Issue
Expression of toll-like receptor 4 and its connection with type 2 diabetes mellitus
Corresponding Author(s) : Azza M Abdu Allah
Cellular and Molecular Biology,
Vol. 64 No. 13: Issue 13
Abstract
Toll-like receptor 4 (TLR4) plays an important role in modulating innate immunity. Type 2 diabetes mellitus (T2DM) is a chronic disease that is characterized by impaired insulin resistance and abnormal immune response. Genetic background and consequently genetic factors might have a key role in both onset and progression of T2DM-related complications. The aim of this work was to study the role of toll-like receptor 4 (TLR4) in the development of type 2 diabetes mellitus (T2DM). This study was carried out on 90 subjects, 30 type 2 diabetic patients, 30 patients with impaired glucose tolerance and 30 age and gender matched healthy controls. mRNA expression of (TLR4) was assessed by reverse transcriptase PCR (RT-PCR) using real time PCR.. Results showed significant statistical difference between the three studied groups regarding BMI, serum FBG, HDL, TGs, TC, LDL, HOMA -IR and mRNA expression of TLR4 with highest level of TLR4 mRNA expression in T2DM patients. From this study, it might be concluded that high expression of (TLR4) is associated with T2DM.
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- References
- Kitada M, Kume S, Takeda-Watanabe A, Kanasaki K, Koya D: Sirtuins and renal diseases: relationship with aging and diabetic nephropathy. Clin Sci (Lond) 2013; 124: 153–164.
- Landon M.B, Spong C.Y, Thom E, Carpenter M.W, Ramin S.M, Casey B, Wapner R.J: Eunice kennedy shriver national institute of child health and human development maternal-fetal medicine units network. A multicenter, randomized trial of treatment for mild gestational diabetes. N. Engl. J. Med; (2009); 6: 94–108.
- Ewa Å»urawska-PÅ‚aksej, Ewa Maria Kratz, MirosÅ‚awa Ferens-Sieczkowska, Maria Knapik-Kordecka,Agnieszka Piwowar: Changes in glycosylation of human blood plasma chitotriosidase in patients with type 2 diabetes. Glycoconj J; (2016); 33:29–39.
- Weissgerber TL, Mudd LM. Preeclampsia and diabetes. Curr Diab Rep. 2015;15:9.
- Vaure C, Liu Y. A comparative review of toll-like receptor 4 expression and functionality in different animal species. Frontiers in Immunology. (2014);5: 316.
- C. R. Balistreri, C. Caruso, and G. Candore. The role of adipose tissue and adipokines in obesity-related inflammatory diseases, Mediators of Inflammation, vol. (2010), Article ID 802078, 19 pages,.
- H. M. Garay-Malpartida, R. F. Mourí£o, M. Mantovani, I. A. Santos, M. C. Sogayar, and A. C. Goldberg. Toll-like receptor 4 (TLR4) expression in human and murine pancreatic beta-cells affects cell viability and insulin homeostasis, BMC Immunology. (2011); vol. 12, article 18.
- Standards of medical care in diabetes-2014. Diabetes Care 2014; 37 [1], S14-S79.
- Enyioma O., Michael PT., Abd-Ishakur A., Mustapha S and Mona A (2002): Leptin, lipid and lipid metabolism related hormones in chronic renal failure in Arabia. Nephrology, 7:115-119.
- Matthews D,Hosker J, Rudenski A, Naylor B,Treacher D and Turner R: Homeostasis model assessment: insulin resistance and beta cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985; 28:412-419.
- Gonen B and Rubenstien AH. Determination of glycohemoglobin. Diabetologia 1978; 15: 1 5.
- Trinder P. Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptor. J Ann Clin Biochem 1969; 6: 24-25.
- Rifai N and Warnick R. Lipids, lipoproteins, apolipoproteins and other cardiovascular risk factors. In: Tietz Textbook of Clinical Chemistry and Molecular Diagnosis. Carl, A. B,
- Edward, R. A and David, E. B [edrs.]. Saunders. [4th edition] 2006; Ch 26. PP. 918-922.
- Gordon T, Zidek W and Amer M. Determination of highdensity lipoprotein cholesterol. J. Med 1977; 42: 707:710.
- Fossati P and Prenciphe L. Determination of serum triglyceride. Clin Chem 1982; 28: 207-210.
- Friedewald W, Levy R and Fredrickson D. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972; 18:499- 502
- Judzewitch R, Pfeifer M, Best J, Halter J and Port D: Chronic chlorpropamide therapy of noninsulin-dependent diabetes augments basal and stimulated insulin secretion by increasing islet sensitivity to glucose. J Clin Endocrinol Metab. 1982 Aug; 55(2):321-8.
- Dorak M. Real-time PCR. Clinical Chemistry. 2004;50:1680.
- Eckel RH, Kahn SE, Ferrannini E, Goldfine AB, Nathan DM, Schwartz MW:Obesity and type 2 diabetes: what can be unified and what needs to be individualized? J Clin Endocrinol Metab; (2011); 96:1654-63.
- Maedler K, Sergeev P, Ris F, Oberholzer J, Joller-Jemelka HI, Spinas GA: Glucose induced β cell production of IL-1β contributes to glucotoxicity in human pancreatic islets. (2002);J Clin Invest 110:851±860
- Fonseca V; Desouza C; Asnani S and Jialal I: Non traditional risk factors for cardiovascular disease in diabetes;(2007); Endocrine Reviews. 25: 153-175.
- Singh R, Barden A and Mori T: Advanced glycation end products. Diabetologia; (2009);44: 129 -146.
- Carmela Rita Balistreri, Anna Rita Bonfigli, Massimo Boemi, Fabiola Olivieri, Antonio Ceriello, Stefano Genovese, Claudio Franceschi, Liana Spazzafumo, Paolo Fabietti, Giuseppina Candore, Calogero Caruso, Domenico Lio, and Roberto Testa: Evidences of +896 A/G TLR4 Polymorphism as an Indicative of Prevalence of Complications in T2DM Patients;(2014); Mediators of Inflammation Volume 2014, Article ID 973139, 8 pages http://dx.doi.org/10.1155/2014/973139
- Cho YM, Youn BS, Lee H, Lee N,Min SS, Kwak SH, Lee H and Park K: Plasma retinol binding protein 4 concentrations are elevated in human subjects with impaired glucose tolerance and type 2 diabetes. Diabetes Care; (2006); 29:2457–2461.
- Graham TE,Yang Q, Bluher M, Hammarstedt A, Ciaraldi TP, Henry RR, Wason CJ, Oberbach A, Jansson PA, U and Kahn BB: Retinol binding protein 4 and insulin resistance in lean, obese, and diabetic subjects. N Engl J Med; (2006); 354:2552-2563.
- Rizzo M and Berneis K: Small, dense low density lipoproteins and the metabolic syndrome. Diabetes metab Res Rev; (2007); 23: 14-20.
- Daniel A, Toth P, Marz W and Fried, S: High density lipoproteins and cardiovascular risk. Circulation; (2006);109: 1809-1818.
- Henze A,Simone K, Frey M, Raila J, Scholze A, Spranger J, Martin O, Weickert M, Zidek W, Florian J and Schweigert: Alterations of retinol binding protein 4 species in patients with different stages of chronic kidney disease and their relation to lipid parameters. Biochemical and Biophysical Research Communications; (2010); 393:79–83.
- Ballard A: Pathophysiology of diabetes. Diabetes Care; (2006);23:381-389.
- Kahn BB and Flier JS: Obesity and insulin resistance. J Clin Invest. (2000);106: 473-481.
- Saltiel AR and Kahn CR: Insulin signaling and regulation of glucose and lipid metabolism. Nature. (2001); 414: 799-806.
- Umesh M and Michael G: Pancreatic hormones and diabetes mellitus. In: greenspan's Basic and clinical Endocrinology. David G and Dolores SH (edrs.). Mc Graw-hill. 8th edition. Ch.; (2007);18. P.662-747.
- Dasu MR, Devaraj S, Park S, Jialal I. Increased toll-like receptor (TLR) activation and TLR ligands in recently diagnosed type 2 diabetic subjects. Diabetes Care 2010; 33:861-868.
- Curtiss LK, Tobias PS. Emerging role of Toll-like receptors in atherosclerosis. J Lipid Res 2009; 50:S340-S345.
- Bagarolli RA, Saad MJ, Saad ST. Toll-like receptor 4 and inducible nitric oxide synthase gene polymorphisms are associated with type 2 diabetes. J Diabetes Complications 2010; 24:192-198.
- Ghanim H, et al. Acute modulation of toll-like receptors by insulin. Diabetes care. 2008;31:1827–1831.
- Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS. TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest 2006; 116:3015-3025
- Wong FS, Hu C, Zhang L, Du W, Alexopoulou L, Flavell RA. The role of Toll-like receptors 3 and 9 in the development of autoimmune diabetes in NOD mice. Ann N Y Acad Sci 2008; 1150:146-148.
- Devaraj S, Dasu MR, Rockwood J, Winter W, Griffen SC, Jialal I. Increased toll-like receptor (TLR) 2 and TLR4 expression in monocytes from patients with type 1 diabetes: further evidence of a proinflammatory state. J Clin Endocrinol Metab 2008; 93:578-583.
- Jialal I, Kaur H & Devaraj S 2014: Toll-like receptor status in obesity and metabolic syndrome: a translational perspective. Journal of Clinical Endocrinology and Metabolism 99 39–48.
- Velloso LA, Folli F & Saad MJ.2015: TLR4 at the crossroads of nutrients, gut microbiota, and metabolic inflammation. Endocrine Review 36 245–271.
References
References
Kitada M, Kume S, Takeda-Watanabe A, Kanasaki K, Koya D: Sirtuins and renal diseases: relationship with aging and diabetic nephropathy. Clin Sci (Lond) 2013; 124: 153–164.
Landon M.B, Spong C.Y, Thom E, Carpenter M.W, Ramin S.M, Casey B, Wapner R.J: Eunice kennedy shriver national institute of child health and human development maternal-fetal medicine units network. A multicenter, randomized trial of treatment for mild gestational diabetes. N. Engl. J. Med; (2009); 6: 94–108.
Ewa Å»urawska-PÅ‚aksej, Ewa Maria Kratz, MirosÅ‚awa Ferens-Sieczkowska, Maria Knapik-Kordecka,Agnieszka Piwowar: Changes in glycosylation of human blood plasma chitotriosidase in patients with type 2 diabetes. Glycoconj J; (2016); 33:29–39.
Weissgerber TL, Mudd LM. Preeclampsia and diabetes. Curr Diab Rep. 2015;15:9.
Vaure C, Liu Y. A comparative review of toll-like receptor 4 expression and functionality in different animal species. Frontiers in Immunology. (2014);5: 316.
C. R. Balistreri, C. Caruso, and G. Candore. The role of adipose tissue and adipokines in obesity-related inflammatory diseases, Mediators of Inflammation, vol. (2010), Article ID 802078, 19 pages,.
H. M. Garay-Malpartida, R. F. Mourí£o, M. Mantovani, I. A. Santos, M. C. Sogayar, and A. C. Goldberg. Toll-like receptor 4 (TLR4) expression in human and murine pancreatic beta-cells affects cell viability and insulin homeostasis, BMC Immunology. (2011); vol. 12, article 18.
Standards of medical care in diabetes-2014. Diabetes Care 2014; 37 [1], S14-S79.
Enyioma O., Michael PT., Abd-Ishakur A., Mustapha S and Mona A (2002): Leptin, lipid and lipid metabolism related hormones in chronic renal failure in Arabia. Nephrology, 7:115-119.
Matthews D,Hosker J, Rudenski A, Naylor B,Treacher D and Turner R: Homeostasis model assessment: insulin resistance and beta cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985; 28:412-419.
Gonen B and Rubenstien AH. Determination of glycohemoglobin. Diabetologia 1978; 15: 1 5.
Trinder P. Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptor. J Ann Clin Biochem 1969; 6: 24-25.
Rifai N and Warnick R. Lipids, lipoproteins, apolipoproteins and other cardiovascular risk factors. In: Tietz Textbook of Clinical Chemistry and Molecular Diagnosis. Carl, A. B,
Edward, R. A and David, E. B [edrs.]. Saunders. [4th edition] 2006; Ch 26. PP. 918-922.
Gordon T, Zidek W and Amer M. Determination of highdensity lipoprotein cholesterol. J. Med 1977; 42: 707:710.
Fossati P and Prenciphe L. Determination of serum triglyceride. Clin Chem 1982; 28: 207-210.
Friedewald W, Levy R and Fredrickson D. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972; 18:499- 502
Judzewitch R, Pfeifer M, Best J, Halter J and Port D: Chronic chlorpropamide therapy of noninsulin-dependent diabetes augments basal and stimulated insulin secretion by increasing islet sensitivity to glucose. J Clin Endocrinol Metab. 1982 Aug; 55(2):321-8.
Dorak M. Real-time PCR. Clinical Chemistry. 2004;50:1680.
Eckel RH, Kahn SE, Ferrannini E, Goldfine AB, Nathan DM, Schwartz MW:Obesity and type 2 diabetes: what can be unified and what needs to be individualized? J Clin Endocrinol Metab; (2011); 96:1654-63.
Maedler K, Sergeev P, Ris F, Oberholzer J, Joller-Jemelka HI, Spinas GA: Glucose induced β cell production of IL-1β contributes to glucotoxicity in human pancreatic islets. (2002);J Clin Invest 110:851±860
Fonseca V; Desouza C; Asnani S and Jialal I: Non traditional risk factors for cardiovascular disease in diabetes;(2007); Endocrine Reviews. 25: 153-175.
Singh R, Barden A and Mori T: Advanced glycation end products. Diabetologia; (2009);44: 129 -146.
Carmela Rita Balistreri, Anna Rita Bonfigli, Massimo Boemi, Fabiola Olivieri, Antonio Ceriello, Stefano Genovese, Claudio Franceschi, Liana Spazzafumo, Paolo Fabietti, Giuseppina Candore, Calogero Caruso, Domenico Lio, and Roberto Testa: Evidences of +896 A/G TLR4 Polymorphism as an Indicative of Prevalence of Complications in T2DM Patients;(2014); Mediators of Inflammation Volume 2014, Article ID 973139, 8 pages http://dx.doi.org/10.1155/2014/973139
Cho YM, Youn BS, Lee H, Lee N,Min SS, Kwak SH, Lee H and Park K: Plasma retinol binding protein 4 concentrations are elevated in human subjects with impaired glucose tolerance and type 2 diabetes. Diabetes Care; (2006); 29:2457–2461.
Graham TE,Yang Q, Bluher M, Hammarstedt A, Ciaraldi TP, Henry RR, Wason CJ, Oberbach A, Jansson PA, U and Kahn BB: Retinol binding protein 4 and insulin resistance in lean, obese, and diabetic subjects. N Engl J Med; (2006); 354:2552-2563.
Rizzo M and Berneis K: Small, dense low density lipoproteins and the metabolic syndrome. Diabetes metab Res Rev; (2007); 23: 14-20.
Daniel A, Toth P, Marz W and Fried, S: High density lipoproteins and cardiovascular risk. Circulation; (2006);109: 1809-1818.
Henze A,Simone K, Frey M, Raila J, Scholze A, Spranger J, Martin O, Weickert M, Zidek W, Florian J and Schweigert: Alterations of retinol binding protein 4 species in patients with different stages of chronic kidney disease and their relation to lipid parameters. Biochemical and Biophysical Research Communications; (2010); 393:79–83.
Ballard A: Pathophysiology of diabetes. Diabetes Care; (2006);23:381-389.
Kahn BB and Flier JS: Obesity and insulin resistance. J Clin Invest. (2000);106: 473-481.
Saltiel AR and Kahn CR: Insulin signaling and regulation of glucose and lipid metabolism. Nature. (2001); 414: 799-806.
Umesh M and Michael G: Pancreatic hormones and diabetes mellitus. In: greenspan's Basic and clinical Endocrinology. David G and Dolores SH (edrs.). Mc Graw-hill. 8th edition. Ch.; (2007);18. P.662-747.
Dasu MR, Devaraj S, Park S, Jialal I. Increased toll-like receptor (TLR) activation and TLR ligands in recently diagnosed type 2 diabetic subjects. Diabetes Care 2010; 33:861-868.
Curtiss LK, Tobias PS. Emerging role of Toll-like receptors in atherosclerosis. J Lipid Res 2009; 50:S340-S345.
Bagarolli RA, Saad MJ, Saad ST. Toll-like receptor 4 and inducible nitric oxide synthase gene polymorphisms are associated with type 2 diabetes. J Diabetes Complications 2010; 24:192-198.
Ghanim H, et al. Acute modulation of toll-like receptors by insulin. Diabetes care. 2008;31:1827–1831.
Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS. TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest 2006; 116:3015-3025
Wong FS, Hu C, Zhang L, Du W, Alexopoulou L, Flavell RA. The role of Toll-like receptors 3 and 9 in the development of autoimmune diabetes in NOD mice. Ann N Y Acad Sci 2008; 1150:146-148.
Devaraj S, Dasu MR, Rockwood J, Winter W, Griffen SC, Jialal I. Increased toll-like receptor (TLR) 2 and TLR4 expression in monocytes from patients with type 1 diabetes: further evidence of a proinflammatory state. J Clin Endocrinol Metab 2008; 93:578-583.
Jialal I, Kaur H & Devaraj S 2014: Toll-like receptor status in obesity and metabolic syndrome: a translational perspective. Journal of Clinical Endocrinology and Metabolism 99 39–48.
Velloso LA, Folli F & Saad MJ.2015: TLR4 at the crossroads of nutrients, gut microbiota, and metabolic inflammation. Endocrine Review 36 245–271.