PMID- 27253409 OWN - NLM STAT- MEDLINE DCOM- 20171009 LR - 20181113 IS - 2041-4889 (Electronic) VI - 7 IP - 6 DP - 2016 Jun 2 TI - Toll-like receptor 4 modulates the cochlear immune response to acoustic injury. PG - e2245 LID - 10.1038/cddis.2016.156 [doi] AB - Acoustic overstimulation traumatizes the cochlea, resulting in auditory dysfunction. As a consequence of acoustic injury, the immune system in the cochlea is activated, leading to the production of inflammatory mediators and the infiltration of immune cells. However, the molecular mechanisms responsible for initiating these immune responses remain unclear. Here, we investigate the functional role of Toll-like receptor 4 (Tlr4), a cellular receptor that activates the innate immune system, in the regulation of cochlear responses to acoustic overstimulation. Using a Tlr4 knockout mouse model, we examined how Tlr4 deficiency affects sensory cell pathogenesis, auditory dysfunction and cochlear immune activity. We demonstrate that Tlr4 knockout does not affect sensory cell viability under physiological conditions, but reduces the level of sensory cell damage and cochlear dysfunction after acoustic injury. Together, these findings suggest that Tlr4 promotes sensory cell degeneration and cochlear dysfunction after acoustic injury. Acoustic injury provokes a site-dependent inflammatory response in both the organ of Corti and the tissues of the lateral wall and basilar membrane. Tlr4 deficiency affects these inflammatory responses in a site-dependent manner. In the organ of Corti, loss of Tlr4 function suppresses the production of interleukin 6 (Il6), a pro-inflammatory molecule, after acoustic injury. By contrast, the production of inflammatory mediators, including Il6, persists in the lateral wall and basilar membrane. In addition to immune molecules, Tlr4 knockout inhibits the expression of major histocompatibility complex class II, an antigen-presenting molecule, in macrophages, suggesting that Tlr4 participates in the antigen-presenting function of macrophages after acoustic trauma. Together, these results suggest that Tlr4 regulates multiple aspects of the immune response in the cochlea and contributes to cochlear pathogenesis after acoustic injury. FAU - Vethanayagam, R R AU - Vethanayagam RR AD - Center for Hearing and Deafness, State University of New York at Buffalo, 137 Cary Hall, 3435 Main Street, Buffalo, NY 14214, USA. FAU - Yang, W AU - Yang W AD - Center for Hearing and Deafness, State University of New York at Buffalo, 137 Cary Hall, 3435 Main Street, Buffalo, NY 14214, USA. FAU - Dong, Y AU - Dong Y AD - Center for Hearing and Deafness, State University of New York at Buffalo, 137 Cary Hall, 3435 Main Street, Buffalo, NY 14214, USA. FAU - Hu, B H AU - Hu BH AD - Center for Hearing and Deafness, State University of New York at Buffalo, 137 Cary Hall, 3435 Main Street, Buffalo, NY 14214, USA. LA - eng GR - R01 DC010154/DC/NIDCD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20160602 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Inflammation Mediators) RN - 0 (Toll-Like Receptor 4) RN - 9006-59-1 (Ovalbumin) SB - IM MH - Animals MH - Cochlea/*immunology/*pathology MH - Gene Expression Regulation MH - Hearing Loss, Noise-Induced/genetics/*immunology/*pathology MH - Histocompatibility Antigens Class II/metabolism MH - Inflammation/genetics/pathology MH - Inflammation Mediators/metabolism MH - Macrophages/metabolism/pathology MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Monocytes/metabolism/pathology MH - Noise MH - Organ of Corti/metabolism/pathology MH - Ovalbumin MH - Toll-Like Receptor 4/deficiency/*metabolism PMC - PMC5143385 EDAT- 2016/06/03 06:00 MHDA- 2017/10/11 06:00 PMCR- 2016/06/01 CRDT- 2016/06/03 06:00 PHST- 2016/02/19 00:00 [received] PHST- 2016/04/29 00:00 [revised] PHST- 2016/05/03 00:00 [accepted] PHST- 2016/06/03 06:00 [entrez] PHST- 2016/06/03 06:00 [pubmed] PHST- 2017/10/11 06:00 [medline] PHST- 2016/06/01 00:00 [pmc-release] AID - cddis2016156 [pii] AID - 10.1038/cddis.2016.156 [doi] PST - epublish SO - Cell Death Dis. 2016 Jun 2;7(6):e2245. doi: 10.1038/cddis.2016.156.