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Published on: July 26, 2017
Is serum amyloid A an endogenous TLR4 agonist?
Silvana Sandri1, Dunia Rodriguez, Eliane Gomes
1Department of Clinical Analysis and Toxicology, Faculty of Pharmaceutical Sciences, Biomedical Science Institute, University of São Paulo, São Paulo, SP, Brazil.
Journal of Leukocyte Biology
|February 7, 2008
Summary
Serum amyloid A (SAA) triggers nitric oxide (NO) production in macrophages via Toll-like receptor 4 (TLR4) activation. This finding reveals SAA as a potential endogenous agonist, amplifying innate immune responses during inflammation.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Serum amyloid A (SAA) is an acute-phase protein involved in inflammation.
- SAA primes leukocytes and promotes pro-inflammatory cytokine release.
Purpose of the Study:
- To investigate the role of SAA in nitric oxide (NO) production by macrophages.
- To elucidate the molecular mechanisms and receptor pathways involved in SAA-induced NO production.
Main Methods:
- Murine peritoneal macrophages were stimulated with SAA.
- Specific inhibitors and genetic knockout models (TLR4-deficient mice) were used.
- Analysis of NO production, inducible NO synthase (iNOS) activity, and MAPK signaling pathways (ERK1/2, p38).
Main Results:
- SAA significantly induced NO production in macrophages.
- NO production was dependent on inducible NO synthase (iNOS) activation via ERK1/2 and p38 MAPKs.
- SAA's activity was sensitive to proteolysis but not polymyxin B, suggesting a protein nature.
- NO production required functional Toll-like receptor 4 (TLR4); macrophages from TLR4-deficient mice did not respond to SAA.
Conclusions:
- SAA acts as an endogenous agonist for the TLR4 complex on macrophages.
- This interaction amplifies innate immunity during inflammatory processes.
- SAA-induced NO production is a novel mechanism contributing to the inflammatory response.

