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Stadlbauer, V; Mookerjee, RP; Wright, GAK; Davies, NA; Jurgens, G; Hallstrom, S; Jalan, R.
Role of Toll-like receptors 2, 4, and 9 in mediating neutrophil dysfunction in alcoholic hepatitis.
AMER J PHYSIOL-GASTROINTEST L. 2009; 296(1): G15-G22. Doi: 10.1152/ajpgi.90512.2008 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Stadlbauer-Köllner Vanessa
Co-Autor*innen der Med Uni Graz
Hallström Seth
Jürgens Günther
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Abstract:
Neutrophil dysfunction in alcoholic hepatitis is associated with endotoxemia and an increased incidence of infection, but the mechanism is unclear. We aimed to investigate the role of Toll-like-receptors (TLR)2, 4, and 9 in mediating neutrophil dysfunction in alcoholic hepatitis. Neutrophils from healthy volunteers were incubated with alcoholic hepatitis patients' plasma (n = 12) with and without TLR2, 4, or 9 antagonists and with and without human albumin. TLR2, 4, and 9 expression, neutrophil oxidative burst, phagocytosis, and CXCR1+2 expression were measured by FACS analysis. Patients' plasma increased oxidative burst, decreased CXCR1+2 expression, and decreased phagocytosis of normal neutrophils in association with increased expression of TLR2, 4, and 9 and depletion of ATP. Inhibition of TLR2, 4, and 9 prevented the increase in oxidative burst and the decrease in CXCR1 and CXCR2 expression but did not prevent phagocytic dysfunction. Incubation with albumin completely prevented the patient plasma induced neutrophil dysfunction. Increased expression of TLR2, 4, and 9 is associated with neutrophil dysfunction, endotoxemia, and energy depletion. TLR2, 4, and 9 inhibition does not improve phagocytosis, indicating that TLR overexpression may be the result and not the cause of neutrophil activation. Albumin, an endotoxin scavenger, prevents the deleterious effect of patients' plasma on neutrophil phagocytosis, resting burst, and TLR expression.
Find related publications in this database (using NLM MeSH Indexing)
Adenosine Triphosphate - metabolism
Case-Control Studies -
Female -
Hepatitis, Alcoholic - blood Hepatitis, Alcoholic - immunology
Humans -
Male -
Middle Aged -
Neutrophil Activation -
Neutrophils - immunology
Phagocytosis -
Receptors, Interleukin-8A - metabolism
Receptors, Interleukin-8B - metabolism
Respiratory Burst -
Serum Albumin - metabolism
Toll-Like Receptor 2 - analysis
Toll-Like Receptor 4 - analysis
Toll-Like Receptor 9 - analysis
Toll-Like Receptors - analysis

Find related publications in this database (Keywords)
alcoholic liver disease
immune function
endotoxin
acute on chronic liver failure
chemokines
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