and toll-like receptors in brain disorders. Mol Neurobiol. (2016) 53: 2016– 28. 10.1007/s12035-015-9142-1 25862375 · DOI
  9. [10]Okun E Griffioen KJ Mattson MP. Toll-like receptor signaling in neural plasticity and disease. Trends Neurosci. (2011) 34: 269– 81. 10.1016/j.tins.2011.02.005 21419501 PMC3095763 · DOI
  10. [11]Trotta T Porro C Calvello R Panaro MA. Biological role of Toll-like receptor-4 in the brain. J Neuroimmunol. (2014) 268: 1– 12. 10.1016/j.jneuroim.2014.01.014 24529856 · DOI
  11. [12]Gambuzza ME Sofo V Salmeri FM Soraci L Marino S Bramanti P. Toll-like receptors in Alzheimer’s disease: a therapeutic perspective. CNS Neurol Disord Drug Targets. (2014) 13: 1542– 58. 10.2174/1871527313666140806124850 25106635 · DOI · Paper page
  12. [13]Fujita K Motoki K Tagawa K Chen X Hama H Nakajima K HMGB1, a pathogenic molecule that induces neurite degeneration via TLR4-MARCKS, is a potential therapeutic target for Alzheimer’s disease. Sci Rep. (2016) 6: 31895. 10.1038/srep31895 27557632 PMC4997258 · DOI · Paper page
  13. [14]Miron J Picard C Frappier J Dea D Théroux L Poirier J. TLR4 gene expression and pro-inflammatory cytokines in Alzheimer’s disease and in response to hippocampal deafferentation in rodents. J Alzheimers Dis. (2018) 63: 1547– 56. 10.3233/JAD-171160 29782315 · DOI
  14. [17]Zhao Y Jaber V Lukiw WJ. Secretory products of the human GI tract microbiome and their potential impact on Alzheimer’s disease (AD): detection of lipopolysaccharide (LPS) in AD hippocampus. Front Cell Infect Microbiol. (2017) 7: 318. 10.3389/fcimb.2017.00318 28744452 PMC5504724 · DOI · Paper page
  15. [19]Parys JB Pereira CF Villalobos C. The eighth ECS workshop on “Calcium Signaling in aging and neurodegenerative diseases”. Int J Mol Sci. (2019) 20: 6263. 10.3390/ijms20246263 31842284 PMC6941050 · DOI
  16. [20]Brewer LD Thibault O Staton J Thibault V Rogers JT Garcia-Ramos G Increased vulnerability of hippocampal neurons with age in culture: temporal association with increases in NMDA receptor current, NR2A subunit expression and recruitment of L-type calcium channels. Brain Res. (2007) 1151: 20– 31. 10.1016/j.brainres.2007.03.020 17433272 · DOI
  17. [21]Sodero AO Weissmann C Ledesma MD Dotti CG. Cellular stress from excitatory neurotransmission contributes to cholesterol loss in hippocampal neurons aging in vitro. Neurobiol Aging. (2011) 32: 1043. 10.1016/j.neurobiolaging.2010.06.001 20663588 · DOI
  18. [22]Calvo-Rodriguez M Hernando-Pérez E López-Vázquez S Núñez J Villalobos C Núñez L. Remodeling of intracellular Ca2+ homeostasis in rat hippocampal neurons aged in vitro. Int J Mol Sci. (2020) 21: 1549. 10.3390/ijms21041549 32102482 PMC7073228 · DOI
  19. [23]Calvo M Sanz-Blasco S Caballero E Villalobos C Núñez L. Susceptibility to excitotoxicity in aged hippocampal cultures and neuroprotection by non-steroidal anti-inflammatory drugs: role of mitochondrial calcium. J Neurochem. (2015) 132: 403– 17. 10.1111/jnc.13004 25492611 · DOI
  20. [24]Calvo-Rodriguez M García-Durillo M Villalobos C Núñez L. Aging enables Ca2+ overload and apoptosis induced by amyloid-β oligomers in rat hippocampal neurons: neuroprotection by non-steroidal anti-inflammatory drugs and R-flurbiprofen in aging neurons. J Alzheimers Dis. (2016) 54: 207– 21. 10.3233/JAD-151189 27447424 · DOI
  21. [25]Sanz-Blasco S Valero RA Rodríguez-Crespo I Villalobos C Núñez L. Mitochondrial Ca2+ overload underlies Aβ oligomers neurotoxicity providing an unexpected mechanism of neuroprotection by NSAIDs. PLoS One. (2008) 3: e2718. 10.1371/journal.pone.0002718 18648507 PMC2447871 · DOI
  22. [26]Calvo-Rodriguez M García-Durillo M Villalobos C Núñez L. In vitro aging promotes endoplasmic reticulum (ER)-mitochondria Ca2+ cross talk and loss of store-operated Ca2+ entry (SOCE) in rat hippocampal neurons. Biochim Biophys Acta Mol Cel Res. (2016) 1863: 2637– 49. 10.1016/j.bbamcr.2016.08.001 27503411 · DOI
  23. [27]Calvo-Rodriguez M Hernando-Pérez E Núñez L Villalobos C. Amyloid β oligomers increase ER-mitochondria Ca2+ cross talk in young hippocampal neurons and exacerbate aging-induced intracellular Ca2+ remodeling. Front Cell Neurosci. (2019) 13: 22. 10.3389/fncel.2019.00022 30800057 PMC6376150 · DOI
  24. [28]Calvo-Rodriguez M de la Fuente C García-Durillo M García-Rodríguez C Villalobos C Núñez L. Aging and amyloid β oligomers enhance TLR4 expression, LPS-induced Ca2+ responses and neuron cell death in cultured rat hippocampal neurons. J Neuroinflammation. (2017) 14: 24. 10.1186/s12974-017-0802-0 28143556 PMC5282876 · DOI
  25. [29]Hughes C Choi ML Yi JH Kim SC Drews A St George-Hyslop P Beta Amyloid aggregates induce sensitised TLR4 signalling causing long-term potentiation deficit and rat neuronal cell death. Commun Biol. (2020) 3(1):79. 10.1038/s42003-020-0792-9 32071389 PMC7028984 · DOI · Paper page
  26. [30]Caballero E Calvo-Rodriguez M Gonzalo-Ruiz A Villalobos C Núñez L. A new procedure for amyloid β oligomers preparation enables the unambiguous testing of their effects on cytosolic and mitochondrial Ca2+ entry and cell death in primary neurons. Neurosci Lett. (2016) 612: 66– 73. 10.1016/j.neulet.2015.11.041 26655463 · DOI
  27. [31]Calvo-Rodriguez M Hou SS Snyder AC Kharitonova EK Russ AN Das S Increased mitochondrial calcium levels associated with neuronal death in a mouse model of Alzheimer’s disease. Nat Commun. (2020) 11: 2146. 10.1038/s41467-020-16074-2 32358564 PMC7195480 · DOI
  28. [32]Paudel YN Angelopoulou E Piperi C Othman I Aamir K Shaikh MF. Impact of HMGB1, RAGE, and TLR4 in Alzheimer’s disease (AD): from risk factors to therapeutic targeting. Cells. (2020) 9: 383. 10.3390/cells9020383 32046119 PMC7072620 · DOI · Paper page
  29. [34]Wu D Zhang X Zhao M Zhou AL. The role of the TLR4/NF-κB signaling pathway in Aβ accumulation in primary hippocampal neurons. Sheng Li Xue Bao. (2015) 67: 319– 28. 26109305

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Sorted by citations

Authors
Calvo-Rodriguez, M., García-Rodríguez, C., Villalobos, C., & Núñez, L.
Affiliations
Universidad de Valladolid (ES)
Corresponding author
Villalobos, Carlos
Venue
Frontiers in Immunology
Published
2020-08-26
Volume
11
Pages
1588-1588
ISSN
1664-3224 (ISSN-L)
OpenAlex
W3080522152
Cited by
136
References
5
Citations by year
2026: 21 · 2025: 28 · 2024: 22 · 2023: 25 · 2022: 25 · 2021: 15
FWCI
1.62
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Immunology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DIGITAL.CSIC (Spanish National Research Council (CSIC)) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Ministerio de Ciencia e Innovación
  • Consejería de Educación, Junta de Castilla y León
  • BrightFocus Foundation
Topics
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
Keywords
TLR4, Alzheimer's disease, neuroinflammation, innate immunity, amyloid-beta oligomers, lipopolysaccharide, calcium signaling, mitochondrial calcium overload, neuronal apoptosis, neuronal aging, hippocampal neurons, nonsteroidal anti-inflammatory drugs
MeSH terms
Aging, Alzheimer Disease, Animals, Calcium, Disease Susceptibility, Hippocampus, Humans, Amyloid beta-Peptides, Pyramidal Cells, Calcium Signaling, Toll-Like Receptor 4, Protein Aggregation, Pathological, Protein Aggregates

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