Stress-induced neuroinflammation: role of the Toll-like receptor-4 pathway

Biol Psychiatry. 2013 Jan 1;73(1):32-43. doi: 10.1016/j.biopsych.2012.07.005. Epub 2012 Aug 18.

Abstract

Background: Stressful challenges are associated with variations in immune parameters, including increased innate immunity/inflammation. Among possible mechanisms through which brain monitors peripheral immune responses, toll-like receptors (TLRs) recently emerged as the first line of defense against invading microorganisms. Their expression is modulated in response to pathogens and other environmental stresses.

Methods: Taking into account this background, the present study aimed to elucidate whether the toll-like receptor-4 (TLR-4) signaling pathway is activated after repeated restraint/acoustic stress exposure in mice prefrontal cortex (PFC), the potential regulatory mechanism implicated (i.e., bacterial translocation), and its role in conditions of stress-induced neuroinflammation, using a genetic strategy: C3H/HeJ mice with a defective response to lipopolysaccharide stimulation of TLR-4.

Results: Stress exposure upregulates TLR-4 pathway in mice PFC. Stress-induced inflammatory nuclear factor κB activation, upregulation of the proinflammatory enzymes nitric oxide synthase and cyclooxygenase type 2, and cellular oxidative/nitrosative damage are reduced when the TLR-4 pathway is defective. Conversely, TLR-4 deficient mice presented higher levels of the anti-inflammatory nuclear factor peroxisome proliferator activated receptor-gamma after stress exposure than control mice. The series of experiments using antibiotic intestinal decontamination also suggest a role for bacterial translocation on TLR-4 activation in PFC after stress exposure.

Conclusions: Taken together, all the data presented here suggest a bifunctional role of TLR-4 signaling pathway after stress exposure by triggering neuroinflammation at PFC level and regulating gut barrier function/permeability. Furthermore, our data suggest a possible protective role of antibiotic decontamination in stress-related pathologies presenting increased intestinal permeability (leaky gut) such as depression, showing a potential therapeutic target that deserves further consideration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute-Phase Proteins / metabolism
  • Animals
  • Bacterial Translocation / drug effects
  • Bacterial Translocation / physiology
  • Carrier Proteins / metabolism
  • Colon / metabolism
  • Immunoglobulin A / metabolism
  • Inflammation / blood
  • Inflammation / complications
  • Inflammation / metabolism*
  • Inflammation Mediators / metabolism
  • Lipopolysaccharides / metabolism
  • Male
  • Membrane Glycoproteins / metabolism
  • Mice
  • Mice, Inbred C3H
  • Prefrontal Cortex / metabolism
  • Signal Transduction / physiology
  • Stress, Psychological / blood
  • Stress, Psychological / complications
  • Stress, Psychological / metabolism
  • Stress, Psychological / physiopathology*
  • Toll-Like Receptor 4 / metabolism
  • Toll-Like Receptor 4 / physiology*

Substances

  • Acute-Phase Proteins
  • Carrier Proteins
  • Immunoglobulin A
  • Inflammation Mediators
  • Lipopolysaccharides
  • Membrane Glycoproteins
  • Tlr4 protein, mouse
  • Toll-Like Receptor 4
  • lipopolysaccharide-binding protein