Alcohol is the most commonly used recreational and abused substance. While beneficial effects of moderate alcohol use on coronary heart disease exists, prolonged excessive alcohol use predisposes to infection and results in liver and other organ diseases. Studies from our and other laboratories demonstrated that acute alcohol use attenuates immune responses while prolonged alcohol exposure augments inflammatory responses. The overall goal of this research proposal is to define molecular mechanisms that regulate the switch from the acute, anti-inflammatory to the "chronic", pro-inflammatory effects of alcohol. We propose that the opposite effects of acute and prolonged alcohol treatment are related to differences in activation of the Toll-like receptor (TLR)4-induced MyD88-dependent and MyD88-independent signaling pathways. We hypothesize that inhibition of monocyte inflammatory responses to LPS stimulation after acute alcohol exposure is a result of alcohol-induced LPS tolerance. Specifically, we propose that acute alcohol induces tolerance to LPS stimulation via its affects on MyD88-dependent TLR4 signaling. We postulate that in contrast to acute alcohol, prolonged alcohol exposure results not only in loss of TLR4 tolerance but also in sensitization of LPS-induced activation of pro-inflammatory pathways in monocytes/macrophages. We hypothesize that sensitization to LPS involves activation of the MyD88-independent pathway that will amplify MyD88-independent signals in cells that lost TLR tolerance after prolonged alcohol exposure. As an extension of these hypotheses, we propose that prolonged alcohol exposure results in sensitization to monocyte activation though TLRs other than TLR4 which relates to host interaction with a broad variety of pathogens.
The aims of this proposal are: 1. To evaluate whether the opposite effects of acute and chronic alcohol on LPS-induced monocyte/macrophage activation are related to TLR4 tolerance after acute and/or to loss of TLR4 tolerance after prolonged alcohol exposure by investigating negative regulators and molecular signatures of TLR tolerance. 2. To evaluate the role of TLR4-induced, MyD88-independent signaling in sensitization to LPS-induced inflammatory cytokine activation by prolonged alcohol. 3. To determine the effects of acute and chronic alcohol treatment on monocyte pro-inflammatory activation by selective MyD88-utilizing TLRs (other than TLR4) involved in recognition of bacterial (TLR2 and TLR5), and viral (TLR7/8) pathogen-derived danger signals Results from these experiments will delineate important molecular markers of inflammatory cell inhibition by acute and activation by chronic alcohol which may provide targets for future therapeutic interventions.

Public Health Relevance

Alcohol is the most commonly used recreational and abused substance. While beneficial effects of moderate alcohol use on coronary heart disease exists, prolonged excessive alcohol use predisposes to infection and results in liver and other organ diseases. We propose to study monocytes, that are important cells in inflammation, to test the hypothesis that acute and prolonged alcohol use have opposite effects on inflammation through specific effects on cell activation through the pathogen recognition receptor, Toll-like receptor 4. Investigation of both acute and chronic alcohol responses in human monocytes represents a unique and clinically applicable approach to better understand human conditions modified by alcohol intake including coronary heart disease and alcoholic liver diseases.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA011576-14
Application #
8242764
Study Section
Special Emphasis Panel (ZRG1-DIG-C (02))
Program Officer
Radaeva, Svetlana
Project Start
1998-04-01
Project End
2014-03-31
Budget Start
2012-04-01
Budget End
2014-03-31
Support Year
14
Fiscal Year
2012
Total Cost
$547,521
Indirect Cost
$209,697
Name
University of Massachusetts Medical School Worcester
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
603847393
City
Worcester
State
MA
Country
United States
Zip Code
01655
Saha, Banishree; Momen-Heravi, Fatemeh; Kodys, Karen et al. (2016) MicroRNA Cargo of Extracellular Vesicles from Alcohol-exposed Monocytes Signals Naive Monocytes to Differentiate into M2 Macrophages. J Biol Chem 291:149-59
Ambade, Aditya; Satishchandran, Abhishek; Gyongyosi, Benedek et al. (2016) Adult mouse model of early hepatocellular carcinoma promoted by alcoholic liver disease. World J Gastroenterol 22:4091-108
Momen-Heravi, Fatemeh; Bala, Shashi; Kodys, Karen et al. (2015) Exosomes derived from alcohol-treated hepatocytes horizontally transfer liver specific miRNA-122 and sensitize monocytes to LPS. Sci Rep 5:9991
Saha, Banishree; Bruneau, Johanna C; Kodys, Karen et al. (2015) Alcohol-induced miR-27a regulates differentiation and M2 macrophage polarization of normal human monocytes. J Immunol 194:3079-87
Momen-Heravi, Fatemeh; Saha, Banishree; Kodys, Karen et al. (2015) Increased number of circulating exosomes and their microRNA cargos are potential novel biomarkers in alcoholic hepatitis. J Transl Med 13:261
Csak, Timea; Pillai, Arun; Ganz, Michal et al. (2014) Both bone marrow-derived and non-bone marrow-derived cells contribute to AIM2 and NLRP3 inflammasome activation in a MyD88-dependent manner in dietary steatohepatitis. Liver Int 34:1402-13
Bala, Shashi; Marcos, Miguel; Gattu, Arijeet et al. (2014) Acute binge drinking increases serum endotoxin and bacterial DNA levels in healthy individuals. PLoS One 9:e96864
Lippai, Dora; Bala, Shashi; Petrasek, Jan et al. (2013) Alcohol-induced IL-1β in the brain is mediated by NLRP3/ASC inflammasome activation that amplifies neuroinflammation. J Leukoc Biol 94:171-82
Levin, Ivan; Petrasek, Jan; Szabo, Gyongyi (2012) The presence of p47phox in liver parenchymal cells is a key mediator in the pathogenesis of alcoholic liver steatosis. Alcohol Clin Exp Res 36:1397-406
Szabo, Gyongyi; Petrasek, Jan; Bala, Shashi (2012) Innate immunity and alcoholic liver disease. Dig Dis 30 Suppl 1:55-60

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