Toll-like receptor ligands and atopy: A coin with at least two sides - 17/08/11
La Jolla, Calif
Abstract |
Allergic disease prevalence rates have increased dramatically in affluent countries over the last half century. One proposed explanation is that decreased exposures to microbes caused by modern public health practices has led to deficiencies in an important source of immune education and a consequent increase in the risk of pathogenic immune responses to environmental antigens. Recently, it has become clear that innate responses to microbes are mediated in large part by Toll-like receptors (TLRs), which recognize a diverse family of ligands produced by viruses, bacteria, and fungi. In this perspectives article we will review experimental evidence suggesting that TLRs also play a dominant role in innate responses to noninfectious immunostimulatory materials present in environments of daily living. We will further discuss how ligands for different TLRs can polarize the TH bias of adaptive responses in opposing directions. Finally, we will consider how TLRs might contribute to the genesis of atopy and the clinical potential of pharmacologic interventions that target TLRs for the prevention and treatment of allergic diseases.
Le texte complet de cet article est disponible en PDF.Key words : Hygiene hypothesis, Toll-like receptor, peptidoglycan, LPS, immunostimulatory sequence oligodeoxynucleotide, CpG motif, asthma, Allergy
Abbreviations used : AIC, BMDDC, HDE, IDO, ISS-ODN, PAMP, PGN, TLR
Plan
Supported by grants AI61772 and AI40682 from the National Institutes of Health and a grant from the Asthma and Allergy Foundation of America. Disclosure of potential conflict of interest: A. Horner has received grants from the National Institutes of Health and the Asthma and Allergy Foundation of America. |
Vol 117 - N° 5
P. 1133-1140 - mai 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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