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Published on: July 26, 2017
Toll-Like Receptors Regulate the Development and Progression of Renal Diseases
Minghui Liu1, Ke Zen1,2
1School of Life Science and Technology, Chinese Pharmaceutical University, Nanjing, China.
Background:
Stimulated by both microbial and endogenous ligands, toll-like receptors (TLRs) play an important role in the development and progression of renal diseases.
Summary:
As a highly conserved large family, TLRs have 11 members in humans (TLR1∼TLR11) and 13 members in mouse (TLR1∼TLR13). It has been widely reported that TLR2 and TLR4 signaling, activated by both exogenous and endogenous ligands, promote disease progression in both renal ischemia-reperfusion injury and diabetic nephropathy. TLR4 also vitally functions in CKD and infection-associated renal diseases such as pyelonephritis induced by urinary tract infection. Stimulation of intracellular TLR7/8 and TLR9 by host-derived nucleic acids also plays a key role in systemic lupus erythematosus. Given that certain microRNAs with GU-rich sequence have recently been found to be able to serve as TLR7/8 ligands, these microRNAs may initiate pro-inflammatory signal via activating TLR signal. Moreover, as microRNAs can be transferred across different organs via cell-secreted exosomes or protein-RNA complex, the TLR signaling activated by the miRNAs released by other injured organs may also result in renal dysfunction.
Key Messages:
In this review, we sum up the recent progress in the role of TLRs in various forms of glomerulonephritis and discuss the possible prevention or therapeutic strategies for clinic treatment to renal diseases.
Insights
Toll-like receptors (TLRs) are crucial in kidney disease development. This review explores TLR roles in glomerulonephritis and discusses potential therapeutic strategies for renal diseases.
Area of Science:
- Immunology
- Nephrology
- Molecular Biology
Background:
- Toll-like receptors (TLRs) are key mediators in renal disease pathogenesis, responding to microbial and endogenous ligands.
- TLRs are a conserved family with multiple members (11 in humans, 13 in mice) involved in various kidney conditions.
Purpose of the Study:
- To review the current understanding of toll-like receptor involvement in diverse forms of glomerulonephritis.
- To explore potential therapeutic and preventive strategies for kidney diseases targeting TLR signaling.
Main Methods:
- Literature review of recent advancements in TLR research related to renal diseases.
- Analysis of TLR signaling pathways activated by exogenous and endogenous ligands, including microRNAs.
Main Results:
- TLR2 and TLR4 signaling exacerbate renal ischemia-reperfusion injury and diabetic nephropathy.
- Intracellular TLR7/8 and TLR9 activation by host nucleic acids contribute to systemic lupus erythematosus and potentially other renal diseases.
- MicroRNAs acting as TLR7/8 ligands can initiate inflammation and contribute to renal dysfunction, even when released from other injured organs.
Conclusions:
- TLRs play a significant role in the progression of various glomerulonephritis types.
- Targeting TLR signaling presents a promising avenue for developing novel therapeutic strategies for kidney diseases.
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