Morphine modulation of Toll-like receptors in microglial cells potentiates neuropathogenesis in a HIV-1 model of coinfection with pneumococcal pneumoniae

Raini Dutta, Anitha Krishnan, Jingjing Meng, Subash Das, Jing Ma, Santanu Banerjee, Jinghua Wang, Richard Charboneau, Om Prakash, Roderick A. Barke, Sabita Roy

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Chronic drug users account for a third of all cases of AIDS in the United States and the progression to AIDS dementia is accelerated in opiate drug abusers. Clinically, microglial activation better correlates with HIV-associated neurocognitive disorders (HAND) than productive HIV-1 infection in the CNS. Moreover, pneumococcal pneumonia is the most common opportunistic infection in individuals with HAND. We show that coinfection with Streptococcus pneumoniae may be a contributing factor in the increased prevalence of HAND in the opioid-dependent population. To date, there have been no studies published implicating the Toll-like receptors (TLR) in the neurocognitive disorders associated with Neuro AIDS in the context of opportunistic infection. Our studies show for the first time, in a morphine dependent model, synergistic increase and activation of TLR expression in the presence of HIV-1 protein TAT and S. pneumoniae with a significant increase in proinflammatory cytokines (IL-6, TNF-α) levels. Furthermore, concurrent increases in reactive oxygen species and nitric oxide production leading to increased caspase 3 activation are also observed in both murine and human microglial cells. These effects are recapitulated with TLR 2, 4, and 9 cognate ligands (Pam3CSK4, LPS, and CpG) and significantly attenuated in TLR 2 and 4 knock-out mice and TLR2/4 double knock-out mice. Therefor, our findings clearly suggest for the first time that activation of TLRs on microglia cells by morphine and TAT in the context of S. pneumoniae infection may be a potential mechanism for the increased prevalence of HAND in HIV-infected opioid-dependent patients.

Original languageEnglish (US)
Pages (from-to)9917-9930
Number of pages14
JournalJournal of Neuroscience
Volume32
Issue number29
DOIs
StatePublished - Jul 18 2012
Externally publishedYes

ASJC Scopus subject areas

  • Neuroscience(all)

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