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The role of lipopolysaccharide/toll-like receptor 4 signaling in chronic liver diseases

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Abstract

Toll-like receptor 4 (TLR4) is a pattern recognition receptor that functions as lipopolysaccharide (LPS) sensor and whose activation results in the production of several pro-inflammatory, antiviral, and anti-bacterial cytokines. TLR4 is expressed in several cells of healthy liver. Despite the constant confrontation of hepatic TLR4 with gut-derived LPS, the normal liver does not show signs of inflammation due to its low expression of TLR4 and ability to modulate TLR4 signaling. Nevertheless, there is accumulating evidence that altered LPS/TLR4 signaling is a key player in the pathogenesis of many chronic liver diseases (CLD). In this review, we first describe TLR4 structure, ligands, and signaling. Later, we review liver expression of TLR4 and discuss the role of LPS/TLR4 signaling in the pathogenesis of CLD such as alcoholic liver disease, nonalcoholic fatty liver disease, chronic hepatitis C, chronic hepatitis B, primary sclerosing cholangitis, primary biliary cirrhosis, hepatic fibrosis, and hepatocarcinoma.

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Abbreviations

Akt:

Serine/threonine protein kinase

ALD:

Alcoholic liver disease

Anti-BEC-Ab:

Antibiliary epithelial cell antibodies

AP-1:

Activator protein 1

ATF3:

Activating transcription factor-3

BAMBI:

Bone morphogenetic protein and activin membrane-bound inhibitor

Bcl-3:

B cell leukemia-3

BEC:

Biliary epithelial cell

CCL:

Chemokine

CCl4 :

Carbon tetrachloride

CLD:

Chronic liver diseases

CYLD:

Cylindromatosis protein

DAMP:

Damage-associated molecular patterns

DEN:

Diethylnitrosamine

DUBA:

De-ubiquitinating enzyme A

ERK:

Extracellular signal-regulated kinase

GSK-3β:

Glycogen synthase kinase-3β

HBV:

Hepatitis B virus

HCC:

Hepatocarcinoma

HCV:

Hepatitis C virus

HSC:

Hepatic stellate cell

ICAM:

Intercellular cell adhesion molecule

IFN:

Interferon

IKK:

Inhibitor of NF-κB kinase

IL:

Interleukin

IRAK:

Interleukin-1 receptor-associated kinase

IRF:

Interferon regulatory factor

IκBα:

Inhibitor of NF-κB

JNK:

C-Jun N-terminal kinase

KC:

Kupffer cells

LBP:

LPS binding protein

LPS:

Lipopolysaccharide

MCDD:

Methionine- and choline-deficient diet

miR:

MicroRNA

MyD88:

Myeloid differentiation factor 88

MyD88s:

Splice variant of MyD88

NAFLD:

Non-alcoholic fatty liver disease

NEMO:

NF-κB essential modifier

NF-κB:

Nuclear factor κB

PAMP:

Pathogen-associated molecular pattern

PBC:

Primary biliary cirrhosis

PI3K:

Phosphatidylinositol 3-kinase

Pin:

Peptidyl-prolyl isomerase

PRR:

Pattern recognition receptor

PSC:

Primary sclerosing cholangitis

RIP:

Receptor-interacting serine–threonine kinase

ROS:

Reactive oxygen species

RP105:

Radioprotective 105

SARM:

Sterile alpha- and armadillo-motif-containing protein

SHP:

Src homology 2 domain-containing protein tyrosine phosphatase

SIGIRR:

Single immunoglobulin IL-1R-related molecule

SNP:

Single nucleotide polymorphism

SOCS1:

Suppressor of cytokine signaling-1

ST2L:

Transmembrane form of ST2

sTLR4:

Soluble decoy TLR4

TAK:

Transforming growth factor-β-activated kinase

TANK:

TRAF family member associated NF-κB activator

TBK:

TANK binding kinase

TGF:

Transforming growth factor

TIRAP:

Toll/IL-1 receptor domain-containing adaptor protein

TNF:

Tumor necrosis factor

TIR:

Toll/interleukin 1 receptor

Tollip:

Toll interacting protein

TLR:

Toll-like receptor

TRAF:

Tumor necrosis receptor-associated factor

TRAIL:

Tumor necrosis factor-related apoptosis-inducing ligand

TRAM:

TRIF-related adaptor molecule

TRIAD3A:

Triad domain-containing protein 3 variant A

TRIF:

Toll/IL-1 receptor domain-containing adaptor inducing interferon-β

VCAM:

Vascular cell adhesion molecule

References

  1. Aderem A, Ulevitch RJ. Toll-like receptors in the induction of the innate immune response. Nature 2000;406:782–787

    Article  CAS  PubMed  Google Scholar 

  2. Beutler BA. TLRs and innate immunity. Blood 2009;113:1399–1407

    Article  CAS  PubMed  Google Scholar 

  3. Pimentel-Nunes P, Soares JB, Roncon-Albuquerque R, Dinis-Ribeiro M, Leite-Moreira AF. Toll-like receptors as therapeutic targets in gastrointestinal diseases. Expert Opin Ther Targets 2010;14:347–368

    Article  CAS  PubMed  Google Scholar 

  4. Akira S, Uematsu S, Takeuchi O. Pathogen recognition and innate immunity. Cell 2006;124:783–801

    Article  CAS  PubMed  Google Scholar 

  5. Akira S, Takeda K. Toll-like receptor signalling. Nat Rev Immunol 2004;4:499–511

    Article  CAS  PubMed  Google Scholar 

  6. Kim HM, Park BS, Kim J, Kim SE, Lee J, Oh SC, Enkhbayar P, Matsushima N, Lee H, Yoo OJ, Lee J. Crystal structure of the TLR4-MD-2 complex with bound endotoxin antagonist Eritoran. Cell 2007;130:906–917

    Article  CAS  PubMed  Google Scholar 

  7. Bryant CE, Spring DR, Gangloff M, Gay NJ. The molecular basis of the host response to lipopolysaccharide. Nat Rev Microbiol 2010;8:8–14

    CAS  PubMed  Google Scholar 

  8. Tsung A, Sahai R, Tanaka H, Nakao A, Fink MP, Lotze MT, Yang H, Li J, Tracey KJ, Geller DA, Billiar TR. The nuclear factor HMGB1 mediates hepatic injury after murine liver ischemia-reperfusion. J Exp Med 2005;201:1135–1143

    Article  CAS  PubMed  Google Scholar 

  9. Jiang D, Liang J, Fan J, Yu S, Chen S, Luo Y, Prestwich GD, Mascarenhas MM, Garg HG, Quinn DA, Homer RJ, Goldstein DR, Bucala R, Lee PJ, Medzhitov R, Noble PW. Regulation of lung injury and repair by Toll-like receptors and hyaluronan. Nat Med 2005;11:1173–1179

    Article  CAS  PubMed  Google Scholar 

  10. Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS. TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest 2006;116:3015–3025

    Article  CAS  PubMed  Google Scholar 

  11. Chen C, Kono H, Golenbock D, Reed G, Akira S, Rock KL. Identification of a key pathway required for the sterile inflammatory response triggered by dying cells. Nat Med 2007;13:851–856

    Article  CAS  PubMed  Google Scholar 

  12. Naugler WE, Sakurai T, Kim S, Maeda S, Kim K, Elsharkawy AM, Karin M. Gender disparity in liver cancer due to sex differences in MyD88-dependent IL-6 production. Science 2007;317:121–124

    Article  CAS  PubMed  Google Scholar 

  13. Erridge C. Endogenous ligands of TLR2 and TLR4: agonists or assistants? J Leukoc Biol 2010;87:989–999

    Article  CAS  PubMed  Google Scholar 

  14. Liew FY, Xu D, Brint EK, O’Neill LAJ. Negative regulation of toll-like receptor-mediated immune responses. Nat Rev Immunol 2005;5:446–458

    Article  CAS  PubMed  Google Scholar 

  15. Davidson-Moncada J, Papavasiliou FN, Tam W. MicroRNAs of the immune system: roles in inflammation and cancer. Ann N Y Acad Sci 2010;1183:183–194

    Article  CAS  PubMed  Google Scholar 

  16. De Creus A, Abe M, Lau AH, Hackstein H, Raimondi G, Thomson AW. Low TLR4 expression by liver dendritic cells correlates with reduced capacity to activate allogeneic T cells in response to endotoxin. J Immunol 2005;174:2037–2045

    PubMed  Google Scholar 

  17. Zarember KA, Godowski PJ. Tissue expression of human Toll-like receptors and differential regulation of Toll-like receptor mRNAs in leukocytes in response to microbes, their products, and cytokines. J Immunol 2002;168:554–561

    CAS  PubMed  Google Scholar 

  18. Su GL, Klein RD, Aminlari A, Zhang HY, Steinstraesser L, Alarcon WH, Remick DG, Wang SC. Kupffer cell activation by lipopolysaccharide in rats: role for lipopolysaccharide binding protein and toll-like receptor 4. Hepatology 2000;31:932–936

    Article  CAS  PubMed  Google Scholar 

  19. Seki E, Tsutsui H, Nakano H, Tsuji N, Hoshino K, Adachi O, Adachi K, Futatsugi S, Kuida K, Takeuchi O, Okamura H, Fujimoto J, Akira S, Nakanishi K. Lipopolysaccharide-induced IL-18 secretion from murine Kupffer cells independently of myeloid differentiation factor 88 that is critically involved in induction of production of IL-12 and IL-1beta. J Immunol 2001;166:2651–2657

    CAS  PubMed  Google Scholar 

  20. Schwabe RF, Seki E, Brenner DA. Toll-like receptor signaling in the liver. Gastroenterology 2006;130:1886–1900

    Article  CAS  PubMed  Google Scholar 

  21. Seki E, De Minicis S, Osterreicher CH, Kluwe J, Osawa Y, Brenner DA, Schwabe RF. TLR4 enhances TGF-beta signaling and hepatic fibrosis. Nat Med 2007;13:1324–1332

    Article  CAS  PubMed  Google Scholar 

  22. Machida K, Tsukamoto H, Mkrtchyan H, Duan L, Dynnyk A, Liu HM, Asahina K, Govindarajan S, Ray R, Ou JJ, Seki E, Deshaies R, Miyake K, Lai MM. Toll-like receptor 4 mediates synergism between alcohol and HCV in hepatic oncogenesis involving stem cell marker Nanog. Proc Natl Acad Sci USA 2009;106:1548–1553

    Article  CAS  PubMed  Google Scholar 

  23. Paik Y, Schwabe RF, Bataller R, Russo MP, Jobin C, Brenner DA. Toll-like receptor 4 mediates inflammatory signaling by bacterial lipopolysaccharide in human hepatic stellate cells. Hepatology 2003;37:1043–1055

    Article  CAS  PubMed  Google Scholar 

  24. Fukui H, Brauner B, Bode JC, Bode C. Plasma endotoxin concentrations in patients with alcoholic and non-alcoholic liver disease: reevaluation with an improved chromogenic assay. J Hepatol 1991;12:162–169

    Article  CAS  PubMed  Google Scholar 

  25. Parlesak A, Schäfer C, Schütz T, Bode JC, Bode C. Increased intestinal permeability to macromolecules and endotoxemia in patients with chronic alcohol abuse in different stages of alcohol-induced liver disease. J Hepatol 2000;32:742–747

    Article  CAS  PubMed  Google Scholar 

  26. Mathurin P, Deng QG, Keshavarzian A, Choudhary S, Holmes EW, Tsukamoto H. Exacerbation of alcoholic liver injury by enteral endotoxin in rats. Hepatology 2000;32:1008–1017

    Article  CAS  PubMed  Google Scholar 

  27. Hauge T, Persson J, Danielsson D. Mucosal bacterial growth in the upper gastrointestinal tract in alcoholics (heavy drinkers). Digestion 1997;58:591–595

    Article  CAS  PubMed  Google Scholar 

  28. Purohit V, Bode JC, Bode C, Brenner DA, Choudhry MA, Hamilton F, Kang YJ, Keshavarzian A, Rao R, Sartor RB, Swanson C, Turner JR. Alcohol, intestinal bacterial growth, intestinal permeability to endotoxin, and medical consequences: summary of a symposium. Alcohol 2008;42:349–361

    Article  CAS  PubMed  Google Scholar 

  29. Gustot T, Lemmers A, Moreno C, Nagy N, Quertinmont E, Nicaise C, Franchimont D, Louis H, Devière J, Le Moine O. Differential liver sensitization to toll-like receptor pathways in mice with alcoholic fatty liver. Hepatology 2006;43:989–1000

    Article  CAS  PubMed  Google Scholar 

  30. Arteel GE. Oxidants and antioxidants in alcohol-induced liver disease. Gastroenterology 2003;124:778–790

    Article  CAS  PubMed  Google Scholar 

  31. Adachi Y, Moore LE, Bradford BU, Gao W, Thurman RG. Antibiotics prevent liver injury in rats following long-term exposure to ethanol. Gastroenterology 1995;108:218–224

    Article  CAS  PubMed  Google Scholar 

  32. Nanji AA, Khettry U, Sadrzadeh SM. Lactobacillus feeding reduces endotoxemia and severity of experimental alcoholic liver (disease). Proc Soc Exp Biol Med 1994;205:243–247

    CAS  PubMed  Google Scholar 

  33. Uesugi T, Froh M, Arteel GE, Bradford BU, Thurman RG. Toll-like receptor 4 is involved in the mechanism of early alcohol-induced liver injury in mice. Hepatology 2001;34(1):101–108

    Google Scholar 

  34. Adachi Y, Bradford BU, Gao W, Bojes HK, Thurman RG. Inactivation of Kupffer cells prevents early alcohol-induced liver injury. Hepatology 1994;20:453–460

    Article  CAS  PubMed  Google Scholar 

  35. Hritz I, Mandrekar P, Velayudham A, Catalano D, Dolganiuc A, Kodys K, Kurt-Jones E, Szabo G. The critical role of toll-like receptor (TLR) 4 in alcoholic liver disease is independent of the common TLR adapter MyD88. Hepatology 2008;48:1224–1231

    Article  CAS  PubMed  Google Scholar 

  36. Bedogni G, Miglioli L, Masutti F, Tiribelli C, Marchesini G, Bellentani S. Prevalence of and risk factors for nonalcoholic fatty liver disease: the Dionysos nutrition and liver study. Hepatology 2005;42:44–52

    Article  PubMed  Google Scholar 

  37. Wigg AJ, Roberts-Thomson IC, Dymock RB, McCarthy PJ, Grose RH, Cummins AG. The role of small intestinal bacterial overgrowth, intestinal permeability, endotoxaemia, and tumour necrosis factor alpha in the pathogenesis of non-alcoholic steatohepatitis. Gut 2001;48:206–211

    Article  CAS  PubMed  Google Scholar 

  38. Bergheim I, Weber S, Vos M, Krämer S, Volynets V, Kaserouni S, McClain CJ, Bischoff SC. Antibiotics protect against fructose-induced hepatic lipid accumulation in mice: role of endotoxin. J Hepatol 2008;48:983–992

    Article  CAS  PubMed  Google Scholar 

  39. Rivera CA, Adegboyega P, van Rooijen N, Tagalicud A, Allman M, Wallace M. Toll-like receptor-4 signaling and Kupffer cells play pivotal roles in the pathogenesis of non-alcoholic steatohepatitis. J Hepatol 2007;47:571–579

    Article  CAS  PubMed  Google Scholar 

  40. Brun P, Castagliuolo I, Di Leo V, Buda A, Pinzani M, Palù G, Martines D. Increased intestinal permeability in obese mice: new evidence in the pathogenesis of nonalcoholic steatohepatitis. Am J Physiol Gastrointest Liver Physiol 2007;292:G518–G525

    Article  CAS  PubMed  Google Scholar 

  41. Cani PD, Bibiloni R, Knauf C, Waget A, Neyrinck AM, Delzenne NM, Burcelin R. Changes in gut microbiota control metabolic endotoxemia-induced inflammation in high-fat diet-induced obesity and diabetes in mice. Diabetes 2008;57:1470–1481

    Article  CAS  PubMed  Google Scholar 

  42. Yang SQ, Lin HZ, Lane MD, Clemens M, Diehl AM. Obesity increases sensitivity to endotoxin liver injury: implications for the pathogenesis of steatohepatitis. Proc Natl Acad Sci USA 1997;94:2557–2562

    Article  CAS  PubMed  Google Scholar 

  43. Li Z, Yang S, Lin H, Huang J, Watkins PA, Moser AB, Desimone C, Song X, Diehl AM. Probiotics and antibodies to TNF inhibit inflammatory activity and improve nonalcoholic fatty liver disease. Hepatology 2003;37:343–350

    Article  CAS  PubMed  Google Scholar 

  44. Solga SF, Diehl AM. Non-alcoholic fatty liver disease: lumen-liver interactions and possible role for probiotics. J Hepatol 2003;38:681–687

    Article  CAS  PubMed  Google Scholar 

  45. Spruss A, Kanuri G, Wagnerberger S, Haub S, Bischoff SC, Bergheim I. Toll-like receptor 4 is involved in the development of fructose-induced hepatic steatosis in mice. Hepatology 2009;50:1094–1104

    Article  CAS  PubMed  Google Scholar 

  46. Cani PD, Amar J, Iglesias MA, Poggi M, Knauf C, Bastelica D, Neyrinck AM, Fava F, Tuohy KM, Chabo C, Waget A, Delmée E, Cousin B, Sulpice T, Chamontin B, Ferrières J, Tanti JF, Gibson GR, Casteilla L, Delzenne NM, Alessi MC, Burcelin R. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes 2007;56:1761–1772

    Article  CAS  PubMed  Google Scholar 

  47. Dasu MR, Devaraj S, Park S, Jialal I. Increased toll-like receptor (TLR) activation and TLR ligands in recently diagnosed type 2 diabetic subjects. Diabetes Care 2010;33:861–868

    Article  CAS  PubMed  Google Scholar 

  48. Boonstra A, Woltman AM, Janssen HLA. Immunology of hepatitis B and hepatitis C virus infections. Best Pract Res Clin Gastroenterol 2008;22:1049–1061

    Article  CAS  PubMed  Google Scholar 

  49. Dolganiuc A, Norkina O, Kodys K, Catalano D, Bakis G, Marshall C, Mandrekar P, Szabo G. Viral and host factors induce macrophage activation and loss of toll-like receptor tolerance in chronic HCV infection. Gastroenterology 2007;133:1627–1636

    Article  CAS  PubMed  Google Scholar 

  50. Machida K, Cheng KTH, Sung VM, Levine AM, Foung S, Lai MMC. Hepatitis C virus induces toll-like receptor 4 expression, leading to enhanced production of beta interferon and interleukin-6. J Virol 2006;80:866–874

    Article  CAS  PubMed  Google Scholar 

  51. Miyazaki M, Kanto T, Inoue M, Itose I, Miyatake H, Sakakibara M, Yakushijin T, Kakita N, Hiramatsu N, Takehara T, Kasahara A, Hayashi N. Impaired cytokine response in myeloid dendritic cells in chronic hepatitis C virus infection regardless of enhanced expression of Toll-like receptors and retinoic acid inducible gene-I. J Med Virol 2008;80:980–988

    Article  CAS  PubMed  Google Scholar 

  52. Abe T, Kaname Y, Hamamoto I, Tsuda Y, Wen X, Taguwa S, Moriishi K, Takeuchi O, Kawai T, Kanto T, Hayashi N, Akira S, Matsuura Y. Hepatitis C virus nonstructural protein 5A modulates the toll-like receptor-MyD88-dependent signaling pathway in macrophage cell lines. J Virol 2007;81:8953–8966

    Article  CAS  PubMed  Google Scholar 

  53. Broering R, Wu J, Meng Z, Hilgard P, Lu M, Trippler M, Szczeponek A, Gerken G, Schlaak JF. Toll-like receptor-stimulated non-parenchymal liver cells can regulate hepatitis C virus replication. J Hepatol 2008;48:914–922

    Article  CAS  PubMed  Google Scholar 

  54. Huang H, Shiffman ML, Friedman S, Venkatesh R, Bzowej N, Abar OT, Rowland CM, Catanese JJ, Leong DU, Sninsky JJ, Layden TJ, Wright TL, White T, Cheung RC. A 7 gene signature identifies the risk of developing cirrhosis in patients with chronic hepatitis C. Hepatology 2007;46:297–306

    Article  CAS  PubMed  Google Scholar 

  55. Guo J, Loke J, Zheng F, Hong F, Yea S, Fukata M, Tarocchi M, Abar OT, Huang H, Sninsky JJ, Friedman SL. Functional linkage of cirrhosis-predictive single nucleotide polymorphisms of Toll-like receptor 4 to hepatic stellate cell responses. Hepatology 2009;49:960–968

    Article  CAS  PubMed  Google Scholar 

  56. Sozinov AS. Systemic endotoxemia during chronic viral hepatitis. Bull Exp Biol Med 2002;133:153–155

    Article  CAS  PubMed  Google Scholar 

  57. Chen Z, Cheng Y, Xu Y, Liao J, Zhang X, Hu Y, Zhang Q, Wang J, Zhang Z, Shen F, Yuan Z. Expression profiles and function of Toll-like receptors 2 and 4 in peripheral blood mononuclear cells of chronic hepatitis B patients. Clin Immunol 2008;128:400–408

    Article  CAS  PubMed  Google Scholar 

  58. Isogawa M, Robek MD, Furuichi Y, Chisari FV. Toll-like receptor signaling inhibits hepatitis B virus replication in vivo. J Virol 2005;79:7269–7272

    Article  CAS  PubMed  Google Scholar 

  59. Wu J, Lu M, Meng Z, Trippler M, Broering R, Szczeponek A, Krux F, Dittmer U, Roggendorf M, Gerken G, Schlaak JF. Toll-like receptor-mediated control of HBV replication by nonparenchymal liver cells in mice. Hepatology 2007;46:1769–1778

    Article  CAS  PubMed  Google Scholar 

  60. Sasatomi K, Noguchi K, Sakisaka S, Sata M, Tanikawa K. Abnormal accumulation of endotoxin in biliary epithelial cells in primary biliary cirrhosis and primary sclerosing cholangitis. J Hepatol 1998;29:409–416

    Article  CAS  PubMed  Google Scholar 

  61. Ballot E, Bandin O, Chazouilleres O, Johanet C, Poupon R. Immune response to lipopolysaccharide in primary biliary cirrhosis and autoimmune diseases. J Autoimmun 2004;22:153–158

    Article  CAS  PubMed  Google Scholar 

  62. Wang A, Migita K, Ito M, Takii Y, Daikoku M, Yokoyama T, Komori A, Nakamura M, Yatsuhashi H, Ishibashi H. Hepatic expression of toll-like receptor 4 in primary biliary cirrhosis. J Autoimmun 2005;25:85–91

    Article  PubMed  Google Scholar 

  63. Mao TK, Lian Z, Selmi C, Ichiki Y, Ashwood P, Ansari AA, Coppel RL, Shimoda S, Ishibashi H, Gershwin ME. Altered monocyte responses to defined TLR ligands in patients with primary biliary cirrhosis. Hepatology 2005;42:802–808

    Article  CAS  PubMed  Google Scholar 

  64. Karrar A, Broomé U, Södergren T, Jaksch M, Bergquist A, Björnstedt M, Sumitran-Holgersson S. Biliary epithelial cell antibodies link adaptive and innate immune responses in primary sclerosing cholangitis. Gastroenterology 2007;132:1504–1514

    Article  CAS  PubMed  Google Scholar 

  65. Bataller R, Brenner DA. Liver fibrosis. J Clin Invest 2005;115:209–218

    CAS  PubMed  Google Scholar 

  66. Henderson NC, Iredale JP. Liver fibrosis: cellular mechanisms of progression and resolution. Clin Sci 2007;112:265–280

    Article  CAS  PubMed  Google Scholar 

  67. Chan CC, Hwang SJ, Lee FY, Wang SS, Chang FY, Li CP, Chu CJ, Lu RH, Lee SD. Prognostic value of plasma endotoxin levels in patients with cirrhosis. Scand J Gastroenterol 1997;32:942–946

    Article  CAS  PubMed  Google Scholar 

  68. Wiest R, Garcia-Tsao G. Bacterial translocation (BT) in cirrhosis. Hepatology 2005;41:422–433

    Article  CAS  PubMed  Google Scholar 

  69. Manigold T, Böcker U, Hanck C, Gundt J, Traber P, Antoni C, Rossol S. Differential expression of toll-like receptors 2 and 4 in patients with liver cirrhosis. Eur J Gastroenterol Hepatol 2003;15:275–282

    Article  CAS  PubMed  Google Scholar 

  70. Riordan SM, Skinner N, Nagree A, McCallum H, McIver CJ, Kurtovic J, Hamilton JA, Bengmark S, Williams R, Visvanathan K. Peripheral blood mononuclear cell expression of toll-like receptors and relation to cytokine levels in cirrhosis. Hepatology 2003;37:1154–1164

    Article  CAS  PubMed  Google Scholar 

  71. Tazi KA, Quioc J, Saada V, Bezeaud A, Lebrec D, Moreau R. Upregulation of TNF-alpha production signaling pathways in monocytes from patients with advanced cirrhosis: possible role of Akt and IRAK-M. J Hepatol 2006;45:280–289

    Article  CAS  PubMed  Google Scholar 

  72. Lata J, Novotný I, Príbramská V, Juránková J, Fric P, Kroupa R, Stibůrek O. The effect of probiotics on gut flora, level of endotoxin and Child-Pugh score in cirrhotic patients: results of a double-blind randomized study. Eur J Gastroenterol Hepatol 2007;19:1111–1113

    Article  PubMed  Google Scholar 

  73. Fernández J, Navasa M, Planas R, Montoliu S, Monfort D, Soriano G, Vila C, Pardo A, Quintero E, Vargas V, Such J, Ginès P, Arroyo V. Primary prophylaxis of spontaneous bacterial peritonitis delays hepatorenal syndrome and improves survival in cirrhosis. Gastroenterology 2007;133:818–824

    Article  PubMed  Google Scholar 

  74. Luckey TD, Reyniers JA, Gyorgy P, Forbes M. Germfree animals and liver necrosis. Ann N Y Acad Sci 1954;57:932–935

    Article  CAS  PubMed  Google Scholar 

  75. Rutenburg AM, Sonnenblick E, Koven I, Aprahamian HA, Reiner L, Fine J. The role of intestinal bacteria in the development of dietary cirrhosis in rats. J Exp Med 1957;106:1–14

    Article  CAS  PubMed  Google Scholar 

  76. Velayudham A, Dolganiuc A, Ellis M, Petrasek J, Kodys K, Mandrekar P, Szabo G. VSL#3 probiotic treatment attenuates fibrosis without changes in steatohepatitis in a diet-induced nonalcoholic steatohepatitis model in mice. Hepatology 2009;49:989–997

    Article  CAS  PubMed  Google Scholar 

  77. Isayama F, Hines IN, Kremer M, Milton RJ, Byrd CL, Perry AW, McKim SE, Parsons C, Rippe RA, Wheeler MD. LPS signaling enhances hepatic fibrogenesis caused by experimental cholestasis in mice. Am J Physiol Gastrointest Liver Physiol 2006;290:G1318–G1328

    Article  CAS  PubMed  Google Scholar 

  78. Li Y, Chang M, Abar O, Garcia V, Rowland C, Catanese J, Ross D, Broder S, Shiffman M, Cheung R, Wright T, Friedman SL, Sninsky J. Multiple variants in toll-like receptor 4 gene modulate risk of liver fibrosis in Caucasians with chronic hepatitis C infection. J Hepatol 2009;51:750–757

    Article  CAS  PubMed  Google Scholar 

  79. Karin M, Greten FR. NF-kappaB: linking inflammation and immunity to cancer development and progression. Nat Rev Immunol 2005;5:749–759

    Article  CAS  PubMed  Google Scholar 

  80. Karin M. Nuclear factor-kappaB in cancer development and progression. Nature 2006;441:431–436

    Article  CAS  PubMed  Google Scholar 

  81. Bosch FX, Ribes J, Díaz M, Cléries R. Primary liver cancer: worldwide incidence and trends. Gastroenterology 2004;127:S5–S16

    Article  PubMed  Google Scholar 

  82. Maeda S, Kamata H, Luo J, Leffert H, Karin M. IKKbeta couples hepatocyte death to cytokine-driven compensatory proliferation that promotes chemical hepatocarcinogenesis. Cell 2005;121:977–990

    Article  CAS  PubMed  Google Scholar 

  83. Lee J, Chu I, Mikaelyan A, Calvisi DF, Heo J, Reddy JK, Thorgeirsson SS. Application of comparative functional genomics to identify best-fit mouse models to study human cancer. Nat Genet 2004;36:1306–1311

    Article  CAS  PubMed  Google Scholar 

  84. Brechot C, Nalpas B, Feitelson MA. Interactions between alcohol and hepatitis viruses in the liver. Clin Lab Med 1996;16:273–287

    CAS  PubMed  Google Scholar 

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Soares, JB., Pimentel-Nunes, P., Roncon-Albuquerque, R. et al. The role of lipopolysaccharide/toll-like receptor 4 signaling in chronic liver diseases. Hepatol Int 4, 659–672 (2010). https://doi.org/10.1007/s12072-010-9219-x

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