title: Maternal neutrophil toll-like receptor mRNA expression is down-regulated in preeclampsia.
abstract: OBJECTIVE
  There are many immunological changes in preeclampsia. For example, TLR-4 expression is increased in the placenta during preeclampsia. However, data on TLR expression in other tissues during preeclampsia are lacking. This study aimed to determine whether TLR mRNA expression in maternal neutrophils is altered in preeclampsia.
  
  
  METHODS
  A case-control study using standard quantitative real-time PCR techniques was performed to assess TLR-2 and TLR-4 mRNA expression in 12 patients with mild preeclampsia and 18 normal pregnant controls at similar gestational ages.
  
  
  RESULTS
  Compared to normal pregnant controls, there was a significant decrease in TLR-2 and TLR-4 expression in women with mild preeclampsia.
  
  
  CONCLUSIONS
  TLR-2 and TLR-4 expression in maternal neutrophils is decreased in preeclampsia. Given the many immunological changes in preeclampsia, this may represent an adaptation to the increased inflammatory signals present in preeclampsia. Further study is needed to clarify the role of the TLR in preeclampsia.
authors.affiliation: Division of Maternal Fetal Medicine, Department of OB/GYN, Mayo Clinic College of Medicine, Rochester, MN 55901, USA. nitsche.joshua@mayo.edu
authors.forename: Joshua F
authors.initials: JF
authors.lastname: Nitsche
authors.forename: Shi-Wen
authors.initials: SW
authors.lastname: Jiang
authors.forename: Brian C
authors.initials: BC
authors.lastname: Brost
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D015536:Down-Regulation; D005260:Female; D006801:Humans; D009504:Neutrophils / Q000166:cytology / Q000276:immunology* / Q000378:metabolism; D016133:Polymerase Chain Reaction; D011225:Pre-Eclampsia / Q000276:immunology* / Q000378:metabolism; D011247:Pregnancy; D011248:Pregnancy Complications; D012333:RNA, Messenger / Q000096:biosynthesis*; D051195:Toll-Like Receptor 2 / Q000096:biosynthesis* / Q000235:genetics; D051197:Toll-Like Receptor 4 / Q000096:biosynthesis* / Q000235:genetics
chemical_list: D012333:RNA, Messenger; C495342:TLR2 protein, human; C495345:TLR4 protein, human; D051195:Toll-Like Receptor 2; D051197:Toll-Like Receptor 4