
Postoperative ileus (POI) is triggered by an innate immune response in the muscularis externa (ME) and is accompanied by bacterial translocation. Bacteria can trigger an innate immune response via toll-like receptor (TLR) activation, but the latter’s contribution to POI has been disproved for several TLRs, including TLR2 and TLR4. Herein we investigated the role of double-stranded RNA detection via TLR3 and TIR-domain-containing adapter-inducing interferon-β (TRIF) signaling pathway in POI. POI was induced by small bowel intestinal manipulation in wt, TRIF-/-, TLR3-/-, type I interferon receptor-/- and interferon-β reporter mice, all on C57BL/6 background, and POI severity was quantified by gene expression analysis, gastrointestinal transit and leukocyte extravasation into the ME. TRIF/TLR3 deficiency reduced postoperative ME inflammation and prevented POI. With bone marrow transplantation, RNA-sequencing, flow cytometry and immunohistochemistry we revealed a distinct TLR3-expressing radio-resistant MHCIIhiCX3CR1- IBA-1+ resident macrophage population within the deep myenteric plexus. TLR3 deficiency in these cells, but not in MHCIIhiCX3CR1+ macrophages, reduced cytokine expression in POI. While this might not be an exclusive macrophage-privileged pathway, the TLR3/TRIF axis contributes to proinflammatory cytokine production in MHCIIhiCX3CR1- IBA-1+ macrophages during POI. Deficiency in TLR3/TRIF protects mice from POI. These data suggest that TLR3 antagonism may prevent POI in humans.
immunology [Signal Transduction], Gene Expression, Receptor, Interferon alpha-beta, genetics [Toll-Like Receptor 3], Radiation Tolerance, postoperative ileus, immunology [Ileus], Mice, Postoperative Complications, TLR3, TRIF, Mice, Knockout, pathology [Ileus], etiology [Postoperative Complications], deficiency [Adaptor Proteins, Vesicular Transport], immunology [Macrophages], classification [Macrophages], macrophages, radiation effects [Macrophages], immunology [Postoperative Complications], Female, genetics [Adaptor Proteins, Vesicular Transport], Signal Transduction, immunology [Adaptor Proteins, Vesicular Transport], immunology [Transplantation Chimera], immunology [Toll-Like Receptor 3], Immunology, CX3C Chemokine Receptor 1, deficiency [Receptor, Interferon alpha-beta], Myenteric Plexus, genetics [CX3C Chemokine Receptor 1], Mice, Transgenic, immunology [Receptor, Interferon alpha-beta], etiology [Ileus], immunology [CX3C Chemokine Receptor 1], Ileus, genetics [Receptor, Interferon alpha-beta], Animals, Transplantation Chimera, Macrophages, deficiency [Toll-Like Receptor 3], RC581-607, immunology [Myenteric Plexus], Immunity, Innate, Toll-Like Receptor 3, Mice, Inbred C57BL, Adaptor Proteins, Vesicular Transport, Disease Models, Animal, innate immune response, pathology [Postoperative Complications], Immunologic diseases. Allergy, immunology [Radiation Tolerance], ddc: ddc:610
immunology [Signal Transduction], Gene Expression, Receptor, Interferon alpha-beta, genetics [Toll-Like Receptor 3], Radiation Tolerance, postoperative ileus, immunology [Ileus], Mice, Postoperative Complications, TLR3, TRIF, Mice, Knockout, pathology [Ileus], etiology [Postoperative Complications], deficiency [Adaptor Proteins, Vesicular Transport], immunology [Macrophages], classification [Macrophages], macrophages, radiation effects [Macrophages], immunology [Postoperative Complications], Female, genetics [Adaptor Proteins, Vesicular Transport], Signal Transduction, immunology [Adaptor Proteins, Vesicular Transport], immunology [Transplantation Chimera], immunology [Toll-Like Receptor 3], Immunology, CX3C Chemokine Receptor 1, deficiency [Receptor, Interferon alpha-beta], Myenteric Plexus, genetics [CX3C Chemokine Receptor 1], Mice, Transgenic, immunology [Receptor, Interferon alpha-beta], etiology [Ileus], immunology [CX3C Chemokine Receptor 1], Ileus, genetics [Receptor, Interferon alpha-beta], Animals, Transplantation Chimera, Macrophages, deficiency [Toll-Like Receptor 3], RC581-607, immunology [Myenteric Plexus], Immunity, Innate, Toll-Like Receptor 3, Mice, Inbred C57BL, Adaptor Proteins, Vesicular Transport, Disease Models, Animal, innate immune response, pathology [Postoperative Complications], Immunologic diseases. Allergy, immunology [Radiation Tolerance], ddc: ddc:610
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