PMID- 22659438 OWN - NLM STAT- MEDLINE DCOM- 20121109 LR - 20200214 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 13 IP - 4 DP - 2012 Aug TI - Targeting Toll-like receptors by chloroquine protects mice from experimental cerebral malaria. PG - 392-7 LID - 10.1016/j.intimp.2012.05.012 [doi] AB - Excessive production of proinflammatory cytokines, elicited mostly by Th1 cells, is an important cause of cerebral malaria (CM). Dendritic cells (DCs), a critical link between innate and adaptive immune responses, rely heavily on Toll-like receptor (TLR) signaling. Using C57BL/6 mice infected with Plasmodium berghei ANKA (PbA) as an experimental CM model, we first confirmed that inhibition of TLR9 by suppressive oligodeoxynucleotides protected mice from CM. In addition to being a well-known antimalarial, chloroquine (CQ) has been used as an immunomodulator of endocytic TLRs because it inhibits endosomal acidification. We found that immediately before and shortly after infection by PbA, treatment with a single dose of 50 mg/kg of CQ protected mice from experimental CM. Both CQ treatments significantly inhibited expression of TLR9 and MHC-II on DCs, and reduced the number of myeloid and plasmatocytoid DCs at 3 and 5 days after infection. Consequently, activation of CD4+ T cells, especially the expansion of the Th1 subsets, was dramatically inhibited in CQ treated groups, which was accompanied by a remarkable decline in the production of Th1 type proinflammatory mediators IFN-gamma, TNF-alpha, and nitric oxide. Taken together, these results corroborated the involvement of TLR9 in CM pathogenesis and suggest that interference with the activation of this receptor is a promising strategy to prevent deleterious inflammatory response mediating pathogenesis and severity of malaria. CI - Copyright (c) 2012 Elsevier B.V. All rights reserved. FAU - Zhu, Xiaotong AU - Zhu X AD - Department of Immunology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning, China. FAU - Pan, Yanyan AU - Pan Y FAU - Li, Ying AU - Li Y FAU - Jiang, Yongjun AU - Jiang Y FAU - Shang, Hong AU - Shang H FAU - Gowda, D Channe AU - Gowda DC FAU - Cui, Liwang AU - Cui L FAU - Cao, Yaming AU - Cao Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120601 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Antimalarials) RN - 0 (Cytokines) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Inflammation Mediators) RN - 0 (Oligoribonucleotides, Antisense) RN - 0 (Toll-Like Receptor 9) RN - 886U3H6UFF (Chloroquine) SB - IM MH - Animals MH - Antimalarials/*administration & dosage/adverse effects MH - Cells, Cultured MH - Chloroquine/*administration & dosage/adverse effects MH - Cytokines/metabolism MH - Dendritic Cells/*drug effects/immunology/parasitology MH - Disease Models, Animal MH - Gene Expression Regulation/immunology MH - Histocompatibility Antigens Class II/genetics/metabolism MH - Humans MH - Inflammation Mediators/metabolism MH - Malaria, Cerebral/*prevention & control MH - Mice MH - Mice, Inbred C57BL MH - Molecular Targeted Therapy MH - Oligoribonucleotides, Antisense/genetics MH - Plasmodium berghei/*immunology MH - Th1 Cells/immunology MH - Toll-Like Receptor 9/genetics/*metabolism EDAT- 2012/06/05 06:00 MHDA- 2012/11/10 06:00 CRDT- 2012/06/05 06:00 PHST- 2011/12/21 00:00 [received] PHST- 2012/05/15 00:00 [revised] PHST- 2012/05/21 00:00 [accepted] PHST- 2012/06/05 06:00 [entrez] PHST- 2012/06/05 06:00 [pubmed] PHST- 2012/11/10 06:00 [medline] AID - S1567-5769(12)00150-6 [pii] AID - 10.1016/j.intimp.2012.05.012 [doi] PST - ppublish SO - Int Immunopharmacol. 2012 Aug;13(4):392-7. doi: 10.1016/j.intimp.2012.05.012. Epub 2012 Jun 1.