What is it about?

This article reviews the roles of Toll-like receptors (TLRs) in the human immune system and their potential as targets for therapeutic interventions. It highlights the function of TLRs in recognizing pathogen-associated and damage-associated molecular patterns, contributing to the pathogenesis of various diseases, including inflammatory, infectious, autoimmune, and cancer-related conditions. The review underscores the challenges and opportunities in developing small-molecule modulators for TLRs, emphasizing their economic and practical advantages over biologics, such as stability and oral bioavailability. The structural features of TLRs are discussed, noting the potential for structure-based drug design. The article also outlines current efforts in discovering synthetic compounds as TLR modulators and suggests that novel approaches like virtual screening and computational chemistry could facilitate the discovery of new active compounds. Overall, the review addresses the need for innovative strategies to modulate TLR signaling, aiming to develop effective treatments that can be translated into clinical settings.

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Why is it important?

This review examines the pivotal role of Toll-like receptors (TLRs) in the immune response and their potential as targets for therapeutic development. TLRs are essential in recognizing pathogen-associated and damage-associated molecular patterns, making them crucial in the pathogenesis of various diseases, including inflammatory, infectious, autoimmune conditions, and cancer. Understanding the structural and functional aspects of TLRs can lead to innovative treatments, especially through the development of small-molecule modulators that offer economic and practical advantages over biologics. Key Takeaways: 1. This review article summarizes the structural features and biological functions of TLRs, highlighting their role in recognizing microbial and endogenous ligands, which is critical for innate immunity and disease pathogenesis. 2. The review underscores the challenges in developing small-molecule modulators of TLRs, emphasizing the difficulties in achieving selectivity, acceptable toxicity, and desirable physicochemical profiles, despite their potential advantages over biologics. 3. The article compiles recent developments in TLR2 modulators, including synthetic phospholipid antagonists and lipopeptide agonists, while also exploring novel approaches like virtual screening and computational chemistry to discover new modulators with drug-like profiles.

Perspectives

I believe that shifting the research focus from the extracellular domain of TLRs to intracellular domain will offer a solution to identify innovative drugs distinct from conventional TLR modulators.

Naoko Matsunaga

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This page is a summary of: Small-Molecule Modulators of Toll-Like Receptor Signaling and Their Clinical Applications, Premier Journal of Science, November 2024, Premier Science,
DOI: 10.70389/pjs.100031.
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