2015
DOI: 10.1159/000373972
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Enhancement of LPS-Induced Microglial Inflammation Response via TLR4 Under High Glucose Conditions

Abstract: Background: Microglia activation mediated by toll-like receptor 4 (TLR4) plays an important role in neuroinflammation and postoperative cognitive dysfunction (POCD). Diabetes mellitus (DM) has been recently suggested as an independent risk factor for POCD. In this study, we investigate the potential exacerbation of the inflammatory response in primary microglia due to high glucose conditions. Methods: Primary microglial cells were exposed to normal glucose (25 mmol/L) and high glucose (35 mmol/L) levels alone … Show more

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Cited by 65 publications
(57 citation statements)
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“…Under high glucose concentration, primary microglia showed increased sensitivity in vitro to LPS stimulus due to higher TLR4 expression and inflammatory cytokines secretion [34]. Moreover, in mononuclear cells from of type 1 diabetes patients, insulin infusion suppresses while glucose infusion induces TLR4 expression [39], which make stronger the concept that both insulin and glucose might modulate the macrophage functions.…”
Section: Discussionmentioning
confidence: 99%
“…Under high glucose concentration, primary microglia showed increased sensitivity in vitro to LPS stimulus due to higher TLR4 expression and inflammatory cytokines secretion [34]. Moreover, in mononuclear cells from of type 1 diabetes patients, insulin infusion suppresses while glucose infusion induces TLR4 expression [39], which make stronger the concept that both insulin and glucose might modulate the macrophage functions.…”
Section: Discussionmentioning
confidence: 99%
“…LPS, as newly recognized inflammatory substance, has a strong proliferative effect on VSMCs. Substantial evidence indicates that TLR4 initiates signalling downstream of LPS stimulation [18] and may participate in the progression of various vascular proliferative diseases, including atherosclerosis and neointima formation [19-21]. Moreover, blocking the progress of atherosclerosis by inhibiting TLR4-mediated signalling has been verified in different animal models [22-25].…”
Section: Discussionmentioning
confidence: 99%
“…It is known that the TLR4-Myd88-IL-6 pathway plays very different roles in LPS-induced systemic inflammatory response syndrome (SIRS) and radiation exposure [26-31]. In addition, LPS from Gram-negative bacteria is one of the most potent innate immune-activating stimuli.…”
Section: Discussionmentioning
confidence: 99%