PMID- 33716257 OWN - NLM STAT- MEDLINE DCOM- 20211129 LR - 20211129 IS - 1881-7823 (Electronic) IS - 1881-7815 (Linking) VI - 15 IP - 2 DP - 2021 May 11 TI - The role of Toll-like receptors in neurobiology of alcoholism. PG - 74-82 LID - 10.5582/bst.2021.01041 [doi] AB - Alcoholism is a global socially significant problem and still remains one of the leading causes of disability and premature death. One of the main signs of the disease is the loss of cognitive control over the amount of alcohol consumed. Among the mechanisms of the development of this pathology, changes in neuroimmune mechanisms occurring in the brain during prolonged alcohol consumption and its withdrawal have recently become the focus of numerous studies. Ethanol consumption leads to the activation of neuroimmune signaling in the central nervous system through many subtypes of Toll-like receptors (TLRs), as well as release of their endogenous agonists (high-mobility group protein B1 (HMGB1), S100 protein, heat shock proteins (HSPs), and extracellular matrix degradation proteins). TLR activation triggers intracellular molecular cascades of reactions leading to increased expression of genes of the innate immune system, particularly, proinflammatory cytokines, causing further development of a persistent neuroinflammatory process in the central nervous system. This leads to death of neurons and neuroglial cells in various brain structures, primarily in those associated with the development of a pathological craving for alcohol. In addition, there is evidence that some subtypes of TLRs (TLR3, TLR4) are able to form heterodimers with neuropeptide receptors, thereby possibly playing other roles in the central nervous system, in addition to participating in the activation of the innate immune system. FAU - Airapetov, Marat AU - Airapetov M AD - Department of Neuropharmacology, Institute of Experimental Medicine, St. Petersburg, Russia. AD - Department of Pharmacology, St. Petersburg State Pediatric Medical University, St. Petersburg, Russia. FAU - Eresko, Sergei AU - Eresko S AD - Department of Neuropharmacology, Institute of Experimental Medicine, St. Petersburg, Russia. AD - Research and Education Center for Molecular and Cellular Technologies, St. Petersburg State Chemical Pharmaceutical University, St Petersburg, Russia. FAU - Lebedev, Andrei AU - Lebedev A AD - Department of Neuropharmacology, Institute of Experimental Medicine, St. Petersburg, Russia. FAU - Bychkov, Evgenii AU - Bychkov E AD - Department of Neuropharmacology, Institute of Experimental Medicine, St. Petersburg, Russia. FAU - Shabanov, Petr AU - Shabanov P AD - Department of Neuropharmacology, Institute of Experimental Medicine, St. Petersburg, Russia. AD - Department of Pharmacology, Kirov Military Medical Academy, St. Petersburg, Russia. LA - eng PT - Journal Article PT - Review DEP - 20210312 PL - Japan TA - Biosci Trends JT - Bioscience trends JID - 101502754 RN - 0 (Toll-Like Receptors) RN - 3K9958V90M (Ethanol) SB - IM MH - Alcoholism/*immunology/metabolism/pathology MH - Animals MH - Apoptosis/drug effects/immunology MH - Brain/immunology/metabolism/pathology MH - *Craving MH - Disease Models, Animal MH - Ethanol/administration & dosage/*adverse effects MH - Humans MH - Neuroimmunomodulation/*drug effects MH - Neurons/drug effects/immunology/pathology MH - Signal Transduction/immunology MH - Toll-Like Receptors/agonists/*metabolism OTO - NOTNLM OT - Toll-like receptors OT - alcoholism OT - brain OT - neuroimmune signaling OT - neuroinflammation EDAT- 2021/03/16 06:00 MHDA- 2021/11/30 06:00 CRDT- 2021/03/15 06:45 PHST- 2021/03/16 06:00 [pubmed] PHST- 2021/11/30 06:00 [medline] PHST- 2021/03/15 06:45 [entrez] AID - 10.5582/bst.2021.01041 [doi] PST - ppublish SO - Biosci Trends. 2021 May 11;15(2):74-82. doi: 10.5582/bst.2021.01041. Epub 2021 Mar 12.