2021
DOI: 10.1159/000518471
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Interferon and Toll-Like Receptor 7 Response in COVID-19: Implications of Topical Imiquimod for Prophylaxis and Treatment

Abstract: <b><i>Background:</i></b> The innate immune system is recognized as an essential aspect of COVID-19 pathogenesis. Toll-like receptors (TLRs) are important in inducing antiviral response, triggering downstream production of interferons (IFNs). Certain loss-of-function variants in TLR7 are associated with increased COVID-19 disease severity, and imiquimod (ImiQ) is known to have immunomodulating effects as an agonist of TLR7. Given that topical imiquimod (topImiQ) is indicated for various… Show more

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Cited by 8 publications
(7 citation statements)
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“…After endocytosis of SRS-Cov-2 to the type II pneumocytes of the lungs, viral nucleotides are transported into endosomes where TLR3 and TLR7 are present. Through slightly different pathways, TLR3 and TLR7 activate NF-κB signaling, which results in the production of type I IFNs and proinflammatory cytokines IL-6, TNF-α, and IFN-γ [ 21 ].…”
Section: Discussionmentioning
confidence: 99%
“…After endocytosis of SRS-Cov-2 to the type II pneumocytes of the lungs, viral nucleotides are transported into endosomes where TLR3 and TLR7 are present. Through slightly different pathways, TLR3 and TLR7 activate NF-κB signaling, which results in the production of type I IFNs and proinflammatory cytokines IL-6, TNF-α, and IFN-γ [ 21 ].…”
Section: Discussionmentioning
confidence: 99%
“…[43,44] Therefore, TLRs may be potential targets for manufacturing SARS-CoV-2 vaccines and targeted drugs. [45] To validate the KEGG enrichment results, we molecularly docked the core targets in the above 5 signaling pathways with the corresponding Chinese herbal active ingredients. [46] Molecular docking showed that (2S…”
Section: Discussionmentioning
confidence: 99%
“…TLRs are a family comprised of 11 transmembrane proteins, which are crucial components in the initiation of innate immune responses ( Szeto et al., 2021 ). TLRs recognize pathogen-associated molecular patterns and trigger the production of pro-inflammatory cytokines as well as type I and II interferons system.…”
Section: Genetic Variations Associated With Severity Of Covid-19mentioning
confidence: 99%
“…Since the production of IFN is mediated via the TLR7 signaling pathway, therapies that directly stimulate endogenous TLR7 could have potential therapeutic benefit for the prevention and treatment of severe COVID-19 infection ( Szeto et al., 2021 ). In addition, genetic variations in TLR7 that located on the X chromosome, may be a possible explanation of the sex biases in COVID-19 severity.…”
Section: Genetic Variations Associated With Severity Of Covid-19mentioning
confidence: 99%