1.Department of Academic Surgery, University College Cork, Cork University Hospital, Cork, Ireland
2.Department of Pediatric Surgery, Affiliated Children’s Hospital, Soochow University, Suzhou 215003, China
*: jh.wang@ucc.ie
纸质出版:2014-12
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Current knowledge and future directions of TLR and NOD signaling in sepsis[J]. MMR, 2014,1(4):217-228.
Foley et al.: Current knowledge and future directions of TLR and NOD signaling in sepsis. Mil Med Res 2014
The incidence of sepsis is increasing over time
along with an increased risk of dying from the condition. Sepsis care costs billions annually in the United States. Death from sepsis is understood to be a complex process
driven by a lack of normal immune homeostatic functions and excessive production of proinflammatory cytokines
which leads to multi-organ failure. The Toll-like receptor (TLR) family
one of whose members was initially discovered in Drosophila
performs an important role in the recognition of microbial pathogens. These pattern recognition receptors (PRRs)
upon sensing invading microorganisms
activate intracellular signal transduction pathways. NOD signaling is also involved in the recognition of bacteria and acts synergistically with the TLR family in initiating an efficient immune response for the eradication of invading microbial pathogens. TLRs and NOD1/NOD2 respond to different pathogen-associated molecular patterns (PAMPs). Modulation of both TLR and NOD signaling is an area of research that has prompted much excitement and debate as a therapeutic strategy in the management of sepsis. Molecules targeting TLR and NOD signaling pathways exist but regrettably thus far none have proven efficacy from clinical trials.
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