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Toll-like receptors (TLRs) are part of the innate immune response.
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TLRs work through two pathways:
Adaptor protein myeloid differentiation factor 88 (MyD88) to activate transcription factor nuclear factor B (NF- B) or activating protein-1 (AP-1)
A lipopolysaccharide (LPS)-triggered MyD88- independent pathway that produces inflammatory cytokines
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Multiple dermatologic diseases are found to involve TLRs, including TLR-1 (psoriasis, tuberculoid leprosy), TLR2 (acne, retinoids, lepromatous leprosy, syphilis, atopic dermatitis, Lyme disease, herpes simplex virus, candidiasis), TLR4 (Kawasaki’s disease, syphilis, candidiasis, melanoma), TLR5 (syphilis), and TLR9 (herpes simplex virus).
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Current and future therapies and vaccines will target TLRs.
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Martin, D.B., Gaspari, A.A. (2008). Toll-Like Receptors. In: Gaspari, A.A., Tyring, S.K. (eds) Clinical and Basic Immunodermatology. Springer, London. https://doi.org/10.1007/978-1-84800-165-7_5
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