PMID- 19448144 OWN - NLM STAT- MEDLINE DCOM- 20090812 LR - 20220311 IS - 1522-1539 (Electronic) IS - 0363-6135 (Print) IS - 0363-6135 (Linking) VI - 297 IP - 1 DP - 2009 Jul TI - Myocardial TLR4 is a determinant of neutrophil infiltration after global myocardial ischemia: mediating KC and MCP-1 expression induced by extracellular HSC70. PG - H21-8 LID - 10.1152/ajpheart.00292.2009 [doi] AB - Cardiac surgery with global myocardial ischemia-reperfusion (I/R) induces a myocardial inflammatory response that impairs cardiac recovery. Chemokines contribute to the overall myocardial inflammatory response through inducing leukocyte infiltration. Although Toll-like receptor 4 (TLR4) has an important role in postischemic myocardial injury, the relative roles of myocardial tissue and leukocyte TLR4 in leukocyte infiltration, as well as the role of TLR4 in myocardial chemokine expression, are unclear. Our recent study, in an isolated mouse heart model of global I/R, found that the 70-kDa heat shock cognate protein (HSC70) is released from cardiac cells and mediates the expression of cardiodepressant cytokines via a TLR4-dependent mechanism. In the present study, we tested the hypotheses that myocardial tissue TLR4 has a major role in mediating neutrophil infiltration and that myocardial TLR4 and extracellular HSC70 contribute to the mechanisms underlying cardiac chemokine response to global I/R. We subjected hearts isolated from TLR4-defective and TLR4-competent mice to global I/R and examined myocardial neutrophil infiltration and expression of keratinocyte-derived chemokine (KC) and monocyte chemoattractant protein-1 (MCP-1). TLR4-defective hearts exhibited reduced neutrophil infiltration regardless of the phenotypes of neutrophils perfused during reperfusion and expressed lower levels of KC and MCP-1. HSC70-specific antibody reduced myocardial expression of KC and MCP-1 after I/R. Furthermore, perfusion of HSC70 increased KC and MCP-1 expression in TLR4-competent hearts but not in TLR4-defective hearts, and HSC70 also induced the chemokine response in macrophages in a TLR4-dependent fashion. A recombinant HSC70 fragment lacking the substrate-binding domain was insufficient to induce chemokine expression in hearts and cells. This study demonstrates that myocardial tissue TLR4, rather than neutrophil TLR4, is the determinant of myocardial neutrophil infiltration after global I/R. TLR4 mediates myocardial chemokine expression, and the mechanisms involve extracellular HSC70. These results imply the HSC70-TLR4 interaction as a novel mechanism underlying the myocardial chemokine response to global I/R. FAU - Ao, Lihua AU - Ao L AD - Department of Surgery, University of Colorado Denver, Aurora, CO 80045, USA. FAU - Zou, Ning AU - Zou N FAU - Cleveland, Joseph C Jr AU - Cleveland JC Jr FAU - Fullerton, David A AU - Fullerton DA FAU - Meng, Xianzhong AU - Meng X LA - eng GR - R01 HL079051/HL/NHLBI NIH HHS/United States GR - HL-079051/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20090515 PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Chemokines) RN - 0 (HSC70 Heat-Shock Proteins) RN - 0 (Recombinant Proteins) RN - 0 (Toll-Like Receptor 4) RN - 147037-79-4 (keratinocyte-derived chemokines) SB - IM MH - Animals MH - Chemokine CCL2/genetics/*physiology MH - Chemokines/genetics/*physiology MH - Extracellular Space/physiology MH - Fluorescent Antibody Technique MH - HSC70 Heat-Shock Proteins/*pharmacology MH - Heart/physiology MH - Male MH - Mice MH - Mice, Inbred C3H MH - Myocardial Ischemia/*physiopathology MH - Myocardium/*metabolism MH - Neutrophil Infiltration/*physiology MH - Recombinant Proteins/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Toll-Like Receptor 4/*physiology PMC - PMC2711729 EDAT- 2009/05/19 09:00 MHDA- 2009/08/13 09:00 PMCR- 2010/07/01 CRDT- 2009/05/19 09:00 PHST- 2009/05/19 09:00 [entrez] PHST- 2009/05/19 09:00 [pubmed] PHST- 2009/08/13 09:00 [medline] PHST- 2010/07/01 00:00 [pmc-release] AID - 00292.2009 [pii] AID - H-00292-2009 [pii] AID - 10.1152/ajpheart.00292.2009 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2009 Jul;297(1):H21-8. doi: 10.1152/ajpheart.00292.2009. Epub 2009 May 15.