Scavenger receptor-A (CD204): a two-edged sword in health and disease.

Crit Rev Immunol

Departments of Surgery, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614.

Published: January 2015

Scavenger receptor A (SR-A), also known as the macrophage scavenger receptor and cluster of differentiation 204 (CD204), plays roles in lipid metabolism, atherogenesis, and a number of metabolic processes. However, recent evidence points to important roles for SR-A in inflammation, innate immunity, host defense, sepsis, and ischemic injury. Herein, we review the role of SR-A in inflammation, innate immunity, host defense, sepsis, cardiac and cerebral ischemic injury, Alzheimer's disease, virus recognition and uptake, bone metabolism, and pulmonary injury. Interestingly, SR-A is reported to be host protective in some disease states, but there is also compelling evidence that SR-A plays a role in the pathophysiology of other diseases. These observations of both harmful and beneficial effects of SR-A are discussed here in the framework of inflammation, innate immunity, and endoplasmic reticulum stress.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191651PMC
http://dx.doi.org/10.1615/critrevimmunol.2014010267DOI Listing

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