title: Toll-like receptors in ischemia-reperfusion injury.
abstract: Ischemia-reperfusion (I/R) injuries are implicated in a large array of pathological conditions such as myocardial infarction, cerebral stroke, and hepatic, renal, and intestinal ischemia, as well as following cardiovascular and transplant surgeries. The hallmark of these pathologies is excessive inflammation. Toll-like receptors (TLRs) are recognized as one of the main contributors to pathogen-induced inflammation and, more recently, injury-induced inflammation. Endogenous ligands such as low-molecular hyaluronic acid, fibronectin, heat shock protein 70, and heparin sulfate were all found to be cleaved in the inflamed tissue and to activate TLR2 and TLR4, initiating an inflammatory response even in the absence of pathogens and infiltrating immune cells. In this review, we discuss the contribution of TLR activation in hepatic, renal, cerebral, intestinal, and myocardial I/R injuries. A greater understanding of the role of TLRs in I/R injuries may aid in the development of specific TLR-targeted therapeutics to treat these conditions.
authors.affiliation: Department of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, Texas 79106, USA. thiruma.arumugam@ttuhsc.edu
authors.forename: Thiruma V
authors.initials: TV
authors.lastname: Arumugam
authors.forename: Eitan
authors.initials: E
authors.lastname: Okun
authors.forename: Sung-Chun
authors.initials: SC
authors.lastname: Tang
authors.forename: John
authors.initials: J
authors.lastname: Thundyil
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Taylor
authors.forename: Trent M
authors.initials: TM
authors.lastname: Woodruff
mesh_terms: D000818:Animals; D017209:Apoptosis / Q000276:immunology / Q000502:physiology; D006801:Humans; D008954:Models, Biological; D009203:Myocardial Infarction / Q000276:immunology / Q000378:metabolism / Q000503:physiopathology; D015427:Reperfusion Injury / Q000276:immunology* / Q000378:metabolism / Q000503:physiopathology*; D020521:Stroke / Q000276:immunology / Q000378:metabolism / Q000503:physiopathology; D051193:Toll-Like Receptors / Q000378:metabolism / Q000502:physiology*
chemical_list: D051193:Toll-Like Receptors