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Loss of TLR3 and its downstream signaling accelerates acinar cell damage in the acute phase of pancreatitis
Authors:Ivonne Regel  Susanne Raulefs  Simone Benitz  Charlotte Mihaljevic  Simon Rieder  Georg Leinenkugel  Katja Steiger  Anna Melissa Schlitter  Irene Esposito  Julia Mayerle  Bo Kong  Jörg Kleeff  Christoph W. Michalski
Affiliation:1. Department of Medicine II, University Hospital, LMU Munich, Germany;2. Department of Surgery, Klinikum rechts der Isar, Technical University Munich, Germany;3. Department of Gynecology and Obstetrics, University of Heidelberg, Heidelberg, Germany;4. Department of Surgery, Martin-Luther University Halle-Wittenberg, Halle (Saale), Germany;5. Institute of Pathology, Technical University Munich, Germany;6. Institute of Pathology, Heinrich-Heine University and University Hospital, Duesseldorf, Germany
Abstract:

Background

Acute pancreatitis is accompanied by acinar cell damage releasing potential toll-like receptor 3 (TLR3) ligands. So far, TLR3 is known as a pattern recognition receptor in the immune signaling cascade triggering a type I interferon response. In addition, TLR3 signaling contributes to programmed cell death through the activation of caspase 8. However, the functional role of TLR3 and its downstream toll-like receptor adaptor molecule 1 (TICAM1) in the inflamed pancreas is unknown.

Methods

To uncover the role of TLR3 signaling in acute pancreatitis, we induced a cerulein-mediated pancreatitis in Tlr3 and Ticam1 knockout (KO) mice and in wildtype animals. The exocrine damage was determined by blood serum analysis and histological examination. Immunohistochemistry, gene expression and immunoblot analysis were conducted to study TLR3 function.

Results

After the induction of an acute pancreatitis, wildtype mice showed a high endosomal TLR3 expression in acinar cells. In comparison to wildtype and Ticam1 KO mice, Tlr3 KO mice exhibited the highest severity of pancreatitis with an increased NF-κB activation and elevated expression of the pro-inflammatory cytokines Il6 and Tnf, although the amount of infiltrating immune cells was unaffected. Additionally, we detected a strong elevation of acinar cell necrosis and reduced levels of cleaved caspase 8 in Tlr3 and Ticam1 KO mice.

Conclusions

TLR3 and its downstream adaptor TICAM1 are important mediators of acinar cell damage in acute pancreatitis. They possess a critical role in programmed cell death and our data suggest that TLR3 signaling controls the onset and severity of acute pancreatitis.
Keywords:Toll-like receptor 3  TRIF  Experimental acute pancreatitis  Necrosis  Apoptosis
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