In vivo TLR9 inhibition attenuates CpG-induced myocardial dysfunction

Mediators Inflamm. 2013:2013:217297. doi: 10.1155/2013/217297. Epub 2013 Apr 10.

Abstract

The involvement of toll-like receptor 9 (TLR9), a receptor for bacterial DNA, in septic cardiac depression has not been clarified in vivo. Thus, the aim of the study was to test possible TLR9 inhibitors (H154-thioate, IRS954-thioate, and chloroquine) for their ability to protect the cardiovascular system in a murine model of CpG oligodeoxynucleotide- (ODN-) dependent systemic inflammation. Sepsis was induced by i.p. application of the TLR9 agonist 1668-thioate in C57BL/6 wild type (WT) and TLR9-deficient (TLR9-D) mice. Thirty minutes after stimulation TLR9 antagonists were applied i.v. Survival was monitored up to 18 h after stimulation. Cardiac mRNA expression of inflammatory mediators was analyzed 2 h and 6 h after stimulation with 1668-thioate and hemodynamic parameters were monitored at the later time point. Stimulation with 1668-thioate induced a severe sepsis-like state with significant drop of body temperature and significantly increased mortality in WT animals. Additionally, there was a time-dependent increase of inflammatory mediators in the heart accompanied by development of septic heart failure. These effects were not observed in TLR9-D mice. Inhibition of TLR9 by the suppressive ODN H154-thioate significantly ameliorated cardiac inflammation, preserved cardiac function, and improved survival. This suppressive ODN was the most efficient inhibitor of the tested substances.

MeSH terms

  • Animals
  • Cell Line
  • Chloroquine / pharmacology
  • Heart / drug effects
  • Interleukin-1beta / metabolism
  • Interleukin-6 / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Myocardium / metabolism*
  • Myocardium / pathology
  • Oligodeoxyribonucleotides / toxicity*
  • Toll-Like Receptor 9 / antagonists & inhibitors*
  • Toll-Like Receptor 9 / metabolism*
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • CPG-oligonucleotide
  • Interleukin-1beta
  • Interleukin-6
  • Oligodeoxyribonucleotides
  • Toll-Like Receptor 9
  • Tumor Necrosis Factor-alpha
  • Chloroquine