Toll-like receptor 3 agonist protection against experimental Francisella tularensis respiratory tract infection

Infect Immun. 2010 Apr;78(4):1700-10. doi: 10.1128/IAI.00736-09. Epub 2010 Feb 1.

Abstract

We investigated whether Toll-like receptor 3 (TLR3) stimulation would protect the host from inhaled Francisella tularensis. TLR3 is expressed by respiratory epithelial cells and macrophages and can be activated by a synthetic double-stranded RNA ligand called polyinosine-polycytosine [poly(I:C)]. Thus, we evaluated poly(I:C) as a novel treatment against inhaled F. tularensis. In vivo, BALB/c mice intranasally (i.n.) treated with poly(I:C) (100 microg/mouse) 1 h before or after Schu 4 or LVS (100 CFU) i.n. challenge showed that poly(I:C) treatment significantly reduced bacterial load in the lungs (P < 0.05). Bronchoalveolar lavage from poly(I:C)-treated mice alone or combined with F. tularensis infection significantly increased cytokine secretion and enhanced neutrophil influx to lung tissues. Poly(I:C) responses were transient but significantly prolonged the survival of treated mice after i.n. F. tularensis challenge relative to mock treated animals. This prolonged survival providing a longer window for initiation of levofloxacin (LEVO) treatment (40 mg/kg). Animals treated with poly(I:C), challenged with F. tularensis, and then treated with LEVO 5 days later had 100% survival relative to 0% survival in animals receiving LEVO alone. Mechanistically, poly(I:C) given to human monocyte-derived macrophages before or after Schu 4 or LVS challenge (multiplicity of infection, 20:1) had significantly reduced intracellular bacterial replication (P < 0.05). These data suggest that poly(I:C) may represent a potential therapeutic agent against inhaled F. tularensis that prolongs survival and the opportunity to initiate standard antibiotic therapy (i.e., LEVO).

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Bronchoalveolar Lavage Fluid / chemistry
  • Bronchoalveolar Lavage Fluid / cytology
  • Bronchoalveolar Lavage Fluid / microbiology
  • Cells, Cultured
  • Colony Count, Microbial
  • Cytokines / analysis
  • Female
  • Francisella tularensis / immunology*
  • Humans
  • Immunologic Factors / pharmacology*
  • Levofloxacin
  • Lung / microbiology
  • Mice
  • Mice, Inbred BALB C
  • Monocytes / immunology
  • Monocytes / microbiology
  • Neutrophils / immunology
  • Ofloxacin / therapeutic use
  • Poly I-C / pharmacology*
  • Respiratory Tract Infections / immunology*
  • Survival Analysis
  • Toll-Like Receptor 3 / agonists*
  • Toll-Like Receptor 3 / immunology*
  • Tularemia / immunology
  • Tularemia / prevention & control*

Substances

  • Anti-Bacterial Agents
  • Cytokines
  • Immunologic Factors
  • Toll-Like Receptor 3
  • Levofloxacin
  • Ofloxacin
  • Poly I-C