2014
DOI: 10.1007/s00586-014-3442-4
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Expression and regulation of toll-like receptors (TLRs) in human intervertebral disc cells

Abstract: We provide evidence that several TLRs are expressed in human IVD cells, with TLR2 possibly playing the most crucial role. As TLRs mediate catabolic and inflammatory processes, increased levels of TLRs may lead to aggravated disc degeneration, chronic inflammation and pain development. Especially with the identification of more endogenous TLR ligands, targeting these receptors may hold therapeutic promise.

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Cited by 73 publications
(95 citation statements)
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“…Toll-like Receptor Expression-Increased TLR1, -2, -4, and -6 gene expression has been correlated with an increasing degree of degeneration (11). TLR2 can signal as a homodimer or heterodimer with TLR1 or TLR6, whereas TLR4 signals primarily as a homodimer (10).…”
Section: Resultsmentioning
confidence: 99%
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“…Toll-like Receptor Expression-Increased TLR1, -2, -4, and -6 gene expression has been correlated with an increasing degree of degeneration (11). TLR2 can signal as a homodimer or heterodimer with TLR1 or TLR6, whereas TLR4 signals primarily as a homodimer (10).…”
Section: Resultsmentioning
confidence: 99%
“…A current hypothesis is that ECM-produced alarmins, potentially generated by mechanical trauma, activate TLR signaling in early stages of disc degeneration (11,12,35). TLR activation can result in a robust increase of inflammatory cytokines and catabolic proteases, which in turn can further drive degeneration.…”
Section: Tlr2 Regulates Ngf Via Nf-bmentioning
confidence: 99%
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