TLR4

Toll-like receptor 4

Score: 0.582 Price: $0.58 Low Druggability Status: active Wiki: TLR4
🧠 Neurodegeneration
HYPOTHESES
6
PAPERS
0
KG EDGES
1139
DEBATES
1

3D Protein Structure

🧬 TLR4 — 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)
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 Å 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) — Sepsis (neuroinflammation trials)
Structural Data:
PDB (25) ✓AlphaFold ✓Cryo-EM ✓
2Z622Z632Z642Z652Z66+20 more
UniProt: O00206

🧬 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 · PHASE2: 2 · 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 Priming0.789

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%) 0.582 composite

Knowledge Graph (20)

activates (4)

MMP9TLR4TLR4MMP2STAT1TLR4STAT3TLR4

associated with (3)

CD47TLR4CD36TLR4TLR4CD14

inhibits (6)

IRNTLR4S100A8TLR4CD47TLR4GFAPTLR4TNFTLR4
▸ Show 1 more
TLR4CD68

interacts with (5)

TLR4SNCAHSPA1ATLR4LTFTLR4NAMPTTLR4CMKLR1TLR4

regulates (2)

TLR4NETTLR4INTESTINAL_BARRIER

Debate History (1)

Should TLR4 (Toll-like receptor 4) be prioritized as a therapeutic target for ne2026-04-21