2010
DOI: 10.1007/s12072-010-9219-x
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The role of lipopolysaccharide/toll-like receptor 4 signaling in chronic liver diseases

Abstract: Toll-like receptor 4 (TLR4) is a pattern recognition receptor that functions as lipopolysaccharide (LPS) sensor and whose activation results in the production of several pro-inflammatory, antiviral, and anti-bacterial cytokines. TLR4 is expressed in several cells of healthy liver. Despite the constant confrontation of hepatic TLR4 with gut-derived LPS, the normal liver does not show signs of inflammation due to its low expression of TLR4 and ability to modulate TLR4 signaling. Nevertheless, there is accumulati… Show more

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Cited by 274 publications
(238 citation statements)
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References 85 publications
(126 reference statements)
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“…CCl 4 -induced liver fibrosis activates hepatic stellate cells via TLR4 (19,20), enhanced by signal transduction emanating from the TLR4 complex induced by gut bacterial products and LPS (1). To investigate whether activation of IRF3 in acute CCl 4 liver injury was mediated by the intracellular MyD88-independent TLR4 adaptors TRIF and TRAM), or the kinase TBK1, we first inhibited activity of their downstream kinase, TBK1, by the chemical inhibitor BX795 in vivo.…”
Section: Irf3 Deficiency Attenuates Chronic CCL 4 -Mediated Livermentioning
confidence: 99%
“…CCl 4 -induced liver fibrosis activates hepatic stellate cells via TLR4 (19,20), enhanced by signal transduction emanating from the TLR4 complex induced by gut bacterial products and LPS (1). To investigate whether activation of IRF3 in acute CCl 4 liver injury was mediated by the intracellular MyD88-independent TLR4 adaptors TRIF and TRAM), or the kinase TBK1, we first inhibited activity of their downstream kinase, TBK1, by the chemical inhibitor BX795 in vivo.…”
Section: Irf3 Deficiency Attenuates Chronic CCL 4 -Mediated Livermentioning
confidence: 99%
“…The contribution of increased intestinal permeability (20), overgrowth of bacteria (15), and elevated serum LPS (31,32) has been shown in patients with NAFLD. Overgrowth of bacteria, in particular gram-negative bacteria, increases the production of hepatotoxic products such as LPS (23).…”
Section: Introductionmentioning
confidence: 99%
“…The disruption of the intestinal integrity increases intestinal permeability, which leads to bacterial translocation, and bacterial endotoxins penetrate into the portal vein, which increases the risk of NAFLD development through the activation of hepatic inflammatory cells (23,33). Bacterial endotoxins are recognized by toll-like receptors (TLRs) on hepatocytes, which recognize several components of microbes and initiate immunologic responses (32). When bacterial LPS signals through TLR4, signaling ultimately activates NF-kB and proinflammatory cytokines (32,34).…”
Section: Introductionmentioning
confidence: 99%
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“…The innate immune system may also be vital to its progression, and the activation of TLR4 appears to be crucial for the progression of the disease sequence of steatosis-steatohepatitis-fi brosis-cirrhosis and, fi nally, hepatocarcinoma, as we previously reviewed (18). It seems that TLR4 signaling is enhanced in chronic liver disease, such as NAFLD (19). Besides, in a human virus induced hepatic infl ammation-fi brosis-cirrhosis sequence, we found an upregulation of TLR2 and TLR4 (20).…”
Section: Introductionmentioning
confidence: 92%