2015
DOI: 10.1007/s10875-015-0128-6
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An Impaired Inflammatory Cytokine Response to Gram-Negative LPS in Human Neonates is Associated with the Defective TLR-Mediated Signaling Pathway

Abstract: These results indicate that in contrast to the adult, human neonates display deficiencies in innate immunity-associated inflammatory cytokine responses due to their defective TLR signaling pathways, which may render them more susceptible to microbial infection.

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Cited by 20 publications
(12 citation statements)
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“…We have found equivalent levels of surface expression of TLR4 between HC and TRAPS, suggesting that the LPS-hyperresponsiveness observed was not mediated by differences in TLR4 surface expression. Interestingly, TNFR1 knockout mice are resistant to LPS-induced shock, and human monocytes that are deficient in TLR4 are also resistant to LPS ( 6 , 38 ). Thus, mutant TNFR1 may act in synergy with the TLR4 signaling pathway, triggering increased cellular stress, and consequent lowering of the activation threshold for TLR4-LPS signaling which, in turn, further augments intracellular stress levels in DF with T50M, C472, and C88R mutations in TNFRSF1A .…”
Section: Discussionmentioning
confidence: 99%
“…We have found equivalent levels of surface expression of TLR4 between HC and TRAPS, suggesting that the LPS-hyperresponsiveness observed was not mediated by differences in TLR4 surface expression. Interestingly, TNFR1 knockout mice are resistant to LPS-induced shock, and human monocytes that are deficient in TLR4 are also resistant to LPS ( 6 , 38 ). Thus, mutant TNFR1 may act in synergy with the TLR4 signaling pathway, triggering increased cellular stress, and consequent lowering of the activation threshold for TLR4-LPS signaling which, in turn, further augments intracellular stress levels in DF with T50M, C472, and C88R mutations in TNFRSF1A .…”
Section: Discussionmentioning
confidence: 99%
“…Neonatal monocytes also have reduced levels of major histocompatibility complex (MHC) class II expression on their surface, resulting in a diminished capacity for antigen presentation (47). Toll-like receptor (TLR)-mediated signal transduction pathways are also impaired in neonatal monocytes, resulting in the reduced activation of NF-B, which is an important transcription factor involved in immune response regulation (48).…”
Section: Innate Immunity Deficienciesmentioning
confidence: 99%
“…9 While cytokine levels in late pregnancy 10 or in newborns born by CD 11 have been studied, reports on the effects of other obstetric factors on the function of the immune system later are rare. 9 While cytokine levels in late pregnancy 10 or in newborns born by CD 11 have been studied, reports on the effects of other obstetric factors on the function of the immune system later are rare.…”
Section: Introductionmentioning
confidence: 99%
“…The ability of TLRs to activate antigen-presenting cells and thus stimulate the synthesis and excretion of a broad range of molecules, including cytokines, is vital to the initiation of adaptive immune response. 9 While cytokine levels in late pregnancy 10 or in newborns born by CD 11 have been studied, reports on the effects of other obstetric factors on the function of the immune system later are rare.…”
Section: Introductionmentioning
confidence: 99%