The filarial nematode Onchocerca volvulus is the causative organism of river blindness. Our previous studies demonstrated an essential role for endosymbiotic Wolbachia bacteria in corneal disease, which is characterized by neutrophil infiltration into the corneal stroma and the development of corneal haze. To determine the role of Toll-like receptors (TLRs) in neutrophil recruitment and activation, we injected a soluble extract of O. volvulus containing Wolbachia bacteria into the corneal stromata of C57BL/6, TLR2 ؊/؊ , TLR4 ؊/؊ , TLR2/4 ؊/؊ , and TLR9؊/؊ mice. We found an essential role for TLR2, but not TLR4 or TLR9, in neutrophil recruitment to the cornea and development of corneal haze. Furthermore, chimeric mouse bone marrow studies showed that resident bone marrow-derived cells in the cornea can initiate this response. TLR2 expression was also essential for CXC chemokine production by resident cells in the cornea, including corneal fibroblasts, and for neutrophil activation. Taken together, these findings indicate that Wolbachia activates TLR2 on resident bone marrowderived cells in the corneal stroma to produce CXC chemokines, leading to neutrophil recruitment to the corneal stroma, and that TLR2 mediates O. volvulus/Wolbachia-induced neutrophil activation and development of corneal haze.Onchocerca volvulus is endemic in at least 27 sub-Saharan African countries and in Yemen (3). A recent study concluded that the incidence of onchocerciasis has been underreported, and rapid epidemiological mapping indicated that an estimated 37 million individuals are infected with this parasite and another 90 million are at risk (3). Adult males and females are present in collagenous nodules in subcutaneous tissues and release millions of first-stage larvae (microfilariae) into the skin over their 10-to 15-year life span. Microfilariae migrate throughout the skin and can penetrate ocular tissues, including the cornea, resulting in chronic sclerosing keratitis. Studies of posttreatment reactions in infected individuals indicate that most clinical manifestations occur in response to degenerating microfilariae and the release of endosymbiotic Wolbachia bacteria, as indicated by elevated Wolbachia DNA and elevated proinflammatory cytokines in the blood (12,28,42). Wolbachia spp. belong to the family Rickettsiaceae and, in addition to infecting insects and other arthropods, are present in the hypodermis of all larval and adult filarial stages and in the uterus of adult female worms (33, 40). Since neutrophils are abundant in untreated nodules containing Wolbachia but not in nodules from antibiotic-treated individuals (7), it is likely that Wolbachia bacteria are important in recruiting neutrophils to the tissues. Neutrophils are also evident around microfilariae in the skin of chronically infected individuals (18,25).Wolbachia bacteria appear to be responsible for the early stages of corneal inflammation in a murine model of river blindness, as intrastromal injection of isolated Wolbachia or filarial extracts containing Wolba...