Abstract

BackgroundThe innate immune response plays an important role in the pathogenesis of intracerebral hemorrhage (ICH). Recent studies have shown that Toll-like receptor 2 (TLR2) is involved in the innate immune response in various neurological diseases, yet neither its role in ICH nor the mechanisms by which it functions have yet been elucidated. We examined these in this study using a collagenase-induced mouse ICH model with TLR2 knock-out (KO) mice.ResultsTLR2 expression was upregulated in the ipsilateral hemorrhagic tissues of the collagenase-injected mice. Brain injury volume and neurological deficits following ICH were reduced in TLR2 KO mice compared to wild-type (WT) control mice. Heterologous blood-transfer experiments show that TLR2 signaling in brain-resident cells, but not leukocytes, contributes to the injury. In our study to elucidate underlying mechanisms, we found that damage to blood–brain barrier (BBB) integrity following ICH was attenuated in TLR2 KO mice compared to WT mice, which may be due to reduced matrix metalloproteinase-9 (MMP9) activation in astrocytes. The reduced BBB damage accompanies decreased neutrophil infiltration and proinflammatory gene expression in the injured brain parenchyma, which may account for the attenuated brain damage in TLR2 KO mice after ICH.ConclusionsTLR2 plays a detrimental role in ICH-induced brain damage by activating MMP9 in astrocytes, compromising BBB, and enhancing neutrophils infiltration and proinflammatory gene expression.

Highlights

  • The innate immune response plays an important role in the pathogenesis of intracerebral hemorrhage (ICH)

  • This implies that certain Toll-like receptor 2 (TLR2) endogenous agonist other than HMGB1 released during ICH would activate matrix metalloproteinase-9 (MMP9) in astrocytes via TLR2 and thereby exacerbate blood–brain barrier (BBB) damage

  • It has been reported that MMP9 can be induced in Tumor necrosis factor alpha (TNF-α)-stimulated neuronal cells [39], and we found that TNF-α was induced in the ICH-induced brain in a TLR2-dependent manner, supporting this possibility

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Summary

Introduction

The innate immune response plays an important role in the pathogenesis of intracerebral hemorrhage (ICH). Recent studies have shown that Toll-like receptor 2 (TLR2) is involved in the innate immune response in various neurological diseases, yet neither its role in ICH nor the mechanisms by which it functions have yet been elucidated. We examined these in this study using a collagenase-induced mouse ICH model with TLR2 knock-out (KO) mice. In spinal cord injury, TLR2-mediated innate immune responses seem to facilitate recovery after injury Despite these studies implicating TLR2 in ischemic stroke, its role in ICH has not been elucidated far. We investigated the role of TLR2 in secondary inflammatory brain damage following ICH using TLR2 KO mice in a collagenase-induced ICH model

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