The role of DNA sensing and innate immune receptor TLR9 in otitis media

Innate Immun. 2012 Feb;18(1):3-13. doi: 10.1177/1753425910393539. Epub 2011 Jan 14.

Abstract

Otitis media (OM), a common infectious disease in children, is associated with bacterial middle ear (ME) infection. Toll-like receptors (TLRs) are important mediators of innate immune responses, and TLR9 specifically recognizes the unmethylated cytidine-phosphate-guanosine (CpG) motifs in bacterial DNA. Additional sensors of foreign DNA have recently been identified. The role of DNA sensing and TLR9 was investigated in a murine model of OM induced by non-typeable Haemophilus influenzae (NTHi). Expression of genes related to DNA-sensing pathways involved in innate immunity was assessed via DNA microarray, qPCR and immunohistochemistry. Middle ear responses to NTHi were examined in wild-type and TLR9(-/-) mice by histopathology and bacterial culture. Expression of TLR9 signaling genes was modestly up-regulated during OM, as was TLR9 protein in both ME mucosal cells and infiltrating leukocytes. However, genes known to be regulated by CpG DNA were dramatically up-regulated, as were genes involved in DNA sensing by DIA, Pol-III and AIM2. Toll-like receptor 9 deletion significantly prolonged the inflammatory response induced by NTHi in the ME and delayed bacterial clearance. The results suggest that DNA sensing via TLR9 plays a role in OM pathogenesis and recovery. Alternative forms of DNA sensing may also contribute to OM.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • CpG Islands / genetics
  • Cytokines / genetics
  • Cytokines / immunology
  • Cytokines / metabolism
  • DNA, Bacterial / metabolism*
  • Disease Models, Animal
  • Ear, Middle / pathology
  • Gene Expression Regulation
  • Haemophilus Infections / immunology*
  • Haemophilus influenzae*
  • Humans
  • Immunity, Innate
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microarray Analysis
  • Mucous Membrane / immunology
  • Mucous Membrane / pathology
  • Otitis Media / immunology*
  • Otitis Media / microbiology
  • Toll-Like Receptor 9 / genetics
  • Toll-Like Receptor 9 / immunology
  • Toll-Like Receptor 9 / metabolism*

Substances

  • Cytokines
  • DNA, Bacterial
  • Toll-Like Receptor 9