PMID- 12003842 OWN - NLM STAT- MEDLINE DCOM- 20020620 LR - 20200930 IS - 0363-6135 (Print) IS - 0363-6135 (Linking) VI - 282 IP - 6 DP - 2002 Jun TI - Escherichia coli LPS-induced LV dysfunction: role of toll-like receptor-4 in the adult heart. PG - H2316-23 AB - The precise molecular mechanisms responsible for sepsis-induced myocardial dysfunction remain undefined. Toll-like receptor-4 (TLR-4) engages lipopolysaccharide (LPS) and activates signaling pathways leading to the expression of proinflammatory cytokines implicated in myocardial dysfunction. We determined whether TLR-4 was necessary for LPS-induced myocardial dysfunction in vivo. The effects of LPS on left ventricular (LV) function were studied in mice with defective TLR-4 signaling (C3H/HeJ, TLR-4 deficient) and wild-type mice (C3HeB/FeJ). Mice (n = 5/group) were injected with LPS or diluent, and LV function was examined by using two-dimensional echocardiography and conductance catheters. LPS significantly decreased all indexes of LV function in wild-type mice when compared with controls; LV function was not depressed in the LPS-treated TLR-4-deficient mice relative to controls. LPS increased myocardial nitric oxide synthase-2 expression and cGMP only in wild-type mice. This study suggests that TLR-4 mediates the LV dysfunction that occurs in LPS-induced shock. Therefore, TLR-4 might be a therapeutic target for attenuating the effects of LPS on the heart. FAU - Nemoto, Shintaro AU - Nemoto S AD - Department of Medicine, Houston Veterans Affairs Medical Center, Houston, Texas 77030, USA. FAU - Vallejo, Jesus G AU - Vallejo JG FAU - Knuefermann, Pascal AU - Knuefermann P FAU - Misra, Arunima AU - Misra A FAU - Defreitas, Gilberto AU - Defreitas G FAU - Carabello, Blase A AU - Carabello BA FAU - Mann, Douglas L AU - Mann DL LA - eng GR - HL-42250-10/10/HL/NHLBI NIH HHS/United States GR - P50 HL-O6H/HL/NHLBI NIH HHS/United States GR - R01 GM-62474-01/GM/NIGMS NIH HHS/United States GR - R01 HL-58081-01/HL/NHLBI NIH HHS/United States GR - R01 HL-61543-01/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - 0 (Drosophila Proteins) RN - 0 (Lipopolysaccharides) RN - 0 (Membrane Glycoproteins) RN - 0 (Receptors, Cell Surface) RN - 0 (Toll-Like Receptor 4) RN - 0 (Toll-Like Receptors) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) RN - EC 1.14.13.39 (Nos2 protein, mouse) RN - H2D2X058MU (Cyclic GMP) SB - IM MH - Animals MH - Cardiac Catheterization MH - Cyclic GMP/analysis MH - *Drosophila Proteins MH - Echocardiography, Doppler MH - *Escherichia coli MH - Female MH - Heart/*physiopathology MH - Heart Ventricles/chemistry/enzymology MH - Hemodynamics MH - Lipopolysaccharides/*toxicity MH - Membrane Glycoproteins/deficiency/genetics/*physiology MH - Mice MH - Mice, Inbred C3H MH - Mutation, Missense MH - Myocardium/enzymology MH - Nitric Oxide Synthase/analysis MH - Nitric Oxide Synthase Type II MH - Receptors, Cell Surface/deficiency/genetics/*physiology MH - Signal Transduction MH - Toll-Like Receptor 4 MH - Toll-Like Receptors MH - Ventricular Dysfunction, Left/*chemically induced EDAT- 2002/05/11 10:00 MHDA- 2002/06/21 10:01 CRDT- 2002/05/11 10:00 PHST- 2002/05/11 10:00 [pubmed] PHST- 2002/06/21 10:01 [medline] PHST- 2002/05/11 10:00 [entrez] AID - 10.1152/ajpheart.00763.2001 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2002 Jun;282(6):H2316-23. doi: 10.1152/ajpheart.00763.2001.