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Role of TLR-cfB Signaling in Sepsis

TLR-cfB 信号传导在脓毒症中的作用

基本信息

批准号：
8854098
负责人：
WEI CHAO
金额：
$ 44.06万
依托单位：
MASSACHUSETTS GENERAL HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-06-01 至 2016-01-25
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8854098
关键词：
Animals Antibodies Ca(2+)-Transporting ATPase Cardiac Cardiac Myocytes Clinical Management Collaborations Colorado Complement Complement Factor B Complex Critical Care Data Development Foundations Functional disorder Future Gene Deletion Genetic Goals Heart Immune Immune system In Vitro Infection Injury Intervention Lead Link Liquid substance Measures Mediating Mitochondria Modeling Molecular Molecular Target Mus Myocardial Myocardial dysfunction Natural Immunity Oxidative Stress Pathogenesis Pathway interactions Patient Care Peritonitis Play Prevalence Production Reactive Oxygen Species Receptor Signaling Research Design Resuscitation Role Sarcoplasmic Reticulum Sepsis Septic Shock Signal Transduction Signaling Molecule System TLR2 gene TLR4 gene Testing Toll-like receptors Treatment Efficacy United States Universities Vasoconstrictor Agents Vasodilation Wild Type Mouse base cardiac depression cardiovascular collapse clinically relevant complement system improved in vivo insight microbial mitochondrial dysfunction mortality mouse model novel therapeutic intervention septic

项目摘要

DESCRIPTION (provided by applicant): Sepsis has a prevalence of 750,000 cases and claims more than 200,000 lives each year. Cardiovascular collapse induced by cardiac depression and profound vasodilatation represents a main feature of septic shock and contributes to its high mortality. While the current critical care therapy offers survival benefit, the septic mortality due to cardiac dysfunction remains high. Therefore, a better understanding of the molecular mechanisms that lead to cardiac dysfunction during septic shock is needed to further improve the care of patients with severe sepsis. Innate immune signaling such as those via Toll-like receptors (TLRs) and their signaling molecules MyD88 and Trif represents the first line of defense against microbial infection and play a role in sepsis, but their role in cardiac dysfunction and the underlying mechanisms during sepsis remain poorly defined. We have recently demonstrated that activation of TLR2 signaling inhibits cardiomyocyte (CM) function and that animals deficient in TLR2 have markedly improved cardiac function and survival in polymicrobial peritonitis sepsis. MyD88, but not Trif, is essential in polymicrobial sepsis-induced cardiac dysfunction and mortality. The complement system is also a part of innate immunity but its interaction with TLRs during sepsis is poorly understood. Our preliminary data have clearly demonstrated that TLR stimulation in vitro or polymicrobial sepsis in vivo specifically induces a robust complement factor B (cfB) expression in the heart, a key component of alternative pathway. Moreover, mice deficient in cfB have a significantly improved cardiac function and survival compared with wild-type (WT) mice during sepsis. The proposal is based on the following three hypotheses: 1) TLR2/4-MyD88 signaling, an important determinant in sepsis-induced cardiac dysfunction, mediates the specific myocardial cfB expression in sepsis, 2) cfB contributes to the sepsis-induced cardiac dysfunction via distinct intracellular mechanisms including impaired Ca2+ handling, mitochondrial dysfunction, and oxidative stress, and 3) genetic deletion or pharmacological inhibition of cfB can lead to improved cardiac function and better survival during polymicrobial sepsis. In Specific Aim 1, we will determine the role of TLR2 and TLR4 in mediating cardiac cfB expression in sepsis. In Specific Aim 2, we will delineate the role of MyD88 signaling in cfB expression and cardiac dysfunction in sepsis. In Specific Aim 3, we will define the role of cfB in the pathogenesis of cardiac dysfunction in polymicrobial sepsis. In Specific Aim 4, we will determine the efficacy of pharmacological cfB inhibition to protect against sepsis-induced cardiac dysfunction. Together these aims will further our understanding of 1) the complex interaction between TLR signaling and the complement system in the heart during sepsis, 2) the role of MyD88 signaling in septic cardiac dysfunction, 3) the critical role of cfB and alternative pathway in polymicrobial sepsis, and 4) the therapeutic efficacy of an anti-cfB antibody in a clinically relevant model of polymicrobial sepsis. We believe that such insights will serve as a foundation for the future development of novel therapeutic approaches to the clinical management of severe sepsis.