Abstract
Prolonged or repeated stimulation of Toll-like receptor (TLR) 4 leads to hyporesponsiveness of monocyte-derived macrophages, which seems to be a hallmark of immunosuppression related to sepsis and cancer. Two negative regulators of TLR-4 signaling are IL-1 receptor-associated kinase M and B-cell leukemia 3. Here, we demonstrate that the expression of both proteins is inhibited when the TLR-7/TLR-8 agonist CL097 is added to monocyte cultures despite costimulation with the TLR-4 agonist LPS or hyaluronic acid. Reduction of IL-1 receptor-associated kinase M and B-cell leukemia 3 was paralleled by a significant increased cytokine induction of TNF-alpha, IL-10, and IL-12 observed after intracellular and extracellular TLR stimulation. In ex vivo stimulated whole blood of patients who have prolonged sepsis or metastatic cancer, TLR-7/TLR-8 agonists retained their ability of increased stimulation of TNF-alpha. These data might add to the understanding of sepsis and cancer-associated immune suppression in men.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adult
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Aged
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B-Cell Lymphoma 3 Protein
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Cells, Cultured
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Enzyme Activation / drug effects*
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Gene Expression Regulation / drug effects*
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Humans
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Hyaluronic Acid / pharmacology
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Imidazoles / chemistry
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Imidazoles / pharmacology*
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Interleukin-1 Receptor-Associated Kinases / metabolism*
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Interleukin-10 / metabolism
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Interleukin-12 / metabolism
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Ligands
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Lipopolysaccharides / pharmacology
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Middle Aged
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Proto-Oncogene Proteins / metabolism*
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Quinolines / chemistry
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Quinolines / pharmacology*
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Toll-Like Receptor 4 / metabolism
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Toll-Like Receptor 7 / agonists
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Toll-Like Receptor 8 / agonists
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Toll-Like Receptors / agonists*
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Toll-Like Receptors / metabolism
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Transcription Factors / metabolism*
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Tumor Necrosis Factor-alpha / metabolism
Substances
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B-Cell Lymphoma 3 Protein
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BCL3 protein, human
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CL097 compound
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Imidazoles
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Ligands
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Lipopolysaccharides
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Proto-Oncogene Proteins
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Quinolines
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TLR4 protein, human
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TLR7 protein, human
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TLR8 protein, human
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Toll-Like Receptor 4
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Toll-Like Receptor 7
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Toll-Like Receptor 8
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Toll-Like Receptors
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Transcription Factors
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Tumor Necrosis Factor-alpha
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Interleukin-10
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Interleukin-12
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Hyaluronic Acid
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IRAK3 protein, human
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Interleukin-1 Receptor-Associated Kinases