2018
DOI: 10.1002/jlb.mr0618-213r
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Platelet TLR4 at the crossroads of thrombosis and the innate immune response

Abstract: Platelet TLR‐4 activation by pathogen‐ or damage‐associated molecular pattern molecules triggers pro‐thrombotic, proinflammatory, and pro‐coagulant effector responses. Moreover, platelet TLR4 has a prominent role as a sensor of high lipopolysaccharide circulating levels during sepsis and in the clearance of pathogens mediated by neutrophils. This review presents evidence pointing to TLR4 as a bridge connecting thrombosis and innate immunity.

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Cited by 67 publications
(70 citation statements)
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“…In sepsis, platelets can be stimulated by LPS via TLR4, resulting in primed platelet activation elicited by other agonists [29,30]. Hence, there is a key role of the TLR4 receptor in the modulation of platelet phenotype in sepsis [13,27]. On the other hand, severe inflammation via TLR2 also regulates MK function that affects platelet production and function with enhanced GPIb and COX-2 protein expression [14]; however, no data has been published about TLR4 in this context.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In sepsis, platelets can be stimulated by LPS via TLR4, resulting in primed platelet activation elicited by other agonists [29,30]. Hence, there is a key role of the TLR4 receptor in the modulation of platelet phenotype in sepsis [13,27]. On the other hand, severe inflammation via TLR2 also regulates MK function that affects platelet production and function with enhanced GPIb and COX-2 protein expression [14]; however, no data has been published about TLR4 in this context.…”
Section: Discussionmentioning
confidence: 99%
“…Most TLR members, e.g., TLR4, are expressed on both platelets and megakaryocytes (MKs) [12]. Therefore, platelets participate in the amplified inflammatory and immune response during sepsis [13], while infection can also modulate thrombopoiesis via the TLR2 receptor [14]. Platelet hyperactivity may turn into thrombocytopenia because of neutrophil-dependent sequestration of activated platelets into the lungs in a TLR4-dependent manner [12].…”
Section: Introductionmentioning
confidence: 99%
“…Notably, when blood from individuals with stable coronary artery disease and obese patients with atherosclerosis are stimulated with TLR ligands there is an increased cytokine response (25,26). Platelet TLR4 also has an important role in thrombosis (27), thus potentially linking toll-receptor expression to the hypercoagulability observed in COVID-19 patients (28). Considered together, changes in the expression of TLRs and other PRRs could have a key role in mediating the age-related inflammatory response during SARS CoV-2 infection.…”
Section: Discussionmentioning
confidence: 99%
“…In addition to PARs, platelets also express Toll‐like receptor 4 (TLR4), which recognizes lipopolysaccharide (LPS), another significant virulence factor characteristic of Gram‐negative pathogens such as P. gingivalis . Published evidence indicates that bacterial LPS activates platelets via TLR4 signaling . However, there appear to be considerable differences in platelets’ response to LPS from different bacterial species.…”
Section: Introductionmentioning
confidence: 99%
“…19 Published evidence indicates that bacterial LPS activates platelets via TLR4 signaling. 20,21 However, there appear to be considerable differences in platelets' response to LPS from different bacterial species. For example, LPS from Salmonella minnesota is reportedly a more potent platelet activator than LPS from Escherichia coli.…”
Section: Introductionmentioning
confidence: 99%