2005
DOI: 10.1002/art.21238
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Innate immunity conferred by toll-like receptors 2 and 4 and myeloid differentiation factor 88 expression is pivotal to monosodium urate monohydrate crystal-induced inflammation

Abstract: Objective. In gout, incompletely defined molecular factors alter recognition of dormant articular and bursal monosodium urate monohydrate (MSU) crystal deposits, thereby inducing self-limiting bouts of characteristically severe neutrophilic inflammation. To define primary determinants of cellular recognition, uptake, and inflammatory responses to MSU crystals, we conducted a study to test the role of Toll-like receptor 2 (TLR-2), TLR-4, and the cytosolic TLR adapter protein myeloid differentiation factor 88 (M… Show more

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Cited by 341 publications
(271 citation statements)
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References 51 publications
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“…These include HMGB1 76 31, uric acid 77 , some HSPs 78 79, some defensins [G] 80 , hyaluronic acid 81 , heparan sulfate 82 , and some fragments of extracellular matrix proteins 70 . Whereas this data may well be correct, caution is warranted because TLRs can be stimulated by microbial contaminants that are easily introduced during the purification of molecules.…”
Section: Receptors For Dampsmentioning
confidence: 99%
“…These include HMGB1 76 31, uric acid 77 , some HSPs 78 79, some defensins [G] 80 , hyaluronic acid 81 , heparan sulfate 82 , and some fragments of extracellular matrix proteins 70 . Whereas this data may well be correct, caution is warranted because TLRs can be stimulated by microbial contaminants that are easily introduced during the purification of molecules.…”
Section: Receptors For Dampsmentioning
confidence: 99%
“…There are data implicating both TLR-2 and -4 in mediating some cellular actions of UA. 11 Moreover, a recent report suggested that TLR-2 activation triggers exocytosis of WPB. 12 Consequently, we attempted to dissect relations between UA, TLR, and exocytosis of WPB in vivo using TLR-2 and TLR-4 knockout mice.…”
Section: Tlr-4 Mediates the Action Of Uric Acid On Wpbmentioning
confidence: 99%
“…In a series of recent studies, we implicated innate immune inflammatory responses to the naked crystal surface in the pathogenesis of acute gout (9)(10)(11). The process, set into motion partly via C5 cleavage catalyzed by the MSU crystal surface (12), involves terminal complement membrane attack complex formation that drives activation of the endothelium and generation of the major MSU crystal-induced neutrophil chemotaxin CXCL8 (interleukin-8 [IL-8]) (13,14) in vivo (9).…”
Section: Innate Immune Recognition Of the Naked Msu Crystal Surface Amentioning
confidence: 99%
“…The process, set into motion partly via C5 cleavage catalyzed by the MSU crystal surface (12), involves terminal complement membrane attack complex formation that drives activation of the endothelium and generation of the major MSU crystal-induced neutrophil chemotaxin CXCL8 (interleukin-8 [IL-8]) (13,14) in vivo (9). We determined recognition of naked MSU crystals by TLR-2 in chondrocytes, and by TLR-2 and TLR-4 in macrophage lineage cells, to be critical for the respective capacities of inert MSU crystals to turn on resident mesenchymal lineage cells in the joint and induce macrophage lineage cell expression of proinflammatory cytokines (10,11). Particularly pivotal to MSU crystalinduced cell activation in vitro and acute MSU crystalinduced inflammation in vivo was myeloid differentiation factor 88 (MyD88) signaling, which transduces TLR-2 responses, some TLR-4 responses, as well as IL-1-induced cell activation (10,11).…”
Section: Innate Immune Recognition Of the Naked Msu Crystal Surface Amentioning
confidence: 99%
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