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Toll-like receptor 4 and CD14 on BDCA1+ myeloid dendritic cell (TLR4/CD14 on BDCA1+ mDC)

Target
TLR4/CD14 on BDCA1+ mDC
Molecular classification
Receptor (TLR4 is a Pattern Recognition Receptor), Co-receptor/scavenger receptor (CD14), Cell surface glycoprotein (CD14), Classical dendritic cell, cDC2 family member (BDCA1+ DC)
01

Overview

Toll-like receptor 4 (TLR4) and CD14 are co-expressed on BDCA1 (CD1c)+ myeloid dendritic cells, a human dendritic cell subset specializing in pathogen recognition and initiation of adaptive immune responses. TLR4 serves as a pattern recognition receptor that detects bacterial lipopolysaccharide (LPS) and mediates inflammatory signaling, while CD14 assists in LPS delivery to TLR4, enhancing sensitivity to microbial components[3][4]. BDCA1+ mDCs expressing both TLR4 and CD14 can mature upon stimulation, present antigens, and polarize naïve T cells toward specific immune responses (e.g., Th1)[2][4]. In cancer and chronic inflammation, BDCA1+CD14+ dendritic cells acquire immunosuppressive properties, upregulating checkpoint molecules like PD-L1 and secreting IL-10, thereby dampening T cell proliferation and promoting tumor immune evasion[1][5][8]. Structurally, TLR4 is a transmembrane receptor of the innate immune system, while CD14 is mainly a GPI-anchored or soluble co-receptor. Their trafficking and interactions, particularly with the LPS/LBP/MD-2 pathway, are critical for immune activation and resolution[3]. Note on correctness: The query combines two targets (TLR4 and CD14) on a specified cell type. For structured data, “Toll-like receptor 4” (TLR4) and “CD14” should be listed separately as protein targets, with BDCA1+ myeloid dendritic cell as their cellular context.

Other names
TLR4 (Toll-like receptor 4)CD14 (Cluster of Differentiation 14)BDCA1+ DC (Blood dendritic cell antigen 1-positive dendritic cell)CD1c+ myeloid dendritic cellMyeloid dendritic cell (mDC), subset cDC2
02

Mechanism of action

TLR4 antagonists block LPS binding and TLR4-mediated inflammatory signaling - CD14 inhibitors disrupt LPS transfer to TLR4/MD-2 complex, dampening TLR4 activation - Immunomodulators act by enhancing or suppressing DC antigen presentation and T-cell activation

03

Biological functions

Immune response (pathogen recognition, especially lipopolysaccharide [LPS])Signal transduction (TLR4/CD14 pathway)Antigen uptake and presentationActivation and polarization of naïve CD4+ T cells (Th1 response)Production of cytokines (e.g. IL-10, IL-6, TNF-α)Regulation of immune tolerance and immunosuppression
04

Disease associations

Infection (bacterial, especially Gram-negative: LPS recognition)InflammationCancer (immunosuppressive BDCA1+CD14+ DCs associated with tumors)Autoimmune disease (TLR4/CD14 implicated in chronic inflammatory/autoimmune conditions)Other (sepsis: TLR4/CD14-driven cytokine storm)
05

Safety considerations

Systemic inhibition may result in impaired pathogen clearance, leading to increased infection riskAberrant activation associated with cytokine storm, sepsis, and tissue damageTumor-induced tolerogenic DCs may suppress anti-tumor immunityPotential for triggering autoimmunity if improperly targeted
06

Interacting drugs

TLR4 antagonists: eritoran, TAK-242

3 more in the full profile.

07

Biomarkers

Surface expression of TLR4 and CD14 on BDCA1+ DCs for patient stratification in immunotherapy and inflammatory diseaseUpregulation of PD-L1 indicates immunosuppressive phenotypeExpression levels of HLA-DR, CD11c, IL-10 for functional status

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