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The Journal of Immunology, 2000, 164: 3476-3479.
Copyright © 2000 by The American Association of Immunologists


CUTTING EDGE

Cutting Edge: Endotoxin Tolerance in Mouse Peritoneal Macrophages Correlates with Down-Regulation of Surface Toll-Like Receptor 4 Expression1

Fumiko Nomura*,{dagger}, Sachiko Akashi{ddagger}, Yoshimitsu Sakao*, Shintaro Sato*, Taro Kawai*, Makoto Matsumoto*, Kenji Nakanishi{dagger}, Masao Kimoto{ddagger}, Kensuke Miyake{ddagger}, Kiyoshi Takeda* and Shizuo Akira2,*

* Department of Host Defense, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan; {dagger} Department of Immunology and Medical Zoology, Hyogo College of Medicine, Hyogo, Japan; {ddagger} Department of Immunology, Saga Medical School, Saga, Japan; and § Core Research for Evolutional Science and Technology, Japan Science and Technology Corporation, Tokyo, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Monocytes/macrophages exposed to LPS show reduced responses to second stimulation with LPS, which is termed LPS tolerance. In this study, we investigated molecular mechanism of LPS tolerance in macrophages. Mouse peritoneal macrophages pre-exposed to LPS exhibited reduced production of inflammatory cytokines in a time- and dose-dependent manner. Activation of neither IL-1 receptor-associated kinase nor NF-{kappa}B was observed in macrophages that became tolerant by LPS pretreatment, indicating that the proximal event in Toll-like receptor 4 (TLR4)-MyD88-dependent signaling is affected in tolerant macrophages. Although TLR4 mRNA expression significantly decreased within a few hours of LPS pretreatment and returned to the original level at 24 h, the surface TLR4 expression began to decrease within 1 h, with a gradual decrease after that, and remained suppressed over 24 h. A decrease in inflammatory cytokine production in tolerant macrophages well correlates with down-regulation of the surface TLR4 expression, which may explain one of the mechanisms for LPS tolerance.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Lipopolysaccharide, a major cell wall component of Gram-negative bacteria, induces activation of monocytes and macrophages. Activated macrophages produce several inflammatory cytokines including TNF-{alpha}, IL-6, and IL-12, which, when in excess, leads to serious systemic disorders with a high mortality rate. Pre-exposure to LPS is shown to induce a reduced sensitivity to subsequent challenge of LPS. This phenomenon is termed LPS tolerance (also called LPS hyporesponsiveness or refractoriness). LPS tolerance was observed in vivo with a decreased febrile response and an escape from lethality as well as in vitro with a reduced production of inflammatory cytokines in response to a secondary stimulation with LPS.

Molecular mechanisms for LPS tolerance have long been investigated (1). Several reports described that expression of the LPS receptor such as CD14 was not altered in LPS-tolerant monocytes and macrophages (2, 3). In contrast, LPS-signaling pathways have been shown to be affected in several aspects. It has been reported that activation of proteins kinase C was compromised in LPS-tolerant macrophages (4). Several other reports demonstrated that there is a predominant accumulation of p50/p50 homodimers of NF-{kappa}B transcription factors in LPS-tolerant cells (3, 5, 6). In normal cells, NF-{kappa}B mainly consists of p50/p65 heterodimers, and this complex induces expression of target genes. On the other hand, p50/p50 homodimers do not have transactivation property and prevent DNA binding of p50/p65 heterodimers. Thus, it is hypothesized that LPS tolerance occurs through alteration of the intracellular signaling pathways of LPS. However, a precise mechanism for LPS tolerance remains unclear.

It has recently been demonstrated that the genetically LPS-hyporesponsive C3H/HeJ mice has a mutation in the Tlr4 gene (7, 8). Toll-like receptor 4 (TLR4)3 is a member of the Toll-like receptor family, which is an expanding large family in mammals (9, 10, 11, 12). Drosophila Toll has been shown to have a critical role in antifungal and antibacterial responses (13, 14, 15, 16). Several recent reports have also demonstrated that Toll-like receptors are involved in recognition of bacterial cell wall components (8, 17, 18, 19, 20, 21, 22, 23). TLR4-deficient mice showed hyporesponsiveness to LPS, demonstrating that TLR4 is a critical receptor for LPS signaling (20). The TLR4-mediated signaling pathway is homologous to that of IL-1 signaling (10, 24, 25). An adaptor molecule MyD88 binds to TLR4. Upon stimulation, MyD88 recruits IL-1 receptor-associated kinase (IRAK) to TLR4. IRAK then activates TNFR-associated factor 6 (TRAF6), leading to activation of NF-{kappa}B and c-Jun N-terminal kinase. Indeed, MyD88- and TRAF6-deficient mice displayed hyporesponsiveness to both IL-1 and LPS (26, 27). Especially, MyD88-deficient mice are almost completely unresponsive to LPS (26). Thus, analyses of gene-targeted mice demonstrate that the pathway via TLR4-MyD88 is essential for LPS response.

In this study, we investigated whether the pathway via TLR4-MyD88 is involved in LPS tolerance. We show that TLR4 expression on the surface of LPS-tolerant macrophages is down-regulated, which explains one of the molecular mechanisms for LPS tolerance.


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

Peritoneal macrophages were isolated from C57BL/6J mice essentially as described. Briefly, mice were i.p. injected with 2 ml of 4% thioglycollate. After 3 days of injection, peritoneal exudate cells were isolated by washing the peritoneal cavity with ice-cold HBSS. These cells were incubated for 2 h, and adherent cells were used as peritoneal macrophages.

Phenol-extracted LPS (Escherichia coli O55:B5) was purchased from Sigma (St. Louis, MO). PE-conjugated Abs to IL-6 and IL-12 were purchased from PharMingen (San Diego, CA).

Intracellular staining of macrophages

Peritoneal macrophages were preincubated with 1, 10, or 100 ng/ml LPS for the indicated periods and washed with HBSS twice. Cells were stimulated with 10 ng/ml LPS in the presence of 10 µg/ml brefeldin A (Sigma) for 6 h. Cells were harvested and incubated with 4% paraformaldehyde. Then cells were incubated with PE-conjugated anti-cytokine Abs. Stained cells were analyzed on a FACSCalibur using CellQuest software (Becton Dickinson, San Jose, CA).

Electrophoretic mobility shift assay and in vitro kinase assay

Peritoneal macrophages were incubated with 100 ng/ml LPS for the indicated periods and washed with HBSS. Cells were cultured with culture media alone for 1 h and then stimulated with 10 ng/ml LPS for 10 or 20 min. An electrophoretic mobility shift assay and in vitro kinase assay were performed as described previously (26).

Northern blot analysis

Peritoneal macrophages and RAW264.7 cells were incubated with 100 ng/ml LPS for the indicated periods. Total RNA was extracted with an RNeasy kit (Qiagen, Hilden, Germany). RNA (20 µg) was electrophoresed, transferred to nylon membrane, and hybridized with cDNA probe for mouse TLR4. The same membrane was stripped and rehybridized with GAPDH cDNA probe.

Establishment of a mAb to mouse TLR4

A rat was immunized with Ba/F3 cells expressing mouse TLR4 and MD-2 and used for hybridoma production. The MTS 510 mAb (rat IgG2a/k) that specifically reacted with the immunized transfectant but not with the original Ba/F3 line was selected for further analysis. The mAb was purified from ascites obtained from severe combined immunodeficient mice. Detailed characterization of the mAb will be described elsewhere (29).


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Time-dependent and dose-dependent suppression of inflammatory cytokine production by pre-exposure to LPS

When mouse peritoneal macrophages were stimulated with 10 ng/ml LPS, these cells displayed a significant increase in production of inflammatory cytokines such as IL-12 and IL-6 (Fig. 1Go). However, when the cells were preincubated with 100 ng/ml LPS for 1 h, IL-12 production was dramatically reduced (30.6 to 4.6% positive). When the cells were preincubated for 24 h, IL-12 production was almost completely blocked. Pre-exposure to LPS for 1 h also partially reduced production of IL-6 (15.1 to 8.8%). In addition, production of IL-6 reduced with the lapse of pre-exposure time, and production was severely reduced after 24 h of pre-exposure (0.8%). Thus, suppression of inflammatory cytokine production from LPS-pretreated macrophages was observed in a time-dependent manner.



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FIGURE 1. Reduced production of IL-12 and IL-6 after pre-exposure to LPS. Peritoneal macrophages were preincubated with 100 ng/ml LPS for the indicated periods and then stimulated with 10 ng/ml LPS for 6 h (left). Productions of IL-12 (upper) and IL-6 (lower) were analyzed by flow cytometry. Peritoneal macrophages were preincubated with 1 or 10 ng/ml LPS for 24 h and then stimulated with 10 ng/ml LPS for 6 h (right). These data are representative of three independent experiments.

 
We further preincubated peritoneal macrophages with several doses of LPS for 24 h and analyzed production of inflammatory cytokines. As shown in Fig. 1Go, 100 ng/ml LPS dramatically reduced the production of IL-12 and IL-6. However, when preincubated with 10 ng/ml, the reduction was partial, and further 1 ng/ml LPS did not cause significant reduction (Fig. 1Go). These results suggest that suppression of inflammatory cytokine production was observed in a dose-dependent manner. Thus, when we used a system to detect intracellular cytokines, LPS tolerance does occur in a time-dependent and a dose-dependent manner.

Reduced activation of LPS-signaling cascade after exposure to LPS

The results from intracellular cytokine production indicate that a 24-h exposure to LPS results in almost complete LPS tolerance, but it is partial after a 3-h exposure. To assess LPS-induced activation of signaling molecules during LPS tolerance, we analyzed LPS-induced NF-{kappa}B activation by gel mobility shift assay (Fig. 2GoA). In nontreated cells, DNA-binding activity of NF-{kappa}B transcription factors was slightly observed, and LPS stimulation induced a significant increase in their DNA-binding activity. When pretreated with LPS for 3 h, basal NF-{kappa}B activity was still observed; however, LPS-induced increase was not observed. In the 24-h pretreated cells, neither basal NF-{kappa}B activity nor LPS-induced activation was observed. Thus, LPS pre-exposure significantly reduced NF-{kappa}B DNA-binding activity.



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FIGURE 2. Reduced activation of NF-{kappa}B and IRAK in LPS-tolerant macrophages. A, Peritoneal macrophages were incubated with or without 100 ng/ml LPS for 3 and 24 h. Cells were washed and then stimulated with 10 ng/ml LPS for 20 min. After the second stimulation, nuclear extracts were prepared and incubated with a specific probe containing NF-{kappa}B binding sites, and NF-{kappa}B activity was determined by a gel mobility shift assay. B, After the second stimulation for 10 min, cells were lysed and the lysates were immunoprecipitated with anti-IRAK-1 Ab. The kinase activity of IRAK was analyzed by an in vitro kinase assay (upper). The same lysates were immunoblotted with anti-IRAK-1 Ab (lower).

 
IRAK is known to be a downstream kinase of MyD88, which acts as an adaptor molecule in the LPS-signaling pathway (26). Stimulation with LPS for 10 min induced phosphorylation of IRAK in nontreated macrophages (Fig. 2GoB). However, IRAK activation was not observed in cells pre-exposed to LPS for 3 and 24 h. Thus, LPS-induced IRAK activation was severely reduced in cells pre-exposed to LPS. We have previously shown that LPS-induced IRAK activation was not observed in both MyD88-deficient and TLR4-deficient mice (22, 26). Both strains of knockout mice are unresponsive to LPS. TLR4 knockout mice also displayed no LPS-induced NF-{kappa}B activation. These findings are quite similar to the data in the macrophages pre-exposed to LPS for 24 h. Therefore, we hypothesized that tolerant macrophages are affected in the MyD88-dependent pathway, which is essential for LPS responsiveness.

Decreased expression of TLR4 after exposure to LPS

We analyzed expression of TLR4, an essential signaling receptor for LPS. The former study demonstrated that LPS stimulation transiently reduced mRNA expression of TLR4 in the macrophage cell line RAW264.7 (7). We also obtained similar results in RAW264.7 cells. When cells were stimulated with 100 ng/ml LPS for 2.5 h, TLR4 mRNA expression was severely reduced; however, the expression returned to the original level after a 20-h stimulation (Fig. 3GoA). When mouse peritoneal macrophages were stimulated with 100 ng/ml LPS, TLR4 mRNA expression was also transiently suppressed (Fig. 3GoB). In both types of cells, TLR4 mRNA expression at 24-h LPS treatment was almost the same level as that of nontreated cells. Thus, the mRNA expression pattern of TLR4 seems not to correlate with LPS tolerance.



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FIGURE 3. TLR4 mRNA expression in macrophages after LPS treatment. A, RAW264.7 cells were stimulated with 100 ng/ml LPS for the indicated periods. Total RNA was extracted and subjected to Northern blot analysis using TLR4 cDNA probe. B, Peritoneal macrophages were stimulated with 100 ng/ml LPS for the indicated periods. Total RNA was extracted and subjected to Northern blot analysis using a TLR4 cDNA probe. The same membrane was rehybridized with a GAPDH cDNA probe.

 
We next analyzed surface expression of TLR4 using recently generated mAb MTS510. MTS510 was shown to detect the complex of murine TLR4 and MD-2 and inhibit LPS-induced NF-{kappa}B activation and TNF production (28, 29). Almost all nontreated macrophages were positive for this Ab (Fig. 4GoA). The specificity of this Ab was confirmed by the staining of macrophages from TLR4 knockout mice. In TLR4 knockout mice, macrophages were negatively stained with this Ab, indicating that a positive staining by MTS510 reflects a surface TLR4 expression (Fig. 4GoA). When macrophages were stimulated with 100 ng/ml LPS for 1 h, expression of TLR4 was partially decreased. In addition, the surface expression of TLR4 was gradually decreased as the culture time continued. At the 24-h culture period, the surface expression of TLR4 was severely reduced (Fig. 4GoB). This was in sharp contrast with the surface expression of CD14, an LPS-binding receptor. The surface CD14 expression was not significantly changed by LPS treatment, although the 24-h culture induced a slight decrease. When the LPS concentration was decreased, the reduction of TLR4 expression was partial (Fig. 4GoC). These results completely parallel with the production of inflammatory cytokine shown in Fig. 1Go, indicating that LPS tolerance occurs mainly by suppression of surface TLR4 expression. We further analyzed TLR4 expression after treatment with other stimuli such as IL-1ß and peptidoglycan (PGN), both of which activate the MyD88-dependent pathway via other receptors than TLR4. IL-1ß and PGN are shown to utilize the IL-1R and TLR2 as the signaling receptor, respectively (22). Both stimulations for 24 h did not affect surface TLR4 expression, indicating that the reduced expression of surface TLR4 is induced only when macrophages are exposed to LPS, although all of these stimuli activate the same MyD88-dependent pathway (Fig. 4GoD). Interestingly, reduction of surface TLR4 expression after LPS treatment was observed even in C3H/HeJ mice in a manner similar to that in C3H/HeN mice (Fig. 4GoE). C3H/HeJ mice are shown to have a mutation in the Tlr4 gene, leading to the impaired LPS-mediated MyD88-dependent signaling pathway (7, 8, 20). These observations indicate that down-regulation of TLR4 expression occurs independently of the MyD88-dependent signaling pathway.



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FIGURE 4. Reduced surface expression of TLR4 on peritoneal macrophages after LPS treatment. A, Peritoneal macrophages from wild-type and TLR4-/- mice were incubated with biotinylated MTS510, followed by PE-conjugated streptavidin. B and C, Peritoneal macrophages from C57BL/6 mice were cultured with 100 ng/ml LPS for the indicated periods (B) or with the indicated concentrations of LPS for 24 h (C). Then cells were stained with MTS510 and analyzed by flow cytometry. These data are representative of three independent experiments. D, Peritoneal macrophages were cultured with 200 U/ml IL-1ß, 10 µg/ml PGN, or 100 ng/ml LPS for 24 h. Then cells were analyzed for TLR4-MD2 expression. E, Peritoneal macrophages from C3H/HeJ or C3H/HeN mice were cultured with or without 1 µg/ml LPS for 1 h and analyzed for TLR4-MD2 expression by flow cytometry.

 
The LPS-signaling pathway has been intensively investigated for a long time and recently remarkable progress has been made. TLR4 is found to be an essential receptor for LPS signaling (7, 8, 20). MyD88 and TRAF6 are shown to be its key signaling molecules (26, 27). However, a molecular mechanism for LPS tolerance remains unclear. In the present study, we present one of the mechanisms for LPS tolerance by demonstrating that LPS tolerance in macrophages correlates with suppression of the surface TLR4 expression.

However, there seems to exist other mechanisms for LPS tolerance than down-regulation of TLR4 expression. Although intracellular production of inflammatory cytokines was not completely blocked during 1–12-h pre-exposure, secretion of these cytokines into the culture supernatants in these periods was not observed (our unpublished data). This suggests that LPS tolerance does not occur solely due to suppression of the surface expression of TLR4. There must be some modifications of intracellular transport or stability of newly synthesized proteins in the LPS-tolerant macrophages. Interestingly, the nuclear extract from the macrophages pretreated for 24 h did not show the basal NF-{kappa}B-binding activity that is observed in the nuclear extract from untreated macrophages. Thus, although down-regulation of TLR4 expression is responsible for LPS tolerance, other mechanisms along with it seem to operate toward LPS tolerance during LPS pretreatment.


    Acknowledgments
 
We thank T. Aoki for secretarial assistance, N. Tsuji, and E. Nakatani for technical assistance, and K. Hoshino for helpful suggestions.


    Footnotes
 
1 This work was supported by grants from the Ministry of Education of Japan. Back

2 Address correspondence and reprint requests to Dr. Shizuo Akira, Department of Host Defense, Research Institute for Microbial Diseases, Osaka University, 3-1 Yamadaoka, Suita, Osaka 565-0871, Japan. E-mail address: Back

3 Abbreviations used in this paper: TLR4, Toll-like receptor 4; IRAK, IL-1 receptor-associated kinase; TRAF6, TNFR-associated factor 6; PGN, peptidoglycan. Back

Received for publication November 18, 1999. Accepted for publication February 2, 2000.


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 Top
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 Introduction
 Materials and Methods
 Results and Discussion
 References
 

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H. Mashimo, N. Ohguro, S. Nomura, N. Hashida, K. Nakai, and Y. Tano
Neutrophil Chemotaxis and Local Expression of Interleukin-10 in the Tolerance of Endotoxin-Induced Uveitis
Invest. Ophthalmol. Vis. Sci., December 1, 2008; 49(12): 5450 - 5457.
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D. S. Spinner, I. S. Cho, S. Y. Park, J. I. Kim, H. C. Meeker, X. Ye, G. LaFauci, D. J. Kerr, M. J. Flory, B. S. Kim, et al.
Accelerated Prion Disease Pathogenesis in Toll-Like Receptor 4 Signaling-Mutant Mice
J. Virol., November 1, 2008; 82(21): 10701 - 10708.
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BloodHome page
R. T. Semnani, P. G. Venugopal, C. A. Leifer, S. Mostbock, H. Sabzevari, and T. B. Nutman
Inhibition of TLR3 and TLR4 function and expression in human dendritic cells by helminth parasites
Blood, August 15, 2008; 112(4): 1290 - 1298.
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J. Immunol.Home page
L. N. Henning, A. K. Azad, K. V. L. Parsa, J. E. Crowther, S. Tridandapani, and L. S. Schlesinger
Pulmonary Surfactant Protein A Regulates TLR Expression and Activity in Human Macrophages
J. Immunol., June 15, 2008; 180(12): 7847 - 7858.
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HeartHome page
D Versteeg, I E Hoefer, A H Schoneveld, D P V de Kleijn, E Busser, C Strijder, M Emons, P R Stella, P A Doevendans, and G Pasterkamp
Monocyte toll-like receptor 2 and 4 responses and expression following percutaneous coronary intervention: association with lesion stenosis and fractional flow reserve
Heart, June 1, 2008; 94(6): 770 - 776.
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S. C. Nance, A.-K. Yi, F. C. Re, and E. A. Fitzpatrick
MyD88 is necessary for neutrophil recruitment in hypersensitivity pneumonitis
J. Leukoc. Biol., May 1, 2008; 83(5): 1207 - 1217.
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J. Histochem. Cytochem.Home page
L. Frolova, P. Drastich, P. Rossmann, K. Klimesova, and H. Tlaskalova-Hogenova
Expression of Toll-like Receptor 2 (TLR2), TLR4, and CD14 in Biopsy Samples of Patients With Inflammatory Bowel Diseases: Upregulated Expression of TLR2 in Terminal Ileum of Patients With Ulcerative Colitis
J. Histochem. Cytochem., March 1, 2008; 56(3): 267 - 274.
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J. Immunol.Home page
H. G. Kim, N.-R. Kim, M. G. Gim, J. M. Lee, S. Y. Lee, M. Y. Ko, J. Y. Kim, S. H. Han, and D. K. Chung
Lipoteichoic Acid Isolated from Lactobacillus plantarum Inhibits Lipopolysaccharide-Induced TNF-{alpha} Production in THP-1 Cells and Endotoxin Shock in Mice
J. Immunol., February 15, 2008; 180(4): 2553 - 2561.
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J. Biol. Chem.Home page
W. Piao, C. Song, H. Chen, L. M. Wahl, K. A. Fitzgerald, L. A. O'Neill, and A. E. Medvedev
Tyrosine Phosphorylation of MyD88 Adapter-like (Mal) Is Critical for Signal Transduction and Blocked in Endotoxin Tolerance
J. Biol. Chem., February 8, 2008; 283(6): 3109 - 3119.
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Innate ImmunityHome page
S. M. Eswarappa, N. Basu, O. Joy, and D. Chakravortty
Folimycin (concanamycin A) inhibits LPS-induced nitric oxide production and reduces surface localization of TLR4 in murine macrophages
Innate Immunity, February 1, 2008; 14(1): 13 - 24.
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GutHome page
T Watanabe, K Higuchi, A Kobata, H Nishio, T Tanigawa, M Shiba, K Tominaga, Y Fujiwara, N Oshitani, T Asahara, et al.
Non-steroidal anti-inflammatory drug-induced small intestinal damage is Toll-like receptor 4 dependent
Gut, February 1, 2008; 57(2): 181 - 187.
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Infect. Immun.Home page
A. Kumar, L. D. Hazlett, and F.-S. X. Yu
Flagellin Suppresses the Inflammatory Response and Enhances Bacterial Clearance in a Murine Model of Pseudomonas aeruginosa Keratitis
Infect. Immun., January 1, 2008; 76(1): 89 - 96.
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J. Immunol.Home page
J. Geisel, F. Kahl, M. Muller, H. Wagner, C. J. Kirschning, I. B. Autenrieth, and J.-S. Frick
IL-6 and Maturation Govern TLR2 and TLR4 Induced TLR Agonist Tolerance and Cross-Tolerance in Dendritic Cells
J. Immunol., November 1, 2007; 179(9): 5811 - 5818.
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J. Immunol.Home page
H. Chen, M. J. Cowan, J. D. Hasday, S. N. Vogel, and A. E. Medvedev
Tobacco Smoking Inhibits Expression of Proinflammatory Cytokines and Activation of IL-1R-Associated Kinase, p38, and NF-{kappa}B in Alveolar Macrophages Stimulated with TLR2 and TLR4 Agonists
J. Immunol., November 1, 2007; 179(9): 6097 - 6106.
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CirculationHome page
A. Niessner, M. S. Shin, O. Pryshchep, J. J. Goronzy, E. L. Chaikof, and C. M. Weyand
Synergistic Proinflammatory Effects of the Antiviral Cytokine Interferon-{alpha} and Toll-Like Receptor 4 Ligands in the Atherosclerotic Plaque
Circulation, October 30, 2007; 116(18): 2043 - 2052.
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J. Immunol.Home page
S. K. Biswas, P. Bist, M. K. Dhillon, T. Kajiji, C. del Fresno, M. Yamamoto, E. Lopez-Collazo, S. Akira, and V. Tergaonkar
Role for MyD88-Independent, TRIF Pathway in Lipid A/TLR4-Induced Endotoxin Tolerance
J. Immunol., September 15, 2007; 179(6): 4083 - 4092.
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M. B. B. McCall, M. G. Netea, C. C. Hermsen, T. Jansen, L. Jacobs, D. Golenbock, A. J. A. M. van der Ven, and R. W. Sauerwein
Plasmodium falciparum Infection Causes Proinflammatory Priming of Human TLR Responses
J. Immunol., July 1, 2007; 179(1): 162 - 171.
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J. Immunol.Home page
S. Takenaka, E. Safroneeva, Z. Xing, and J. Gauldie
Dendritic Cells Derived from Murine Colonic Mucosa Have Unique Functional and Phenotypic Characteristics
J. Immunol., June 15, 2007; 178(12): 7984 - 7993.
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A. E. Medvedev, W. Piao, J. Shoenfelt, S. H. Rhee, H. Chen, S. Basu, L. M. Wahl, M. J. Fenton, and S. N. Vogel
Role of TLR4 Tyrosine Phosphorylation in Signal Transduction and Endotoxin Tolerance
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Y. Yanagawa and K. Onoe
Enhanced IL-10 Production by TLR4- and TLR2-Primed Dendritic Cells upon TLR Restimulation
J. Immunol., May 15, 2007; 178(10): 6173 - 6180.
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J. H. Chang, T. Hampartzoumian, B. Everett, A. Lloyd, P. J. McCluskey, and D. Wakefield
Changes in Toll-like Receptor (TLR)-2 and TLR4 Expression and Function but Not Polymorphisms Are Associated with Acute Anterior Uveitis
Invest. Ophthalmol. Vis. Sci., April 1, 2007; 48(4): 1711 - 1717.
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Int ImmunolHome page
R. Graveline, M. Segura, D. Radzioch, and M. Gottschalk
TLR2-dependent recognition of Streptococcus suis is modulated by the presence of capsular polysaccharide which modifies macrophage responsiveness
Int. Immunol., April 1, 2007; 19(4): 375 - 389.
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E. Lombardo, A. Alvarez-Barrientos, B. Maroto, L. Bosca, and U. G. Knaus
TLR4-Mediated Survival of Macrophages Is MyD88 Dependent and Requires TNF-{alpha} Autocrine Signalling
J. Immunol., March 15, 2007; 178(6): 3731 - 3739.
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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
J. Sun, P. E. Fegan, A. S. Desai, J. L. Madara, and M. E. Hobert
Flagellin-induced tolerance of the Toll-like receptor 5 signaling pathway in polarized intestinal epithelial cells
Am J Physiol Gastrointest Liver Physiol, March 1, 2007; 292(3): G767 - G778.
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JEMHome page
J. Liu, X. Guan, and X. Ma
Regulation of IL-27 p28 gene expression in macrophages through MyD88- and interferon-{gamma}-mediated pathways
J. Exp. Med., January 22, 2007; 204(1): 141 - 152.
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J. Cuschieri, J. Billigren, and R. V. Maier
Endotoxin tolerance attenuates LPS-induced TLR4 mobilization to lipid rafts: a condition reversed by PKC activation
J. Leukoc. Biol., December 1, 2006; 80(6): 1289 - 1297.
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B. Liu, Y. Yang, J. Dai, R. Medzhitov, M. A. Freudenberg, P. L. Zhang, and Z. Li
TLR4 Up-Regulation at Protein or Gene Level Is Pathogenic for Lupus-Like Autoimmune Disease
J. Immunol., November 15, 2006; 177(10): 6880 - 6888.
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K.-Y. Lee, S.-C. Ho, H.-C. Lin, S.-M. Lin, C.-Y. Liu, C.-D. Huang, C.-H. Wang, K. F. Chung, and H.-P. Kuo
Neutrophil-Derived Elastase Induces TGF-beta1 Secretion in Human Airway Smooth Muscle via NF-{kappa}B Pathway
Am. J. Respir. Cell Mol. Biol., October 1, 2006; 35(4): 407 - 414.
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JEMHome page
K. A. Powers, K. Szaszi, R. G. Khadaroo, P. S. Tawadros, J. C. Marshall, A. Kapus, and O. D. Rotstein
Oxidative stress generated by hemorrhagic shock recruits Toll-like receptor 4 to the plasma membrane in macrophages
J. Exp. Med., August 7, 2006; 203(8): 1951 - 1961.
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J. D. Turner, R. S. Langley, K. L. Johnston, G. Egerton, S. Wanji, and M. J. Taylor
Wolbachia Endosymbiotic Bacteria of Brugia malayi Mediate Macrophage Tolerance to TLR- and CD40-Specific Stimuli in a MyD88/TLR2-Dependent Manner
J. Immunol., July 15, 2006; 177(2): 1240 - 1249.
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Int ImmunolHome page
M. K. Mohammad, M. Morran, B. Slotterbeck, D. W. Leaman, Y. Sun, H. v. Grafenstein, S.-C. Hong, and M. F. McInerney
Dysregulated Toll-like receptor expression and signaling in bone marrow-derived macrophages at the onset of diabetes in the non-obese diabetic mouse
Int. Immunol., July 1, 2006; 18(7): 1101 - 1113.
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Innate ImmunityHome page
A. E. Medvedev, I. Sabroe, J. D. Hasday, and S. N. Vogel
Invited review: Tolerance to microbial TLR ligands: molecular mechanisms and relevance to disease
Innate Immunity, June 1, 2006; 12(3): 133 - 150.
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G. Gatti, V. Rivero, R. D. Motrich, and M. Maccioni
Prostate epithelial cells can act as early sensors of infection by up-regulating TLR4 expression and proinflammatory mediators upon LPS stimulation
J. Leukoc. Biol., May 1, 2006; 79(5): 989 - 998.
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I. Jou, J. H. Lee, S. Y. Park, H. J. Yoon, E.-H. Joe, and E. J. Park
Gangliosides Trigger Inflammatory Responses via TLR4 in Brain Glia
Am. J. Pathol., May 1, 2006; 168(5): 1619 - 1630.
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C. H. Li, J. H. Wang, and H. P. Redmond
Bacterial lipoprotein-induced self-tolerance and cross-tolerance to LPS are associated with reduced IRAK-1 expression and MyD88-IRAK complex formation
J. Leukoc. Biol., April 1, 2006; 79(4): 867 - 875.
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M. Muthukuru and C. W. Cutler
Upregulation of Immunoregulatory Src Homology 2 Molecule Containing Inositol Phosphatase and Mononuclear Cell Hyporesponsiveness in Oral Mucosa during Chronic Periodontitis
Infect. Immun., February 1, 2006; 74(2): 1431 - 1435.
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C. Tsatsanis, A. Androulidaki, T. Alissafi, I. Charalampopoulos, E. Dermitzaki, T. Roger, A. Gravanis, and A. N. Margioris
Corticotropin-Releasing Factor and the Urocortins Induce the Expression of TLR4 in Macrophages via Activation of the Transcription Factors PU.1 and AP-1
J. Immunol., February 1, 2006; 176(3): 1869 - 1877.
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JEMHome page
Q. Zhao, X. Wang, L. D. Nelin, Y. Yao, R. Matta, M. E. Manson, R. S. Baliga, X. Meng, C. V. Smith, J. A. Bauer, et al.
MAP kinase phosphatase 1 controls innate immune responses and suppresses endotoxic shock
J. Exp. Med., January 23, 2006; 203(1): 131 - 140.
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Infect. Immun.Home page
H. Yumoto, H.-H. Chou, Y. Takahashi, M. Davey, F. C. Gibson III, and C. A. Genco
Sensitization of Human Aortic Endothelial Cells to Lipopolysaccharide via Regulation of Toll-Like Receptor 4 by Bacterial Fimbria-Dependent Invasion
Infect. Immun., December 1, 2005; 73(12): 8050 - 8059.
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L. C. Parker, E. C. Jones, L. R. Prince, S. K. Dower, M. K. B. Whyte, and I. Sabroe
Endotoxin tolerance induces selective alterations in neutrophil function
J. Leukoc. Biol., December 1, 2005; 78(6): 1301 - 1305.
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Am. J. Respir. Crit. Care Med.Home page
P. S. Thorne, K. Kulhankova, M. Yin, R. Cohn, S. J. Arbes Jr., and D. C. Zeldin
Endotoxin Exposure Is a Risk Factor for Asthma: The National Survey of Endotoxin in United States Housing
Am. J. Respir. Crit. Care Med., December 1, 2005; 172(11): 1371 - 1377.
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Proc. Natl. Acad. Sci. USAHome page
W. Jiang, R. Sun, H. Wei, and Z. Tian
Toll-like receptor 3 ligand attenuates LPS-induced liver injury by down-regulation of toll-like receptor 4 expression on macrophages
PNAS, November 22, 2005; 102(47): 17077 - 17082.
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BloodHome page
D. M. Underhill, E. Rossnagle, C. A. Lowell, and R. M. Simmons
Dectin-1 activates Syk tyrosine kinase in a dynamic subset of macrophages for reactive oxygen production
Blood, October 1, 2005; 106(7): 2543 - 2550.
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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
T. V. Pedchenko, G. Y. Park, M. Joo, T. S. Blackwell, and J. W. Christman
Inducible binding of PU.1 and interacting proteins to the Toll-like receptor 4 promoter during endotoxemia
Am J Physiol Lung Cell Mol Physiol, September 1, 2005; 289(3): L429 - L437.
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H.-S. Mun, F. Aosai, K. Norose, L.-X. Piao, H. Fang, S. Akira, and A. Yano
Toll-Like Receptor 4 Mediates Tolerance in Macrophages Stimulated with Toxoplasma gondii-Derived Heat Shock Protein 70
Infect. Immun., August 1, 2005; 73(8): 4634 - 4642.
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D. S. Weiss, K. Takeda, S. Akira, A. Zychlinsky, and E. Moreno
MyD88, but Not Toll-Like Receptors 4 and 2, Is Required for Efficient Clearance of Brucella abortus
Infect. Immun., August 1, 2005; 73(8): 5137 - 5143.
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S. Yang, N. Takahashi, T. Yamashita, N. Sato, M. Takahashi, M. Mogi, T. Uematsu, Y. Kobayashi, Y. Nakamichi, K. Takeda, et al.
Muramyl Dipeptide Enhances Osteoclast Formation Induced by Lipopolysaccharide, IL-1{alpha}, and TNF-{alpha} through Nucleotide-Binding Oligomerization Domain 2-Mediated Signaling in Osteoblasts
J. Immunol., August 1, 2005; 175(3): 1956 - 1964.
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Int ImmunolHome page
C. Feterowski, A. Novotny, S. Kaiser-Moore, P. F. Muhlradt, T. Rossmann-Bloeck, M. Rump, B. Holzmann, and H. Weighardt
Attenuated pathogenesis of polymicrobial peritonitis in mice after TLR2 agonist pre-treatment involves ST2 up-regulation
Int. Immunol., August 1, 2005; 17(8): 1035 - 1046.
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L. C. Parker, M. K. B. Whyte, S. K. Dower, and I. Sabroe
The expression and roles of Toll-like receptors in the biology of the human neutrophil
J. Leukoc. Biol., June 1, 2005; 77(6): 886 - 892.
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Am. J. Pathol.Home page
A. S. Damazo, S. Yona, F. D'Acquisto, R. J. Flower, S. M. Oliani, and M. Perretti
Critical Protective Role for Annexin 1 Gene Expression in the Endotoxemic Murine Microcirculation
Am. J. Pathol., June 1, 2005; 166(6): 1607 - 1617.
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J. Wang, R. Alvarez, G. Roderiquez, E. Guan, Q. Caldwell, J. Wang, M. Phelan, and M. A. Norcross
CpG-Independent Synergistic Induction of {beta}-Chemokines and a Dendritic Cell Phenotype by Orthophosphorothioate Oligodeoxynucleotides and Granulocyte-Macrophage Colony-Stimulating Factor in Elutriated Human Primary Monocytes
J. Immunol., May 15, 2005; 174(10): 6113 - 6121.
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D. Y. Jung, H. Lee, B.-Y. Jung, J. Ock, M.-S. Lee, W.-H. Lee, and K. Suk
TLR4, but Not TLR2, Signals Autoregulatory Apoptosis of Cultured Microglia: A Critical Role of IFN-{beta} as a Decision Maker
J. Immunol., May 15, 2005; 174(10): 6467 - 6476.
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A. Uhrig, R. Banafsche, M. Kremer, S. Hegenbarth, A. Hamann, M. Neurath, G. Gerken, A. Limmer, and P. A. Knolle
Development and functional consequences of LPS tolerance in sinusoidal endothelial cells of the liver
J. Leukoc. Biol., May 1, 2005; 77(5): 626 - 633.
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BloodHome page
P. A. Hopkins, J. D. Fraser, A. C. Pridmore, H. H. Russell, R. C. Read, and S. Sriskandan
Superantigen recognition by HLA class II on monocytes up-regulates toll-like receptor 4 and enhances proinflammatory responses to endotoxin
Blood, May 1, 2005; 105(9): 3655 - 3662.
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Innate ImmunityHome page
M. W. Hornef and C. Bogdan
The role of epithelial Toll-like receptor expression in host defense and microbial tolerance
Innate Immunity, April 1, 2005; 11(2): 124 - 128.
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P. A. Ruiz, A. Shkoda, S. C. Kim, R. B. Sartor, and D. Haller
IL-10 Gene-Deficient Mice Lack TGF-{beta}/Smad Signaling and Fail to Inhibit Proinflammatory Gene Expression in Intestinal Epithelial Cells after the Colonization with Colitogenic Enterococcus faecalis
J. Immunol., March 1, 2005; 174(5): 2990 - 2999.
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A. De Creus, M. Abe, A. H. Lau, H. Hackstein, G. Raimondi, and A. W. Thomson
Low TLR4 Expression by Liver Dendritic Cells Correlates with Reduced Capacity to Activate Allogeneic T Cells in Response to Endotoxin
J. Immunol., February 15, 2005; 174(4): 2037 - 2045.
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M. Muthukuru, R. Jotwani, and C. W. Cutler
Oral Mucosal Endotoxin Tolerance Induction in Chronic Periodontitis
Infect. Immun., February 1, 2005; 73(2): 687 - 694.
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M. R.-E.-I. Benhnia, D. Wroblewski, M. N. Akhtar, R. A. Patel, W. Lavezzi, S. C. Gangloff, S. M. Goyert, M. J. Caimano, J. D. Radolf, and T. J. Sellati
Signaling through CD14 Attenuates the Inflammatory Response to Borrelia burgdorferi, the Agent of Lyme Disease
J. Immunol., February 1, 2005; 174(3): 1539 - 1548.
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J. Mostecki, B. M. Showalter, and P. B. Rothman
Early Growth Response-1 Regulates Lipopolysaccharide-induced Suppressor of Cytokine Signaling-1 Transcription
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G. C. O'Brien, J. H. Wang, and H. P. Redmond
Bacterial Lipoprotein Induces Resistance to Gram-Negative Sepsis in TLR4-Deficient Mice via Enhanced Bacterial Clearance
J. Immunol., January 15, 2005; 174(2): 1020 - 1026.
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Int ImmunolHome page
K. Takeda and S. Akira
Toll-like receptors in innate immunity
Int. Immunol., January 1, 2005; 17(1): 1 - 14.
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G. Grutz
New insights into the molecular mechanism of interleukin-10-mediated immunosuppression
J. Leukoc. Biol., January 1, 2005; 77(1): 3 - 15.
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H. S. Goodridge, F. A. Marshall, K. J. Else, K. M. Houston, C. Egan, L. Al-Riyami, F.-Y. Liew, W. Harnett, and M. M. Harnett
Immunomodulation via Novel Use of TLR4 by the Filarial Nematode Phosphorylcholine-Containing Secreted Product, ES-62
J. Immunol., January 1, 2005; 174(1): 284 - 293.
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Proc. Natl. Acad. Sci. USAHome page
S. Shirasawa, S. Sugiyama, I. Baba, J. Inokuchi, S. Sekine, K. Ogino, Y. Kawamura, T. Dohi, M. Fujimoto, and T. Sasazuki
Dermatitis due to epiregulin deficiency and a critical role of epiregulin in immune-related responses of keratinocyte and macrophage
PNAS, September 21, 2004; 101(38): 13921 - 13926.
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N. Nilsen, U. Nonstad, N. Khan, C. F. Knetter, S. Akira, A. Sundan, T. Espevik, and E. Lien
Lipopolysaccharide and Double-stranded RNA Up-regulate Toll-like Receptor 2 Independently of Myeloid Differentiation Factor 88
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M. Siedlar, M. Frankenberger, E. Benkhart, T. Espevik, M. Quirling, K. Brand, M. Zembala, and L. Ziegler-Heitbrock
Tolerance Induced by the Lipopeptide Pam3Cys Is Due to Ablation of IL-1R-Associated Kinase-1
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E. Lorenz, D. C. Chemotti, K. Vandal, and P. A. Tessier
Toll-Like Receptor 2 Represses Nonpilus Adhesin-Induced Signaling in Acute Infections with the Pseudomonas aeruginosa pilA Mutant
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J. Dai, N. J. Megjugorac, S. B. Amrute, and P. Fitzgerald-Bocarsly
Regulation of IFN Regulatory Factor-7 and IFN-{alpha} Production by Enveloped Virus and Lipopolysaccharide in Human Plasmacytoid Dendritic Cells
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J. Immunol.Home page
S. Epelman, D. Stack, C. Bell, E. Wong, G. G. Neely, S. Krutzik, K. Miyake, P. Kubes, L. D. Zbytnuik, L. L. Ma, et al.
Different Domains of Pseudomonas aeruginosa Exoenzyme S Activate Distinct TLRs
J. Immunol., August 1, 2004; 173(3): 2031 - 2040.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
S.-I. Hayashi, M. Tsuneto, T. Yamada, M. Nose, M. Yoshino, L. D. Shultz, and H. Yamazaki
Lipopolysaccharide-Induced Osteoclastogenesis in Src Homology 2-Domain Phosphatase-1-Deficient Viable Motheaten Mice
Endocrinology, June 1, 2004; 145(6): 2721 - 2729.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S. L. McCoy, S. E. Kurtz, F. A. Hausman, D. R. Trune, R. M. Bennett, and S. H. Hefeneider
Activation of RAW264.7 Macrophages by Bacterial DNA and Lipopolysaccharide Increases Cell Surface DNA Binding and Internalization
J. Biol. Chem., April 23, 2004; 279(17): 17217 - 17223.
[Abstract] [Full Text] [PDF]


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Drug Metab. Dispos.Home page
Y. Masubuchi and T. Horie
ENDOTOXIN-MEDIATED DISTURBANCE OF HEPATIC CYTOCHROME P450 FUNCTION AND DEVELOPMENT OF ENDOTOXIN TOLERANCE IN THE RAT MODEL OF DEXTRAN SULFATE SODIUM-INDUCED EXPERIMENTAL COLITIS
Drug Metab. Dispos., April 1, 2004; 32(4): 437 - 441.
[Abstract] [Full Text] [PDF]


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Innate ImmunityHome page
Hongkuan Fan and J. A. Cook
Review: Molecular mechanisms of endotoxin tolerance
Innate Immunity, April 1, 2004; 10(2): 71 - 84.
[Abstract] [PDF]


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J. Immunol.Home page
D. S. Weiss, B. Raupach, K. Takeda, S. Akira, and A. Zychlinsky
Toll-Like Receptors Are Temporally Involved in Host Defense
J. Immunol., April 1, 2004; 172(7): 4463 - 4469.
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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.
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J. Leukoc. Biol.Home page
K. S. Kobayashi and R. A. Flavell
Shielding the double-edged sword: negative regulation of the innate immune system
J. Leukoc. Biol., March 1, 2004; 75(3): 428 - 433.
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J. Immunol.Home page
L. Kim, B. A. Butcher, and E. Y. Denkers
Toxoplasma gondii Interferes with Lipopolysaccharide-Induced Mitogen-Activated Protein Kinase Activation by Mechanisms Distinct from Endotoxin Tolerance
J. Immunol., March 1, 2004; 172(5): 3003 - 3010.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
K. Nakayama, S. Okugawa, S. Yanagimoto, T. Kitazawa, K. Tsukada, M. Kawada, S. Kimura, K. Hirai, Y. Takagaki, and Y. Ota
Involvement of IRAK-M in Peptidoglycan-induced Tolerance in Macrophages
J. Biol. Chem., February 20, 2004; 279(8): 6629 - 6634.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
G. Hajishengallis and R. J. Genco
Downregulation of the DNA-Binding Activity of Nuclear Factor-{kappa}B p65 Subunit in Porphyromonas gingivalis Fimbria-Induced Tolerance
Infect. Immun., February 1, 2004; 72(2): 1188 - 1191.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
D. Burzyn, J. C. Rassa, D. Kim, I. Nepomnaschy, S. R. Ross, and I. Piazzon
Toll-Like Receptor 4-Dependent Activation of Dendritic Cells by a Retrovirus
J. Virol., January 15, 2004; 78(2): 576 - 584.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
E. LeBouder, J. E. Rey-Nores, N. K. Rushmere, M. Grigorov, S. D. Lawn, M. Affolter, G. E. Griffin, P. Ferrara, E. J. Schiffrin, B. P. Morgan, et al.
Soluble Forms of Toll-Like Receptor (TLR)2 Capable of Modulating TLR2 Signaling Are Present in Human Plasma and Breast Milk
J. Immunol., December 15, 2003; 171(12): 6680 - 6689.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
D. Frleta, R. J. Noelle, and W. F. Wade
CD40-mediated up-regulation of Toll-like receptor 4-MD2 complex on the surface of murine dendritic cells
J. Leukoc. Biol., December 1, 2003; 74(6): 1064 - 1073.
[Abstract] [Full Text]


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J. Immunol.Home page
S.-I. Hayashi, T. Yamada, M. Tsuneto, T. Yamane, M. Takahashi, L. D. Shultz, and H. Yamazaki
Distinct Osteoclast Precursors in the Bone Marrow and Extramedullary Organs Characterized by Responsiveness to Toll-Like Receptor Ligands and TNF-{alpha}
J. Immunol., November 15, 2003; 171(10): 5130 - 5139.
[Abstract] [Full Text] [PDF]


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