Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis

Despite a decrease in mortality over the last decade, sepsis remains the tenth leading causes of death in western countries and one of the most common cause of death in intensive care units. The recent discovery of Toll-like receptors and their downstream signalling pathways allowed us to better und...

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Main Authors: X. Wittebole, D. Castanares-Zapatero, P. F. Laterre
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2010/568396
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author X. Wittebole
D. Castanares-Zapatero
P. F. Laterre
author_facet X. Wittebole
D. Castanares-Zapatero
P. F. Laterre
author_sort X. Wittebole
collection DOAJ
description Despite a decrease in mortality over the last decade, sepsis remains the tenth leading causes of death in western countries and one of the most common cause of death in intensive care units. The recent discovery of Toll-like receptors and their downstream signalling pathways allowed us to better understand the pathophysiology of sepsis-related disorders. Particular attention has been paid to Toll-like receptor 4, the receptor for Gram-negative bacteria outer membrane lipopolysaccharide or endotoxin. Since most of the clinical trial targeting single inflammatory cytokine in the treatment of sepsis failed, therapeutic targeting of Toll-like receptor 4, because of its central role, looks promising. The purpose of this paper is to focus on the recent data of various drugs targeting TLR4 expression and pathway and their potential role as adjunctive therapy in severe sepsis and septic shock.
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spelling doaj-art-dc14c14028d44d5db4d48fdf5e5bb6672025-08-20T03:23:57ZengWileyMediators of Inflammation0962-93511466-18612010-01-01201010.1155/2010/568396568396Toll-like Receptor 4 Modulation as a Strategy to Treat SepsisX. Wittebole0D. Castanares-Zapatero1P. F. Laterre2Critical Care Unit, Acute Medicine Department, St Luc University Hospital, Université Catholique de Louvain, Avenue Hippocrate 10, 1200 Bruxelles, BelgiumCritical Care Unit, Acute Medicine Department, St Luc University Hospital, Université Catholique de Louvain, Avenue Hippocrate 10, 1200 Bruxelles, BelgiumCritical Care Unit, Acute Medicine Department, St Luc University Hospital, Université Catholique de Louvain, Avenue Hippocrate 10, 1200 Bruxelles, BelgiumDespite a decrease in mortality over the last decade, sepsis remains the tenth leading causes of death in western countries and one of the most common cause of death in intensive care units. The recent discovery of Toll-like receptors and their downstream signalling pathways allowed us to better understand the pathophysiology of sepsis-related disorders. Particular attention has been paid to Toll-like receptor 4, the receptor for Gram-negative bacteria outer membrane lipopolysaccharide or endotoxin. Since most of the clinical trial targeting single inflammatory cytokine in the treatment of sepsis failed, therapeutic targeting of Toll-like receptor 4, because of its central role, looks promising. The purpose of this paper is to focus on the recent data of various drugs targeting TLR4 expression and pathway and their potential role as adjunctive therapy in severe sepsis and septic shock.http://dx.doi.org/10.1155/2010/568396
spellingShingle X. Wittebole
D. Castanares-Zapatero
P. F. Laterre
Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis
Mediators of Inflammation
title Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis
title_full Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis
title_fullStr Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis
title_full_unstemmed Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis
title_short Toll-like Receptor 4 Modulation as a Strategy to Treat Sepsis
title_sort toll like receptor 4 modulation as a strategy to treat sepsis
url http://dx.doi.org/10.1155/2010/568396
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