Toll-Like Receptor 4 Signaling and Drug Addiction

The emphasis of neuronal alterations and adaptations have long been the main focus of the studies of the mechanistic underpinnings of drug addiction. Recent studies have begun to appreciate the role of innate immune system, especially toll-like receptor 4 (TLR4) signaling in drug reward-associated b...

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Main Authors: Ruyan Wu, Jun-Xu Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2020.603445/full
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author Ruyan Wu
Ruyan Wu
Jun-Xu Li
author_facet Ruyan Wu
Ruyan Wu
Jun-Xu Li
author_sort Ruyan Wu
collection DOAJ
description The emphasis of neuronal alterations and adaptations have long been the main focus of the studies of the mechanistic underpinnings of drug addiction. Recent studies have begun to appreciate the role of innate immune system, especially toll-like receptor 4 (TLR4) signaling in drug reward-associated behaviors and physiology. Drugs like opioids, alcohol and psychostimulants activate TLR4 signaling and subsequently induce proinflammatory responses, which in turn contributes to the development of drug addiction. Inhibition of TLR4 or its downstream effectors attenuated the reinforcing effects of opioids, alcohol and psychostimulants, and this effect is also involved in the withdrawal and relapse-like behaviors of different drug classes. However, conflicting results also argue that TLR4-related immune response may play a minimal part in drug addiction. This review discussed the preclinical evidence that whether TLR4 signaling is involved in multiple drug classes action and the possible mechanisms underlying this effect. Moreover, clinical studies which examined the potential efficacy of immune-base pharmacotherapies in treating drug addiction are also discussed.
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spelling doaj.art-0640e40d6b2c4cf7b40a3aa21f092cd02022-12-21T22:26:17ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122020-11-011110.3389/fphar.2020.603445603445Toll-Like Receptor 4 Signaling and Drug AddictionRuyan Wu0Ruyan Wu1Jun-Xu Li2School of Medicine, Yangzhou University, Yangzhou, ChinaDepartment of Pharmacology and Toxicology, University at Buffalo, Buffalo, NY, United StatesDepartment of Pharmacology and Toxicology, University at Buffalo, Buffalo, NY, United StatesThe emphasis of neuronal alterations and adaptations have long been the main focus of the studies of the mechanistic underpinnings of drug addiction. Recent studies have begun to appreciate the role of innate immune system, especially toll-like receptor 4 (TLR4) signaling in drug reward-associated behaviors and physiology. Drugs like opioids, alcohol and psychostimulants activate TLR4 signaling and subsequently induce proinflammatory responses, which in turn contributes to the development of drug addiction. Inhibition of TLR4 or its downstream effectors attenuated the reinforcing effects of opioids, alcohol and psychostimulants, and this effect is also involved in the withdrawal and relapse-like behaviors of different drug classes. However, conflicting results also argue that TLR4-related immune response may play a minimal part in drug addiction. This review discussed the preclinical evidence that whether TLR4 signaling is involved in multiple drug classes action and the possible mechanisms underlying this effect. Moreover, clinical studies which examined the potential efficacy of immune-base pharmacotherapies in treating drug addiction are also discussed.https://www.frontiersin.org/articles/10.3389/fphar.2020.603445/fulltoll-like receptor 4opioidsalcoholpsychostimulantsdrug rewardreinstatement
spellingShingle Ruyan Wu
Ruyan Wu
Jun-Xu Li
Toll-Like Receptor 4 Signaling and Drug Addiction
Frontiers in Pharmacology
toll-like receptor 4
opioids
alcohol
psychostimulants
drug reward
reinstatement
title Toll-Like Receptor 4 Signaling and Drug Addiction
title_full Toll-Like Receptor 4 Signaling and Drug Addiction
title_fullStr Toll-Like Receptor 4 Signaling and Drug Addiction
title_full_unstemmed Toll-Like Receptor 4 Signaling and Drug Addiction
title_short Toll-Like Receptor 4 Signaling and Drug Addiction
title_sort toll like receptor 4 signaling and drug addiction
topic toll-like receptor 4
opioids
alcohol
psychostimulants
drug reward
reinstatement
url https://www.frontiersin.org/articles/10.3389/fphar.2020.603445/full
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