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* Department of Microbiology and Immunology, University of Maryland, Baltimore, MD 21201;
National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD 20892; and
Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605
Prior exposure to LPS induces a transient state of cell
refractoriness to subsequent LPS restimulation, known as endotoxin
tolerance. Induction of LPS tolerance has been reported to correlate
with decreased cell surface expression of the LPS receptor complex,
Toll-like receptor 4 (TLR4)/MD-2. However, other results have
underscored the existence of mechanisms of LPS tolerance that operate
downstream of TLR4/MD-2. In the present study we sought to delineate
further the molecular basis of LPS tolerance by examining the TLR4
signaling pathway in endotoxin-tolerant cells. Pretreatment of human
monocytes with LPS decreased LPS-mediated NF-
B activation, p38
mitogen-activated protein kinase phosphorylation, and TNF-
gene
expression, documenting the induction of endotoxin tolerance. FACS and
Western blot analyses of LPS-tolerant monocytes showed increased TLR2
expression, whereas TLR4 expression levels were not affected.
Comparable levels of mRNA and protein for myeloid differentiation
factor 88 (MyD88), IL-1R-associated kinase 1 (IRAK-1), and
TNFR-associated factor-6 were found in normal and LPS-tolerant
monocytes, while MD-2 mRNA expression was slightly increased in
LPS-tolerant cells. LPS induced the association of MyD88 with TLR4 and
increased IRAK-1 activity in medium-pretreated cells. In LPS-tolerant
monocytes, however, MyD88 failed to be recruited to TLR4, and IRAK-1
was not activated in response to LPS stimulation. Moreover,
endotoxin-tolerant CHO cells that overexpress human TLR4 and MD-2 also
showed decreased IRAK-1 kinase activity in response to LPS despite the
failure of LPS to inhibit cell surface expression of transfected TLR4
and MD-2 proteins. Thus, decreased TLR4-MyD88 complex formation with
subsequent impairment of IRAK-1 activity may underlie the LPS-tolerant
phenotype.
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