Mechanisms of Impaired Mycobacteria Sensing by TLR2 and TLR4 Polymorphic Variants

描述（由申请人提供）：结核分枝杆菌（Mtb）感染超过三分之一的人口，每年在全球造成800万新发肺结核病例，约250万人死亡。结核病与艾滋病毒的致命关联以及耐多药菌株的出现，加剧了结核病的全球负担，导致世界卫生组织宣布结核病为“全球卫生紧急情况”。设计新药、疫苗和更好的治疗方法需要确定控制免疫反应的分子机制及其对分枝杆菌感染的调节。toll样受体（TLR） 2和TLR4是分枝杆菌重要的传感器，在激活先天宿主反应中起关键作用，这一点已被缺乏这些受体的小鼠对分枝杆菌感染的易感性增加和细胞因子产生受损所证明。在人类中，TLR2（如R753Q）和TLR4（如D299G）单核苷酸多态性（snp）与结核分枝杆菌感染和结核的发病率和/或严重程度相关。然而，这些snp影响受体信号的分子机制尚不清楚。基于我们的初步数据，我们提出了一个假设，即多态性影响分枝杆菌的识别，TLR信号体的组装和激酶和转录因子的激活，改变炎症介质的表达，吞噬和体内感染的易感性。这一假设将在以下具体目标中进行检验：定义的影响

DESCRIPTION (provided by applicant): Mycobacterium tuberculosis (Mtb) infects over one-third of the human population, causing 8 million new cases of pulmonary tuberculosis (TB) each year and ~2.5 million deaths worldwide. The global burden of tuberculosis has been compounded by its deadly association with HIV and by the emergence of multi-drug resistant strains, leading the World Health Organization to declare TB as "a global health emergency". The design of new drugs, vaccines and better therapeutics requires identification of the molecular mechanisms governing immune responses and their regulation upon mycobacterial infection. Toll-like receptors (TLR) 2 and TLR4 are mycobacterial important sensors that play a key role in activating innate host responses, as evidenced by an increased susceptibility to mycobacterial infections and impaired cytokine production in mice deficient for these receptors. In humans, the TLR2 (e.g., R753Q) and TLR4 (e.g., D299G) single nucleotide polymorphisms (SNPs) have been correlated with incidence and/or severity of Mtb infections and TB. However, the molecular mechanisms by which such SNPs affect receptor signaling are unknown. Based on our preliminary data, we formulated the hypothesis that the polymorphisms affect recognition of mycobacteria, TLR signalosome assembly and activation of kinases and transcription factors, altering expression of inflammatory mediators, phagocytosis and predisposing to infection in vivo. This hypothesis will be tested in the following Specific Aims to: 1. Define the impact of the TLR2/4 SNPs on TLR expression, localization, signalosome assembly and activation of key kinases and transcription factors in response to mycobacteria; 2. Determine the effect of the TLR2/4 SNPs on expression of inflammatory mediators, mycobacterial phagocytosis and intracellular survival; and 3. Identify the consequences of TLR2/4 SNPs on susceptibility to mycobacterial infections in vivo in transgenic mice expressing orthologs of human mutations. Our studies are expected to identify mechanisms by which the SNPs affect mycobacterial recognition, TLR2/4 signalosome assembly, activation of kinases and transcription factors, and to link these changes to downstream responses important for host defense against mycobacteria, such as expression of inflammatory cytokines and phagocytosis. We will engineer new transgenic mice expressing orthologs of human R753Q TLR2 or D299G TLR4 SNPs to identify the consequences of these mutations on susceptibility and severity of mycobacterial infections. Elucidation of the molecular basis by which TLR2/4 SNPs compromise host defense against mycobacteria and identification of intermediates with compromised functions will pave the way for the development of new approaches and drugs to improve TLR-mediated Mtb sensing and host defense. These advances would be of key importance for improving public health in tuberculosis patients in the U.S.