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Am J Physiol Heart Circ Physiol 282: H2316-H2323, 2002; doi:10.1152/ajpheart.00763.2001
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Vol. 282, Issue 6, H2316-H2323, June 2002

Escherichia coli LPS-induced LV dysfunction: role of toll-like receptor-4 in the adult heart

Shintaro Nemoto1, Jesus G. Vallejo1,2,3, Pascal Knuefermann1,2, Arunima Misra1,2, Gilberto Defreitas1, Blase A. Carabello1, and Douglas L. Mann1,2

1 Department of Medicine, Houston Veterans Affairs Medical Center, 2 Winters Center for Heart Failure Research, and Section of Infectious Diseases, 3 Department of Pediatrics, Baylor College of Medicine, Houston, Texas 77030

The precise molecular mechanisms responsible for sepsis-induced myocardial dysfunction remain undefined. Toll-like receptor-4 (TLR-4) engages lipopolysaccharide (LPS) and activates signaling pathways leading to the expression of proinflammatory cytokines implicated in myocardial dysfunction. We determined whether TLR-4 was necessary for LPS-induced myocardial dysfunction in vivo. The effects of LPS on left ventricular (LV) function were studied in mice with defective TLR-4 signaling (C3H/HeJ, TLR-4 deficient) and wild-type mice (C3HeB/FeJ). Mice (n = 5/group) were injected with LPS or diluent, and LV function was examined by using two-dimensional echocardiography and conductance catheters. LPS significantly decreased all indexes of LV function in wild-type mice when compared with controls; LV function was not depressed in the LPS-treated TLR-4-deficient mice relative to controls. LPS increased myocardial nitric oxide synthase-2 expression and cGMP only in wild-type mice. This study suggests that TLR-4 mediates the LV dysfunction that occurs in LPS-induced shock. Therefore, TLR-4 might be a therapeutic target for attenuating the effects of LPS on the heart.

innate immunity; endotoxic shock; proinflammatory cytokine; myocardial depression


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