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The Toll-like receptor 2 (TLR2) gene encodes a protein that belongs to the Toll-like receptor family, which plays a pivotal role in recognizing pathogens and activating innate immunity. From fruit flies (Drosophila) to humans, these conserved receptors show structural and functional commonalities across species. Usually known as pathogen-associated molecular patterns (PAMPs), TLR2 is a cell-surface protein that forms heterodimers with other members of the TLR family to detect conserved molecular structures produced from infections. Once triggered by these molecules, TLR2 sets off signaling pathways that control inflammatory reactions, therefore regulating the body's defense against infections. Moreover, it has been implicated in promoting apoptosis in response to bacterial lipoproteins, linking it with both innate immune responses and the regulation of cell death.
Several autoimmune disorders, including lepra and colorectal cancer, have been linked to TLR2. Its capacity to identify microbial components via heterodimerization between TLR1 and TLR6 implies that the purposes of TLR2 go far beyond the first pathogen detection. Apart from immunological defense, the receptor is also important for preserving immune homeostasis, wherein improper immune system activation could result in autoimmune diseases.
Initiating the signaling cascade via MYD88 and TRAF6 results in the activation of NF-κB, cytokine release, and inflammatory response, therefore helping TLR2 to regulate immune responses. Essential for the production of pro-inflammatory cytokines, which are necessary for eradicating invading pathogens, these signaling molecules are part of a complex system. On the other hand, dysregulation of this system may lead to persistent inflammation, which fuels the onset of autoimmune disorders like inflammatory bowel disease and rheumatoid arthritis.
Figure 1. The TLR signaling pathway in innate immune cells, where different TLRs recognize pathogen components at the cell surface or within endosomes. (Duan T et al., 2022)
Among the many bacterial lipoproteins, peptidoglycans, and lipopeptides TLR2 interacts with microbial ligands. TLR2 is very flexible in immune responses because of its wide spectrum of molecule detection. Usually forming heterodimers with either TLR1 or TLR6, TLR2 influences the kind of microbial component the receptor recognizes. For instance, whilst the TLR2-TLR6 heterodimer identifies diacylated lipopeptides, the TLR2-TLR1 heterodimer recognizes triacylated lipopeptides. These contacts start a sequence of intracellular signaling processes that produce pro-inflammatory cytokines and then attract immune cells to the location of infection.
Studies have shown that TLR2 identifies mycobacterial components like the outer surface protein A (OspA) from Borrelia burgdorferi, the causative agent of Lyme disease, and macrophage-activating lipopeptide-2kD (MALP-2). Noted in tandem with TLR6 are soluble tuberculosis factor (STF) and phenol-soluble modulin (PSM). These interactions emphasize how important TLR2 is for identifying and fighting bacterial infections.
Crucially for cytokine generation and immune cell recruitment, TLR2 activation also activates the mitogen-activated protein kinase (MAPK) pathway. Two important participants in this pathway are ERK1/2 and p38 MAPK, which are triggered in response to bacterial lipoproteins, especially in Mycobacterium tuberculosis-induced illnesses. The lipoproteins of this pathogen, LprA, LprG, and LpqH, bind to TLR2 and, sometimes, also depend on co-receptors such as TLR1, CD14, or CD36 to start an immune response.
Depending on the kind of cell and the pathogen involved, TLR2, a transmembrane receptor, usually localizes to the cell surface but also finds itself within endosomes. It is expressed in monocytes, macrophages, dendritic cells, natural killer cells, and neutrophils among other immune cells. Every one of these cells is essential for the innate immune response, and TLR2 expression on their surface emphasizes this fact in terms of pathogen recognition and response.
Additionally reported to detect damage-associated molecular patterns (DAMPs), endogenous chemicals produced after tissue damage, is TLR2. TLR2 detects these compounds, including HMGB1 and HSP70, therefore highlighting the dual function of the receptor in tissue injury and infection. In sterile inflammation—where tissue injury, instead of infection, sets off an inflammatory response—this dual recognition process makes TLR2 a major actor. As a result, this receptor is strongly linked to chronic inflammatory disorders, in which it fuels inflammation even in the absence of pathogens.
Apart from its function in basic immunity, TLR2 is also very important in triggering the adaptive immune system. Particularly in the activation of TH2 and TH22 immunological responses, it has been found to encourage T-helper cell differentiation. Protecting against extracellular parasites, fungi, and bacteria calls for these routes. For the host's protection against worms and insects, for instance, the TH2 pathway is vital. The TH2 immune response, in which eosinophils, basophils, and mast cells mostly act, is triggered by TLR2's identification of peptidoglycan from these pathogens.
Recent research suggests that TLR2 also triggers the TH22 immune response, which guards against extracellular germs and fungi. Recognizing bacterial peptidoglycan, lipoteichoic acid, and fungal β-glucans, TLR2 activates the MyD88-dependent signaling cascade generating pro-inflammatory cytokines including IL-1, IL-6, and TNF-α. Crucially for pathogen control and tissue healing, activation of NF-κB and AP-1 results in TH22 cell differentiation and IL-22 synthesis.
Recent studies reveal that TLR2 triggers the TH22 immune response, which fights extracellular fungi and bacteria. Recognizing bacterial peptidoglycan, lipoteichoic acid, and fungal β-glucan activates the MyD88-dependent signaling cascade triggered by TLR2 to release pro-inflammatory cytokines including IL-1, IL-6, and TNF-α. Essential for pathogen control and tissue repair, NF-κB and AP-1 activation drives TH22 cell differentiation and IL-22 synthesis.
Particularly in the development of vaccines and anti-inflammatory medications, TLR2 has become a target for treatments as it is crucial in both innate and adaptive immune responses. The capacity of the receptor to identify a broad spectrum of microbial components makes it a desirable option for adjuvants in vaccines. To boost T-cell responses, SARS-CoV-2 vaccines have included synthetic TLR1/2 agonist XS15 as an adjuvant. Diprovocim is another synthetic agonist that stimulates TLR2/1 dimerization, hence improving the cytotoxic T-lymphocyte (CTL) response to tumor antigens and therefore a possible candidate for cancer vaccines.
TLR2's role in chronic inflammatory diseases has led to research on TLR2 antagonists as inflammation treatments. Small-molecule TLR2 signaling inhibitors are being studied to reduce autoimmune and chronic inflammatory diseases. Synthetic heterocyclic compounds like N-methyl-4-nitro-2-(4-(4-nitrophenyl)-1H-imidazole-1-yl) aniline are TLR2 agonists that increase pro-inflammatory cytokines, opening new avenues for medicinal development.
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