Role of astroglial toll-like receptors (TLRs) in central nervous system infections, injury and neurodegenerative diseases

• Published in: Brain, behavior, and immunity Vol. 91; pp. 740 - 755
• Main Authors: Li, Lun, Acioglu, Cigdem, Heary, Robert F., Elkabes, Stella
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01-01-2021; The Authors. Published by Elsevier Inc
• Subjects: Alzheimer’s disease; Amyotrophic lateral sclerosis; Animals; Astrocytes - metabolism; Astrocytes - physiology; Astrogliosis; Brain - metabolism; Brain injury; Central Nervous System - immunology; Central Nervous System - metabolism; Central Nervous System Diseases - immunology; Central Nervous System Infections - pathology; COVID-19; Cytokines; Encephalitis - immunology; Humans; Immunity, Innate - physiology; Infection; Microglia - metabolism; Neurodegenerative Diseases - metabolism; Neurodegenerative Diseases - physiopathology; Neuroinflammation; Neurons - metabolism; Neuroprotection; Parkinson’s disease; Pattern recognition receptors; Receptors, Pattern Recognition - immunology; SARS-CoV-2; Signal Transduction; Spinal Cord - pathology; Spinal Cord Injuries - pathology; Spinal cord injury; Toll-Like Receptors - metabolism; Toll-Like Receptors - physiology; Neuroprotection; Cytokines; Alzheimer’s disease; Neuroinflammation; Amyotrophic lateral sclerosis; Spinal cord injury; Pattern recognition receptors; Astrogliosis; Infection; COVID-19; SARS-CoV-2; Parkinson’s disease; Brain injury
• ISSN: 0889-1591; 1090-2139
• DOI: 10.1016/j.bbi.2020.10.007

•Astroglial TLRs mediate host-defense and pathogen dissemination in CNS infections.•Astroglial TLRs help clearance of protein aggregates in neurodegenerative diseases.•Astroglial TLR signaling contributes to inflammation in CNS injury and disease.•Signaling through TLRs promotes beneficial and detrimental functions of astrocytes.•TLRs in astrocytes could be therapeutic targets in CNS disease and injury.
Central nervous system (CNS) innate immunity plays essential roles in infections, neurodegenerative diseases, and brain or spinal cord injuries. Astrocytes and microglia are the principal cells that mediate innate immunity in the CNS. Pattern recognition receptors (PRRs), expressed by astrocytes and microglia, sense pathogen-derived or endogenous ligands released by damaged cells and initiate the innate immune response. Toll-like receptors (TLRs) are a well-characterized family of PRRs. The contribution of microglial TLR signaling to CNS pathology has been extensively investigated. Even though astrocytes assume a wide variety of key functions, information about the role of astroglial TLRs in CNS disease and injuries is limited. Because astrocytes display heterogeneity and exhibit phenotypic plasticity depending on the effectors present in the local milieu, they can exert both detrimental and beneficial effects. TLRs are modulators of these paradoxical astroglial properties. The goal of the current review is to highlight the essential roles played by astroglial TLRs in CNS infections, injuries and diseases. We discuss the contribution of astroglial TLRs to host defense as well as the dissemination of viral and bacterial infections in the CNS. We examine the link between astroglial TLRs and the pathogenesis of neurodegenerative diseases and present evidence showing the pivotal influence of astroglial TLR signaling on sterile inflammation in CNS injury. Finally, we define the research questions and areas that warrant further investigations in the context of astrocytes, TLRs, and CNS dysfunction.