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Elevated muscle TLR4 expression and metabolic endotoxemia in human aging.

Abstract
Aging is associated with alterations in glucose metabolism and sarcopenia that jointly contribute to a higher risk of developing type 2 diabetes. Because aging is considered as a state of low-grade inflammation, in this study we examined whether older, healthy (lean, community-dwelling) participants have altered signaling flux through toll-like receptor 4 (TLR4), a key mediator of innate and adaptive immune responses. We also examined whether a 4-month aerobic exercise program would have an anti-inflammatory effect by reducing TLR4 expression and signaling. At baseline, muscle TLR4, nuclear factor κB p50 and nuclear factor κB p65 protein content, and c-Jun N-terminal kinase phosphorylation were significantly elevated in older versus young participants. The plasma concentration of the TLR4 agonist lipopolysaccharide and its binding protein also were significantly elevated in older participants, indicative of metabolic endotoxemia, which is a recently described phenomenon of increased plasma endotoxin level in metabolic disease. These alterations in older participants were accompanied by decreased insulin sensitivity, quadriceps muscle volume, and muscle strength. The exercise training program increased insulin sensitivity, without affecting quadriceps muscle volume or strength. Muscle TLR4, nuclear factor κB, and c-Jun N-terminal kinase, and plasma lipopolysaccharide and lipopolysaccharide binding protein were not changed by exercise. In conclusion, insulin resistance and sarcopenia of aging are associated with increased TLR4 expression/signaling, which may be secondary to metabolic endotoxemia.
AuthorsSangeeta Ghosh, Raweewan Lertwattanarak, Jose de Jesus Garduño, Joaquin Joya Galeana, Jinqi Li, Frank Zamarripa, Jack L Lancaster, Sumathy Mohan, Sophie Hussey, Nicolas Musi
JournalThe journals of gerontology. Series A, Biological sciences and medical sciences (J Gerontol A Biol Sci Med Sci) Vol. 70 Issue 2 Pg. 232-46 (Feb 2015) ISSN: 1758-535X [Electronic] United States
PMID24846769 (Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural)
Copyright© The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].
Chemical References
  • Acute-Phase Proteins
  • Carrier Proteins
  • Lipopolysaccharides
  • Membrane Glycoproteins
  • NF-kappa B p50 Subunit
  • TLR4 protein, human
  • Toll-Like Receptor 4
  • Transcription Factor RelA
  • lipopolysaccharide-binding protein
  • JNK Mitogen-Activated Protein Kinases
Topics
  • Acute-Phase Proteins (metabolism)
  • Adult
  • Aged
  • Aging (physiology)
  • Carrier Proteins (metabolism)
  • Exercise (physiology)
  • Female
  • Humans
  • Insulin Resistance (physiology)
  • JNK Mitogen-Activated Protein Kinases (metabolism)
  • Lipopolysaccharides (metabolism)
  • Magnetic Resonance Imaging
  • Male
  • Membrane Glycoproteins (metabolism)
  • Muscle Strength (physiology)
  • Muscle, Skeletal (metabolism, pathology)
  • NF-kappa B p50 Subunit (metabolism)
  • Phosphorylation (physiology)
  • Sarcopenia (metabolism, physiopathology, therapy)
  • Toll-Like Receptor 4 (metabolism)
  • Transcription Factor RelA (metabolism)

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