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Günther Weindl, Julian R. Naglik, Susanne Kaesler, Tilo Biedermann, Bernhard Hube, Hans Christian Korting, Martin Schaller
Published in Volume 117, Issue 12
J Clin Invest. 2007; 117(12):3664–3672 doi:10.1172/JCI28115
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Figure 7
Neutralization of TNF-α release reduces TLR4 expression and restores fungal invasion.

(A) TLR4 mRNA expression was strongly decreased after incubation of the oral RHE and PMNs with anti–TNF-α neutralizing mAbs. Values are normalized to YWHAZ and G6PD and relative to uninfected RHE without PMNs (control, assigned as 1.0). (B and C) Confocal microscopy of TLR4 expression in the infected RHE in the presence of PMNs showed prominent epithelial TLR4 expression at 24 h after treatment with IgG control antibody (B), while decreased TLR4 expression and increased fungal invasion was evident after incubation with anti–TNF-α mAbs, particularly in the basal side of the epithelium (C). Original magnification, ×40. (D) Reduced mean fluorescence intensity was observed after neutralization of TNF-α. Data are representative of 3 independent experiments. (E) Release of LDH by epithelial cells 24 h after infection (or not) with C. albicans in the presence of PMNs (added after 12 h). LDH values before (0–12 h) and after (12–24 h) addition of PMNs to C. albicans–infected RHE model (n = 3). *P < 0.05, 2-tailed paired Student’s t test.