Oral Presentation ESA-SRB Conference 2015

Toll-like receptor 4 is an essential upstream regulator of on-time parturition and perinatal viability in mice (#138)

Hanan Hamimi Binti Wahid 1 , Camilla Dorian 1 , Peck Yin Chin 1 , Lachlan Moldenhauer 1 , Mark Hutchinson 1 , David Olson 2 , Sarah Robertson 1
  1. Research Centre for Reproductive Health, School of Paediatrics and Reproductive Health, Robinson Institute, The University of Adelaide, Adelaide, South Australia, Australia
  2. School of Paediatrics and Physiology, University of Alberta, Edmonton , AB, Canada

The timing and progression of normal term labour is linked with an inflammation-like response in the gestational tissues. However, the upstream signals events which initiate term labour are poorly understood. Toll-like receptor 4 (TLR4) is a receptor for endogenous damage-associated molecular patterns (DAMPs) released from the fetus and/or gestational tissues in late gestation. In this study we investigated the physiological role for TLR4 in normal term delivery, and underlying mechanisms involved. To investigate this, either Tlr4-/- females or wildtype controls were mated to males of the same genotype. In Tlr4-/- mice parturition was delayed by ~13 hours and postnatal mortality was increased, compared to wild-type controls. Inflammatory cytokines and uterine activation genes were quantified using RT- PCR in the gestational tissues in late gestation. In Tlr4-/- females delayed labour was accompanied by a lower expression of Il1b, Il6, Il12b and Tnf mRNA in the placenta, fetal membrane and fetal head. A transient delay in uterine activation genes including Ptgfr, Oxtr and Gja1 mRNA was observed in the uterine and decidual tissues of Tlr4-/- females, when compared to wild-type mice. The leukocyte populations in gestational tissues were also quantified using flow cytometry. In late gestation Tlr4-/- females had a decrease in placental and fetal membrane macrophages as well as the placental neutrophils. Tlr4-/- females also showed a decline in myometrial neutrophils and dendritic cells while displaying an increase of Treg cells in the myometrium. Administration of a TLR4 antagonist to wild-type mice in late gestation could also delay parturition. Collectively these results suggest that activation of TLR4 in late gestation leads to coordination of pro-inflammatory cytokine upregulation, leukocyte recruitment into the fetal and maternal tissues and induction of uterine activation genes, leading to on-time parturition.