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Toll‐like receptor 4 ablation rescues against paraquat‐triggered myocardial dysfunction: Role of ER stress and apoptosis
Authors:Yonghong Lei  Xue Li  Fang Yuan  Lu Liu  Juan Zhang  Yanping Yang  Jieqiong Zhao  Yan Han  Jun Ren  Xiaobing Fu
Institution:1. Institute of Wound Healing and Cell Biology Laboratory, the First Affiliated Hospital, Beijing, China;2. Cardiovascular Department, Tangdu Hospital, Xi'an, China;3. Department of Orthopedics, General Hospital of Chinese PLA, Beijing, China;4. Department of Clinical Nutrition, General Hospital of Chinese PLA, Beijing, China;5. Department of Plastic Surgery, General Hospital of Chinese PLA, Beijing, China;6. Department of Cardiology, Fudan University, Zhongshan Hospital, Shanghai, China
Abstract:Paraquat is a nitrogen herbicide imposing severe organ toxicity in human leading to acute lung injury and heart failure. The present study was designed to examine the impact of ablation of the innate proinflammatory mediator toll‐like receptor 4 (TLR4) in paraquat‐induced cardiac contractile dysfunction and the underlying mechanisms involved with a focus on endoplasmic reticulum (ER) stress and apoptosis. Adult male wild‐type (WT) and TLR4 knockout (TLR4?/?) mice were challenged with paraquat (45 mg/kg, i.p.) for 48 h prior to the assessment of myocardial and cardiomyocyte sarcomere function, ER stress, apoptosis and inflammation. Acute paraquat challenge exerted myocardial functional and geometric alterations including enlarged left ventricular end systolic diameter (LVESD), reduced fractional shortening, decreased sarcomere shortening, maximal velocities of sarcomere shortening and relengthening associated with unchanged LV posterior wall thickness, septal thickness, LV end diastolic diameter (LVEDD), heart rate, sarcomere length, time‐to‐peak shortening and time‐to‐90% relengthening. Although TLR4 ablation did not affect mechanical properties in the heart, it significantly attenuated or ablated paraquat‐induced cardiac contractile anomalies. Moreover, paraquat imposed overt ER stress, apoptosis and inflammation as evidenced by upregulation of Bip, CHOP, Caspase‐3, ?9, Bax, Bad, and IL‐1β, phosphorylation of PERK, eIF2α and IΚB, as well as activation of the stress molecules ERK and p38, with unchanged Caspase‐8, Bcl2, TNF‐α, p53, HMGB1, MyD88 and phosphorylation of Akt, GSK3β and JNK, the effects of which were attenuated or negated by TLR4 knockout. Taken together, our results suggested that TLR4 ablation alleviated paraquat‐induced myocardial contractile dysfunction possibly through attenuation of ER stress, apoptosis and inflammation. © 2016 Wiley Periodicals, Inc. Environ Toxicol 32: 656–668, 2017.
Keywords:apoptosis  inflammation  ER stress  cardiac function  TLR4
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