Reduced Toll-like receptor 4 expression in children with asymptomatic bacteriuria
Author
Summary, in English
Toll-like receptor (TLR) 4 is essential for the defense against infection with gram-negative pathogens, but reduced TLR4 expression has not been linked to altered disease susceptibility in humans. In mice, Tlr4 controls the mucosal response to Escherichia coli urinary tract infections. Inactivation of mouse Tlr4 causes an asymptomatic carrier state resembling asymptomatic bacteriuria (ABU). The present study compared neutrophil TLR4 expression levels between children with ABU (n = 17) and age-matched control subjects (n = 24), and significantly lower levels were detected in the patients with ABU. We also found elevated levels of the TLR4 adaptor protein TRIF and reduced levels of the TLR4-inhibitor SIGIRR in the patients with ABU, but MyD88 and TRAM levels were not significantly altered. Altered TLR4 and adaptor protein expression might impair TLR4 signaling and explain the weak mucosal response to urinary tract infection in patients who develop ABU rather than symptomatic disease.
Department/s
Publishing year
2007
Language
English
Pages
475-484
Publication/Series
Journal of Infectious Diseases
Volume
196
Issue
3
Document type
Journal article
Publisher
Oxford University Press
Topic
- Infectious Medicine
Status
Published
Research group
- Clinical Microbiology, Malmö
- Pediatric Nephrology
ISBN/ISSN/Other
- ISSN: 1537-6613