TLR4

Toll-like receptor 4

Score: 0.660 Price: $0.66 Low Druggability Status: active Wiki: TLR4
๐Ÿง  Neurodegeneration
HYPOTHESES
6
PAPERS
0
KG EDGES
1139
DEBATES
0

3D Protein Structure

🧬 TLR4 โ€” PDB 3ULB Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Low
Score: 0.41
Clinical Stage
Phase III
Target Class
Receptor
Safety
0.30
Druggability Analysis
Drug Development0.45
Structural Tractability0.85
Target Class0.70
Safety Profile0.30
Key Metrics
PDB Structures:
25
Known Drugs:
1
Approved:
0
In Clinical Trials:
0
Drug Pipeline (1 compounds)
Therapeutic Areas:
Neuroinflammation Alzheimer's disease Parkinson's disease Neurodegeneration Sepsis with CNS involvement Neurotrauma
Druggability Rationale: TLR4 is highly druggable (0.80 score) due to its well-characterized extracellular domain, abundant structural data (25 PDB structures at 1.7 ร… resolution), and proven tractability with small molecule antagonists and antibodies. The receptor's established role in neuroinflammation and precedent with Eritoran in clinical trials (despite Phase 3 failure) demonstrates feasibility of pharmacological modulation, though efficacy rather than target accessibility remains the challenge.
Mechanism: Small molecule antagonist or antibody blocking TLR4-mediated neuroinflammatory signaling
Drug Pipeline (1 compounds)
Known Drugs:
Eritoran (failed_phase3) โ€” Sepsis (neuroinflammation trials)
Structural Data:
PDB (25) โœ“AlphaFold โœ“Cryo-EM โœ“
2Z622Z632Z642Z652Z66+20 more
UniProt: O00206
Binding Pocket Analysis:

TLR4 features a prominent hydrophobic lipid A binding pocket in the extracellular domain (MD-2 co-receptor interface), with well-defined sub-pockets for acyl chain accommodation revealed in high-resolution crystal structures. Small molecule antagonists typically target this pocket directly, while antibody therapeutics exploit conformational epitopes on the ectodomain to prevent TLR4-MD-2-LPS trimerization and downstream signaling.

🧬 3D Protein Structure

🧬 TLR4 — PDB 3ULB Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

Selectivity is a moderate concern given TLR4's role as part of the TLR family (TLR1-10); off-target activation of related TLRs (particularly TLR2) could confound therapeutic outcomes or cause immune dysregulation. However, TLR4's unique MD-2 co-receptor requirement and LPS-binding pocket provide opportunities for selective small molecule antagonists targeting the specific lipid A binding site.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (4)

Relevant trials from ClinicalTrials.gov

Active
0
Completed
2
Total Enrollment
2,055
By Phase
PHASE1: 1 ยท PHASE2: 2 ยท PHASE3: 1
ACCESS: A Controlled Comparison of Eritoran Tetrasodium and Placebo in Patients With Severe Sepsis Completed
PHASE3 NCT00334828 n=2000
Severe Sepsis
Interventions: eritoran tetrasodium, Placebo
Sponsor: Eisai Inc. | Started: 2006-06
The Role of TLR4 on Lipid-induced Insulin Resistance Completed
PHASE2 NCT02321111 n=10
Insulin Sensitivity
Interventions: Eritoran, D5W (5% Dextrose in water)
Sponsor: The University of Texas Health Science Center at San Antonio | Started: 2015-01
The Effect of TLR4 Inhibition in Obese and Type 2 Diabetic Subjects Terminated
PHASE2 NCT02267317 n=15
Insulin Sensitivity
Interventions: Eritoran, D5W
Sponsor: The University of Texas Health Science Center at San Antonio | Started: 2015-01
A Study of Eritoran (E5564) Administered IV Over 14 Days Prior to and During Bone Marrow Engraftment in BMT Patients Who Terminated
PHASE1 NCT00756912 n=30
Leukemia
Interventions: E5564
Sponsor: Eisai Inc. | Started: 2008-09

Linked Hypotheses (1)

Selective TLR4 Modulation to Prevent Gut-Derived Neuroinflammatory Priming0.617

Linked Experiments (1)

TLR4 Activation Assay with NETs and Anti-CarP Antibodies0.850

Scoring Dimensions

Portfolio 0.70 (25%) Druggability 0.41 (20%) Evidence 0.75 (20%) Safety 0.30 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.660 composite

Knowledge Graph (20)

activates (7)

TLR4 โ†’ MMP2
TLR4 โ†’ EGFR
TLR4 โ†’ GSDMD
TLR4 โ†’ MYD88
TLR4 โ†’ MMP9
...and 2 more

associated with (3)

TLR4 โ†’ neurodegeneration
TLR4 โ†’ CD14
TLR4 โ†’ TLR2

inhibits (2)

TLR4 โ†’ CD68
TLR4 โ†’ GFAP

interacts with (1)

TLR4 โ†’ SNCA

regulates (7)

TLR4 โ†’ ISG15
TLR4 โ†’ STAT1
TLR4 โ†’ CSF2RA
TLR4 โ†’ S100A8
TLR4 โ†’ FGF8
...and 2 more

Debate History (0)

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