Department of Neurology, Second Affiliated Hospital and Xinqiao Hospital, Third Military Medical University, Xinqiao Zhengjie No,183, Shapingba District, Chongqing 400037, China.
J Neuroinflammation. 2013 Feb 17;10:27. doi: 10.1186/1742-2094-10-27.
Intracerebral hemorrhage (ICH) is a common type of fatal stroke, accounting for about 15% to 20% of all strokes. Hemorrhagic strokes are associated with high mortality and morbidity, and increasing evidence shows that innate immune responses and inflammatory injury play a critical role in ICH-induced neurological deficits. However, the signaling pathways involved in ICH-induced inflammatory responses remain elusive. Toll-like receptor 4 (TLR4) belongs to a large family of pattern recognition receptors that play a key role in innate immunity and inflammatory responses. In this review, we summarize recent findings concerning the involvement of TLR4 signaling in ICH-induced inflammation and brain injury. We discuss the key mechanisms associated with TLR4 signaling in ICH and explore the potential for therapeutic intervention by targeting TLR4 signaling.
脑出血 (ICH) 是一种常见的致命性中风类型,约占所有中风的 15%至 20%。出血性中风与高死亡率和高发病率相关,越来越多的证据表明,固有免疫反应和炎症损伤在 ICH 引起的神经功能缺损中发挥着关键作用。然而,ICH 诱导的炎症反应涉及的信号通路仍不清楚。Toll 样受体 4 (TLR4) 属于模式识别受体的大家族,在先天免疫和炎症反应中发挥关键作用。在这篇综述中,我们总结了 TLR4 信号在 ICH 诱导的炎症和脑损伤中的作用的最新发现。我们讨论了与 ICH 中 TLR4 信号相关的关键机制,并探讨了通过靶向 TLR4 信号进行治疗干预的潜力。