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The Journal of Immunology, 1999, 163: 3920-3927.
Copyright © 1999 by The American Association of Immunologists

Human Toll-Like Receptors Mediate Cellular Activation by Mycobacterium tuberculosis1

Terry K. Means*, Shuyan Wang*, Egil Lien{dagger}, Atsutoshi Yoshimura{dagger}, Douglas T. Golenbock{dagger} and Matthew J. Fenton2,*

* Pulmonary Center, Boston University School of Medicine, and {dagger} Infectious Disease Section, Boston Medical Center, Boston, MA 02118

Recent studies have implicated a family of mammalian Toll-like receptors (TLR) in the activation of macrophages by Gram-negative and Gram-positive bacterial products. We have previously shown that different TLR proteins mediate cellular activation by the distinct CD14 ligands Gram-negative bacterial LPS and mycobacterial glycolipid lipoarabinomannan (LAM). Here we show that viable Mycobacterium tuberculosis bacilli activated both Chinese hamster ovary cells and murine macrophages that overexpressed either TLR2 or TLR4. This contrasted with Gram-positive bacteria and Mycobacterium avium, which activated cells via TLR2 but not TLR4. Both virulent and attenuated strains of M. tuberculosis could activate the cells in a TLR-dependent manner. Neither membrane-bound nor soluble CD14 was required for bacilli to activate cells in a TLR-dependent manner. We also assessed whether LAM was the mycobacterial cell wall component responsible for TLR-dependent cellular activation by M. tuberculosis. We found that TLR2, but not TLR4, could confer responsiveness to LAM isolated from rapidly growing mycobacteria. In contrast, LAM isolated from M. tuberculosis or Mycobacterium bovis bacillus Calmette-Guérin failed to induce TLR-dependent activation. Lastly, both soluble and cell wall-associated mycobacterial factors were capable of mediating activation via distinct TLR proteins. A soluble heat-stable and protease-resistant factor was found to mediate TLR2-dependent activation, whereas a heat-sensitive cell-associated mycobacterial factor mediated TLR4-dependent activation. Together, our data demonstrate that Toll-like receptors can mediate cellular activation by M. tuberculosis via CD14-independent ligands that are distinct from the mycobacterial cell wall glycolipid LAM.




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S. Cornelie, J. Hoebeke, A.-M. Schacht, B. Bertin, J. Vicogne, M. Capron, and G. Riveau
Direct Evidence that Toll-like Receptor 9 (TLR9) Functionally Binds Plasmid DNA by Specific Cytosine-phosphate-guanine Motif Recognition
J. Biol. Chem., April 9, 2004; 279(15): 15124 - 15129.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
D. N. Dao, L. Kremer, Y. Guerardel, A. Molano, W. R. Jacobs Jr., S. A. Porcelli, and V. Briken
Mycobacterium tuberculosis Lipomannan Induces Apoptosis and Interleukin-12 Production in Macrophages
Infect. Immun., April 1, 2004; 72(4): 2067 - 2074.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
S. A. Fulton, S. M. Reba, R. K. Pai, M. Pennini, M. Torres, C. V. Harding, and W. H. Boom
Inhibition of Major Histocompatibility Complex II Expression and Antigen Processing in Murine Alveolar Macrophages by Mycobacterium bovis BCG and the 19-Kilodalton Mycobacterial Lipoprotein
Infect. Immun., April 1, 2004; 72(4): 2101 - 2110.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
C. A. Scanga, A. Bafica, C. G. Feng, A. W. Cheever, S. Hieny, and A. Sher
MyD88-Deficient Mice Display a Profound Loss in Resistance to Mycobacterium tuberculosis Associated with Partially Impaired Th1 Cytokine and Nitric Oxide Synthase 2 Expression
Infect. Immun., April 1, 2004; 72(4): 2400 - 2404.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
H.-J. Anders, B. Banas, and D. Schlondorff
Signaling Danger: Toll-Like Receptors and their Potential Roles in Kidney Disease
J. Am. Soc. Nephrol., April 1, 2004; 15(4): 854 - 867.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
Z. Darieva, E. B. Lasunskaia, M. N. N. Campos, T. L. Kipnis, and W. D. da Silva
Activation of phosphatidylinositol 3-kinase and c-Jun-N-terminal kinase cascades enhances NF-{kappa}B-dependent gene transcription in BCG-stimulated macrophages through promotion of p65/p300 binding
J. Leukoc. Biol., April 1, 2004; 75(4): 689 - 697.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
V. J. Quesniaux, D. M. Nicolle, D. Torres, L. Kremer, Y. Guerardel, J. Nigou, G. Puzo, F. Erard, and B. Ryffel
Toll-Like Receptor 2 (TLR2)-Dependent-Positive and TLR2-Independent-Negative Regulation of Proinflammatory Cytokines by Mycobacterial Lipomannans
J. Immunol., April 1, 2004; 172(7): 4425 - 4434.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
F. A. W. Verreck, T. de Boer, D. M. L. Langenberg, M. A. Hoeve, M. Kramer, E. Vaisberg, R. Kastelein, A. Kolk, R. de Waal-Malefyt, and T. H. M. Ottenhoff
Human IL-23-producing type 1 macrophages promote but IL-10-producing type 2 macrophages subvert immunity to (myco)bacteria
PNAS, March 30, 2004; 101(13): 4560 - 4565.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
R. E. Weir, G. F. Black, H. M. Dockrell, S. Floyd, P. E. M. Fine, S. D. Chaguluka, S. Stenson, E. King, B. Nazareth, D. K. Warndorff, et al.
Mycobacterial Purified Protein Derivatives Stimulate Innate Immunity: Malawians Show Enhanced Tumor Necrosis Factor Alpha, Interleukin-1{beta} (IL-1{beta}), and IL-10 Responses Compared to Those of Adolescents in the United Kingdom
Infect. Immun., March 1, 2004; 72(3): 1807 - 1811.
[Abstract] [Full Text] [PDF]


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Int ImmunolHome page
J. Branger, J. C. Leemans, S. Florquin, S. Weijer, P. Speelman, and T. van der Poll
Toll-like receptor 4 plays a protective role in pulmonary tuberculosis in mice
Int. Immunol., March 1, 2004; 16(3): 509 - 516.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
T. J. Murphy, H. M. Paterson, J. A. Mannick, and J. A. Lederer
Injury, sepsis, and the regulation of Toll-like receptor responses
J. Leukoc. Biol., March 1, 2004; 75(3): 400 - 407.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
B.-C. Chiu, C. M. Freeman, V. R. Stolberg, J. S. Hu, E. Komuniecki, and S. W. Chensue
The Innate Pulmonary Granuloma: Characterization and Demonstration of Dendritic Cell Recruitment and Function
Am. J. Pathol., March 1, 2004; 164(3): 1021 - 1030.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
A.C. Ogus, B. Yoldas, T. Ozdemir, A. Uguz, S. Olcen, I. Keser, M. Coskun, A. Cilli, and O. Yegin
The Arg753Gln polymorphism of the human Toll-like receptor 2 gene in tuberculosis disease
Eur. Respir. J., February 1, 2004; 23(2): 219 - 223.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
M. A. Campos, G. M. S. Rosinha, I. C. Almeida, X. S. Salgueiro, B. W. Jarvis, G. A. Splitter, N. Qureshi, O. Bruna-Romero, R. T. Gazzinelli, and S. C. Oliveira
Role of Toll-Like Receptor 4 in Induction of Cell-Mediated Immunity and Resistance to Brucella abortus Infection in Mice
Infect. Immun., January 1, 2004; 72(1): 176 - 186.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
M. B. Drennan, D. Nicolle, V. J. F. Quesniaux, M. Jacobs, N. Allie, J. Mpagi, C. Fremond, H. Wagner, C. Kirschning, and B. Ryffel
Toll-Like Receptor 2-Deficient Mice Succumb to Mycobacterium tuberculosis Infection
Am. J. Pathol., January 1, 2004; 164(1): 49 - 57.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
G. R. Alvarez, B. S. Zwilling, and W. P. Lafuse
Mycobacterium avium Inhibition of IFN-{gamma} Signaling in Mouse Macrophages: Toll-Like Receptor 2 Stimulation Increases Expression of Dominant-Negative STAT1{beta} by mRNA Stabilization
J. Immunol., December 15, 2003; 171(12): 6766 - 6773.
[Abstract] [Full Text] [PDF]


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Innate ImmunityHome page
A.-S. W. Moller, R. Ovstebo, A.-B. Westvik, G. B. Joo, K.-B. F. Haug, and P. Kierulf
Effects of bacterial cell wall components (PAMPs) on the expression of monocyte chemoattractant protein-1 (MCP-1), macrophage inflammatory protein-1{alpha} (MIP-1{alpha}) and the chemokine receptor CCR2 by purified human blood monocytes
Innate Immunity, December 1, 2003; 9(6): 349 - 360.
[Abstract] [PDF]


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Infect. Immun.Home page
C. L. Fuller, J. L. Flynn, and T. A. Reinhart
In Situ Study of Abundant Expression of Proinflammatory Chemokines and Cytokines in Pulmonary Granulomas That Develop in Cynomolgus Macaques Experimentally Infected with Mycobacterium tuberculosis
Infect. Immun., December 1, 2003; 71(12): 7023 - 7034.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
P. L. Fisette, S. Ram, J. M. Andersen, W. Guo, and R. R. Ingalls
The Lip Lipoprotein from Neisseria gonorrhoeae Stimulates Cytokine Release and NF-{kappa}B Activation in Epithelial Cells in a Toll-like Receptor 2-dependent Manner
J. Biol. Chem., November 21, 2003; 278(47): 46252 - 46260.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
C. G. Feng, C. A. Scanga, C. M. Collazo-Custodio, A. W. Cheever, S. Hieny, P. Caspar, and A. Sher
Mice Lacking Myeloid Differentiation Factor 88 Display Profound Defects in Host Resistance and Immune Responses to Mycobacterium avium Infection Not Exhibited by Toll-Like Receptor 2 (TLR2)- and TLR4-Deficient Animals
J. Immunol., November 1, 2003; 171(9): 4758 - 4764.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
K. J. C. Gibson, L. Eggeling, W. N. Maughan, K. Krumbach, S. S. Gurcha, J. Nigou, G. Puzo, H. Sahm, and G. S. Besra
Disruption of Cg-Ppm1, a Polyprenyl Monophosphomannose Synthase, and the Generation of Lipoglycan-less Mutants in Corynebacterium glutamicum
J. Biol. Chem., October 17, 2003; 278(42): 40842 - 40850.
[Abstract] [Full Text] [PDF]


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JEMHome page
S. Shi, C. Nathan, D. Schnappinger, J. Drenkow, M. Fuortes, E. Block, A. Ding, T. R. Gingeras, G. Schoolnik, S. Akira, et al.
MyD88 Primes Macrophages for Full-Scale Activation by Interferon-{gamma} yet Mediates Few Responses to Mycobacterium tuberculosis
J. Exp. Med., October 6, 2003; 198(7): 987 - 997.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
S. K. Sukumaran, H. Shimada, and N. V. Prasadarao
Entry and Intracellular Replication of Escherichia coli K1 in Macrophages Require Expression of Outer Membrane Protein A
Infect. Immun., October 1, 2003; 71(10): 5951 - 5961.
[Abstract] [Full Text] [PDF]


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Int ImmunolHome page
A. Kariyone, T. Tamura, H. Kano, Y. Iwakura, K. Takeda, S. Akira, and K. Takatsu
Immunogenicity of Peptide-25 of Ag85B in Th1 development: role of IFN-{gamma}
Int. Immunol., October 1, 2003; 15(10): 1183 - 1194.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
M. Fujita, T. Into, M. Yasuda, T. Okusawa, S. Hamahira, Y. Kuroki, A. Eto, T. Nisizawa, M. Morita, and K.-i. Shibata
Involvement of Leucine Residues at Positions 107, 112, and 115 in a Leucine-Rich Repeat Motif of Human Toll-Like Receptor 2 in the Recognition of Diacylated Lipoproteins and Lipopeptides and Staphylococcus aureus Peptidoglycans
J. Immunol., October 1, 2003; 171(7): 3675 - 3683.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Y. Guerardel, E. Maes, V. Briken, F. Chirat, Y. Leroy, C. Locht, G. Strecker, and L. Kremer
Lipomannan and Lipoarabinomannan from a Clinical Isolate of Mycobacterium kansasii: NOVEL STRUCTURAL FEATURES AND APOPTOSIS-INDUCING PROPERTIES
J. Biol. Chem., September 19, 2003; 278(38): 36637 - 36651.
[Abstract] [Full Text] [PDF]


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JCBHome page
F. Sandor, E. Latz, F. Re, L. Mandell, G. Repik, D. T. Golenbock, T. Espevik, E. A. Kurt-Jones, and R. W. Finberg
Importance of extra- and intracellular domains of TLR1 and TLR2 in NF{kappa}B signaling
J. Cell Biol., September 15, 2003; 162(6): 1099 - 1110.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Gilleron, V. F. J. Quesniaux, and G. Puzo
Acylation State of the Phosphatidylinositol Hexamannosides from Mycobacterium bovis Bacillus Calmette Guerin and Mycobacterium tuberculosis H37Rv and Its Implication in Toll-like Receptor Response
J. Biol. Chem., August 8, 2003; 278(32): 29880 - 29889.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
J. Uehori, M. Matsumoto, S. Tsuji, T. Akazawa, O. Takeuchi, S. Akira, T. Kawata, I. Azuma, K. Toyoshima, and T. Seya
Simultaneous Blocking of Human Toll-Like Receptors 2 and 4 Suppresses Myeloid Dendritic Cell Activation Induced by Mycobacterium bovis Bacillus Calmette-Guerin Peptidoglycan
Infect. Immun., August 1, 2003; 71(8): 4238 - 4249.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
A. J. Gehring, R. E. Rojas, D. H. Canaday, D. L. Lakey, C. V. Harding, and W. H. Boom
The Mycobacterium tuberculosis 19-Kilodalton Lipoprotein Inhibits Gamma Interferon-Regulated HLA-DR and Fc{gamma}R1 on Human Macrophages through Toll-Like Receptor 2
Infect. Immun., August 1, 2003; 71(8): 4487 - 4497.
[Abstract] [Full Text] [PDF]


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Innate ImmunityHome page
R. I. Tapping and P. S. Tobias
Mycobacterial lipoarabinomannan mediates physical interactions between TLR1 and TLR2 to induce signaling
Innate Immunity, August 1, 2003; 9(4): 264 - 268.
[Abstract] [PDF]


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MicrobiologyHome page
J. Indrigo, R. L. Hunter Jr, and J. K. Actor
Cord factor trehalose 6,6'-dimycolate (TDM) mediates trafficking events during mycobacterial infection of murine macrophages
Microbiology, August 1, 2003; 149(8): 2049 - 2059.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
K. A. Heldwein, M. D. Liang, T. K. Andresen, K. E. Thomas, A. M. Marty, N. Cuesta, S. N. Vogel, and M. J. Fenton
TLR2 and TLR4 serve distinct roles in the host immune response against Mycobacterium bovis BCG
J. Leukoc. Biol., August 1, 2003; 74(2): 277 - 286.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. Bafica, C. A. Scanga, M. L. Schito, S. Hieny, and A. Sher
Cutting Edge: In Vivo Induction of Integrated HIV-1 Expression by Mycobacteria Is Critically Dependent on Toll-Like Receptor 2
J. Immunol., August 1, 2003; 171(3): 1123 - 1127.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. A. R. Tobian, N. S. Potter, L. Ramachandra, R. K. Pai, M. Convery, W. H. Boom, and C. V. Harding
Alternate Class I MHC Antigen Processing Is Inhibited by Toll-Like Receptor Signaling Pathogen-Associated Molecular Patterns: Mycobacterium tuberculosis 19-kDa Lipoprotein, CpG DNA, and Lipopolysaccharide
J. Immunol., August 1, 2003; 171(3): 1413 - 1422.
[Abstract] [Full Text] [PDF]


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Clin. Microbiol. Rev.Home page
E. S. Van Amersfoort, T. J. C. Van Berkel, and J. Kuiper
Receptors, Mediators, and Mechanisms Involved in Bacterial Sepsis and Septic Shock
Clin. Microbiol. Rev., July 1, 2003; 16(3): 379 - 414.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
A. B. Kamath, J. Alt, H. Debbabi, and S. M. Behar
Toll-Like Receptor 4-Defective C3H/HeJ Mice Are Not More Susceptible than Other C3H Substrains to Infection with Mycobacterium tuberculosis
Infect. Immun., July 1, 2003; 71(7): 4112 - 4118.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
G. Fenhalls, G. R. Squires, L. Stevens-Muller, J. Bezuidenhout, G. Amphlett, K. Duncan, and P. T. Lukey
Associations between Toll-Like Receptors and Interleukin-4 in the Lungs of Patients with Tuberculosis
Am. J. Respir. Cell Mol. Biol., July 1, 2003; 29(1): 28 - 38.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
M. Sato, H. Sano, D. Iwaki, K. Kudo, M. Konishi, H. Takahashi, T. Takahashi, H. Imaizumi, Y. Asai, and Y. Kuroki
Direct Binding of Toll-Like Receptor 2 to Zymosan, and Zymosan-Induced NF-{kappa}B Activation and TNF-{alpha} Secretion Are Down-Regulated by Lung Collectin Surfactant Protein A
J. Immunol., July 1, 2003; 171(1): 417 - 425.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S. Heinz, V. Haehnel, M. Karaghiosoff, L. Schwarzfischer, M. Muller, S. W. Krause, and M. Rehli
Species-specific Regulation of Toll-like Receptor 3 Genes in Men and Mice
J. Biol. Chem., June 6, 2003; 278(24): 21502 - 21509.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
O. Equils, M. L. Schito, H. Karahashi, Z. Madak, A. Yarali, K. S. Michelsen, A. Sher, and M. Arditi
Toll-Like Receptor 2 (TLR2) and TLR9 Signaling Results in HIV-Long Terminal Repeat Trans-Activation and HIV Replication in HIV-1 Transgenic Mouse Spleen Cells: Implications of Simultaneous Activation of TLRs on HIV Replication
J. Immunol., May 15, 2003; 170(10): 5159 - 5164.
[Abstract] [Full Text] [PDF]




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