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Selective disruption of TLR2-MyD88 interaction inhibits inflammation and attenuates Alzheimer’s pathology
Suresh B. Rangasamy, … , David A. Bennett, Kalipada Pahan
Suresh B. Rangasamy, … , David A. Bennett, Kalipada Pahan
Published July 10, 2018
Citation Information: J Clin Invest. 2018;128(10):4297-4312. https://doi.org/10.1172/JCI96209.
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Research Article Inflammation Neuroscience Article has an altmetric score of 14

Selective disruption of TLR2-MyD88 interaction inhibits inflammation and attenuates Alzheimer’s pathology

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Abstract

Induction of TLR2 activation depends on its association with the adapter protein MyD88. We have found that TLR2 and MyD88 levels are elevated in the hippocampus and cortex of patients with Alzheimer’s disease (AD) and in a 5XFAD mouse model of AD. Since there is no specific inhibitor of TLR2, to target induced TLR2 from a therapeutic angle, we engineered a peptide corresponding to the TLR2-interacting domain of MyD88 (TIDM) that binds to the BB loop of only TLR2, and not other TLRs. Interestingly, WT TIDM peptide inhibited microglial activation induced by fibrillar Aβ1-42 and lipoteichoic acid, but not 1-methyl-4-phenylpyridinium, dsRNA, bacterial lipopolysaccharide, flagellin, or CpG DNA. After intranasal administration, WT TIDM peptide reached the hippocampus, reduced hippocampal glial activation, lowered Aβ burden, attenuated neuronal apoptosis, and improved memory and learning in 5XFAD mice. However, WT TIDM peptide was not effective in 5XFAD mice lacking TLR2. In addition to its effects in 5XFAD mice, WT TIDM peptide also suppressed the disease process in mice with experimental allergic encephalomyelitis and collagen-induced arthritis. Therefore, selective targeting of the activated status of 1 component of the innate immune system by WT TIDM peptide may be beneficial in AD as well as other disorders in which TLR2/MyD88 signaling plays a role in disease pathogenesis.

Authors

Suresh B. Rangasamy, Malabendu Jana, Avik Roy, Grant T. Corbett, Madhuchhanda Kundu, Sujyoti Chandra, Susanta Mondal, Sridevi Dasarathi, Elliott J. Mufson, Rama K. Mishra, Chi-Hao Luan, David A. Bennett, Kalipada Pahan

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Figure 1

Monitoring TLR2, TLR4, and MyD88 levels in the CNS of individuals clinically diagnosed with NCI, MCI, or AD.

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Monitoring TLR2, TLR4, and MyD88 levels in the CNS of individuals clinic...
(A) PFC homogenates (25 μg) from NCI (light blue), MCI (dark blue), and AD (gray) individuals were immunoblotted for TLR2, TLR4, and MyD88. Actin was used to normalize the signals obtained by densitometric measurement (ImageJ). Coomassie was used to verify protein loading. Twelve NCI, eleven MCI, and ten AD samples were run in three independent experiments. (B) MyD88 levels were significantly elevated in AD subjects relative to levels in both NCI and MCI (***P < 0.001; Kruskal-Wallis test) subjects. (C) TLR2 levels were significantly higher in AD compared with MCI subjects. *P < 0.05; Kruskal-Wallis test. (D) TLR4 levels did not differ significantly across the 3 groups. (E) MyD88 (0.371, P = 0.033) and (F) TLR2 (0.463, P = 0.007) were positively correlated with the Braak score by Kruskal-Wallis test. (G) No such correlation was found between TLR4 (–0.012, P = 0.947) and the Braak score. (H) MyD88 was negatively correlated with MMSE scores (–0.538, P = 0.001) and the (I) GCS index (–0.475, P = –0.005). However, the negative correlation was not significant for TLR2 with (J) the MMSE (–0.278, P = 0.117) or (K) the GCS (–0.177, P = 0.326). TLR4 was also not negatively correlated with (L) the MMSE (–0.173, P = 0.336) or (M) the GCS (0.047, P = 0.794). Statistical significance was determined by Spearman’s rank-order test in G–M. Hippocampal sections of NCI and AD brains were double labeled with Iba-1 (microglia) and TLR2, TLR4, or MyD88. Cells positive for TLR2 (N, cortex; O, CA1), MyD88 (P, cortex; Q, CA1), and TLR4 (R, cortex; S, CA1) were counted in 2 sections (2 images/slide) of each of 4 different cases. †P < 0.001 versus NCI; 2-sample t test. Data represent the mean ± SEM.

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