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Monophosphoryl lipid A induces protection against LPS in medullary thick ascending limb through a TLR4-TRIF-PI3K signaling pathway.

Abstract
Monophosphoryl lipid A (MPLA) is a detoxified derivative of LPS that induces tolerance to LPS and augments host resistance to bacterial infections. Previously, we demonstrated that LPS inhibits [Formula: see text] absorption in the medullary thick ascending limb (MTAL) through a basolateral Toll-like receptor 4 (TLR4)-myeloid differentiation factor 88 (MyD88)-ERK pathway. Here we examined whether pretreatment with MPLA would attenuate LPS inhibition. MTALs from rats were perfused in vitro with MPLA (1 µg/ml) in bath and lumen or bath alone for 2 h, and then LPS was added to (and MPLA removed from) the bath solution. Pretreatment with MPLA eliminated LPS-induced inhibition of [Formula: see text] absorption. In MTALs pretreated with MPLA plus a phosphatidylinositol 3-kinase (PI3K) or Akt inhibitor, LPS decreased [Formula: see text] absorption. MPLA increased Akt phosphorylation in dissected MTALs. The Akt activation was eliminated by a PI3K inhibitor and in MTALs from TLR4-/- or Toll/IL-1 receptor domain-containing adaptor-inducing IFN-β (TRIF)-/- mice. The effect of MPLA to prevent LPS inhibition of [Formula: see text] absorption also was TRIF dependent. Pretreatment with MPLA prevented LPS-induced ERK activation; this effect was dependent on PI3K. MPLA alone had no effect on [Formula: see text] absorption, and MPLA pretreatment did not prevent ERK-mediated inhibition of [Formula: see text] absorption by aldosterone, consistent with MPLA's low toxicity profile. These results demonstrate that pretreatment with MPLA prevents the effect of LPS to inhibit [Formula: see text] absorption in the MTAL. This protective effect is mediated directly through MPLA stimulation of a TLR4-TRIF-PI3K-Akt pathway that prevents LPS-induced ERK activation. These studies identify detoxified TLR4-based immunomodulators as novel potential therapeutic agents to prevent or treat renal tubule dysfunction in response to bacterial infections.
AuthorsBruns A Watts 3rd, Thampi George, Edward R Sherwood, David W Good
JournalAmerican journal of physiology. Renal physiology (Am J Physiol Renal Physiol) Vol. 313 Issue 1 Pg. F103-F115 (07 01 2017) ISSN: 1522-1466 [Electronic] United States
PMID28356284 (Publication Type: Journal Article)
CopyrightCopyright © 2017 the American Physiological Society.
Chemical References
  • Adaptor Proteins, Vesicular Transport
  • Bicarbonates
  • Lipid A
  • Lipopolysaccharides
  • Phosphoinositide-3 Kinase Inhibitors
  • Protein Kinase Inhibitors
  • TICAM-1 protein, mouse
  • Tlr4 protein, mouse
  • Toll-Like Receptor 4
  • Phosphatidylinositol 3-Kinase
  • Proto-Oncogene Proteins c-akt
  • Extracellular Signal-Regulated MAP Kinases
  • monophosphoryl lipid A
Topics
  • Adaptor Proteins, Vesicular Transport (deficiency, genetics, metabolism)
  • Animals
  • Bicarbonates (metabolism)
  • Cytoprotection
  • Extracellular Signal-Regulated MAP Kinases (metabolism)
  • In Vitro Techniques
  • Lipid A (analogs & derivatives, pharmacology)
  • Lipopolysaccharides (toxicity)
  • Loop of Henle (drug effects, enzymology)
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Perfusion
  • Phosphatidylinositol 3-Kinase (metabolism)
  • Phosphoinositide-3 Kinase Inhibitors
  • Phosphorylation
  • Protein Kinase Inhibitors (pharmacology)
  • Proto-Oncogene Proteins c-akt (metabolism)
  • Rats, Sprague-Dawley
  • Renal Reabsorption (drug effects)
  • Signal Transduction (drug effects)
  • Toll-Like Receptor 4 (drug effects, genetics, metabolism)

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