2007
DOI: 10.1038/nm1663
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TLR4 enhances TGF-β signaling and hepatic fibrosis

Abstract: Hepatic injury is associated with a defective intestinal barrier and increased hepatic exposure to bacterial products. Here we report that the intestinal bacterial microflora and a functional Toll-like receptor 4 (TLR4), but not TLR2, are required for hepatic fibrogenesis. Using Tlr4-chimeric mice and in vivo lipopolysaccharide (LPS) challenge, we demonstrate that quiescent hepatic stellate cells (HSCs), the main precursors for myofibroblasts in the liver, are the predominant target through which TLR4 ligands … Show more

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Cited by 1,691 publications
(1,961 citation statements)
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“…37,41 In fact, recent evidence shows the existence of a crosstalk between TLR and activin signal-transduction pathways, which, in the case between TGFb and TLR signaling, has been well documented. 42,43 Thus, activin A decreases the phosphorylation of extracellular signal-regulated kinase 1/2, p38, Jun N-terminal kinase, mitogen-activated protein kinases and the p65 subunit of NF-kB (nuclear factor kappa-light-chain enhancer of activated B cells), which are classical effectors of the TLR4/CD14/MD2 signaling in LPS-stimulated macrophages, leading to a reduced TNF-a and IL-8 production (Figure 1 (6), right panel). 44 Moreover, this effect was dependent on the maintenance of SH2-containing inositol 5¢-phosphatase levels, which were enhanced by (1) Activin A establishes a positive-feedback signal increasing ActRIIA on the cell surface through the expression of ARIP2, (2) upregulates the expression of MHC class II and costimulatory molecules, (3) induces nuclear translocation of NF-kB, (4) augments phagocytic activity and (5) promotes the secretion of cytokines, inflammatory mediators and matrix-metalloproteinase-2.…”
Section: Monocytesmentioning
confidence: 99%
“…37,41 In fact, recent evidence shows the existence of a crosstalk between TLR and activin signal-transduction pathways, which, in the case between TGFb and TLR signaling, has been well documented. 42,43 Thus, activin A decreases the phosphorylation of extracellular signal-regulated kinase 1/2, p38, Jun N-terminal kinase, mitogen-activated protein kinases and the p65 subunit of NF-kB (nuclear factor kappa-light-chain enhancer of activated B cells), which are classical effectors of the TLR4/CD14/MD2 signaling in LPS-stimulated macrophages, leading to a reduced TNF-a and IL-8 production (Figure 1 (6), right panel). 44 Moreover, this effect was dependent on the maintenance of SH2-containing inositol 5¢-phosphatase levels, which were enhanced by (1) Activin A establishes a positive-feedback signal increasing ActRIIA on the cell surface through the expression of ARIP2, (2) upregulates the expression of MHC class II and costimulatory molecules, (3) induces nuclear translocation of NF-kB, (4) augments phagocytic activity and (5) promotes the secretion of cytokines, inflammatory mediators and matrix-metalloproteinase-2.…”
Section: Monocytesmentioning
confidence: 99%
“…HpSCs express α smooth muscle actin (α-SMA), the histological hallmark of myofibroblasts, and are thought to be the pivotal to the pathogenesis of liver fibrosis. As in other responses, Kupffer cells seem to be key cells, activating HpSCs by secretion of TGFβ, and bacterial products such as lipopolysaccharide (LPS) engage toll-like receptors on stellate cells, down-regulating the inhibitory TGFβ pseudoreceptor Bambi, allowing unrestricted activation of HpSCs by the Kupffer cells [113]. Apart from activated stellate cells, portal fibroblasts and hepatocytes/cholangiocytes undergoing epithelial-mesenchymal transition have been implicated in the fibrogenic response [112].…”
Section: Liver Fibrosismentioning
confidence: 99%
“…On a cellular level, the activation of liver-resident macrophages, traditionally called "Kupffer cells," and the vast infiltration of monocytes into the injured liver have been identified as major pathogenic factors (4). Because this pool of hepatic macrophages releases essential proinflammatory cytokines (e.g., TNF), they promote hepatocellular stress responses and lipid accumulation (5)(6)(7)(8). In addition, CD8 T cells endorse liver fibrosis via activating hepatic stellate cells (HSC) (9), whereas NK cells are capable of promoting HSC apoptosis and are thus considered antifibrotic (10,11).…”
mentioning
confidence: 99%