Sepsis constitutes a serious life-threatening syndrome associated with complications of deregulated inflammatory response against
endotoxin/
lipopolysaccharide (LPS)-mediated severe
infection.
Toll-like receptor 4 (TLR4) plays a critical role in the activation of innate immunity through recognition of LPS. However, the impact of TLR4 signaling on the development of
sepsis-induced immune dysfunction remains unclear. The aim of this study was to investigate the effect of TLR4 on regulatory T cells (Tregs) and its potential mechanism. To simulate
sepsis, male C57BL/6 (wild-type) and C57BL/10ScNJNJU (TLR4-/-) mice were subjected to cecal
ligation and
puncture (CLP). After 24h, pro- and anti-inflammatory
cytokine secretion, neutrophil and macrophage lung and liver infiltration were assessed to evaluate the
sepsis-induced inflammatory response. The quantity and apoptotic rate of Tregs were measured. The expression of
cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) and forkhead/winged helix
transcription factor p3 (Foxp3) were analyzed.
Cytokine (i.e., TNF-α, IL-2, IL-10, and IL-4) secretion by Tregs in the cell
suspensions and the suppressive activity on CD4+CD25- T cell proliferation were also determined in vitro. At 24h after the CLP procedure, the wild-type mice exhibited increased Treg levels and expression, and secreted inflammatory factors in the serum were markedly overproduced. However, the TLR4-/- mice attenuated the increased Treg expression and inflammatory factor overproduction. These results indicate that in a model of post-septic mice, TLR4 deficiency improves immune
paralysis by attenuating Treg activity and restoring a pro-inflammatory
cytokine balance. Thus, modulation of the TLR4 activity may be useful in preventing immune dysfunction in
sepsis.