title: Increased Toll-like receptor 4 expression in infants with respiratory syncytial virus bronchiolitis.
abstract: The fusion protein of the respiratory syncytial virus (RSV) binds to the pattern recognition receptors, TLR4 and CD14, and initiates innate immunity response to the virus. The aim of the study was to investigate the expression of TLR4 on peripheral blood lymphocytes and monocytes in peripheral blood of infants in both acute and convalescent phase of RSV bronchiolitis (n = 26). In addition, TNF-alpha expression in lipopolysaccharide-stimulated monocytes was also assessed. The results showed TLR4 to be expressed predominantly by monocytes in both sick infants and controls. During the acute phase of infection monocytes up-regulated TLR4 in eight infants, which returned to the levels recorded in controls 4-6 weeks from infection. There was no difference in the percentage of TNF-alpha secreting monocytes. Of the clinical parameters tested, minimal oxygen saturation was found to correlate negatively with this expression in the group of infants with increased TLR4. Additional studies are under way to correlate this finding with the outcome of the immune response to RSV.
authors.affiliation: Institute of Immunology, Zagreb, Croatia. agagro@imz.hr
authors.forename: A
authors.initials: A
authors.lastname: Gagro
authors.forename: M
authors.initials: M
authors.lastname: Tominac
authors.forename: V
authors.initials: V
authors.lastname: Krsulović-Hresić
authors.forename: A
authors.initials: A
authors.lastname: Baće
authors.forename: M
authors.initials: M
authors.lastname: Matić
authors.forename: V
authors.initials: V
authors.lastname: Drazenović
authors.forename: G
authors.initials: G
authors.lastname: Mlinarić-Galinović
authors.forename: E
authors.initials: E
authors.lastname: Kosor
authors.forename: K
authors.initials: K
authors.lastname: Gotovac
authors.forename: I
authors.initials: I
authors.lastname: Bolanca
authors.forename: S
authors.initials: S
authors.lastname: Batinica
authors.forename: S
authors.initials: S
authors.lastname: Rabatić
mesh_terms: D000208:Acute Disease; D015703:Antigens, CD / Q000276:immunology; D001402:B-Lymphocytes / Q000276:immunology; D001988:Bronchiolitis / Q000276:immunology* / Q000503:physiopathology / Q000821:virology; D005260:Female; D005434:Flow Cytometry / Q000379:methods; D006098:Granulocytes / Q000276:immunology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D018950:Lipopolysaccharide Receptors / Q000276:immunology; D008070:Lipopolysaccharides / Q000276:immunology; D008297:Male; D008562:Membrane Glycoproteins / Q000097:blood*; D009000:Monocytes / Q000276:immunology; D010100:Oxygen / Q000378:metabolism; D011956:Receptors, Cell Surface / Q000097:blood*; D018357:Respiratory Syncytial Virus Infections / Q000097:blood / Q000276:immunology* / Q000503:physiopathology; D013601:T-Lymphocytes / Q000276:immunology; D051197:Toll-Like Receptor 4; D051193:Toll-Like Receptors; D014409:Tumor Necrosis Factor-alpha / Q000032:analysis
chemical_list: D015703:Antigens, CD; D018950:Lipopolysaccharide Receptors; D008070:Lipopolysaccharides; D008562:Membrane Glycoproteins; D011956:Receptors, Cell Surface; C495345:TLR4 protein, human; D051197:Toll-Like Receptor 4; D051193:Toll-Like Receptors; D014409:Tumor Necrosis Factor-alpha; D010100:Oxygen