2020
DOI: 10.1371/journal.ppat.1008435
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TLR4 abrogates the Th1 immune response through IRF1 and IFN-β to prevent immunopathology during L. infantum infection

Abstract: A striking feature of human visceral leishmaniasis (VL) is chronic inflammation in the spleen and liver, and VL patients present increased production levels of multiple inflammatory mediators, which contribute to tissue damage and disease severity. Here, we combined an experimental model with the transcriptional profile of human VL to demonstrate that the TLR4-IFN-β pathway regulates the chronic inflammatory process and is associated with the asymptomatic form of the disease. Tlr4-deficient mice harbored fewer… Show more

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Cited by 16 publications
(17 citation statements)
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“…The NFKB2 and UBE2D2 genes are related to TLR4. The TLR4 gene plays a fundamental role in pathogen recognition and the activation of innate immunity, is required for IRF1 expression, and the TLR4-IRF1 pathway plays important roles in many diseases [57,58]. UBE2D2 inhibits the expression of IRF1, while NFKB2 promotes the expression of IRF1.…”
Section: Discussionmentioning
confidence: 99%
“…The NFKB2 and UBE2D2 genes are related to TLR4. The TLR4 gene plays a fundamental role in pathogen recognition and the activation of innate immunity, is required for IRF1 expression, and the TLR4-IRF1 pathway plays important roles in many diseases [57,58]. UBE2D2 inhibits the expression of IRF1, while NFKB2 promotes the expression of IRF1.…”
Section: Discussionmentioning
confidence: 99%
“…In a mouse model of fatal ehrlichiosis, Ehrlichia induced strong pro-inflammatory responses via activation of inflammasomes, which promoted production of IL-1β and Type I IFNs [ 116 ]. Some mouse model studies demonstrated that production of Type I IFNs, IFN-α and IFN-β, led to impaired Th1 cell responses during visceral leishmaniasis [ 117 , 118 ]. Type I IFN production by Ehrlichia co-infected macrophages may impact immune responses against L. infantum in infected dogs and then prompt disease progression.…”
Section: Bacterial Co-infectionsmentioning
confidence: 99%
“…However, Type I IFN signaling is likely to be modulated during visceral leishmaniasis. In an infection model, L. infantum induced Type I IFN expression in conventional dendritic cells in vivo, which lead to an impaired Th1 cell response [ 118 ]. Recently, Kumar et al found high levels of IFN-α, IFN-β, and their receptors in PBMCs from visceral leishmaniasis patients before drug treatment relative to post-treated VL patients and endemic controls [ 117 ].…”
Section: Bacterial Co-infectionsmentioning
confidence: 99%
“…Overall, parasitic pathogens are biologically very diverse, so data from other parasitic infection models are needed to begin drawing broad conclusions. A recent study demonstrated that the TLR4-IRF1-IFNβ axis played a protective role in mice infected with Leishmania infantum by dampening proinflammatory pathways and IFNγ production by CD4 + T cells ( 218 ). RNA sequencing analysis of human samples revealed that upregulation of TLR4 and type I IFN pathways was associated with asymptomatic individuals compared to patients with visceral leishmaniasis ( 218 ).…”
Section: Infectious Diseasesmentioning
confidence: 99%
“…A recent study demonstrated that the TLR4-IRF1-IFNβ axis played a protective role in mice infected with Leishmania infantum by dampening proinflammatory pathways and IFNγ production by CD4 + T cells ( 218 ). RNA sequencing analysis of human samples revealed that upregulation of TLR4 and type I IFN pathways was associated with asymptomatic individuals compared to patients with visceral leishmaniasis ( 218 ). Another group found that Ifnar1 −/− mice were more susceptible to Toxoplasma gondii infection ( 219 ).…”
Section: Infectious Diseasesmentioning
confidence: 99%