Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis

Background. Aim was to elucidate the role of toll-like receptor 9 (TLR9) in cardiac inflammation and septic heart failure in a murine model of polymicrobial sepsis. Methods. Sepsis was induced via colon ascendens stent peritonitis (CASP) in C57BL/6 wild-type (WT) and TLR9-deficient (TLR9-D) mice. Ba...

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Main Authors: Ralph Lohner, Markus Schwederski, Carolin Narath, Johanna Klein, Georg D. Duerr, Alexandra Torno, Pascal Knuefermann, Andreas Hoeft, Georg Baumgarten, Rainer Meyer, Olaf Boehm
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2013/261049
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author Ralph Lohner
Markus Schwederski
Carolin Narath
Johanna Klein
Georg D. Duerr
Alexandra Torno
Pascal Knuefermann
Andreas Hoeft
Georg Baumgarten
Rainer Meyer
Olaf Boehm
author_facet Ralph Lohner
Markus Schwederski
Carolin Narath
Johanna Klein
Georg D. Duerr
Alexandra Torno
Pascal Knuefermann
Andreas Hoeft
Georg Baumgarten
Rainer Meyer
Olaf Boehm
author_sort Ralph Lohner
collection DOAJ
description Background. Aim was to elucidate the role of toll-like receptor 9 (TLR9) in cardiac inflammation and septic heart failure in a murine model of polymicrobial sepsis. Methods. Sepsis was induced via colon ascendens stent peritonitis (CASP) in C57BL/6 wild-type (WT) and TLR9-deficient (TLR9-D) mice. Bacterial load in the peritoneal cavity and cardiac expression of inflammatory mediators were determined at 6, 12, 18, 24, and 36 h. Eighteen hours after CASP cardiac function was monitored in vivo. Sarcomere length of isolated cardiomyocytes was measured at 0.5 to 10 Hz after incubation with heat-inactivated bacteria. Results. CASP led to continuous release of bacteria into the peritoneal cavity, an increase of cytokines, and differential regulation of receptors of innate immunity in the heart. Eighteen hours after CASP WT mice developed septic heart failure characterised by reduction of end-systolic pressure, stroke volume, cardiac output, and parameters of contractility. This coincided with reduced cardiomyocyte sarcomere shortening. TLR9 deficiency resulted in significant reduction of cardiac inflammation and a sustained heart function. This was consistent with reduced mortality in TLR9-D compared to WT mice. Conclusions. In polymicrobial sepsis TLR9 signalling is pivotal to cardiac inflammation and septic heart failure.
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spelling doaj-art-00ff910e66da4222971d202fea35e4b52025-02-03T01:27:31ZengWileyMediators of Inflammation0962-93511466-18612013-01-01201310.1155/2013/261049261049Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial SepsisRalph Lohner0Markus Schwederski1Carolin Narath2Johanna Klein3Georg D. Duerr4Alexandra Torno5Pascal Knuefermann6Andreas Hoeft7Georg Baumgarten8Rainer Meyer9Olaf Boehm10Institute for Physiology II, University of Bonn, Nussallee 11, 53115 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyDepartment of Cardiothoracic Surgery, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyInstitute for Physiology II, University of Bonn, Nussallee 11, 53115 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyInstitute for Physiology II, University of Bonn, Nussallee 11, 53115 Bonn, GermanyDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, GermanyBackground. Aim was to elucidate the role of toll-like receptor 9 (TLR9) in cardiac inflammation and septic heart failure in a murine model of polymicrobial sepsis. Methods. Sepsis was induced via colon ascendens stent peritonitis (CASP) in C57BL/6 wild-type (WT) and TLR9-deficient (TLR9-D) mice. Bacterial load in the peritoneal cavity and cardiac expression of inflammatory mediators were determined at 6, 12, 18, 24, and 36 h. Eighteen hours after CASP cardiac function was monitored in vivo. Sarcomere length of isolated cardiomyocytes was measured at 0.5 to 10 Hz after incubation with heat-inactivated bacteria. Results. CASP led to continuous release of bacteria into the peritoneal cavity, an increase of cytokines, and differential regulation of receptors of innate immunity in the heart. Eighteen hours after CASP WT mice developed septic heart failure characterised by reduction of end-systolic pressure, stroke volume, cardiac output, and parameters of contractility. This coincided with reduced cardiomyocyte sarcomere shortening. TLR9 deficiency resulted in significant reduction of cardiac inflammation and a sustained heart function. This was consistent with reduced mortality in TLR9-D compared to WT mice. Conclusions. In polymicrobial sepsis TLR9 signalling is pivotal to cardiac inflammation and septic heart failure.http://dx.doi.org/10.1155/2013/261049
spellingShingle Ralph Lohner
Markus Schwederski
Carolin Narath
Johanna Klein
Georg D. Duerr
Alexandra Torno
Pascal Knuefermann
Andreas Hoeft
Georg Baumgarten
Rainer Meyer
Olaf Boehm
Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis
Mediators of Inflammation
title Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis
title_full Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis
title_fullStr Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis
title_full_unstemmed Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis
title_short Toll-Like Receptor 9 Promotes Cardiac Inflammation and Heart Failure during Polymicrobial Sepsis
title_sort toll like receptor 9 promotes cardiac inflammation and heart failure during polymicrobial sepsis
url http://dx.doi.org/10.1155/2013/261049
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