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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


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The discovery of mammalian homologues of the Drosophila Toll receptor protein has elicited interest in the role of these proteins in innate immunity (reviewed in Ref. 1). Several published reports have illustrated the potential importance of Toll-like receptors (TLR)3 in intracellular signaling. Janeway and colleagues (2) reported a human homologue of the Drosophila Toll protein, a protein later to be designated Toll-like receptor 4 (TLR4). There were three features of Toll that linked this protein with innate immunity and intracellular signaling. First, Drosophila Toll participates in an antifungal response in the adult fly (3), and it is likely that mammalian homologues would participate in similar innate immune responses. Second, the Drosophila Toll participates in a signal transduction pathway leading to the activation of the transcription factor Dorsal, the fly homologue of NF-{kappa}B. The central role played by NF-{kappa}B in signal transduction pathways activated by cytokines, and in the regulation of cytokine genes themselves, implicates mammalian Toll proteins in cellular responses similar to those evoked by cytokines. Third, the intracellular domains of Toll proteins share significant sequence similarity with the type I IL-1 receptor, the known mammalian Toll-like receptors, and the cytosolic adapter protein MyD88 (4, 5, 6).

Recent data have demonstrated that mammalian TLR proteins participate in intracellular signaling initiated by Gram-negative bacterial LPS. CD14 has been recognized for many years as the major receptor responsible for the effects of LPS on macrophages, monocytes, and neutrophils (reviewed in Ref. 7). Two groups independently reported that TLR2 could function as a signaling receptor for LPS in the presence of CD14 (8, 9). These investigators reported that human HEK293 cells stably transfected with TLR2 could respond to LPS in the presence of CD14 and LPS-binding protein, as judged by activation of a reporter gene under the control of the NF-{kappa}B-dependent ELAM-1 promoter. Deletion mutants of TLR2 that lack a region of the intracellular domain that shares sequence homology with the IL-1 receptor failed to mediate LPS responsiveness in this assay.

Subsequent to these findings, two other groups identified the gene responsible for the LPS-hyporesponsive phenotype of the C3H/HeJ mouse (10, 11). Macrophages from this mouse are hyporesponsive to LPS, even though they express normal amounts of CD14 on their surface. The gene locus responsible for this defect (Lpsd) mapped to the Tlr4 gene. In the C3H/HeJ mice, a single missense mutation within the Tlr4 coding sequence was identified (P712H). Supporting evidence for the hypothesis that this mutation is responsible for the LPS-hyporesponsive phenotype of the C3H/HeJ mouse comes from the finding that the C57BL/10ScCr LPS-nonresponsive mouse does not express TLR4. These results raised the possibility that, at least in mice, TLR2 is not sufficient to confer LPS responsiveness. Data from our own laboratories have shown that TLR4 is predominantly responsible for LPS signaling in murine and hamster cells, whereas TLR2 mediates cellular activation by a distinct CD14 ligand, the mycobacterial cell wall glycolipid lipoarabinomannan (LAM).4 This conclusion was further supported by our demonstration that LPS hyporesponsive macrophages from C3H/HeJ mice were not hyporesponsive to LAM.4 Most recently, Chow et al. (13) reported that human TLR4 could mediate LPS responsiveness in HEK293 cells. Together, these results suggest that TLR2 and TLR4 mediate CD14-dependent signals in both a ligand- and species-specific manner.

We have extended these earlier studies to test the hypothesis that Mycobacterium tuberculosis, bacteria that do not synthesize LPS, might also be recognized by TLR proteins. It was recently found that cellular activation by Gram-positive bacteria and Mycobacterium avium was mediated by TLR2, but not TLR4 (Ref. 14 and data not shown).5 Here we report that M. tuberculosis activates cells in a TLR-dependent manner, but unlike Gram-positive bacteria and M. avium, these organisms utilize both TLR2 and TLR4 proteins. Unlike Gram-positive bacteria, TLR-dependent cellular activation by M. tuberculosis does not appear to depend on the presence of CD14. Furthermore, the mycobacterial ligands responsible for this activation appear to be distinct from LAM.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells and reagents

M. tuberculosis strains H37Rv (ATCC 25618), H37Ra (ATCC 25177), and Mycobacterium bovis BCG (ATCC 35734) were purchased from the American Type Culture Collection (ATCC, Manassas, VA). Bacterial cultures were grown in Middlebrook 7H9 medium supplemented with Tween 80 and ADC (Difco, Detroit, MI) at 37°C under biosafety level 3 conditions. Bacterial culture medium was prepared in LPS-free flasks using LPS-free water (Baxter-Travenol, Deerfield, IL). Bacterial cultures were grown to midlogarithmic phase (OD620 nm = 0.4), and CFU per ml were determined by growth on Middlebrook agar plates. The CHO-K1 fibroblast (CCL-61) and RAW264.7 murine macrophage cell lines (TIB-71) were purchased from the ATCC. RAW264.7 cells were maintained in DMEM (BioWhittaker, Walkersville, MD) supplemented with 10% heat-inactivated fetal bovine serum (HyClone Laboratories, Logan, UT), 10 mM HEPES, 2 mM L-glutamine, 100 U/ml penicillin, and 100 µg/ml streptomycin (BioWhittaker). Chinese hamster ovary (CHO) cells were maintained in Ham’s F-12 culture medium (BioWhittaker) supplemented with 10% heat-inactivated FBS (HyClone, Logan, UT), 10 mM HEPES, 2 mM L-glutamine, 100 U/ml penicillin, and 100 µg/ml streptomycin (BioWhittaker). LPS levels in all medium components were <10 pg/ml final concentration as indicated by BioWhittaker or measured by the Limulus amebocyte lysate kit (BioWhittaker). Cells were cultured at 37°C in the presence of 5% CO2 in a humidified incubator. CHO/CD14, 3E10 (CHO/CD14/ELAM-CD25), 3E10/TLR2, 3E10/TLR4, and CHO/TLR2 were previously described4 (14, 15) and cultured as described above. All of these stable cell lines used expressed a similar level of surface CD14, TLR2, and TLR4. As described below, cells that were stably transfected with the TLR2 and TLR4 expression plasmids express FLAG-tagged TLR proteins. After transfection and selection of stable lines, clones were selected that expressed similar levels of TLR proteins, based on mean fluorescence intensity determined with the same anti-FLAG Ab. Furthermore, the TLR2- and TLR4-expressing cell lines were generated from the same CHO/CD14 parental clonal cell line, and thus each line also expresses the same amount of CD14.

LPS (purified from Escherichia coli 055:B5) was purchased from Sigma (St. Louis, MO). Mycobacterial LAM, purified from rapidly growing avirulent mycobacteria (AraLAM), M. bovis BCG, and M. tuberculosis strains H37Rv and H37Ra were all provided by Dr. John Belisle (Colorado State University, Fort Collins, CO) under the provisions of National Institutes of Health Contract NO1 AI25147. Levels of contaminating LPS in the LAM preparations were determined using a quantitative Limulus lysate assay (BioWhittaker) and were <1 pg/ml final concentration in all experiments. A neutralizing anti-LAM IgG3 mAb that recognizes LAM from these different mycobacteria (CS-35) was also provided by Dr. Belisle and was previously described (16). Recombinant human IL-1ß was purchased from Genzyme (Cambridge, MA). FITC- and PE-conjugated anti-human CD25 mAbs were purchased from Becton Dickinson (Bedford, MA).

Electrophoretic mobility shift assays (EMSA)

Nuclear extracts were prepared essentially as described by Schreiber et al. (17). Approximately 1.0 x 107 CHO or RAW264.7 cells were washed and harvested by scraping in Ca2+- and Mg2+-free PBS (BioWhittaker). Cells were pelleted by centrifugation at 800 x g for 10 min at 4°C. Cell pellets were resuspended in 400 µl of a buffer containing 10 mM KCl, 10 mM Tris-HCl (pH 7.8), 5 mM MgCl2, 0.5 mM DTT, 0.3 M sucrose, 10 mM ß-glycerol phosphate, 0.1 mM EGTA, 1 mM PMSF, and 5 µg/ml each of aprotinin, leupeptin, chymostatin, and antipain and incubated on ice for 10 min. Subsequently, 25 µl of 10% Nonidet P-40 (Sigma) were added to each sample before vortexing. The nuclei were centrifuged for 1 min at 5000 x g to pellet the nuclei. Nuclear pellets were resuspended in a nuclear extraction buffer containing 320 mM KCl, 10 mM Tris-HCl (pH 7.8), 5 mM MgCl2, 0.5 mM DTT, 10 mM ß-glycerol phosphate, 0.1 mM EGTA, 25% glycerol, 1 mM PMSF, and 5 µg/ml each of aprotinin, leupeptin, antipain, and chymostatin. Samples were extracted on ice for 15 min followed by centrifugation at 16,000 x g for 10 min at 4°C. Protein concentration was determined using the Bio-Rad assay kit (Bio-Rad, Hercules, CA). All nuclear extracts were stored at -70°C, and multiple freeze-thawing cycles were avoided.

A double-stranded oligonucleotide containing a single copy of the IL-2 receptor {alpha}-chain NF-{kappa}B (GGGGAATTCC) was used as an EMSA probe. DNA probes were labeled with [{alpha}-32P]dNTPs (DuPont-NEN, Boston, MA) using E. coli DNA polymerase Klenow fragment (U.S. Biochemicals, Cleveland, OH) as recommended by the manufacturer. Unincorporated nucleotides were removed with Sephadex G-25 columns (5 Prime->3 Prime, Boulder, CO). Nuclear extracts (typically 3 µg) were incubated with radiolabeled probe DNA (0.1 ng, typically 10,000 cpm) in the presence of 2 µg poly(dI-dC) (Pharmacia, Piscataway, NJ), 1.0 mM EDTA, 10 mM Tris-HCl (pH 7.9), 25 mM glycerol, and 0.5 mM DTT in a final volume of 20 µl, as previously described (18). Binding reactions were then incubated at room temperature for 30 min. After incubation, a portion of each binding reaction (typically 6 µl) was loaded onto 7% nondenaturing low ionic strength polyacrylamide gel. The gels were then dried and visualized by autoradiography.

Plasmids

The ELAM-luc reporter plasmid was generated by subcloning the promoter of pUMS(ELAM)-Tac (15) into the promoterless pGL3 luciferase reporter plasmid (Promega, Madison, WI). The human TLR2 and TLR4 cDNAs cloned into the pFlag-CMV-1 mammalian expression plasmid were gifts of Drs. Carsten Kirschning and Mike Rothe (Tularik, South San Francisco, CA) and were previously described (9). These gene products are expressed as fusion proteins containing an N-terminal FLAG epitope tag. A second TLR4 expression plasmid that expresses native TLR4 (termed hToll) was a gift of Dr. Charles Janeway (Yale University, New Haven, CT) and was previously described (2). Plasmids were prepared using Qiagen (Valencia, CA) plasmid DNA purification columns, DNA was eluted from the columns using LPS-free buffers, and contaminating LPS levels were found to be <10 pg/ml. Furthermore, all plasmid preparations were unable to activate the LPS-sensitive CHO/CD14 cells, demonstrating that the plasmids were not contaminated with LPS.

Transfection and reporter assays

Transient transfections were performed using SuperFect reagent (Qiagen, Valencia, CA) as per the manufacturer’s instructions. Briefly, cells were plated on six-well dishes 1–2 days before transfection, and transfections were performed when cells plated reached 80% confluence. Plasmid DNA was added to 100 µl of Opti-Mem reduced serum media (Life Technologies, Gaithersburg, MD). All transfections utilized a total of 4 µg of plasmid DNA consisting of 2 µg of reporter plasmid, 1 µg of each expression vector, and the balance made up with empty vector described above. SuperFect, 10 µl, was added to the DNA-medium mixture and incubated for 10 min at ambient temperature. Subsequently, 600 µl of serum-containing medium were added to the reaction mixture and added to the individual wells. Each reaction was prepared individually, and each condition was performed in triplicate. Reactions were incubated with the cells for 2–3 h, whereupon the reaction was removed from the cells and fresh medium containing serum was added. On the following day, individual wells were left untreated or were stimulated with either LPS or LAM as indicated in the figures. Cells were then incubated for an additional 5 h before harvesting. Luciferase assays were performed as described below. All transfection experiments were repeated at least three times with different plasmid preparations, and a single representative experiment is shown. Each single experiment represents triplicate independent transfections and data are expressed as average values ± S.D.

Luciferase activity was measured using the Luciferase Assay System (Promega), according to manufacturer’s instructions. Briefly, cells were washed and scraped on ice in cold PBS, pelleted by centrifugation, and resuspended in 100 µl of reporter lysis buffer. Samples were freeze-thawed once and centrifuged at 14,000 x g for 10 min at 4°C to remove cellular debris. Supernatants were recovered and assayed for total protein using the Bio-Rad protein assay according to manufacturer’s instructions. An equal amount of total protein from each lysate was assayed for luciferase activity as measured by light emissions in a scintillation counter.

In experiments with 3E10 cells, which contain a stably transfected CD25 reporter gene under the control of the ELAM-1 promoter, reporter gene expression was measured by flow cytometry as previously described4 (14, 15). Data were collected using FACScan software (Becton Dickinson, Mountain View, CA) and expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations. The 95% confidence limit for nonspecific fluorescence was established with the use of isotype control Abs. Each experiment was repeated at least three times in all cases.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
M. tuberculosis bacilli activate cells in a TLR-dependent manner

Previous studies demonstrated that both bacterial cell wall components (LPS, LAM, and peptidoglycan) and heat-killed Gram-positive bacteria (Staphylococcus aureus and Streptococcus pneumoniae) could activate cells in a TLR-dependent manner4 (14, 19). Here we tested whether live M. tuberculosis bacilli (Mtb) could also activate cells in a TLR-dependent manner. To measure TLR-dependent activation, we used CHO fibroblast cell lines that were stably transfected with expression plasmids encoding human CD14 (CHO/CD14) and human TLR2 proteins (CHO/CD14/TLR2). These lines were also stably transfected with a reporter plasmid consisting of a human CD25 cDNA under the control of an NF-{kappa}B-dependent ELAM-1 promoter. As we previously published, activation of these cells in a CD14-dependent manner leads to the rapid activation of NF-{kappa}B and the subsequent expression of CD25 on the cell surface4 (14, 15). Furthermore, CD14- and TLR-independent stimuli that activate NF-{kappa}B (e.g., IL-1ß protein) also activate CD25 expression. Here we incubated viable Mtb with CHO/CD14 and CHO/CD14/TLR2 cells (10 Mtb/CHO cell) for 16 h and subsequently measured CD25 expression by flow cytometry. As shown in Fig. 1Go, both the virulent H37Rv and attenuated H37Ra strains of Mtb did not activate the CHO/CD14 cells, and overexpression of TLR2 conferred Mtb responsiveness on these cells. This TLR-dependent activation did not appear to vary with the virulence of the Mtb strain used. Similar data were obtained with avirulent M. bovis BCG bacilli (data not shown). CD25 expression was also measured at 1, 4, 8, 16, and 24 h after stimulation by H37Ra and H37Rv. At each time point analyzed, we found that both Mtb strains activated the cells to a similar extent (data not shown). Lastly, surface expression of either CD14 or TLR proteins did not alter Mtb binding or uptake by the CHO cells compared with untransfected CHO cells (data not shown).



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FIGURE 1. Expression of TLR2 by CHO/CD14 cells confers responsiveness to Mtb. CHO/CD14 and CHO/CD14/TLR2 reporter cell lines were stimulated with the Mtb strains H37Rv (Rv) or H37Ra (Ra, 10 bacilli/CHO cell) for 16 h. Both reporter lines contain a stably transfected ELAM-CD25 reporter gene and express human CD25 on their surface as a consequence of NF-{kappa}B activation (14 ). Stimulated cells were stained with a PE-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Data are expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations that were gated to exclude the lowest 5% of cells based on mean FL2 fluorescence. Representative overlaying histograms that correspond to the graphic data are also shown (insets). Four independent experiments were performed.

 
TLR-dependent activation by M. tuberculosis does not require LBP

Our earlier data showed that TLR-dependent activation of cells by the mycobacterial cell wall glycolipid LAM was substantially enhanced in the presence of LPS-binding protein4 (LBP (20)). To determine whether LBP present in serum was required for TLR-dependent activation of cells by Mtb, we repeated the preceding experiment in the presence and absence of serum. As shown in Fig. 2Go, the presence of serum did not significantly affect responsiveness of cells to Mtb, suggesting that LBP is not required for TLR-dependent activation by Mtb. Because the FBS used in these studies was heat inactivated, our data also demonstrate that neither opsonization nor activated complement was required for this TLR-dependent activation. This is not surprising because CHO cells do not express either complement receptors or other receptors known to mediate the binding of Mtb to macrophages (e.g., macrophage mannose receptor). Because LBP, at least in part, transfers bacterial glycolipids to CD14, our data also suggested that CD14 was not required for this TLR-mediated activation of cells by Mtb.



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FIGURE 2. TLR-dependent activation by M. tuberculosis does not require LBP. CHO/CD14 and CHO/CD14/TLR2 cell lines were stimulated with H37Ra Mtb (10 bacilli/CHO cell) in medium containing 10% FBS or in serum-free medium for 16 h. The stimulated cells were then stained with a FITC-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Data are expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations that were gated to exclude the lowest 5% of cells based on mean FL1 fluorescence.

 
TLR-dependent activation by M. tuberculosis does not require CD14

We recently showed that TLR-dependent activation of cells by either LAM or Gram-positive bacteria required the presence of CD14 as either a membrane-bound or soluble protein4 (14). To test the hypothesis that Mtb activate cells in a TLR-dependent, but CD14-independent manner, we compared the capacity of Mtb to activate CHO/TLR2 cells (i.e., CHO fibroblasts that express TLR2, but not CD14) in the absence and presence of serum, which serves as a source of soluble CD14. Nuclear extracts were prepared from the CHO/TLR2 cells 1 h after Mtb stimulation, and NF-{kappa}B levels were subsequently measured by EMSA. As shown in Fig. 3GoA, similar levels of NF-{kappa}B were induced in a TLR-dependent manner in the presence and absence of soluble CD14. NF-{kappa}B levels in CHO/CD14 cells were not altered by exposure to Mtb. Furthermore, we compared the capacity of Mtb to activate NF-{kappa}B in CHO/CD14/TLR2 vs CHO/TLR2 cells and found that the presence of membrane-bound CD14 did not augment Mtb responsiveness (Fig. 3GoB). These data demonstrate that TLR-dependent activation by Mtb is not mediated by CD14. This contrasts with Gram-positive bacteria where activation is dependent on both TLR2 and CD14 (14, 19).



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FIGURE 3. TLR-dependent activation by M. tuberculosis does not require CD14. A, CHO/CD14 and CHO/TLR2 cells were stimulated with Mtb (10 H37Ra bacilli per CHO cell) in medium containing 10% FBS or in serum-free medium for 1 h. B, CHO/CD14/TLR2 and CHO/TLR2 cells were stimulated with Mtb (1 and 10 H37Ra bacilli per CHO cell) for 1 h. Nuclear extracts from stimulated and unstimulated cells were prepared as described in the text and then assessed for the presence of NF-{kappa}B using an EMSA. The migration of the DNA-protein complex containing NF-{kappa}B is indicated. This complex was found to be specific as judged using supershifting Abs and unlabeled NF-{kappa}B competitor oligonucleotides (data not shown).

 
Both TLR2 and TLR4 mediate cell activation by M. tuberculosis

Recent studies revealed that both Gram-positive bacteria and M. avium can activate cells via TLR2, but not TLR4 (Ref. 14 and data not shown).5 We sought to determine whether Mtb also activated cells via the same selective use of TLR proteins. Mtb were added to CHO/CD14/TLR cells. As shown in Fig. 4GoA, we found that Mtb could activate the cells via both TLR2 and TLR4. Thus, Mtb differed from Gram-positive bacteria and M. avium in their utilization of TLR proteins during cellular activation. Virtually identical results were obtained with either H37Ra or H37Rv Mtb, or when the experiment was performed in the presence or absence of serum (data not shown). Furthermore, activation via either TLR2 or TLR4 was not dependent on the presence of membrane-bound CD14 (data not shown). We subsequently examined whether Mtb could also activate macrophages via both TLR proteins. To test this possibility, we transiently cotransfected RAW264.7 murine macrophages with a luciferase reporter plasmid under the control of the NF-{kappa}B-dependent ELAM-1 promoter and the various TLR expression plasmids. After transfection, the cells were stimulated with Mtb (10 Mtb/RAW264.7 cell) and harvested 5 h later. Lysates were prepared from the harvested cells, and luciferase activity was measured as described in Materials and Methods. As shown in Fig. 4GoB, Mtb activated the macrophages in a TLR-dependent manner. Like the CHO cells, this activation could be mediated by both TLR2 and TLR4.



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FIGURE 4. Both TLR2 and TLR4 mediate cell activation by M. tuberculosis. A, CHO/CD14, CHO/CD14/TLR2, and CHO/CD14/TLR4 reporter cell lines were stimulated with Mtb (10 H37Ra bacilli per CHO cell) for 16 h. These reporter lines contain a stably transfected ELAM-CD25 reporter gene and express human CD25 on their surface as a consequence of NF-{kappa}B activation. Stimulated cells were stained with a FITC-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Data are expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations that were gated to exclude the lowest 5% of cells based on mean FL1 fluorescence. B, RAW264.7 cells were transiently cotransfected with the ELAM-Luc reporter plasmid and expression plasmids encoding either human TLR2 or TLR4. A portion of the cells were then stimulated with Mtb (10 H37Ra bacilli per RAW264.7 cell) for 5 h. Cells were then harvested and luciferase activity was measured as described in the text. All transfection experiments were performed in triplicate, repeated at least three times with the use of different plasmid preparations, and a single representative experiment is shown. Data are expressed as average luciferase values from a single experiment (subtracted for background) ± SD.

 
AraLAM, but not ManLAM, activate cells in a TLR-dependent manner

Our previous studies revealed that LAM purified from rapidly growing Mycobacteria could activate cells in a TLR-dependent manner.4 This form of LAM contains highly branched arabinofuranosyl side chains (termed AraLAM), whereas Mtb and M. bovis BCG contain LAM that is terminally capped with mannose residues (ManLAM). These chemical differences are believed to be responsible for the different biological activities of these glycolipids (reviewed in Ref. 21). We sought to determine whether LAM on the surface of the mycobacteria was the ligand responsible for TLR-dependent activation of the cells. First, we compared the capacity of LAM isolated from rapidly growing Mycobacteria (AraLAM), Mtb (ManLAM), and M. bovis BCG (BCG LAM) to activate cells in a TLR-dependent manner. As shown in Fig. 5Go, AraLAM was capable of activating CHO/CD14 cells that expressed TLR2, but not TLR4. In contrast to AraLAM, neither Mtb LAM nor BCG LAM were capable of activating any of the cell lines tested. This finding is consistent with the known relative inability of these ManLAMs to activate macrophages (22, 23, 24).



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FIGURE 5. AraLAM, but not ManLAM, activates cells in a TLR-dependent manner. CHO/CD14, CHO/CD14/TLR2, and CHO/CD14TLR4 reporter cell lines were treated with AraLAM (1 µg/ml), BCG LAM (1 µg/ml), or H37Rv Mtb LAM (1 µg/ml) for 16 h. Stimulated cells were stained with a FITC-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Data are expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations that were gated to exclude the lowest 5% of cells based on mean FL1 fluorescence.

 
LAM is not responsible for TLR-dependent cellular activation by M. tuberculosis

To confirm that TLR-dependent cellular activation by Mtb was not mediated by LAM, we determined whether an anti-LAM Ab could block activation of cells by Mtb bacilli. Mtb were pretreated with the neutralizing CS-35 anti-LAM mAb (107 H37Ra bacilli treated with 500 µg/ml CS-35 for 15 min), and then added to the CHO/CD14/TLR cells (10 Mtb/CHO cell, 12.5 µg/ml CS-35 final concentration). As shown in Fig. 6GoA, the anti-LAM mAb was incapable of blocking Mtb activation of cells via TLR2 or TLR4. The ability of CS-35 to block LAM-induced cellular activation was confirmed by the finding that this mAb could block TLR2-dependent activation by AraLAM (Fig. 6GoB). Normal rabbit serum had no effect on either Mtb- or AraLAM-induced cellular activation (data not shown). Thus, using two distinct experimental approaches (Figs. 5Go and 6Go), we have demonstrated that TLR-dependent activation of cells by Mtb was not mediated by the cell wall glycolipid LAM. Although we have shown that CD14 does not appear to play a role in TLR-dependent cellular activation by Mtb, it remains to be determined whether the mycobacterial ligands activate TLR proteins directly or in association with other cell surface receptors.



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FIGURE 6. TLR-dependent activation by M. tuberculosis is not mediated by LAM. A, Mtb were pretreated with the neutralizing CS-35 anti-LAM mAb (107 H37Ra bacilli treated with 500 µg/ml CS-35 for 15 min) and then added to the CHO/CD14, CHO/CD14/TLR2, or CHO/CD14/TLR4 cells (10 H37Ra bacilli per CHO cell, 12.5 µg/ml CS-35 final concentration) for 16 h. B, AraLAM was pretreated with the CS35 anti-LAM mAb (2 µg AraLAM treated with 500 µg/ml CS-35 for 15 min) and then added to cells (AraLAM 1 µg/ml, 12.5 µg/ml CS-35 final concentration) for 16 h. Normal rabbit serum had no effect on either Mtb- or AraLAM-induced cellular activation (data not shown). Stimulated cells were stained with a FITC-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Data are expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations that were gated to exclude the lowest 5% of cells based on mean FL1 fluorescence.

 
Both soluble and cell-associated mycobacterial factors mediate TLR-dependent activation

We sought to determine whether soluble factors released by cultured Mtb could activate the cells in a TLR-dependent manner. H37Ra Mtb were grown to mid-log phase as described in Materials and Methods, bacilli were removed by centrifugation and filtration, and the Mtb-free culture medium was used to stimulate the CHO/CD14/TLR cells. As shown in Fig. 7GoA, we found that Mtb-conditioned culture medium activated the cells via TLR2, but not TLR4. Fresh culture medium did not activate the cells under any conditions tested (data not shown). We subsequently examined whether the soluble factors responsible for TLR-dependent activation were proteins. The Mtb-conditioned culture medium was digested with proteinase K (50 µg/ml, 55°C, 1 h) and boiled for 5 min to inactivate the protease. This protein-free Mtb-conditioned culture medium was then evaluated for its capacity to activate cells in a TLR2-dependent manner. As shown in Fig. 7GoB, the protein-free and heat-stable preparation was still capable of inducing TLR2-dependent cellular activation. Thus, it appears that a nonproteinaceous heat-stable factor is the TLR2 ligand. Based on the chemical nature of other known TLR ligands (e.g LPS, LAM, peptidoglycan), it is likely that this factor is a polysaccharide or a glycolipid. It is also possible that this preparation contains several distinct ligands for TLR2.



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FIGURE 7. Both soluble and cell-associated mycobacterial factors mediate TLR-dependent activation. A, CHO/CD14, CHO/CD14/TLR2, and CHO/CD14TLR4 reporter cell lines were stimulated with 100 µl of soluble Mtb-conditioned culture supernatant (soluble tuberculosis factor (STF)) for 16 h. This final volume of STF corresponds to 10 Mtb equivalents per CHO cell. The stimulated cells were then stained with a FITC-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Representative overlaying histograms that were gated to exclude the lowest 5% of cells based on mean FL1 fluorescence are shown. B, The soluble Mtb-conditioned culture supernatant (STF) was pretreated with proteinase K (50 µg/ml, 55°C, 1 h) and boiled for 5 min to inactivate the protease. The reporter cell lines were stimulated with 100 µl of protease-treated STF for 16 h. The stimulated cells were then stained with a PE-labeled anti-CD25 mAb, subjected to flow cytometry analysis to measure the expression of CD25, and the data were analyzed as described above. C, CHO/CD14/TLR2 and CHO/CD14/TLR4 cell lines were stimulated with live and heat-killed Mtb (10 H37Ra bacilli per CHO cell) for 16 h. The stimulated cells were then stained with a FITC-labeled anti-CD25 mAb and subjected to flow cytometry analysis to measure the expression of CD25. Data are expressed as the ratio (fold activation) of the percent of CD25+ cells in unstimulated and stimulated cell populations that were gated to exclude the lowest 5% of cells based on mean FL1 fluorescence.

 
To test whether LAM present in the Mtb-conditioned culture medium was responsible for the TLR2-dependent cellular activation, we assessed the capacity of the CS-35 anti-LAM neutralizing Ab to block TLR2-dependent cellular activation by the Mtb-conditioned culture medium. CHO/CD14/TLR2 cells were stimulated with Mtb-conditioned culture medium in the presence or absence of either CS-35, or a matching isotype control Ab. The CS-35 Ab had no effect on the capacity of Mtb-conditioned culture medium to activate the CHO/CD14/TLR2 cells (data not shown). This finding demonstrates that LAM is not responsible for the observed activation, and is consistent with our earlier finding that purified Mtb LAM could not activate cells in a TLR-dependent manner (Fig. 5Go).

Because viable Mtb bacilli could induce both TLR2- and TLR4-dependent signaling, but the soluble mycobacterial factor only activated cells via TLR2, we sought to determine whether it was a cell-associated factor that induced TLR4-dependent signaling. As shown in Fig. 7GoC, we found that heat-killed Mtb that were washed free of culture medium activated cells via TLR2. In contrast to the viable Mtb, the heat-killed bacilli could not activate cells via TLR4. These differences imply that the ligand for TLR4-dependent activation is a heat-labile cell-associated mycobacterial factor. Cellular activation via TLR4 was not caused by LPS contamination because all materials used to perform this experiment were essentially LPS free and cellular activation by the bacilli was not CD14 dependent. Thus, soluble mycobacterial factors selectively activate cells in a TLR2-dependent manner, whereas heat-labile cell-associated mycobacterial factors selectively activate cells in a TLR4-dependent manner. These findings demonstrate that whole Mtb and soluble mycobacterial factors differ in their utilization of TLR proteins leading to cellular activation.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mammalian TLR proteins are novel mediators of cellular activation by bacterial products. Our previous studies have shown that distinct bacterial products (LPS and LAM) bind to a common receptor (CD14) but utilize different TLR proteins (TLR4 and TLR2, respectively). We have now shown that Mtb bacilli can activate both CHO cells and murine macrophages via both TLR2 and TLR4. This contrasts with Gram-positive bacteria and M. avium which activate cells via TLR2, but not TLR4. Both virulent and attenuated Mtb strains can activate the cells in a TLR-dependent manner. Neither membrane-bound nor soluble CD14 appears to be required for Mtb to activate cells in a TLR-dependent manner. We also found that TLR2, but not TLR4, can confer responsiveness to LAM isolated from rapidly growing mycobacteria. In contrast, neither LAM isolated from Mtb nor M. bovis BCG can activate cells in a TLR-dependent manner. Lastly, both soluble and cell wall-associated mycobacterial factors can mediate activation via distinct TLR proteins. Together, our data demonstrate that mammalian Toll-like receptors can mediate cellular activation by Mtb via CD14-independent ligands that are distinct from LAM.

M. tuberculosis, the etiological agent of tuberculosis, is a major worldwide public health threat. Mtb bacilli are uniquely adapted to survive and grow within macrophages (reviewed in Ref. 25). Paradoxically, macrophages are the primary effector cells of the innate immune response. On binding microbial pathogens, these cells are activated to release a variety of cytokines, nitric oxide, and reactive oxygen intermediates. Cytokines released by activated macrophages can augment both innate and cell-mediated immune responses. The precise mechanisms by which Mtb activate macrophages remain unclear. Our data revealed two unexpected features of these Mtb-induced responses. The first feature is that CD14 does not appear to be required for cellular activation by Mtb. This contrasts with both Gram-positive and Gram-negative bacteria that predominantly activate cells in a CD14-dependent manner (14, 24, 26). Although CD14 has been reported to function as an adhesion receptor for Mtb bacilli in some cell types (27), blocking Abs against the complement receptors CR3, CR4, the macrophage mannose receptor, and the class A scavenger receptor can together prevent almost all binding of Mtb to macrophages (28, 29, 30). It is possible that complement receptors, like CD14, can serve as coreceptors for TLR proteins. Support for this possibility comes from the finding that the CR3 ligand taxol, a plant-derived antitumor agent, cannot activate macrophages from the TLR4-deficient C3H/HeJ mouse whereas taxol can activate macrophages from the normal C3H/FeJ mouse (31). The second novel feature of our findings is that Mtb differs in the utilization of TLR proteins to initiate intracellular signaling compared with Gram-positive bacteria (14).5 Whether these differences in TLR signaling induced by Mtb and other bacteria result in different qualitative or quantitative antimicrobial responses remains to be determined.

Like Gram-positive bacteria, the cell wall of Mtb does not contain LPS. Nevertheless, both types of bacteria can activate cells in a TLR-dependent manner via chemically distinct bacterial products that serve as ligands to mediate this activation. Previous studies have shown that LAM, LPS, and peptidoglycan all activate TLR-dependent signaling in association with CD14 (14, 19).4 In contrast, we have shown that TLR proteins can be activated by CD14-independent ligands. We found both soluble and cell-associated mycobacterial factors can activate TLR-dependent signaling in a CD14-independent manner. A heat-labile cell-associated mycobacterial factor activated cells in a TLR4-dependent manner, whereas a soluble heat-stable mycobacterial factor activated cells in a TLR2-dependent manner. This soluble factor was also resistant to protease treatment, suggesting that it is a polysaccharide or a glycolipid. In addition, we found that a heat-stable cell-associated factor could activate cells in a TLR2-dependent manner (data not shown), although it remains to be determined whether this factor is identical with the soluble heat-stable factor. Studies are currently under way to identify these factors. Interestingly, mycobacterial envelopes contain peptidoglycan, a known CD14 ligand that can activate cells in a TLR2-dependent manner (14, 19). Our finding that Mtb activates cells in a CD14-independent manner suggests that peptidoglycan is not the heat-stable factor we found that activated cells via TLR2. The extensive waxy cell wall of Mtb may mask the underlying peptidoglycan, although this possibility remains to be tested.

Pathogenic mycobacteria, such as Mtb, are part of a family of slow-growing mycobacteria that contain mannose-capped LAM (i.e., ManLAM) in their cell walls. In contrast, rapidly growing mycobacteria are nonpathogenic in immunocompetent hosts and possess arabinofuranosyl-capped LAM (i.e., AraLAM). Part of the survival strategy of Mtb may depend on bacilli gaining entry into the host macrophage without evoking a strong antimicrobial response. Our data demonstrate that Mtb can induce TLR-dependent cellular activation, but the extent of this activation may differ qualitatively from TLR signaling induced by other types of bacteria. CD14 ligands present in the cell walls of Gram-positive and Gram-negative bacilli that activate TLR signaling may induce potent antimicrobial responses that are not induced by Mtb. Our studies have only assessed signaling via TLR2 and TLR4, but how Mtb and other types of bacteria might differentially utilize other TLR proteins remain to be determined.

The Drosophila Toll and 18-wheeler proteins are receptors that mediate antifungal and antibacterial immune responses, respectively (3, 32). These findings support the possibility that mammalian TLR proteins also participate in innate immunity. Mammalian cells possess at least 10 distinct TLR genes, and it is possible that these proteins can bind a wide variety of bacterial products (Patent Cooperation Treaty Publication number WO9850547A3). Given the dimeric nature of the Drosophila Toll receptor, it is also possible that mammalian TLR proteins might heterodimerize, thereby further extending the variety of ligands that might be capable of inducing TLR signaling. Furthermore, mammalian ligands for TLR proteins may also exist. In Drosophila, the natural ligand for Toll is the Spatzle protein (33). Spatzle, a primitive member of the NGF family of cysteine-knot proteins (34), is secreted as an inactive precursor protein that is cleaved into a biologically active form by the serine protease Easter (12). Similar paradigms are well known in mammalian innate immune responses, and natural mammalian ligands for TLR proteins may yet be discovered. Our data do not exclude the possibility that Mtb, and mycobacterial factors do not bind directly to TLR proteins, but instead stimulate the production of a mammalian Spatzle-like factor that binds directly to the TLR proteins.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants GM54060 (to D.T.G. and A.Y.) and HL55681 (to M.J.F. and T.K.M.). E.L. was supported by the Norwegian Cancer Society and the Research Council of Norway. Back

2 Address correspondence and reprint requests to Dr. Matthew J. Fenton, Pulmonary Center, Room R-220, Boston University School of Medicine, 80 E. Concord Street, Boston, MA 02118. E-mail address: Back

3 Abbreviations used in this paper: TLR, Toll-like receptor; LAM, lipoarabinomannan; Mtb, Mycobacterium tuberculosis; CHO, Chinese hamster ovary; LBP, LPS-binding protein; BCG, bacillus Calmette-Guérin; EMSA, electrophoretic mobility shift assays. Back

4 T. K. Means, E. Lien, A. Yoshimura, S. Wang, D. T. Golenbock, and M. J. Fenton. 1999. The CD14 ligands lipoarabinomannan and lipopolysaccharide differ in their requirement for Toll-like receptors. Submitted for publication. Back

5 E. Lien, T. J. Sellati, A. Yoshimura, J. D. Carroll, R. R. Ingalls, J. D. Radolf, and D. T. Golenbock. 1999. Toll-like receptor 2 mediates pattern recognition by Borrelia burgdorferi, Treponema pallidum, and Mycobacterium avium. Submitted for publication. Back

Received for publication April 23, 1999. Accepted for publication July 19, 1999.


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 Discussion
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The Chemokine Receptor CXCR3 Attenuates the Control of Chronic Mycobacterium tuberculosis Infection in BALB/c Mice
J. Immunol., February 1, 2007; 178(3): 1723 - 1735.
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N. D. Pecora, A. J. Gehring, D. H. Canaday, W. H. Boom, and C. V. Harding
Mycobacterium tuberculosis LprA Is a Lipoprotein Agonist of TLR2 That Regulates Innate Immunity and APC Function
J. Immunol., July 1, 2006; 177(1): 422 - 429.
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Infect. Immun.Home page
S.-B. Jung, C.-S. Yang, J.-S. Lee, A-R. Shin, S.-S. Jung, J. W. Son, C. V. Harding, H.-J. Kim, J.-K. Park, T.-H. Paik, et al.
The Mycobacterial 38-Kilodalton Glycolipoprotein Antigen Activates the Mitogen-Activated Protein Kinase Pathway and Release of Proinflammatory Cytokines through Toll-Like Receptors 2 and 4 in Human Monocytes.
Infect. Immun., May 1, 2006; 74(5): 2686 - 2696.
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A. Demissie, L. Wassie, M. Abebe, A. Aseffa, G. Rook, A. Zumla, P. Andersen, T. M. Doherty, and the VACSEL Study Group
The 6-kilodalton early secreted antigenic target-responsive, asymptomatic contacts of tuberculosis patients express elevated levels of interleukin-4 and reduced levels of gamma interferon.
Infect. Immun., May 1, 2006; 74(5): 2817 - 2822.
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I. Fricke, D. Mitchell, J. Mittelstadt, N. Lehan, H. Heine, T. Goldmann, A. Bohle, and S. Brandau
Mycobacteria Induce IFN-{gamma} Production in Human Dendritic Cells via Triggering of TLR2
J. Immunol., May 1, 2006; 176(9): 5173 - 5182.
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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
J. Fan, Y. Li, Y. Vodovotz, T. R. Billiar, and M. A. Wilson
Hemorrhagic shock-activated neutrophils augment TLR4 signaling-induced TLR2 upregulation in alveolar macrophages: role in hemorrhage-primed lung inflammation
Am J Physiol Lung Cell Mol Physiol, April 1, 2006; 290(4): L738 - L746.
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J.-S. Chang, J. F. Huggett, K. Dheda, L. U. Kim, A. Zumla, and G. A. W. Rook
Myobacterium tuberculosis Induces Selective Up-Regulation of TLRs in the Mononuclear Leukocytes of Patients with Active Pulmonary Tuberculosis.
J. Immunol., March 1, 2006; 176(5): 3010 - 3018.
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N. Banaiee, E. Z. Kincaid, U. Buchwald, W. R. Jacobs Jr., and J. D. Ernst
Potent Inhibition of Macrophage Responses to IFN-{gamma} by Live Virulent Mycobacterium tuberculosis Is Independent of Mature Mycobacterial Lipoproteins but Dependent on TLR2.
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H. D'Avila, R. C. N. Melo, G. G. Parreira, E. Werneck-Barroso, H. C. Castro-Faria-Neto, and P. T. Bozza
Mycobacterium bovis Bacillus Calmette-Guerin Induces TLR2-Mediated Formation of Lipid Bodies: Intracellular Domains for Eicosanoid Synthesis In Vivo.
J. Immunol., March 1, 2006; 176(5): 3087 - 3097.
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Infect. Immun.Home page
S. Viriyakosol, M. A. Matthias, M. A. Swancutt, T. N. Kirkland, and J. M. Vinetz
Toll-Like Receptor 4 Protects against Lethal Leptospira interrogans Serovar Icterohaemorrhagiae Infection and Contributes to In Vivo Control of Leptospiral Burden
Infect. Immun., February 1, 2006; 74(2): 887 - 895.
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F. A. W. Verreck, T. de Boer, D. M. L. Langenberg, L. van der Zanden, and T. H. M. Ottenhoff
Phenotypic and functional profiling of human proinflammatory type-1 and anti-inflammatory type-2 macrophages in response to microbial antigens and IFN-{gamma}- and CD40L-mediated costimulation
J. Leukoc. Biol., February 1, 2006; 79(2): 285 - 293.
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B. K. W. Cheung, D. C. W. Lee, J. C. B. Li, Y.-L. Lau, and A. S. Y. Lau
A Role for Double-Stranded RNA-Activated Protein Kinase PKR in Mycobacterium-Induced Cytokine Expression
J. Immunol., December 1, 2005; 175(11): 7218 - 7225.
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K. O. Omueti, J. M. Beyer, C. M. Johnson, E. A. Lyle, and R. I. Tapping
Domain Exchange between Human Toll-like Receptors 1 and 6 Reveals a Region Required for Lipopeptide Discrimination
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T. M. Doherty and P. Andersen
Vaccines for Tuberculosis: Novel Concepts and Recent Progress
Clin. Microbiol. Rev., October 1, 2005; 18(4): 687 - 702.
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I. Olsen, P. Boysen, S. Kulberg, J. C. Hope, G. Jungersen, and A. K. Storset
Bovine NK Cells Can Produce Gamma Interferon in Response to the Secreted Mycobacterial Proteins ESAT-6 and MPP14 but Not in Response to MPB70
Infect. Immun., September 1, 2005; 73(9): 5628 - 5635.
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S. Shi, A. Blumenthal, C. M. Hickey, S. Gandotra, D. Levy, and S. Ehrt
Expression of Many Immunologically Important Genes in Mycobacterium tuberculosis-Infected Macrophages Is Independent of Both TLR2 and TLR4 but Dependent on IFN-{alpha}{beta} Receptor and STAT1
J. Immunol., September 1, 2005; 175(5): 3318 - 3328.
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S. Takamura, K. Matsuo, Y. Takebe, and Y. Yasutomi
Ag85B of Mycobacteria Elicits Effective CTL Responses through Activation of Robust Th1 Immunity as a Novel Adjuvant in DNA Vaccine
J. Immunol., August 15, 2005; 175(4): 2541 - 2547.
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C. Roura-Mir, L. Wang, T.-Y. Cheng, I. Matsunaga, C. C. Dascher, S. L. Peng, M. J. Fenton, C. Kirschning, and D. B. Moody
Mycobacterium tuberculosis Regulates CD1 Antigen Presentation Pathways through TLR-2
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Mycobacterium Tuberculosis Heat Shock Proteins Use Diverse Toll-like Receptor Pathways to Activate Pro-inflammatory Signals
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P. A. Efron, H. Tsujimoto, F. R. Bahjat, R. Ungaro, J. Debernardis, C. Tannahill, H. V. Baker, C. K. Edwards, and L. L. Moldawer
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Dendritic Cell Maturation Induced by Muramyl Dipeptide (MDP) Derivatives: Monoacylated MDP Confers TLR2/TLR4 Activation
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Transcription Factor Tfec Contributes to the IL-4-Inducible Expression of a Small Group of Genes in Mouse Macrophages Including the Granulocyte Colony-Stimulating Factor Receptor
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Y. Maeda, T. Mukai, J. Spencer, and M. Makino
Identification of an Immunomodulating Agent from Mycobacterium leprae
Infect. Immun., May 1, 2005; 73(5): 2744 - 2750.
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Y. Wang, H. M. Curry, B. S. Zwilling, and W. P. Lafuse
Mycobacteria Inhibition of IFN-{gamma} Induced HLA-DR Gene Expression by Up-Regulating Histone Deacetylation at the Promoter Region in Human THP-1 Monocytic Cells
J. Immunol., May 1, 2005; 174(9): 5687 - 5694.
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R. E. Geisel, K. Sakamoto, D. G. Russell, and E. R. Rhoades
In Vivo Activity of Released Cell Wall Lipids of Mycobacterium bovis Bacillus Calmette-Guerin Is Due Principally to Trehalose Mycolates
J. Immunol., April 15, 2005; 174(8): 5007 - 5015.
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K. Sendide, N. E. Reiner, J. S. I. Lee, S. Bourgoin, A. Talal, and Z. Hmama
Cross-Talk between CD14 and Complement Receptor 3 Promotes Phagocytosis of Mycobacteria: Regulation by Phosphatidylinositol 3-Kinase and Cytohesin-1
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P. Tobias and L. K. Curtiss
Thematic review series: The Immune System and Atherogenesis. Paying the price for pathogen protection: toll receptors in atherogenesis
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C. W. Wieland, S. Knapp, S. Florquin, A. F. de Vos, K. Takeda, S. Akira, D. T. Golenbock, A. Verbon, and T. van der Poll
Non-Mannose-capped Lipoarabinomannan Induces Lung Inflammation via Toll-like Receptor 2
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D. Nicolle, C. Fremond, X. Pichon, A. Bouchot, I. Maillet, B. Ryffel, and V. J. F. Quesniaux
Long-Term Control of Mycobacterium bovis BCG Infection in the Absence of Toll-Like Receptors (TLRs): Investigation of TLR2-, TLR6-, or TLR2-TLR4-Deficient Mice
Infect. Immun., December 1, 2004; 72(12): 6994 - 7004.
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N. Hyakushima, H. Mitsuzawa, C. Nishitani, H. Sano, K. Kuronuma, M. Konishi, T. Himi, K. Miyake, and Y. Kuroki
Interaction of Soluble Form of Recombinant Extracellular TLR4 Domain with MD-2 Enables Lipopolysaccharide Binding and Attenuates TLR4-Mediated Signaling
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{beta}-Defensin-2 Expression Is Regulated by TLR Signaling in Intestinal Epithelial Cells
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Bacteriolytic therapy can generate a potent immune response against experimental tumors
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J. FITNESS, S. FLOYD, D. K. WARNDORFF, L. SICHALI, L. MWAUNGULU, A. C. CRAMPIN, P. E. M. FINE, and A. V. S. HILL
LARGE-SCALE CANDIDATE GENE STUDY OF LEPROSY SUSCEPTIBILITY IN THE KARONGA DISTRICT OF NORTHERN MALAWI
Am J Trop Med Hyg, September 1, 2004; 71(3): 330 - 340.
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J. FITNESS, S. FLOYD, D. K. WARNDORFF, L. SICHALI, S. MALEMA, A. C. CRAMPIN, P. E. M. FINE, and A. V. S. HILL
LARGE-SCALE CANDIDATE GENE STUDY OF TUBERCULOSIS SUSCEPTIBILITY IN THE KARONGA DISTRICT OF NORTHERN MALAWI
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S. Jang, S. Uematsu, S. Akira, and P. Salgame
IL-6 and IL-10 Induction from Dendritic Cells in Response to Mycobacterium tuberculosis Is Predominantly Dependent on TLR2-Mediated Recognition
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A. J. Gehring, K. M. Dobos, J. T. Belisle, C. V. Harding, and W. H. Boom
Mycobacterium tuberculosis LprG (Rv1411c): A Novel TLR-2 Ligand That Inhibits Human Macrophage Class II MHC Antigen Processing
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P. A. Darrah, M. C. G. Monaco, S. Jain, M. K. Hondalus, D. T. Golenbock, and D. M. Mosser
Innate Immune Responses to Rhodococcus equi
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K. S. Michelsen, M. H. Wong, P. K. Shah, W. Zhang, J. Yano, T. M. Doherty, S. Akira, T. B. Rajavashisth, and M. Arditi
Lack of Toll-like receptor 4 or myeloid differentiation factor 88 reduces atherosclerosis and alters plaque phenotype in mice deficient in apolipoprotein E
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S. M. Fortune, A. Solache, A. Jaeger, P. J. Hill, J. T. Belisle, B. R. Bloom, E. J. Rubin, and J. D. Ernst
Mycobacterium tuberculosis Inhibits Macrophage Responses to IFN-{gamma} through Myeloid Differentiation Factor 88-Dependent and -Independent Mechanisms
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Direct Evidence that Toll-like Receptor 9 (TLR9) Functionally Binds Plasmid DNA by Specific Cytosine-phosphate-guanine Motif Recognition
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D. N. Dao, L. Kremer, Y. Guerardel, A. Molano, W. R. Jacobs Jr., S. A. Porcelli, and V. Briken
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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
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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
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H.-J. Anders, B. Banas, and D. Schlondorff
Signaling Danger: Toll-Like Receptors and their Potential Roles in Kidney Disease
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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
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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
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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.
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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.
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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
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T. J. Murphy, H. M. Paterson, J. A. Mannick, and J. A. Lederer
Injury, sepsis, and the regulation of Toll-like receptor responses
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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.
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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
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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
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Toll-Like Receptor 2-Deficient Mice Succumb to Mycobacterium tuberculosis Infection
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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
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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
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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
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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
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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
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Disruption of Cg-Ppm1, a Polyprenyl Monophosphomannose Synthase, and the Generation of Lipoglycan-less Mutants in Corynebacterium glutamicum
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MyD88 Primes Macrophages for Full-Scale Activation by Interferon-{gamma} yet Mediates Few Responses to Mycobacterium tuberculosis
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Entry and Intracellular Replication of Escherichia coli K1 in Macrophages Require Expression of Outer Membrane Protein A
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Int ImmunolHome page
A. Kariyone, T. Tamura, H. Kano, Y. Iwakura, K. Takeda, S. Akira, and K. Takatsu
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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