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Toll-like receptor 4 and nuclear factor NF-kappa-B p65 subunit pathway (TLR4 / NF-κB p65 pathway)

Target
TLR4 / NF-κB p65 pathway
Molecular classification
Receptor, Pattern recognition receptor (PRR), Transcription factor
01

Overview

Toll-like receptor 4 (TLR4) is a transmembrane pattern recognition receptor that detects bacterial lipopolysaccharide (LPS) and other ligands to initiate innate immune and inflammatory responses by activating intracellular signaling cascades[1][3][5][7]. Downstream of TLR4, the principal pathway involves adapter proteins (e.g., MyD88, TRIF) leading to activation of the IKK complex, subsequent degradation of IκB inhibitors, and nuclear translocation of NF-κB transcription factors, especially the p65 (RELA) subunit. The nuclear factor kappa-B p65 subunit then drives transcription of numerous pro-inflammatory cytokines and survival genes, mediating host defense, but is also implicated in chronic inflammation, cancer, and autoimmune diseases[4][6][8]. Drugs targeting this signaling axis focus on blunting excessive inflammation or inappropriate immune activation. If a single structured target is required, it is preferable to define Toll-like receptor 4 and nuclear factor NF-kappa-B p65 subunit as separate canonical entries, each with their own structured data. The phrase “TLR4 / NF-κB p65 pathway” more accurately refers to a signaling cascade, not a molecular target.

Other names
TLR4-NF-κB p65 signaling cascadeTLR4–NF-κB pathwayTLR4-mediated NF-κB activation
02

Mechanism of action

Blockade of TLR4 prevents LPS binding and downstream signaling; Inhibition of NF-κB nuclear translocation or DNA binding; Inhibition of IκB degradation, thus preventing NF-κB activation; Direct inhibition of p65 DNA binding or transcriptional activity.

03

Biological functions

Immune responseInflammatory responseApoptosisCell survivalCytokine production
04

Disease associations

InflammationInfectionCancerCardiovascular diseaseAutoimmune diseaseSepsis
05

Safety considerations

Immunosuppression (blocking TLR4 or NF-κB can reduce host defense against infection)Increased risk of infectionOff-target effects on cell survival and apoptosis
06

Interacting drugs

Eritoran (TLR4 antagonist)

5 more in the full profile.

07

Biomarkers

Elevated NF-κB p65 nuclear translocation (marker of inflammation)TLR4 expression on monocytes/macrophages as sepsis risk indicatorCytokines such as IL-6, TNF-α, and IL-1β

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