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靶向 Toll 样受体:揭示深静脉血栓形成的潜在治疗策略

Targeting toll-like receptors: unveiling potential therapeutic strategies for deep vein thrombosis.

作者信息

Shao Wei, Wang Zilong, Wu Jian, Guo Tianting, Mo Jianwen

机构信息

The First Clinical College, Gannan Medical University, Ganzhou, China.

Department of Orthopedics, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China.

出版信息

Front Immunol. 2025 May 29;16:1579113. doi: 10.3389/fimmu.2025.1579113. eCollection 2025.

Abstract

Deep vein thrombosis (DVT) is a complex multifactorial vascular disease characterized by abnormal blood stasis and coagulation within the deep veins, primarily occurring in the lower limbs. This pathological condition not only causes local circulatory disruption but also has the potential to trigger life-threatening pulmonary embolism through thrombus detachment, thus posing a major threat to human health. Toll - like receptors (TLRs), essential components of the innate immune system, have been increasingly acknowledged as crucial determinants in the pathogenesis of DVT. TLRs possess the ability to recognize a diverse range of pathogen - associated molecular patterns (PAMPs) and endogenous danger - associated molecular patterns (DAMPs). Upon activation, they trigger a cascade of inflammatory responses that are intricately intertwined with the thrombotic process. This review comprehensively scrutinizes the extant knowledge pertaining to the role of TLRs in DVT. It systematically synthesizes the molecular mechanisms underpinning the participation of TLRs in DVT, spanning platelet activation, endothelial cell dysfunction, and leukocyte recruitment. Moreover, it delves profoundly into the potential of targeting TLRs as therapeutic strategies for DVT. This entails the exploration of the development and application of TLR inhibitors or antagonists. By elucidating these aspects, the objective is to proffer novel perspectives and insights for the prevention and treatment of DVT.

摘要

深静脉血栓形成(DVT)是一种复杂的多因素血管疾病,其特征是深静脉内血液异常淤滞和凝血,主要发生在下肢。这种病理状况不仅会导致局部循环中断,还可能通过血栓脱落引发危及生命的肺栓塞,从而对人类健康构成重大威胁。Toll样受体(TLRs)是先天免疫系统的重要组成部分,越来越被认为是DVT发病机制中的关键决定因素。TLRs能够识别多种病原体相关分子模式(PAMPs)和内源性危险相关分子模式(DAMPs)。激活后,它们会引发一系列与血栓形成过程错综复杂地交织在一起的炎症反应。本综述全面审视了有关TLRs在DVT中作用的现有知识。它系统地综合了TLRs参与DVT的分子机制,包括血小板激活、内皮细胞功能障碍和白细胞募集。此外,它深入探讨了将TLRs作为DVT治疗策略的潜力。这需要探索TLR抑制剂或拮抗剂的开发和应用。通过阐明这些方面,目的是为DVT的预防和治疗提供新的观点和见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba00/12158678/be8cb1cb0aec/fimmu-16-1579113-g001.jpg

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