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International Journal of Medical Science and Clinical Invention 7(11): 5095-5102 2020
DOI:10.18535/ijmsci/v7i11.06 ICV: 77.2
e-ISSN:2348-991X, p-ISSN: 2454-9576
© 2020, IJMSCI
5095 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
Research Article,
Molecular Gene Expression of Toll-Like Receptors 4 & 10 in
Cellular Subsets of Human Peripheral Blood among Patients with
Prostatitis: Conventional, Real Time Pcr and DNA Sequencing
Techniques
Ihsan E. AlSaimary1
, Hussein N. AlDhaheri2
, Murtadha M. ALMusafer3
1
Microbiology Department, College of Medicine, University of Basrah, Basrah, Iraq
2,3
Department of Surgery College of Medicine, University of Basrah, Basrah, Iraq
Email Address : ihsanalsaimary@gmail.com
Abstract:
Summary:
The Aim of this study was to determine Immunogenetic expression of Toll-like receptor gene clusters
related to prostatitis, to give acknowledge about Role of TLR in prostatitis immunity in men from Basrah
and Maysan provinces. A case–control study included 135 confirmed prostatitis patients And 50 persons as a
control group. Data about age, marital status, working, infertility, family history and personal information
like (Infection, Allergy, Steroid therapy, Residency, Smoking, Alcohol Drinking, Blood group, Body max
index (BMI) and the clinical finding for all patients of Prostatitis were collected , The molecular expression
study include extracting DNA from blood of Prostatitis patients , Prostitis patients and Control group by
using specific primers for conventional PCR and Real Time PCR , the amplification of all extracted DNA
from blood samples was preform and confirm by using electrophoresis with (100volt/30min). The
amplification of all extracted DNA from blood samples was preform and confirm by using electrophoresis
with (100volt/30min) , the result of this estimation revealed that the amplified DNA(PCR product) was
227bp for TLR4 on agarose gel (1%) , (50voltage for 1hour ) with a presence 100% , (PCR product) was
279bp for TLR10 on agarose gel(1%) , (50volt/1hour) with a presence 80%. The results of the present study
indicate that the Toll like receptor alleles associated with risk of prostatitis.
Key words: prostatitis, TLR4, TLR10, PCR
Introduction:
Toll like receptors a well-known group of pattern
recognizing receptors in the innate immunity. Toll-
like receptors are a group of transmembrane
receptors act as a key role in the innate immunity.
Tlrs block the invasion of the pathogens by
recognizing the pathogen-associated molecular
patterns (pamps), which are they highly preserved
components derived from bacteria, viruses, fungi,
and parasites. It can also recognize endogenous
damage-associated molecular patterns (damps) in
several disorders and diseases such as cancer.
(Takeda and Akira. 2003). At present, there are 13
types of toll like receptors in the nature, 10 are
present in human and other 3 in animals TLR1s,
TLR2, TLR4, TLR5, and TLR6 are expressed on
the cell surface, TLR3, TLR7, TLR8, and TLR9
are found exclusively inside endosomes. Various
types of tlrs show specifically for ligand
recognition like TLR2 recognizes bacterial
lipoproteins, TLR3 recognizes double-stranded
RNA/polyinosinic polycytidylic acid, TLR4
recognizes lipopolysaccharides (LPS), TLR5
recognizes flagellin, TLR7 recognizes single-
stranded RNA, and TLR9 recognizes cpg-
containing DNA (cpg-ODN). (Heil, et al., 2004
Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human
Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
5096 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
and Poltoraka, et al., 1998), TLR10 is so far an
orphan receptor and highly expressed in the human
spleen and B cells. (Hasan, et al., 2005).
Role of tlrs in the defense against prostate
infections is the most evolutionarily conserved role
of tlrs in host defense is the regulation of
antimicrobial responses by epithelial cells, the first
line of defense at mucosal sites such as the
respiratory, gastrointestinal and genitourinary
tracts and the skin. Nevertheless, the widely
accepted hypothesis is that non-sterile sites (i.e.
Mouth, colon, or vagina) would require a response
system different from that of sterile sites (bladder,
kidney, prostate and testis). It is conceivable that
the pattern of expression of tlrs would then differ
at sterile versus non-sterile sites and that at non-
sterile sites epithelial cells might be less efficient
reactive than at sterile sites where even a low load
of deleterious microorganisms should be rapidly
detected and eliminated. (Quayle 2002).
Materials and methods:
Sampling
During collection process data about each patient
were reported in the paper questionnaire for each
one, which included age, marital status, infertility,
family history, personal information and clinical
finding of the diseases. Blood samples were
collected from peoples that are symptomatic and
asymptomatic patient in various hospitals of
Basrah and Missan province. From a total number
of (135) patients with prostatitis were taken from
two provinces from the Basrah teaching hospital
and Missan teaching hospital that included in the
present study and the age of patients was between
40 - >70 years and (50) individuals regarded as a
control group without any urological problems
were also studied.
Molecular Study
The molecular expression includes extracting DNA
from blood cells of prostatitis patients and the
control group by using specific primers for
Conventional PCR and Real Time PCR.
Genomic DNA Extraction
The quality and purity of extracting DNA from
blood samples of prostatitis patients by using a
Favogren DNA Extraction kit was high and every
DNA for each sample was separately extracted and
the results confirm throughout gel electrophoresis,
DNA-based techniques have been further
simplified benefiting from the introduction of
PCR. Various strategies have been adopted in
attempting to use PCR for genome analysis and
specification purposes. (Fairbrother et al., 1998)
as seen in the figure (1).
Figure (1) Show Agarose 1% gel electrophoresis image
(100vlotage for 30min). That show quality and purity of
DNA products extracted from blood samples by commercial
DNA extraction Kit.
Polymerase chain reaction technique
PCR is a very effective method to amplify a
particular DNA as many copies of a specific DNA
(Bartlett 2003), all samples were assayed for the
presence of the TLR1 and TLR2 genes by PCR
using previously described primers, for PCR used
diluted forward and reverse primers and the
primers working solution were prepared by
diluting the stock solution with TE buffer to get
final working solution ( 10 pmole/ µl ) for each
primer.
Table-1 PCR Master mix Volume:
Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human
Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
5097 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
Table (2) Oligonucleotide sequence and
Amplicon Size for each gene used in this study
Table (3) the thermal cycler programs used in
this study
Statistical analysis
Statistical analysis is performed with SAS JMP Pro
statistical program version 13.2.1 and Microsoft
Excel 2013. Numerical data were described as
mean, standard deviation of the mean. Logistic
regression was used for comparison between
various groups. The lowest level of accepted
statistical significant difference is below or equal
to 0.0001.
Results:
The results of amplification of extracted DNA
from blood samples was preform and confirm by
using electrophoresis , in this analysis the resulted
DNA bands that came from a successful binding
between the extracted DNA and the target specific
primers for each one of toll like receptors , and the
bands will appear under UV light as a compact
band by using ethidium bromide stain as indicator
DNA stain ,also electrophoresis allow to estimate
the size of molecular DNA by using (100-1500bp
DNA ladder) and (100- 1000bp DNA ladder ) as
DNA marker , the results will show the amplified
DNA ( PCR products ) for each tlrs.
Toll like Receptor 4
The result of PCR amplification which was
performed on the extracted DNA was confirmed
by electrophoresis as the strands of the DNA,
which result from the successful binding, appear as
a single band under U.V illuminator using
ethidium bromide as a specific DNA stain. Only
the bands with expected size 227bp (TLR4 -
specific primer) were observed. As seen in figure
(2). In real time polymerase chain reaction for toll
like receptor 1 for 20 samples the starting time of
amplification was begun after 20 cycles / min, and
the quantitative account of the amplification line
was between 700 - 1100ΔR. As seen in the figure
(3).
Figure (2) Positive and Negative results of PCR
amplification; Lane (1) ladder marker; Lane
(1,2,3,4.5) positive TLR4- specific gene (227bp);
on 1% agarose, (50voltage for 1hour).
Figure (3) Real-Time PCR amplification plot of
target gene for TLR4.
DNA Sequence of FTLR4 gene
Figure (4) showed a DNA sequence of FTLR4
Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human
Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
5098 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
Figure (4) DNA sequence of FTLR4
Alignment of FTLR4 gene
Homo sapiens toll like receptor 4 forward (F
TLR4), transcript variant 3, mRNA Sequence ID:
NM_003266.4 Length: 12797Number of Matches:
1, Range 1: 3825 to 4014.
Score
Expect Identities Gaps Strand
335
bits(181)
6e-88 187/190(98%) 0/190(0%) Plus/Plus
Query 1
GCCGGGCGGACTACGTGTGAAGGTATTCAAGGCAGGGAGTATACA
TTGCTGTTTCCTGTT 60
||| || |
|||||||||||||||||||||||||||||||||||||||||||||
||||||
Sbjct 3825
GCCAGGAGAACTACGTGTGAAGGTATTCAAGGCAGGGAGTATACA
TTGCTGTTTCCTGTT 3884
Query 61
GGGCAATGCTCCTTGACCACATTTTGGGAAGAGTGGATGTTATCA
TTGAGAAAACAATGT 120
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 3885
GGGCAATGCTCCTTGACCACATTTTGGGAAGAGTGGATGTTATCA
TTGAGAAAACAATGT 3944
Query 121
GTCTGGAATTAATGGGGTTCTTATAAAGAAGGTTCCCAGAAAAGA
ATGTTCATCCAGCCT 180
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 3945
GTCTGGAATTAATGGGGTTCTTATAAAGAAGGTTCCCAGAAAAGA
ATGTTCATCCAGCCT 4004
Query 181 CCTCAGAAAC 190
||||||||||
Sbjct 4005 CCTCAGAAAC 4014
Figure (5) shows Alignment of FTLR4 gene
Figure (6) showed a DNA sequence of RTLR4
Alignment of RTLR4 gene
Homo sapiens toll like receptor 4 reverse (R
TLR4), transcript variant 3, mRNA Sequence ID:
NM_003266.4, Length: 12797Number of Matches:
1, Range 1: 3793 to 3988
Score Expect Identities Gaps Strand
322 bits
(174)
5e-84 190/197(96%) 3/197(1%) Plus/Minus
Query 5 CTTCTTCTGGG-A-
CTTCTTTATAAGAACCCCATTAATTCCAGACACATTGTTTTCTCA
A 62
||| ||||||| |
|||||||||||||||||||||||||||||||||||||||||||||
|
Sbjct 3988 CTT-
TTCTGGGAACCTTCTTTATAAGAACCCCATTAATTCCAGACACAT
TGTTTTCTCAA 3930
Query 63
TGATAACATCCACTCTCCCCAAAAAGGGGTCAAGGAGCATTGCCC
AACAGGAAACAGCAA 122
|||||||||||||||| ||||||| |
|||||||||||||||||||||||||||||||||
Sbjct 3929
TGATAACATCCACTCTTCCCAAAATGTGGTCAAGGAGCATTGCCC
AACAGGAAACAGCAA 3870
Query 123
TGTATACTCCCTGCCTTGAATACCTTCACACGTAGTTCTCCTGGC
AGTGAGAAGGGTACA 182
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 3869
TGTATACTCCCTGCCTTGAATACCTTCACACGTAGTTCTCCTGGC
AGTGAGAAGGGTACA 3810
Query 183 GGGGAGGGATCCCAACC 199
|||||||||||||| ||
Sbjct 3809 GGGGAGGGATCCCAGCC 3793
Figure (7) shows Alignment of RTLR4 gene
Phylogenetic tree analysis for TLR4
Phylogenetic analysis of the TLR4 isolates were
analyzed by macrogen and compared with
sequences of different TLR4 available in a Gen
Bank database, show a clear convergence between
our TLR4isolates and that of the Gen Bank
database. As seen in the figure (8).
Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human
Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
5099 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
Figure (8) Phylogenetic tree analysis for TLR4
Toll like Receptor 10
The result of PCR amplification which was
performed on the extracted DNA was confirmed
by electrophoresis as the strands of the DNA,
which result from the successful binding appear as
a single band under U.V illuminator using
ethidium bromide as a specific DNA stain. Only
the bands with expected size 279bp (TLR10 -
specific primer) were observed. Figure (9).
Figure (9) Positive and Negative results of PCR
amplification; Lane (1) ladder marker; Lane
(1,2,3,4,6,7,9,10,11,12,13,14,15,16,17,18,20)
positive TLR10- specific gene (279bp); Lane
(5,8,19) Negative TLR7- specific primer on 1%
agarose, (50voltage for 1hour).
In real time polymerase chain reaction for toll like
receptor 1 for 20 samples the starting time of
amplification was begun after 20 cycles / min, and
the quantitative account of the amplification line
was between 1200 - 2500ΔR. As seen in the figure
(10).
Figure (10) Real-Time PCR amplification plot of
target gene for TLR10.
DNA sequencing for (FTLR10)
Figure (11) DNA sequence of FTLR10
Alignment of FTLR10 gene
Homo sapiens toll like receptor 10 forward (F
TLR10), mRNA, Sequence ID: NM_001195108.2,
Length: 3705Number of Matches: 1, Range 1: 473
to 705
Score Expect Identities Gaps Strand
431 bits
(233)
9e-117 233/233(100%) 0/233(0%) Plus/Plus
Query 16
AAGGTTCCCGCAGACTTGACCCCAGCCACAACGACACTGGATTTA
TCCTATAACCTCCTT 75
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 473
AAGGTTCCCGCAGACTTGACCCCAGCCACAACGACACTGGATTTA
TCCTATAACCTCCTT 532
Query 76
TTTCAACTCCAGAGTTCAGATTTTCATTCTGTCTCCAAACTGAGA
Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human
Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
5100 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
GTTTTGATTCTATGC 135
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 533
TTTCAACTCCAGAGTTCAGATTTTCATTCTGTCTCCAAACTGAGA
GTTTTGATTCTATGC 592
Query 136
CATAACAGAATTCAACAGCTGGATCTCAAAACCTTTGAATTCAAC
AAGGAGTTAAGATAT 195
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 593
CATAACAGAATTCAACAGCTGGATCTCAAAACCTTTGAATTCAAC
AAGGAGTTAAGATAT 652
Query 196
TTAGATTTGTCTAATAACAGACTGAAGAGTGTAACTTGGTATTTA
CTGGCAGG 248
|||||||||||||||||||||||||||||||||||||||||||||
||||||||
Sbjct 653
TTAGATTTGTCTAATAACAGACTGAAGAGTGTAACTTGGTATTTA
CTGGCAGG 705
Figure (12) shows Alignment of FTLR4 gene
DNA sequencing for (R TLR10)
Figure (13) DNA sequence of RTLR10
Alignment of RTLR4 gene
Homo sapiens toll like receptor 10 (TLR10),
transcript variant 1, mRNA, Sequence ID:
NM_030956.4, Length: 3991Number of Matches:
1
Range 1: 712 to 944.
Score
Expect Identities Gaps Strand
425
bits(230)
4e-115 233/234(99%) 1/234(0%) Plus/Minus
Query 17
ATCTAAATATCTTAACTCCTTGTTGAATTCAAAGGTTTTGAGATC
CAGCTGTTGAATTCT 76
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 944
ATCTAAATATCTTAACTCCTTGTTGAATTCAAAGGTTTTGAGATC
CAGCTGTTGAATTCT 885
Query 77
GTTATGGCATAGAATCAAAACTCTCAGTTTGGAGACAGAATGAAA
ATCTGAACTCTGGAG 136
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 884
GTTATGGCATAGAATCAAAACTCTCAGTTTGGAGACAGAATGAAA
ATCTGAACTCTGGAG 825
Query 137
TTGAAAAAGGAGGTTATAGGATAAATCCAGTGTCGTTGTGGCTGG
GGTCAAGTCTGCGGG 196
|||||||||||||||||||||||||||||||||||||||||||||
|||||||||||||||
Sbjct 824
TTGAAAAAGGAGGTTATAGGATAAATCCAGTGTCGTTGTGGCTGG
GGTCAAGTCTGCGGG 765
Query 197
AACCTTTCTTAGAGACATGTTGGAGCAGTTGGTCATCAGTTCCCC
TTTCTTCTG 250
||||||||||||||||||||||||||||||||||||||||||||
|||||||||
Sbjct 764
AACCTTTCTTAGAGACATGTTGGAGCAGTTGGTCATCAGTTCCC-
TTTCTTCTG 712
Figure (14) shows Alignment of RTLR4 gene
Phylogenetic tree analysis for TLR10
Phylogenetic analysis of the TLR10 isolates were
analyzed by macrogen and compared with
sequences of different TLR10 available in a Gen
Bank database, there is no convergence between
our TLR10 isolates and that of the Gen Bank
database. As seen in figure (15).
Figure (15) Phylogenetic tree analysis for TLR10.
Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human
Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
5101 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020
Discussion:
Findings obtained by this study showed that after
the amplification of all extracted DNA from blood
samples was preform and confirm by using
electrophoresis with (100volt/30min) , the result of
this estimation revealed that the amplified
DNA(PCR product) was 135bp for
TLR1(50voltage for 1hour) and the presence of
TLR1 was 75% from total samples , (PCR product)
was 125bp for TLR2 on agarose gel(1%)
,(50volt/1hour) with a presence of 95% , there are
few reports concerning TLR expression by the
prostate (Konig , et al.,2004) , which is an organ
usually neglected by immunologists, in spite of the
many pathologies that affect it and the tremendous
health impact that.
They have on human population. Although only a
small percentage of men suffer of infectious
chronic or acute prostatitis [National Institutes of
Health (NIH) Categories I and II], chronic,
noninfectious prostatitis (NIH Category III) is a
highly prevalent disease among young adults.
Chronic, nonbacterial prostatitis is an
inflammatory state of the prostate with direct
impact on the quality of life of the patients. Yet, its
etiology is unknown. Furthermore, prostate cancer
is one of the major causes of death in Western
population, being the most commonly diagnosed
cancer in men in industrialized countries. There is
an expanding body of literature suggesting a link
between chronic inflammation and cancer (Gatti ,
et al.,2006) , (Fan , et al.,2019) agree with our
results in expression of TLR2and TLR10 his study
found that prostate tissues expressed TLR2 and
TLR10 in both epithelial and stromal cells and that
TLR2 and TLR10 were co expressed on plasma
membrane and in cytosol of prostate epithelial
cells (RWPE-1). (Alsaimary, 2014). In addition,
TLR10 expressed in the RWPE-1 cells consisted
predominantly of its isoform type.
In the research of (Nagashima, et al.,2015)
microarray analysis of gastric biopsy specimens
from Helicobacter pylori (H. Pylori) -positive and
uninfected subjects showed that TLR2, TLR4, and
TLR6–10 were upregulated >2-fold in infected
subjects. They then used H. Pylori to infect NCI-
87 gastric epithelial cells for 24 h and found
increases in TLR1, TLR2, TLR6, and TLR10 mrna
levels.( Amer, et al.,2014) As far as their studies
and our findings are concerned, the expression of
all tlrs should undoubtedly increase with
inflammatory grades.( Tajalli , et al.,2019) their
review focused on aspects of TLR signaling during
acute neuropathological challenges in the brain and
highlighted the potential neuroprotective capacity
of estrogen, progesterone and vitamin D3 and their
putative interactions with TLR signaling pathways
after cerebral ischemia and TBI. In particular,
TLR2 and TLR4 signaling appeared to be pivotal
for controlling pathogenic immune responses
following stroke. All three hormones were able to
modulate TLR2 and TLR4 signal transduction.
Thus, these steroids and the vitamin can be
considered as therapeutic options for stroke
therapy. The results of our study of sequencing of
TLR4 and TLR10 were shown as following there
are clear convergence between our TLR4 isolates
and that of the Gen Bank database. Where there
were single mutation appeared in forward TLR4 as
A to G 317 1,2. And for reverse TLR4 showed
five mutations when we compared with a Gen
Bank database as T to C 822 1, 2. T to A 296
1,2. T to G 298 1,2. A to C 301 2. G to A
406 1,2. And there is no convergence between
our TLR10 isolates and that of the Gen Bank
database.
There are no studies interested with sequencing of
tlrs with the relation of prostatitis so we will
compare our results with studies on other diseases.
(Kim, et al., 2012) suggested in their study that
polymorphisms of the TLR4 gene might be
associated with the risk of prostate cancer in
Korean men because their results showed a
significant association with the risk of prostate
cancer (P (Corr) = 0.005, OR = 1.81). One
common haplotype (ht2) was also significantly
associated with the risk of prostate cancer (P (Corr)
= 0.009, OR = 1.77). Also (Sun, et al., 2005) said
The TLR6-TLR1-TLR10 gene cluster may play a
role in prostate cancer risk, although further
functional studies are needed to pinpoint the
disease-associated variants in this gene cluster.
(Zhou, et al., 2016) found there were no
association between TLR4 and coronary artery
disease.
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Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques
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Doi10.18535ijmsciv7i11.06 Dr. ihsan edan abdulkareem alsaimary PROFESSOR IN MEDICAL MICROBIOLOGY AND MOLECULAR IMMUNOLOGY ihsanalsaimary@gmail.com mobile : 009647801410838 university of basrah - college of medicine - basrah -IRAQ

  • 1. International Journal of Medical Science and Clinical Invention 7(11): 5095-5102 2020 DOI:10.18535/ijmsci/v7i11.06 ICV: 77.2 e-ISSN:2348-991X, p-ISSN: 2454-9576 © 2020, IJMSCI 5095 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 Research Article, Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques Ihsan E. AlSaimary1 , Hussein N. AlDhaheri2 , Murtadha M. ALMusafer3 1 Microbiology Department, College of Medicine, University of Basrah, Basrah, Iraq 2,3 Department of Surgery College of Medicine, University of Basrah, Basrah, Iraq Email Address : ihsanalsaimary@gmail.com Abstract: Summary: The Aim of this study was to determine Immunogenetic expression of Toll-like receptor gene clusters related to prostatitis, to give acknowledge about Role of TLR in prostatitis immunity in men from Basrah and Maysan provinces. A case–control study included 135 confirmed prostatitis patients And 50 persons as a control group. Data about age, marital status, working, infertility, family history and personal information like (Infection, Allergy, Steroid therapy, Residency, Smoking, Alcohol Drinking, Blood group, Body max index (BMI) and the clinical finding for all patients of Prostatitis were collected , The molecular expression study include extracting DNA from blood of Prostatitis patients , Prostitis patients and Control group by using specific primers for conventional PCR and Real Time PCR , the amplification of all extracted DNA from blood samples was preform and confirm by using electrophoresis with (100volt/30min). The amplification of all extracted DNA from blood samples was preform and confirm by using electrophoresis with (100volt/30min) , the result of this estimation revealed that the amplified DNA(PCR product) was 227bp for TLR4 on agarose gel (1%) , (50voltage for 1hour ) with a presence 100% , (PCR product) was 279bp for TLR10 on agarose gel(1%) , (50volt/1hour) with a presence 80%. The results of the present study indicate that the Toll like receptor alleles associated with risk of prostatitis. Key words: prostatitis, TLR4, TLR10, PCR Introduction: Toll like receptors a well-known group of pattern recognizing receptors in the innate immunity. Toll- like receptors are a group of transmembrane receptors act as a key role in the innate immunity. Tlrs block the invasion of the pathogens by recognizing the pathogen-associated molecular patterns (pamps), which are they highly preserved components derived from bacteria, viruses, fungi, and parasites. It can also recognize endogenous damage-associated molecular patterns (damps) in several disorders and diseases such as cancer. (Takeda and Akira. 2003). At present, there are 13 types of toll like receptors in the nature, 10 are present in human and other 3 in animals TLR1s, TLR2, TLR4, TLR5, and TLR6 are expressed on the cell surface, TLR3, TLR7, TLR8, and TLR9 are found exclusively inside endosomes. Various types of tlrs show specifically for ligand recognition like TLR2 recognizes bacterial lipoproteins, TLR3 recognizes double-stranded RNA/polyinosinic polycytidylic acid, TLR4 recognizes lipopolysaccharides (LPS), TLR5 recognizes flagellin, TLR7 recognizes single- stranded RNA, and TLR9 recognizes cpg- containing DNA (cpg-ODN). (Heil, et al., 2004
  • 2. Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques 5096 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 and Poltoraka, et al., 1998), TLR10 is so far an orphan receptor and highly expressed in the human spleen and B cells. (Hasan, et al., 2005). Role of tlrs in the defense against prostate infections is the most evolutionarily conserved role of tlrs in host defense is the regulation of antimicrobial responses by epithelial cells, the first line of defense at mucosal sites such as the respiratory, gastrointestinal and genitourinary tracts and the skin. Nevertheless, the widely accepted hypothesis is that non-sterile sites (i.e. Mouth, colon, or vagina) would require a response system different from that of sterile sites (bladder, kidney, prostate and testis). It is conceivable that the pattern of expression of tlrs would then differ at sterile versus non-sterile sites and that at non- sterile sites epithelial cells might be less efficient reactive than at sterile sites where even a low load of deleterious microorganisms should be rapidly detected and eliminated. (Quayle 2002). Materials and methods: Sampling During collection process data about each patient were reported in the paper questionnaire for each one, which included age, marital status, infertility, family history, personal information and clinical finding of the diseases. Blood samples were collected from peoples that are symptomatic and asymptomatic patient in various hospitals of Basrah and Missan province. From a total number of (135) patients with prostatitis were taken from two provinces from the Basrah teaching hospital and Missan teaching hospital that included in the present study and the age of patients was between 40 - >70 years and (50) individuals regarded as a control group without any urological problems were also studied. Molecular Study The molecular expression includes extracting DNA from blood cells of prostatitis patients and the control group by using specific primers for Conventional PCR and Real Time PCR. Genomic DNA Extraction The quality and purity of extracting DNA from blood samples of prostatitis patients by using a Favogren DNA Extraction kit was high and every DNA for each sample was separately extracted and the results confirm throughout gel electrophoresis, DNA-based techniques have been further simplified benefiting from the introduction of PCR. Various strategies have been adopted in attempting to use PCR for genome analysis and specification purposes. (Fairbrother et al., 1998) as seen in the figure (1). Figure (1) Show Agarose 1% gel electrophoresis image (100vlotage for 30min). That show quality and purity of DNA products extracted from blood samples by commercial DNA extraction Kit. Polymerase chain reaction technique PCR is a very effective method to amplify a particular DNA as many copies of a specific DNA (Bartlett 2003), all samples were assayed for the presence of the TLR1 and TLR2 genes by PCR using previously described primers, for PCR used diluted forward and reverse primers and the primers working solution were prepared by diluting the stock solution with TE buffer to get final working solution ( 10 pmole/ µl ) for each primer. Table-1 PCR Master mix Volume:
  • 3. Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques 5097 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 Table (2) Oligonucleotide sequence and Amplicon Size for each gene used in this study Table (3) the thermal cycler programs used in this study Statistical analysis Statistical analysis is performed with SAS JMP Pro statistical program version 13.2.1 and Microsoft Excel 2013. Numerical data were described as mean, standard deviation of the mean. Logistic regression was used for comparison between various groups. The lowest level of accepted statistical significant difference is below or equal to 0.0001. Results: The results of amplification of extracted DNA from blood samples was preform and confirm by using electrophoresis , in this analysis the resulted DNA bands that came from a successful binding between the extracted DNA and the target specific primers for each one of toll like receptors , and the bands will appear under UV light as a compact band by using ethidium bromide stain as indicator DNA stain ,also electrophoresis allow to estimate the size of molecular DNA by using (100-1500bp DNA ladder) and (100- 1000bp DNA ladder ) as DNA marker , the results will show the amplified DNA ( PCR products ) for each tlrs. Toll like Receptor 4 The result of PCR amplification which was performed on the extracted DNA was confirmed by electrophoresis as the strands of the DNA, which result from the successful binding, appear as a single band under U.V illuminator using ethidium bromide as a specific DNA stain. Only the bands with expected size 227bp (TLR4 - specific primer) were observed. As seen in figure (2). In real time polymerase chain reaction for toll like receptor 1 for 20 samples the starting time of amplification was begun after 20 cycles / min, and the quantitative account of the amplification line was between 700 - 1100ΔR. As seen in the figure (3). Figure (2) Positive and Negative results of PCR amplification; Lane (1) ladder marker; Lane (1,2,3,4.5) positive TLR4- specific gene (227bp); on 1% agarose, (50voltage for 1hour). Figure (3) Real-Time PCR amplification plot of target gene for TLR4. DNA Sequence of FTLR4 gene Figure (4) showed a DNA sequence of FTLR4
  • 4. Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques 5098 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 Figure (4) DNA sequence of FTLR4 Alignment of FTLR4 gene Homo sapiens toll like receptor 4 forward (F TLR4), transcript variant 3, mRNA Sequence ID: NM_003266.4 Length: 12797Number of Matches: 1, Range 1: 3825 to 4014. Score Expect Identities Gaps Strand 335 bits(181) 6e-88 187/190(98%) 0/190(0%) Plus/Plus Query 1 GCCGGGCGGACTACGTGTGAAGGTATTCAAGGCAGGGAGTATACA TTGCTGTTTCCTGTT 60 ||| || | ||||||||||||||||||||||||||||||||||||||||||||| |||||| Sbjct 3825 GCCAGGAGAACTACGTGTGAAGGTATTCAAGGCAGGGAGTATACA TTGCTGTTTCCTGTT 3884 Query 61 GGGCAATGCTCCTTGACCACATTTTGGGAAGAGTGGATGTTATCA TTGAGAAAACAATGT 120 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 3885 GGGCAATGCTCCTTGACCACATTTTGGGAAGAGTGGATGTTATCA TTGAGAAAACAATGT 3944 Query 121 GTCTGGAATTAATGGGGTTCTTATAAAGAAGGTTCCCAGAAAAGA ATGTTCATCCAGCCT 180 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 3945 GTCTGGAATTAATGGGGTTCTTATAAAGAAGGTTCCCAGAAAAGA ATGTTCATCCAGCCT 4004 Query 181 CCTCAGAAAC 190 |||||||||| Sbjct 4005 CCTCAGAAAC 4014 Figure (5) shows Alignment of FTLR4 gene Figure (6) showed a DNA sequence of RTLR4 Alignment of RTLR4 gene Homo sapiens toll like receptor 4 reverse (R TLR4), transcript variant 3, mRNA Sequence ID: NM_003266.4, Length: 12797Number of Matches: 1, Range 1: 3793 to 3988 Score Expect Identities Gaps Strand 322 bits (174) 5e-84 190/197(96%) 3/197(1%) Plus/Minus Query 5 CTTCTTCTGGG-A- CTTCTTTATAAGAACCCCATTAATTCCAGACACATTGTTTTCTCA A 62 ||| ||||||| | ||||||||||||||||||||||||||||||||||||||||||||| | Sbjct 3988 CTT- TTCTGGGAACCTTCTTTATAAGAACCCCATTAATTCCAGACACAT TGTTTTCTCAA 3930 Query 63 TGATAACATCCACTCTCCCCAAAAAGGGGTCAAGGAGCATTGCCC AACAGGAAACAGCAA 122 |||||||||||||||| ||||||| | ||||||||||||||||||||||||||||||||| Sbjct 3929 TGATAACATCCACTCTTCCCAAAATGTGGTCAAGGAGCATTGCCC AACAGGAAACAGCAA 3870 Query 123 TGTATACTCCCTGCCTTGAATACCTTCACACGTAGTTCTCCTGGC AGTGAGAAGGGTACA 182 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 3869 TGTATACTCCCTGCCTTGAATACCTTCACACGTAGTTCTCCTGGC AGTGAGAAGGGTACA 3810 Query 183 GGGGAGGGATCCCAACC 199 |||||||||||||| || Sbjct 3809 GGGGAGGGATCCCAGCC 3793 Figure (7) shows Alignment of RTLR4 gene Phylogenetic tree analysis for TLR4 Phylogenetic analysis of the TLR4 isolates were analyzed by macrogen and compared with sequences of different TLR4 available in a Gen Bank database, show a clear convergence between our TLR4isolates and that of the Gen Bank database. As seen in the figure (8).
  • 5. Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques 5099 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 Figure (8) Phylogenetic tree analysis for TLR4 Toll like Receptor 10 The result of PCR amplification which was performed on the extracted DNA was confirmed by electrophoresis as the strands of the DNA, which result from the successful binding appear as a single band under U.V illuminator using ethidium bromide as a specific DNA stain. Only the bands with expected size 279bp (TLR10 - specific primer) were observed. Figure (9). Figure (9) Positive and Negative results of PCR amplification; Lane (1) ladder marker; Lane (1,2,3,4,6,7,9,10,11,12,13,14,15,16,17,18,20) positive TLR10- specific gene (279bp); Lane (5,8,19) Negative TLR7- specific primer on 1% agarose, (50voltage for 1hour). In real time polymerase chain reaction for toll like receptor 1 for 20 samples the starting time of amplification was begun after 20 cycles / min, and the quantitative account of the amplification line was between 1200 - 2500ΔR. As seen in the figure (10). Figure (10) Real-Time PCR amplification plot of target gene for TLR10. DNA sequencing for (FTLR10) Figure (11) DNA sequence of FTLR10 Alignment of FTLR10 gene Homo sapiens toll like receptor 10 forward (F TLR10), mRNA, Sequence ID: NM_001195108.2, Length: 3705Number of Matches: 1, Range 1: 473 to 705 Score Expect Identities Gaps Strand 431 bits (233) 9e-117 233/233(100%) 0/233(0%) Plus/Plus Query 16 AAGGTTCCCGCAGACTTGACCCCAGCCACAACGACACTGGATTTA TCCTATAACCTCCTT 75 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 473 AAGGTTCCCGCAGACTTGACCCCAGCCACAACGACACTGGATTTA TCCTATAACCTCCTT 532 Query 76 TTTCAACTCCAGAGTTCAGATTTTCATTCTGTCTCCAAACTGAGA
  • 6. Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques 5100 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 GTTTTGATTCTATGC 135 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 533 TTTCAACTCCAGAGTTCAGATTTTCATTCTGTCTCCAAACTGAGA GTTTTGATTCTATGC 592 Query 136 CATAACAGAATTCAACAGCTGGATCTCAAAACCTTTGAATTCAAC AAGGAGTTAAGATAT 195 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 593 CATAACAGAATTCAACAGCTGGATCTCAAAACCTTTGAATTCAAC AAGGAGTTAAGATAT 652 Query 196 TTAGATTTGTCTAATAACAGACTGAAGAGTGTAACTTGGTATTTA CTGGCAGG 248 ||||||||||||||||||||||||||||||||||||||||||||| |||||||| Sbjct 653 TTAGATTTGTCTAATAACAGACTGAAGAGTGTAACTTGGTATTTA CTGGCAGG 705 Figure (12) shows Alignment of FTLR4 gene DNA sequencing for (R TLR10) Figure (13) DNA sequence of RTLR10 Alignment of RTLR4 gene Homo sapiens toll like receptor 10 (TLR10), transcript variant 1, mRNA, Sequence ID: NM_030956.4, Length: 3991Number of Matches: 1 Range 1: 712 to 944. Score Expect Identities Gaps Strand 425 bits(230) 4e-115 233/234(99%) 1/234(0%) Plus/Minus Query 17 ATCTAAATATCTTAACTCCTTGTTGAATTCAAAGGTTTTGAGATC CAGCTGTTGAATTCT 76 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 944 ATCTAAATATCTTAACTCCTTGTTGAATTCAAAGGTTTTGAGATC CAGCTGTTGAATTCT 885 Query 77 GTTATGGCATAGAATCAAAACTCTCAGTTTGGAGACAGAATGAAA ATCTGAACTCTGGAG 136 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 884 GTTATGGCATAGAATCAAAACTCTCAGTTTGGAGACAGAATGAAA ATCTGAACTCTGGAG 825 Query 137 TTGAAAAAGGAGGTTATAGGATAAATCCAGTGTCGTTGTGGCTGG GGTCAAGTCTGCGGG 196 ||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Sbjct 824 TTGAAAAAGGAGGTTATAGGATAAATCCAGTGTCGTTGTGGCTGG GGTCAAGTCTGCGGG 765 Query 197 AACCTTTCTTAGAGACATGTTGGAGCAGTTGGTCATCAGTTCCCC TTTCTTCTG 250 |||||||||||||||||||||||||||||||||||||||||||| ||||||||| Sbjct 764 AACCTTTCTTAGAGACATGTTGGAGCAGTTGGTCATCAGTTCCC- TTTCTTCTG 712 Figure (14) shows Alignment of RTLR4 gene Phylogenetic tree analysis for TLR10 Phylogenetic analysis of the TLR10 isolates were analyzed by macrogen and compared with sequences of different TLR10 available in a Gen Bank database, there is no convergence between our TLR10 isolates and that of the Gen Bank database. As seen in figure (15). Figure (15) Phylogenetic tree analysis for TLR10.
  • 7. Ihsan E. AlSaimary et all. / Molecular Gene Expression of Toll-Like Receptors 4 & 10 in Cellular Subsets of Human Peripheral Blood among Patients with Prostatitis: Conventional, Real Time Pcr and DNA Sequencing Techniques 5101 International Journal of Medical Science and Clinical Invention, vol. 07, Issue 11, Novembe 2020 Discussion: Findings obtained by this study showed that after the amplification of all extracted DNA from blood samples was preform and confirm by using electrophoresis with (100volt/30min) , the result of this estimation revealed that the amplified DNA(PCR product) was 135bp for TLR1(50voltage for 1hour) and the presence of TLR1 was 75% from total samples , (PCR product) was 125bp for TLR2 on agarose gel(1%) ,(50volt/1hour) with a presence of 95% , there are few reports concerning TLR expression by the prostate (Konig , et al.,2004) , which is an organ usually neglected by immunologists, in spite of the many pathologies that affect it and the tremendous health impact that. They have on human population. Although only a small percentage of men suffer of infectious chronic or acute prostatitis [National Institutes of Health (NIH) Categories I and II], chronic, noninfectious prostatitis (NIH Category III) is a highly prevalent disease among young adults. Chronic, nonbacterial prostatitis is an inflammatory state of the prostate with direct impact on the quality of life of the patients. Yet, its etiology is unknown. Furthermore, prostate cancer is one of the major causes of death in Western population, being the most commonly diagnosed cancer in men in industrialized countries. There is an expanding body of literature suggesting a link between chronic inflammation and cancer (Gatti , et al.,2006) , (Fan , et al.,2019) agree with our results in expression of TLR2and TLR10 his study found that prostate tissues expressed TLR2 and TLR10 in both epithelial and stromal cells and that TLR2 and TLR10 were co expressed on plasma membrane and in cytosol of prostate epithelial cells (RWPE-1). (Alsaimary, 2014). In addition, TLR10 expressed in the RWPE-1 cells consisted predominantly of its isoform type. In the research of (Nagashima, et al.,2015) microarray analysis of gastric biopsy specimens from Helicobacter pylori (H. Pylori) -positive and uninfected subjects showed that TLR2, TLR4, and TLR6–10 were upregulated >2-fold in infected subjects. They then used H. Pylori to infect NCI- 87 gastric epithelial cells for 24 h and found increases in TLR1, TLR2, TLR6, and TLR10 mrna levels.( Amer, et al.,2014) As far as their studies and our findings are concerned, the expression of all tlrs should undoubtedly increase with inflammatory grades.( Tajalli , et al.,2019) their review focused on aspects of TLR signaling during acute neuropathological challenges in the brain and highlighted the potential neuroprotective capacity of estrogen, progesterone and vitamin D3 and their putative interactions with TLR signaling pathways after cerebral ischemia and TBI. In particular, TLR2 and TLR4 signaling appeared to be pivotal for controlling pathogenic immune responses following stroke. All three hormones were able to modulate TLR2 and TLR4 signal transduction. Thus, these steroids and the vitamin can be considered as therapeutic options for stroke therapy. The results of our study of sequencing of TLR4 and TLR10 were shown as following there are clear convergence between our TLR4 isolates and that of the Gen Bank database. Where there were single mutation appeared in forward TLR4 as A to G 317 1,2. And for reverse TLR4 showed five mutations when we compared with a Gen Bank database as T to C 822 1, 2. T to A 296 1,2. T to G 298 1,2. A to C 301 2. G to A 406 1,2. And there is no convergence between our TLR10 isolates and that of the Gen Bank database. There are no studies interested with sequencing of tlrs with the relation of prostatitis so we will compare our results with studies on other diseases. (Kim, et al., 2012) suggested in their study that polymorphisms of the TLR4 gene might be associated with the risk of prostate cancer in Korean men because their results showed a significant association with the risk of prostate cancer (P (Corr) = 0.005, OR = 1.81). One common haplotype (ht2) was also significantly associated with the risk of prostate cancer (P (Corr) = 0.009, OR = 1.77). Also (Sun, et al., 2005) said The TLR6-TLR1-TLR10 gene cluster may play a role in prostate cancer risk, although further functional studies are needed to pinpoint the disease-associated variants in this gene cluster. (Zhou, et al., 2016) found there were no association between TLR4 and coronary artery disease. References: [1.] Arango, g and descoteaux a. (2014). Macrophage cytokines: involvement in immunity and infectious diseases. Front immunol, 5(11):491. [2.] Kais k.a. Alhadrawi, siham j. M. Al-kaabi, ihsan e.al-saimary. (2015) a study of bacterial types associated with male’s infertility in al-najaf al-ashraf governorate. Kufa biology journal.
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