The lymphatic vessel is a major conduit for immune cell transport; however, little is known about how lymphatic vessels regulate immune cell trafficking and how lymphatic vessels themselves respond to inflammation. Toll-like receptor 4 (TLR4) plays a central role in lipopolysaccharide (LPS)-induced inflammation, but the role of TLR4 in lymphatic endothelial cells (LECs) is poorly understood. Here, we found that LECs express high amounts of TLR4 in the intracellular region, and that the TLR4 of LECs is the main mediator of nuclear factor-B (NF-B) activation by LPS. LPS-TLR4 signaling in LECs resulted in the production of various chemokines for chemotaxis of macrophage. In addition, TLR4 in LECs actively contributed to the recruitment of macrophages to the draining lymphatic vessel. Furthermore, the macrophages that infiltrated into the lymphatic vessel induced lymphangiogenesis by secreting lymphangiogenic growth factors. These phenomena were largely attenuated not only in the mice defective in TLR4 signaling but also in the chimeric mice defective in TLR4 signaling that were recipients for bone marrow transplantation from normal TLR4-signaling mice.
IntroductionToll-like receptor 4 (TLR4) is a pattern recognition receptor (PRR) that initiates the innate immune response against Gram-negative bacteria infection by recognizing lipopolysaccharide (LPS), the prominent component of the bacteria cell wall. 1 The role of TLR4 and its signaling pathway has been extensively studied in macrophages, as these cells abundantly express TLR4 and are crucial players in LPS-induced immune responses. 2,3 In response to infection by Gram-negative bacteria, resident macrophages recognize LPS via surface TLR4, 1 process the pathogen, migrate to the regional draining lymph node (DLN), and present the antigen to T lymphocytes, resulting in induction of the adaptive immune response. [4][5][6] During this process, TLR4 activates nuclear factor-B (NF-B), a canonical transcription factor that mediates various inflammatory responses, which results in the activation of a variety of proinflammatory genes in macrophages. 4,[7][8][9] TLR4 is also expressed in nonimmune cells, including those that constitute the vascular system. 10,11 The lymphatic vessel has a specialized structure distinct from blood vessels in several aspects. Lymphatic endothelial cells (LECs), a major cell type in lymphatic vessels, express specific markers, respond to different growth factors, and constitute blind-ended loose initial lymphatic capillary. [12][13][14][15] Moreover, the function of the lymphatic vessel is unique in that it absorbs macromolecules, transports interstitial fluid, and orchestrates proper trafficking and recirculation of immune cells to the regional lymph node, where the adaptive immune response occurs. 16,17 However, despite the demonstrated function of the lymphatic vessel as a major player in several immune responses, the details on the expression level, signaling pathway, and precise role of TLR4 in LECs remain unknown.De novo lymphangiogene...