Toll-Like Receptors: Sensor Molecules for Detecting Damage to the Nervous System
Abstract
Toll-like receptors (TLRs) are type I transmembrane signaling molecules that are expressed in cells of the innate immune system. In these cells, TLRs function as pattern recognition receptors (PRR) that recognize specific molecular patterns derived from microorganisms. Upon activation, TLRs trigger a cascade of intracellular signaling pathways in innate immune cells, leading to the induction of inflammatory and innate immune responses, which in turn regulate adaptive immune responses. In the nervous system, different members of the TLR family are expressed on glial cells (astrocytes, microglia, oligodendrocytes, and Schwann cells) and neurons. Recently, increasing evidence has supported the idea that TLRs also recognize endogenous molecules that are released from damaged tissue, thereby regulating inflammatory responses and subsequent tissue repair. These findings imply that TLRs on glial cells may also be involved in the inflammatory response to tissue damage in the nervous system. In this review, we discuss recent studies on TLR expression in the cells of the nervous system and their roles in acute neurological disorders involving tissue damage such as strokes, traumatic spinal cord and brain injuries, and peripheral nerve injuries.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
TLR4 is up-regulated after TBI and recognizes LPSs and endogenous proteins such as high-mobility group box 1 protein, heat shock proteins, and low-density lipoprotein.
“TLR4 is up-regulated after TBI and recognizes LPSs and endogenous proteins, such as high-mobility group box 1 protein, heat shock proteins, and low-density lipoprotein (132).”
From The anatomy and immunology of vasculature in the central nervous system (2019) · cites this paper as [132]
Cited by
Sorted by citations
Neuroimmunology of Traumatic Brain Injury: Time for a Paradigm Shift
Jassam, Y. N., Izzy, S., Whalen, M., McGavern, D. B., & El Khoury, J. (2017) · Neuron · doi:10.1016/j.neuron.2017.07.010 · Cited by 799 · see citing works
Wang, M., Pan, W., Xu, Y., Zhang, J., Wan, J., & Jiang, H. (2022) · Journal of Inflammation Research · doi:10.2147/jir.s350109 · Cited by 461 · see citing works
“TLR4 is expressed primarily on microglia and sparsely on astrocytes and neurons.(61,62) The binding of TLR4 to appropriate ligands activatesmicroglia, induces a local inflammatory response and promotes the expression of pro-inflammatory cytokines.”
BackgroundMicroglia: Agents of the CNS Pro-Inflammatory Response
Rodríguez-Gómez, J. A., Kavanagh, E., Engskog-Vlachos, P., Engskog, M. K. R., Herrera, A. J., Espinosa-Oliva, A. M., Joseph, B., Hajji, N., Venero, J. L., & Burguillos, M. A. (2020) · Cells · doi:10.3390/cells9071717 · Cited by 365 · see citing works
“3 + ++ Poly(I:C), viral dsRNA [67,74] mRNA from apoptotic cells [75], stathmin[76]”
BackgroundZhu, H., Bian, C., Yuan, J., Chu, W., Xiang, X., Chen, F., Wang, C., Feng, H., & Lin, J. (2014) · Journal of Neuroinflammation · doi:10.1186/1742-2094-11-59 · Cited by 367 · see citing works
“One key factor in secondary brain injury is a complex series of inflammatory responses that is initiated largely through TLRs that possibly interact with endogenous ligands released from damaged cells [32,33].”
BackgroundThe anatomy and immunology of vasculature in the central nervous system
Mastorakos, P., & McGavern, D. (2019) · Science Immunology · doi:10.1126/sciimmunol.aav0492 · Cited by 333 · see citing works
“TLR4 is up-regulated after TBI and recognizes LPSs and endogenous proteins, such as high-mobility group box 1 protein, heat shock proteins, and low-density lipoprotein (132).”
BackgroundRedox Control of Microglial Function: Molecular Mechanisms and Functional Significance
Rojo, A. I., McBean, G. J., Cindrić, M., Egea, J., López, M. G., Rada, P., Žarković, N., & Cuadrado, A. (2014) · Antioxidants and Redox Signaling · doi:10.1089/ars.2013.5745 · Cited by 313 · see citing works
“Inaddition,microgliahaveanarrayofpatternrecognition receptors/toll-likereceptors(TLRs)thatenablethemtosense andrespondtoalargevarietyofexogenousagents(144,271).”
Collins, K. H., Herzog, W., MacDonald, G. Z., Reimer, R. A., Rios, J. L., Smith, I. C. P., Zernicke, R. F., & Hart, D. A. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00112 · Cited by 311 · see citing works
“TLRs sense pathogen-associated molecular patterns and damage-associated molecular patterns (PAMPs), and regulate the inflammatory responses to mitigate tissue repair (Lee et al., 2013).”
BackgroundNeurosteroids as regulators of neuroinflammation
Yılmaz, C., Karali, K., Fodelianaki, G., Gravanis, A., Chavakis, T., Charalampopoulos, I., & Alexaki, V. I. (2019) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2019.100788 · Cited by 245 · see citing works
“Accordingly, expression of TLR4, its adaptor protein MyD88 and RAGE, is enhanced in brain tissue after TBI (Lee et al., 2013; Li et al., 2013; Gao et al., 2012), while TLR4 knockdown associates with less neuroinflammation and injury in a TBI animal model (Ahmad et al.”
DAT isn’t all that: cocaine reward and reinforcement require Toll-like receptor 4 signaling
Northcutt, A. L., Hutchinson, M. R., Wang, X., Baratta, M. V., Hiranita, T., Cochran, T. A., Pomrenze, M. B., Galer, E. L., Kopajtic, T. A., Li, C. M., et al. (2015) · Molecular Psychiatry · doi:10.1038/mp.2014.177 · Cited by 220 · see citing works
Microglia centered pathogenesis in ALS: insights in cell interconnectivity
Brites, D. M. T. O., & Vaz, A. R. (2014) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2014.00117 · Cited by 201 · see citing works
“…no cure for the ALS disease, although Riluzole, the only drug approved by the U.S. Food and Drug Administration (FDA), was shown to prolong median patient survival by 2–3 months and to be more effective when administered at an early stage of the disease (Zoccolella et al., 2007; Lee et al., 2013a).”
BackgroundEmerging Role of Schwann Cells in Neuropathic Pain: Receptors, Glial Mediators and Myelination
Wei, Z., Fei, Y., Su, W., & Chen, G. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00116 · Cited by 172 · see citing works
Inflammation in Traumatic Brain Injury
Postolache, T. T., Wadhawan, A., Can, A., Lowry, C. A., Woodbury, M., Makkar, H., Hoisington, A. J., Scott, A. J., Potocki, E., Benros, M. E., et al. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-191150 · Cited by 150 · see citing works
“The DAMPS’ recognition leads to the activation of nuclear factor kappa-light-chainenhancer of activated B cells (NF-kB)-inducing kinase [94] and elevation of proinflammatory cytokines, such as TNF-α and IL-6 [95].”
Yao, X., Liu, S., Ding, W., Yue, P., Jiang, Q., Zhao, M., Hu, F., & Zhang, H. (2017) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2017.06.006 · Cited by 140 · see citing works
“As an important subtype of the Toll-like receptor family, Toll-like receptors 4 (TLR4) are able to recognize damage-associated molecular patterns (DAMPs), such as HSP90 and HMGB1, and play a critical role in initiating inflammatory cascade reactions (Lee et al., 2013; Kigerl et al., 2014).”
BackgroundNeuro-immune crosstalk in cancer: mechanisms and therapeutic implications
Pu, T., Sun, J., Ren, G., & Li, H. (2025) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-025-02241-8 · Cited by 140 · see citing works
“169,170 DAMPs are produced by various cancers, including pancreatic cancer, breast cancer, CRC, and GBM, that are detected by TLRs on macrophages and DCs within TME.”
Wang, Y., Hu, H., Yin, J., Shi, Y., Tan, J., Zheng, L., Wang, C., Li, X., Xue, M., Liu, J., et al. (2019) · Redox Biology · doi:10.1016/j.redox.2019.101186 · Cited by 120 · see citing works
“In the central nervous system (CNS), TLR4 is expressed primarily in microglia and sparsely in astrocytes and neurons [42].”
BackgroundMa, S., Zhang, D., Lou, H., Sun, L., & Ji, J. (2016) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2016.05.018 · Cited by 110 · see citing works
Marinelli, C., Liddo, R. D., Facci, L., Bertalot, T., Conconi, M. T., Zusso, M., Skaper, S. D., & Giusti, P. (2015) · Journal of Neuroinflammation · doi:10.1186/s12974-015-0458-6 · Cited by 92 · see citing works
“This large family of so-called pattern recognition receptors includes the Tolllike receptors (TLRs), considered as crucial environmentalsensing molecular motifs for pathogen-associated molecular patterns, which are linked with microbial pathogens or cell stress, as well as danger-associated molecular patterns released…”
BackgroundLi, X., Huang, L., Liu, G., et al. (2019) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2019.112365 · Cited by 92 · see citing works
Neuro-immune interactions and immuno-oncology
Khanmammadova, N., Islam, S., Sharma, P., & Amit, M. (2023) · Trends in cancer · doi:10.1016/j.trecan.2023.05.002 · Cited by 97 · see citing works
Rosenberger, K., Derkow, K., Dembny, P., Krüger, C., Schott, E., & Lehnardt, S. (2014) · Journal of Neuroinflammation · doi:10.1186/s12974-014-0166-7 · Cited by 91 · see citing works
“DAMPs identified as TLR ligands include heat shock protein 60 (HSP60) and fibrinogen for TLR4 as well as gangliosides and hyaluronic acid fragments for TLR2 [3].”
BackgroundAstrocyte-mediated inflammation in cortical spreading depression
Ghaemi, A., Alizadeh, L., Babaei, S., Jafarian, M., Ghadiri, M. K., Meuth, S. G., Kovac, S., & Gorji, A. (2017) · Cephalalgia · doi:10.1177/0333102417702132 · Cited by 92 · see citing works
Vinuesa, Á., Bentivegna, M., Calfa, G. D., Filipello, F., Pomilio, C. J., Bonaventura, M. M., Lux-Lantos, V. A., Matzkin, M. E., Gregosa, A., Presa, J., et al. (2018) · Molecular Neurobiology · doi:10.1007/s12035-018-1435-8 · Cited by 84 · see citing works
Nyúl‐Tóth, Á., Kozma, M., Nagyőszi, P., Nagy, K. S., Fazakas, C., Haskó, J., Molnár, K., Farkas, A. E., Végh, A. G., Váró, G., et al. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.04.010 · Cited by 79 · see citing works
Mathews, S., Woods, A. B., Katano, I., Makarov, E., Thomas, M. B., Gendelman, H. E., Poluektova, L. Y., Ito, M., & Gorantla, S. (2019) · Molecular Neurodegeneration · doi:10.1186/s13024-019-0311-y · Cited by 74 · see citing works
Zhang, G., Yu, L., Chen, Z.-Y., Zhu, J.-S., Hua, R., Qin, X., Cao, J., & Zhang, Y.-M. (2015) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2015.12.022 · Cited by 73 · see citing works
Exosome engineering for efficient and targeted drug delivery: Current status and future perspective
Malekian, F., Shamsian, A., Kodam, S. P., & Ullah, M. (2022) · The Journal of Physiology · doi:10.1113/jp282799 · Cited by 70 · see citing works
“…that appear in cancerous cells or in cells affected by cardiac infarction, ischemic stroke or inflammation can be targeted (Chrysant, 2012; Frei et al., 2012; Goutagny et al., 2012; Kaschina et al., 2014; Lee et al., 2013; Ramilowski et al., 2015; Takeuchi & Akira, 2010; von Lueder et al., 2015).”
BackgroundFesharaki‐Zadeh, A., & Datta, D. (2024) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2024.1371213 · Cited by 77 · see citing works
Therapeutic implications of toll-like receptors in peripheral neuropathic pain
Thakur, K. K., Saini, J., Mahajan, K., Singh, D., Jayswal, D. P., Mishra, S., Bishayee, A., Sethi, G., & Kunnumakkara, A. B. (2016) · Pharmacological Research · doi:10.1016/j.phrs.2016.11.019 · Cited by 71 · see citing works
Interactions of neuroimmune signaling and glutamate plasticity in addiction
Gipson, C. D., Rawls, S. M., Scofield, M. D., Siemsen, B. M., Bondy, E. O., & Maher, E. E. (2021) · Journal of Neuroinflammation · doi:10.1186/s12974-021-02072-8 · Cited by 67 · see citing works
“ger intracellular signaling cascades that induce immune responses [181].”
BackgroundTherapeutic Developments Targeting Toll‐like Receptor‐4‐Mediated Neuroinflammation
Li, J., Csakai, A., Jin, J., Zhang, F., & Yin, H. H. (2015) · ChemMedChem · doi:10.1002/cmdc.201500188 · Cited by 65 · see citing works
Why mu‐opioid agonists have less analgesic efficacy in neuropathic pain?
Martínez‐Navarro, M., Maldonado, R. J., & Baños, J.-E. (2018) · European Journal of Pain · doi:10.1002/ejp.1328 · Cited by 65 · see citing works
“TLR4 is particularly abundant in microglia and was shown to participate in triggering microglial reactivity (Lee, Lee, Cho, & Lee, 2013) and pro- inflammatory cytokines production (IL- 1β, IL- 18, TNFα) in a p38 MAPKdependent manner (Hutchinson, Coats et al., 2008).”
BackgroundRietdijk, C. D., Wezel, R. J. A. V., Garssen, J., & Kraneveld, A. D. (2016) · Neuroimmunology and Neuroinflammation · doi:10.20517/2347-8659.2015.28 · Cited by 59 · see citing works
Endogenous recovery after brain damage: molecular mechanisms that balance neuronal life/death fate
Tovar‐y‐Romo, L. B., Penagos‐Puig, A., & Ramírez‐Jarquín, J. O. (2015) · Journal of Neurochemistry · doi:10.1111/jnc.13362 · Cited by 57 · see citing works
Schwann cells: a new player in the tumor microenvironment
Bunimovich, Y. L., Keskinov, A. A., Shurin, G. V., & Shurin, M. R. (2016) · Cancer Immunology Immunotherapy · doi:10.1007/s00262-016-1929-z · Cited by 59 · see citing works
Role of the Cholinergic Anti-Inflammatory Reflex in Central Nervous System Diseases
Ramos-Martínez, I. E., Rodriguez, M. C., Cerbón, M. A., Ramos-Martínez, J. C., & Ramos-Martínez, E. G. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222413427 · Cited by 56 · see citing works
“Neurons can sense pathogens or harmful molecules by expressing pattern recognition receptors (PPRs), such as tolllike receptors (TLRs) 1–5, 7, and 9 [7,8], NOD-like receptors (NLRP 1, 3, and 4), and inflammasome AIM2 [9–11].”
BackgroundRole of pattern recognition receptors of the neurovascular unit in inflamm-aging
Wilhelm, I., Nyúl-Tóth, Á., Kozma, M., Farkas, A. E., & Krizbai, I. A. (2017) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00106.2017 · Cited by 56 · see citing works
“Astrocytes express several TLRs on the mRNA and protein levels; however, their TLR expression profile is more limited in vivo than in vitro (77).”
BackgroundRetrograde neurotrophin signaling through Tollo regulates synaptic growth in Drosophila
Ballard, S. L., Miller, D. L., & Ganetzky, B. (2014) · Journal of Cell Biology · doi:10.1083/jcb.201308115 · Cited by 56 · see citing works
“Although TLRs are also expressed in neurons, their functions in neurons are only beginning to be described (Hanke and Kielian, 2011; Okun et al., 2011; Lee et al., 2013; McIlroy et al., 2013).”
BackgroundInfluentialNeuroinflammation of traumatic brain injury: Roles of extracellular vesicles
Liu, X., Zhang, L., Cao, Y., Jia, H., Li, X., Li, F., Zhang, S., & Zhang, J. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1088827 · Cited by 54 · see citing works
“Nerve cells, meninges, and the blood–brain barrier (BBB) are damaged by the initial insult at the site of the injury and the amount of DAMPs released, such as high-mobility group box 1 protein (HMGB1), adenosine triphosphate (ATP), heat shock proteins (HSPs), and uric acid (13, 24, 25).”
BackgroundFreria, C. M., Bernardes, D., Almeida, G. L., Simões, G. F., Barbosa, G. O., & de Oliveira, A. L. R. (2016) · Journal of Neuroinflammation · doi:10.1186/s12974-016-0579-6 · Cited by 46 · see citing works
“In this regard, tolllike receptors (TLR) are strongly activated in the traumatized peripheral nerve microenvironment, which might be related to the response to injury, including monocyte diapedesis, Schwann cell proliferation and secretion of neurotrophic factors, as well as phagocytic activity [17].”
BackgroundKarki, R., & Igwe, O. J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0073840 · Cited by 45 · see citing works
“TLRs are predominantly expressed in immune cells including polymorphonuclear leukocytes (PMNs), macrophages, microglia and dendritic cells as well as on certain non-immune cells such as endothelial and muscle cells [15].”
BackgroundLitak, J., Grochowski, C., Litak, J., Osuchowska, I., Gosik, K., Radzikowska, E., Kamieniak, P., & Roliński, J. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21093114 · Cited by 47 · see citing works
“They are mainly expressed in neurons and glial structures, where they play a role in recognizing unfamiliar molecules, some postapoptotic antigens consequently control repair processes and modulate inflammatory action [1].”
BackgroundUlbrich, F., Kaufmann, K. B., Roesslein, M., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0143887 · Cited by 44 · see citing works
Madeddu, S., Woods, T. A., Mukherjee, P., Sturdevant, D. E., Butchi, N. B., & Peterson, K. E. (2015) · PLoS ONE · doi:10.1371/journal.pone.0127336 · Cited by 42 · see citing works
“The initiation of these neuroinflammatory responses are often mediated by pattern recognition receptors (PRRs), such as membrane bound toll-like receptors (TLRs) as well as cytoplasmic RNA and DNA sensors [1, 6, 7].”
BackgroundWang, Q., Li, H.-Y., Ling, Z.-M., et al. (2022) · Journal of Neuroinflammation · doi:10.1186/s12974-022-02603-x · Cited by 41 · see citing works
“Schwann cells highly express subtypes of TLRs, including TLR 2, TLR3, and TLR4 [46].”
BackgroundImmune Mediators of Pathology in Neurobrucellosis: From Blood to Central Nervous System
Rodríguez, A. M., Delpino, M. V., Miraglia, M. C., & Giambartolomei, G. H. (2019) · Neuroscience · doi:10.1016/j.neuroscience.2019.05.018 · Cited by 38 · see citing works
Tang, H., Zhang, G., Ji, N., Du, L., Chen, B., Hua, R., & Zhang, Y.-M. (2017) · Frontiers in Pharmacology · doi:10.3389/fphar.2017.00309 · Cited by 37 · see citing works
“TLR4 is predominantly expressed in microglia with sparse expression in astrocytes and neurons (Lee et al., 2013).”
BackgroundPotential role of Schwann cells in neuropathic pain
Zhang, W., Liu, S.-C., Ming, L.-G., Yu, J.-W., Zuo, C., Hu, D.-X., Luo, H.-L., & Zhang, Q. (2023) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2023.175955 · Cited by 36 · see citing works
Targeting Microglial and Neuronal Toll-like Receptor 2 in Synucleinopathies
Kwon, S., Iba, M., Masliah, E., & Kim, C. (2019) · Experimental Neurobiology · doi:10.5607/en.2019.28.5.547 · Cited by 35 · see citing works
Zhao, Y., Zhao, Y., Zhang, M., Zhao, J., Ma, X., Huang, T., Pang, H., Li, J., & Song, J. (2016) · Mediators of Inflammation · doi:10.1155/2016/4706915 · Cited by 34 · see citing works
“The toll-like receptors (TLRs) are pattern recognition receptors that belong to the interleukin receptor superfamily [8].”
BackgroundKnockout of toll-like receptor impairs nerve regeneration after a crush injury
Hsieh, C., Rau, C., Kuo, P., Liu, S., Wu, C., Lu, T., Wu, Y.-C., & Lin, C.-W. (2017) · Oncotarget · doi:10.18632/oncotarget.20206 · Cited by 32 · see citing works
“had previously demonstrated the expression of TLRs in rat Schwann cells, and showed that TLR2, TLR3, and TLR4 are highly expressed in these cells [26].”
BackgroundA Common Language: How Neuroimmunological Cross Talk Regulates Adult Hippocampal Neurogenesis
Leiter, O., Kempermann, G., & Walker, T. L. (2016) · Stem Cells International · doi:10.1155/2016/1681590 · Cited by 32 · see citing works
“Many members of the TLR family are expressed in the brain; however studies mainly focus on their role in pathological brain processes and their specific role in normal brain function is still not completely clear [153].”
Greenmyer, J. R., Gaultney, R. A., Brissette, C. A., & Watt, J. A. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.00811 · Cited by 32 · see citing works
“These dynamic cells of myeloid origin possess immune receptors such as Fc receptors and TLRs, and as such are poised to infections with microbes such as B. burgdorferi (Lee et al., 2013).”
BackgroundTollip is a critical mediator of cerebral ischaemia–reperfusion injury
Li, M., Feng, B., Wang, L., et al. (2015) · The Journal of Pathology · doi:10.1002/path.4565 · Cited by 31 · see citing works
“An interesting and seemingly paradoxical observation in our present study is that, as a negative regulator of TLR2/4 in the immune network [6,45], Tollip did not exhibit an opposite function in ischaemic stroke to that of TLR2/4.”
BackgroundSchwann cells as a target cell for the treatment of cancer pain
Zhang, W.-J., Wu, C., & Liu, J. (2023) · Glia · doi:10.1002/glia.24391 · Cited by 30 · see citing works
“TLR2 knockout mice cannot, suggesting that SCs are activated by recognizing damage-related molecular patterns (DAMP) during nerve injury (Lee et al., 2013).”
BackgroundInfluentialImaizumi, T., Numata, A., Yano, C., Yoshida, H., Meng, P., Hayakari, R., Xing, F., Wang, L., Matsumiya, T., Tanji, K., et al. (2014) · Neuroscience Research · doi:10.1016/j.neures.2014.03.001 · Cited by 28 · see citing works
“TLRs are expressed in the central nervous system (Hanke and Kielian, 2011), and play important roles not only in physiological host defense but also in neurological disorders such as stroke and injuries (Lee et al., 2013).”
BackgroundConant, K. E., Daniele, S. G., Bozzelli, P. L., Abdi, T., Edwards, A. A., Szklarczyk, A., Olchefske, I., Ottenheimer, D. J., & Maguire‐Zeiss, K. A. (2017) · Journal of Neuroinflammation · doi:10.1186/s12974-017-0827-4 · Cited by 29 · see citing works
“Microglial cells express relatively high levels of potential receptors for adhesion molecule fragments, including integrins and TLRs.”
InfluentialMonserrat-Mesquida, M., Quetglas‐Llabrés, M. M., Bouzas, C., Montemayor, S., Mascaró, C. M., Casares, M., Llompart, I., Ugarriza, L., Martínez, J. A., Tur, J. A., et al. (2022) · Antioxidants · doi:10.3390/antiox11081440 · Cited by 28 · see citing works
Ribeiro, P. A. O., de Castro, M. V., Perez, M., Cartarozzi, L. P., Spejo, A. B., Chiarotto, G. B., Augusto, T. M., & de Oliveira, A. L. R. (2019) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2019.11.008 · Cited by 26 · see citing works
Sureda, A., Martorell, M., Bibiloni, M. D. M., Bouzas, C., Gallardo-Alfaro, L., Mateos, D., Capó, X., Tur, J. A., & Pons, A. (2020) · Nutrients · doi:10.3390/nu12010146 · Cited by 27 · see citing works
“The activation of TLRs by microbial products or endogenous damage-associated molecular patterns (DAMP) triggers a cascade of intracellular signaling pathways in innate immune cells, inducing an inflammatory response [14].”
BackgroundCapó, X., Martorell, M., Llompart, I., Sureda, A., Tur, J. A., & Pons, A. (2014) · Cytokine · doi:10.1016/j.cyto.2014.05.026 · Cited by 26 · see citing works
Ali, N., Mahmoud, A. A. A., Mahmoud, M. F., et al. (2019) · Drug and Chemical Toxicology · doi:10.1080/01480545.2018.1544984 · Cited by 24 · see citing works
“…Muscat 114, Oman 2019 Informa UK Limited, trading as Taylor & Francis Group addition, TLRs are expressed in the central nervous system (CNS) (Lee et al. 2013), and might be implicated in the pathogenesis of neurological and neurodegenerative diseases (Okun et al. 2011); however, their role…”
BackgroundSong, H., Zhu, Z., Zhou, Y., et al. (2019) · Journal of Molecular Histology · doi:10.1007/s10735-019-09832-0 · Cited by 23 · see citing works
Rensetti, D. E., Marin, M. S., Quintana, S., et al. (2016) · Research in Veterinary Science · doi:10.1016/j.rvsc.2016.04.009 · Cited by 22 · see citing works
Crosstalk Between Insulin and Toll-like Receptor Signaling Pathways in the Central Nervous system
Hemmati, F., Ghasemi, R., Ibrahim, N. M., Dargahi, L., Mohamed, Z., Raymond, A. A., & Ahmadiani, A. (2014) · Molecular Neurobiology · doi:10.1007/s12035-013-8631-3 · Cited by 21 · see citing works
“For instance, oligodendrocytes express TLR2 and 3; endothelial cells express TLR2, 4, and 9; and finally, neuronal cells are shown to express TLR2, 3, 4, 8, and 9 [45, 46].”
Wang, X., Yin, F., Li, L., et al. (2017) · Epilepsy Research · doi:10.1016/j.eplepsyres.2017.10.006 · Cited by 21 · see citing works
“TLR4 is an important membrane receptor protein that is widely expressed on the surface of astrocytes, microglia, oligodendrocytes and neurons (Lee et al., 2013).”
BackgroundIchihara, K., Aizawa, N., Akiyama, Y., Kamei, J., Masumori, N., Andersson, K., Homma, Y., & Igawa, Y. (2017) · Pain · doi:10.1097/j.pain.0000000000000947 · Cited by 21 · see citing works
The role of the neuronal microenvironment in sensory function and pain pathophysiology
Starobova, H., Alshammari, A., Winkler, I. G., & Vetter, I. (2022) · Journal of Neurochemistry · doi:10.1111/jnc.15724 · Cited by 19 · see citing works
“SCs also release fac - tors that promote pain and nerve regeneration, such as cytokines and neurotropic factors (De Logu et al., 2019 ; Lee et al., 2013 ; Scheib & Höke, 2013 ; Su et al., 2016 ; Zhang, Liu, et al., 2018 ).”
[Neuroinflammation: Dr Jekyll or Mr Hyde?].
Renaud, J., Thérien, H., Plouffe, M., & Martinoli, M. (2015) · Medecine sciences : M/S · doi:10.1051/medsci/20153111012 · Cited by 8 · see citing works
Ji, N.-N., & Xia, M. (2022) · Translational Pediatrics · doi:10.21037/tp-22-410 · Cited by 17 · see citing works
“In visceral pain conditions, microglia have been shown to produce and secrete the cytokines interleukin-1 β (IL-1 β ), tumor necrosis factor-α (TNF-α ), and other pro-inflammatory factors are increased through a myeloid differentiation factor 88 (MyD88)-dependent signaling cascade in the central nervous system includi…”
InfluentialLiu, F., Chen, Y., Liu, R., et al. (2019) · Journal of Cellular Biochemistry · doi:10.1002/jcb.29356 · Cited by 17 · see citing works
Ji, Y., Zhou, Y., Pan, J., Li, X., Wang, H., & Wang, Y. (2015) · International Journal of Neuroscience · doi:10.3109/00207454.2015.1010649 · Cited by 15 · see citing works
“However, there is no evidence for the in vivo expression of TLR9 in astrocytes for other pathophysiological situations [15].”
BackgroundMaturation, Morphology, and Function: The Decisive Role of Intestinal Flora on Microglia: A Review
Liu, L., Tong, F., Li, H., Bin, Y., Ding, P., Peng, L., Liu, Z., & Dong, X. (2023) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2203070 · Cited by 13 · see citing works
“The transcription products of almost all Tolllike receptors are expressed in microglia, including TLR19, but not all TLRs are translated into proteins [48].”
BackgroundRelationship between toll-like receptor 4 levels in aorta and severity of atherosclerosis
Xing, S., Zheng, F., Zhang, W. D., et al. (2014) · Journal of International Medical Research · doi:10.1177/0300060514534645 · Cited by 13 · see citing works
“To date, 13 members of the TLR family have been identified, of which TLR4 is closely linked to atherosclerosis.(12) The aim of the current study was to investigate the relationship between levels of TLR4 in aortic tissue and the severity of atherosclerosis in patients who underwent coronary artery bypass graft (CABG)…”
BackgroundBolton, C., & Smith, P. (2015) · CNS & Neurological Disorders - Drug Targets · doi:10.2174/1871527314666150716103629 · Cited by 13 · see citing works
Mechanisms underlying the hyperalgesic responses triggered by joint activation of TLR4
Guerrero, A. T. G., Pinto, L. G., Cunha, F. Q., Ferreira, S. H., Alves-Filho, J. C., Verri, W. A., Jr., & Cunha, T. M. (2016) · Pharmacological Reports · doi:10.1016/j.pharep.2016.08.006 · Cited by 13 · see citing works
Xu, D., Liang, J., Cui, M., et al. (2020) · Scandinavian Journal of Immunology · doi:10.1111/sji.12896 · Cited by 13 · see citing works
Megías, J., Martínez, A., San‐Miguel, T., Gil‐Benso, R., Hidalgo, L. M., Albert-Bellver, D., Carratalá, A., Gozalbo, D., López‐Ginés, C., Gil, M. L., et al. (2019) · Investigational New Drugs · doi:10.1007/s10637-019-00788-2 · Cited by 12 · see citing works
Gyetvai, G., Roe, C., Heikal, L., Ghezzi, P., & Mengozzi, M. (2018) · Molecular Medicine · doi:10.1186/s10020-018-0052-3 · Cited by 11 · see citing works
“Other than microbial products, the TLRs recognize endogenous danger-associated molecular patterns (DAMPs) released from injured tissues which regulate inflammatory responses (Lee et al., 2013).”
BackgroundFukuda, Y., Nakajima, K., & Mutoh, T. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21186456 · Cited by 9 · see citing works
“TLR4 is one of the PRRs expressed in neuronal cells and microglia [38,39] that can detect and respond to alarmins/DAMPs, thus mediating microglial activation throughout the CNS [40].”
BackgroundGao, P., Tang, S., Chen, H., Zhou, X., Ou, Y., Shen, R., & He, Y. (2021) · Experimental Neurology · doi:10.1016/j.expneurol.2021.113712 · Cited by 9 · see citing works
Immunoactive drug carriers in cancer therapy
Meng, F., Kwon, S., Wang, J., & Yeo, Y. (2020) · Elsevier eBooks · doi:10.1016/b978-0-08-102983-1.00003-x · Cited by 12 · see citing works
TLR Signaling in Brain Immunity
Guo, M., Xu, Y., & Zhang, C. (2021) · Handbook of experimental pharmacology · doi:10.1007/164_2021_542 · Cited by 10 · see citing works
Libbey, J. E., Cusick, M. F., Doty, D. J., et al. (2017) · Viral Immunology · doi:10.1089/vim.2016.0175 · Cited by 8 · see citing works
Metal ions potentiate microglia responsiveness to endotoxin
Rachmawati, D., Peferoen, L. A. N., Vogel, D. Y. S., Alsalem, I. W. A., Amor, S., Bontkes, H. J., Blomberg, B. M. E. V., Scheper, R. J., & van Hoogstraten, I. M. W. (2015) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2015.12.013 · Cited by 5 · see citing works
“Several studies have elegantly shown that microglia express TLRs 1-9 (Rosenberger et al. 2014; Lehnardt 2010; Jack et al. 2005; Lee et al. 2013).”
Immune-Based Therapies for Traumatic Brain Injury: Insights from Pre-Clinical Studies
Machado, C. A., Silva, A. C. S. E., de Miranda, A. S., Cordeiro, T. M. E., Ferreira, R. N., de Souza, L. C., Teixeira, A. L., & de Miranda, A. S. (2019) · Current Medicinal Chemistry · doi:10.2174/0929867326666190710173234 · Cited by 5 · see citing works
The immunological paradox of CD4⁺ T cells in traumatic brain injury
Zhao, Q., Chen, B., Ai, W.-Q., Brazhe, N. A., Liu, D., Zhu, L., & Wen, M. (2025) · International Journal of Surgery · doi:10.1097/js9.0000000000003689 · Cited by 4 · see citing works
Dinice, L., Esposito, G., Cacciamani, A., Balzamino, B. O., Cosimi, P., Cafiero, C., Ripandelli, G., & Micera, A. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25147732 · Cited by 5 · see citing works
“TLRs work in combination with complement fragments, ameliorating some inflammatory states linked to DAMPs’ recognition, although exacerbations of the local inflammation and senescence have also been reported [31,78,79].”
BackgroundTao, D., Li, R., Teng, J., et al. (2025) · Chemistry & Biodiversity · doi:10.1002/cbdv.202500277 · Cited by 3 · see citing works
“Nuclear factor kappa B (NF-κ B), one of the major downstream target genes of TLR4, regulates the transcription of inflammatory cytokines [12].”
Microbial Regulation of Gastrointestinal Immunity in Health and Disease
Patrick, S., Ingram, R. J., Schneiders, T., & Fitzgerald, D. C. (2016) · Springer eBooks · doi:10.1007/978-3-319-28609-9_3 · Cited by 3 · see citing works
“PRR and can respond to danger signals in the CNS [ 33 ] though the relative contribution of microglia versus recruited monocytes/macrophages is not clear in most settings.”
BackgroundAn introduction to innate immunity in the central nervous system
Harry, G. J., Childers, G. M., & McPherson, C. A. (2018) · Advances in neurotoxicology · doi:10.1016/bs.ant.2018.10.002 · Cited by 3 · see citing works
Expression and Role of Toll-like Receptors in Facial Nerve Regeneration after Facial Nerve Injury
Lee, J.-M., Yeo, S., Jung, S. Y., Jung, J., Kim, S. S., Yoo, M., Rim, H., Min, H. K., Kim, S. H., & Park, D. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241411245 · Cited by 2 · see citing works
“A previous study in rats investigated the expression of TLRs in Schwann cells, demonstrating that these cells highly express TLR2, -3, and -4 [46].”
BackgroundLiang, W., Zhang, M., Huang, X., Huang, R., Gao, J., Jia, Z., & Zhang, S. (2023) · Pharmacological Research - Modern Chinese Medicine · doi:10.1016/j.prmcm.2023.100322 · Cited by 2 · see citing works
Iba, M., Lee, Y., Kwon, S., Horan-Portelance, L., Chang, K., Kim, M., Landeck, N., Rissman, R. A., Lee, S. J., You, S., et al. (2025) · Experimental & Molecular Medicine · doi:10.1038/s12276-025-01564-4 · Cited by 1 · see citing works
“Although TLR2 is mainly expressed in innate immune cells, it is also expressed in glial and neuronal cell populations within the central nervous system 16 – 18 .”
Self-citationFabisiak, T. (2015) · CU Scholar (University of Colorado Boulder) · Cited by 1 · see citing works
Cellular and Molecular Responses to Traumatic Brain Injury
Lööv, C. (2014) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Caloric restriction as a nutrition strategy in counteracting peripheral neuropathies
Marinelli, S. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-89834-8.00003-9
The Influence of Erianin on the Differentiation of Neural Stem Cells into Neurons In Vitro
Li, Q., Gan, X., Zhang, M., Zhang, G., Li, Y., & Gao, L. (2023) · Indian Journal of Pharmaceutical Sciences · doi:10.36468/pharmaceutical-sciences.1239
“This immune response is characterized by the release of danger signals from neurons and glial cells, activation of resident innate immune cells, recruitment and infiltration of peripheral immune cells, and the secretion of various inflammatory molecules [19] .”
Background
- Authors
- Lee, H., Lee, S., Cho, I.-H., & Joong Lee, S.
- Affiliations
- Seoul National University (KR)
- Venue
- Current Protein & Peptide Science
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2013-03-01
- Volume
- 14
- Issue
- 1
- Pages
- 33-42
- ISSN
- 1389-2037 (ISSN-L)
- OpenAlex
- W2024660851
- Cited by
- 113
- References
- 0
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 9 · 2022: 13 · 2021: 4 · 2020: 8 · 2019: 14 · 2018: 8 · 2017: 12 · 2016: 10 · 2015: 13 · 2014: 10 · 2013: 1
- FWCI
- 6.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Protein and Peptide Science (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Foundation of Korea
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Keywords
- Toll-like receptors, pattern recognition receptors, innate immunity, nervous system damage, glial cells, astrocytes, microglia, oligodendrocytes, Schwann cells, neuroinflammation, tissue repair, stroke, spinal cord injury, traumatic brain injury, peripheral nerve injury
- MeSH terms
- Animals, Brain Injuries, Humans, Immunity, Innate, Ligands, Neuralgia, Neurons, Spinal Cord Injuries, Signal Transduction, Inflammation Mediators, Stroke, Toll-Like Receptors, Peripheral Nerve Injuries
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review