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Antimicrobial peptide (AMP) expression pathways are fundamental components of the innate immune system, governing the production of host defense peptides like defensins and cathelicidins [2, 5]. These pathways are typically initiated by the recognition of pathogen-associated molecular patterns (PAMPs) through pattern recognition receptors (PRRs), such as Toll-like receptors (TLRs) and NOD-like receptors (NLRs) [8, 12]. In mammals, this recognition triggers signaling cascades involving NF-κB, MAP kinases, and JAK/STAT, which ultimately drive the transcription of AMP genes [8, 13]. Beyond microbial triggers, certain nutrients and hormones, such as Vitamin D and butyrate, can modulate these pathways via nuclear receptors like the Vitamin D receptor (VDR) [2, 5]. Dysregulation of AMP expression is implicated in a variety of diseases, including chronic infections, sepsis, and inflammatory skin disorders such as psoriasis and atopic dermatitis [5, 7]. In cancer, these pathways can influence the tumor microenvironment and immune evasion [8, 10]. Therapeutic strategies often involve the use of small molecules, such as calcitriol or HDAC inhibitors like phenylbutyrate, to induce AMP expression and enhance the host's natural defense mechanisms [2, 10]. Conversely, inhibitors of these pathways are explored for treating conditions characterized by excessive AMP-driven inflammation [13].
Activation of pattern recognition receptors (PRRs) or nuclear receptors (e.g., VDR) to trigger signaling cascades such as NF-κB, JAK/STAT, and MAPK, which induce the transcription of genes encoding antimicrobial peptides like cathelicidins and defensins.
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