The JI Acurri Cytometers
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Suzuki, N.
Right arrow Articles by Yeh, W.-C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Suzuki, N.
Right arrow Articles by Yeh, W.-C.
The Journal of Immunology, 2003, 171: 6065-6071.
Copyright © 2003 by The American Association of Immunologists

IL-1R-Associated Kinase 4 Is Required for Lipopolysaccharide- Induced Activation of APC 1

Nobutaka Suzuki*,{dagger}, Shinobu Suzuki*, Urs Eriksson{ddagger}, Hiromitsu Hara{ddagger}, Christine Mirtosis*, Nien-Jung Chen*, Teiji Wada{ddagger}, Denis Bouchard*, Irene Hwang§, Kiyoshi Takeda#, Takashi Fujita, Sandy Der§, Josef M. Penninger{ddagger}, Shizuo Akira#, Takashi Saito{dagger},|| and Wen-Chen Yeh2,*

* Advanced Medical Discovery Institute, University Health Network and Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada; {dagger} Laboratory for Cell Signaling, RIKEN Research Center for Allergy and Immunology, Yokohama City, Kanagawa, Japan; {ddagger} University Health Network and Departments of Medical Biophysics and Immunology, University of Toronto, Toronto, Ontario, Canada; § Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada; Department of Tumor Cell Biology, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan; || Department of Molecular Genetics, Chiba University Graduate School of Medicine, Chiba, Japan; and # Department of Host Defense, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The bacterial product LPS is a critical stimulus for the host immune system in the response against the corresponding bacterial infection. LPS provides an activation stimulus for macrophages and a maturation signal for dendritic cells to set up innate and adaptive immune responses, respectively. The signaling cascade of myeloid differentiation factor 88->IL-1R-associated kinase (IRAK)->TNFR-associated factor 6 has been implicated in mediating LPS signaling. In this report, we studied the function of IRAK-4 in various LPS-induced signals. We found that IRAK-4-deficient cells were severely impaired in producing some IFN-regulated genes as well as inflammatory cytokines in response to LPS. Among the critical downstream signaling pathways induced by LPS, NF-{kappa}B activation but not IFN regulatory factor 3 or STAT1 activation was defective in cells lacking IRAK-4. IRAK-4 was also required for the proper maturation of dendritic cells by LPS stimulation, particularly in terms of cytokine production and the ability to stimulate Th cell differentiation. Our results demonstrate that IRAK-4 is critical for the LPS-induced activations of APCs.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lipopolysaccharide is a key component of the bacterial cell walls that triggers host immune responses against the invading pathogen (1, 2). LPS can stimulate macrophages to produce proinflammatory cytokines that are critical for the innate immune response (3). It can also induce the maturation of dendritic cells (DCs),3 which in turn produce more cytokines and express costimulatory molecules to activate T lymphocytes (4). Macrophage activation and DC maturation are critical for the subsequent establishment of the adaptive immune response.

LPS signals are received and transmitted through Toll-like receptor (TLR) 4 (5), a member of the TLR family proteins that are germline-encoded receptors for various pathogen-associated molecular patterns (6, 7). The downstream signaling pathways triggered by LPS and TLR4 are complex (8, 9). LPS signaling can lead to the activation of the transcription factor NF-{kappa}B and various mitogen-activated protein kinases. These signals contribute critically to the induction of a variety of inflammatory cytokines, including TNF, IL-1, IL-6, and IL-12 p70, and the expression of costimulatory molecules such as CD80 and CD86 on the cell surface (9, 10). In addition, LPS can trigger a pathway leading to the activation of another transcription factor, IFN regulatory factor 3 (IRF-3), that contributes to the expression of genes such as IFN-{gamma}-inducible protein 10 (IP-10) and IFN-{beta} (11, 12). LPS also induces other signaling pathways such as, for example, one leading to the activation of phosphoinositol-3 kinase (PI-3-K) and subsequently Akt, although the contribution of this particular pathway to the induction of gene transcription remains unclear (13). Finally, the Janus kinase (JAK)/STAT signaling pathway is also activated after LPS stimulation and leads to another wave of gene induction (14, 15). However, JAK/STAT activation is most likely secondary to the expression of IFN-{beta} and subsequent triggering of the IFN-{beta} receptor (16, 17).

The current understanding of LPS and TLR4-associated signaling complexes is modeled after the signal transduction cascade shared by IL-1R and other TLRs (18, 19), where, upon specific ligand binding, the receptor associates with the intracellular adaptor protein myeloid differentiation factor 88 (MyD88) (20, 21), which recruits IL-1R-associated kinases (IRAKs) (22, 23, 24, 25) to the receptor complex. IRAKs then depart from the receptor complex and associate with TNFR-associated factor 6 (TRAF-6) (26) to trigger downstream signaling events.

An interesting question that remains is how this TLR4 receptor-proximal signaling complex contributes to the many aforementioned downstream events induced by LPS. Studies using MyD88-deficient mice and cells have provided many insights into this question (27). It is clear that in cells lacking MyD88 the production of inflammatory cytokines in response to LPS is severely impaired, but the induction of IP-10 and IFN-{beta} remain unchanged (11, 28). LPS-induced IRF-3 activation is normal in MyD88-deficient cells. However, interestingly, LPS-induced activation of NF-{kappa}B and JNK are delayed in cells lacking MyD88, although the peak activities achieved at later time points are comparable to wild-type cells (11, 28). MyD88-deficient DCs remain capable of expressing costimulatory molecules and stimulating allogeneic T cell proliferation (29). These results clearly differentiate downstream signaling events that are MyD88 dependent and MyD88 independent, and also raise additional issues that are specific to LPS signaling. For example, how exactly does LPS transduce signals to activate NF-{kappa}B and mitogen-activated protein kinases? What are the roles of NF-{kappa}B and other transcription factors in trans-activating inflammatory cytokines, IP-10, IFN-{beta}, and costimulatory molecules that are inducible by LPS? Toll-IL-1R domain containing adapter region (TIRAP; Mal), a MyD88 homologue, was originally thought to play a role in at least some MyD88-independent pathways (30, 31). However, recent gene targeting studies suggest that TIRAP and MyD88 are not redundant in most signaling pathways examined thus far and appear to cooperate in the same signaling axis downstream of TLR4 and TLR2 signaling (32, 33). Instead, Trif (Ticam-1), another MyD88 family member appears to play a critical role in MyD88-independent pathways (34, 35, 36, 37).

Receiving signals downstream of MyD88 and TIRAP are the four IRAK family members. Interestingly, these seemingly redundant IRAK proteins may each have specific functions in the signaling cascade of IL-1R/TLR. From gene targeting studies, IRAK-4 appears to be critical for the transduction of IL-1R/TLR signals (38), and IRAK-1 is also required for the optimal transduction of positive signals (39, 40, 41, 42). IRAK-M, an inducible IRAK member without apparent kinase activity, appears to play a role as a negative regulatory signal (43). Studying the signaling mechanism at the IRAK level therefore provides a new dimension in which to further understand the connection between LPS/TLR4 and key downstream signaling events leading to innate immunity and linking to adaptive immunity.

We have previously demonstrated that IRAK-4-deficient mice are resistant to LPS-induced shock and cytokine responses in vivo (38). Macrophages lacking IRAK-4 fail to produce inflammatory cytokines in response to LPS, but residual activation of NF-{kappa}B and JNK can nevertheless be detected. In this report, we investigate further the LPS-induced events in IRAK-4-deficient macrophages and DCs. We show that IRAK-4 is required for the induction of IP-10 and IFN-{beta}, but is dispensable for IRF-3 activation. LPS-activated IRAK-4-deficient DCs can still stimulate allogeneic T cell proliferation but fail to induce cytokine production from Th cells. Our results demonstrate that blocking IRAK-4 specifically affects certain LPS signaling pathways and certain aspects of DC activation.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

IRAK-4-deficient mice, a mixed 129/Ola;B6 background, were established as described previously (38). BALB/c mice were purchased from The Jackson Laboratory (Bar Harbor, ME).

Bone marrow (BM)-derived macrophage and DC cultures

To obtain BM-derived macrophages, BM cells from femurs and tibias were plated at 5 x 106 cells per 10-cm dish with 6 ml of RPMI 1640 medium containing 10% FBS and 25 ng/ml murine M-CSF. After a 1-day culture, 3 ml of the above medium was added to the culture. After 3 or 4 days, floating cells were discarded and adherent macrophages were used for experiments. For the preparation of DCs (44, 45, 46), BM cells were plated at 2 x 106 cells per 10-cm Petri dish to avoid adhesion of cells to the plates. Cells were cultured with 10 ml of RPMI 1640 plus 10% FBS and 20 ng/ml GM-CSF. After 3 days of culture, 5 ml of the above medium was added. After 6 and 8 days, 5 ml of the cell suspension was taken from each dish and centrifuged for 5 min at 1100 rpm. The cell pellets were cultured in 5 ml of fresh medium (with 10 ng/ml GM-CSF) and brought back to their original plates. On day 9 after the culture was initiated, loosely adherent cells were harvested with gentle pipetting, plated at 5 x 105 cells/ml in 24-well plates, and cultured with or without 1 µg/ml LPS (Escherichia coli O111:B4; Sigma-Aldrich, St. Louis, MO), 10 µg/ml peptidoglycan (PGN), 10 µM oligodeoxynucleotides that contain unmethylated CpG motifs (CpG-ODN; 5'-TCG TCG TTT TGT CGT TTT GTC GTT-3'; phosphorothioate stabilized), or 1 µg/ml poly(I:C) in fresh medium for 2 more days.

Northern blot analysis

Total RNA was extracted from wild-type and IRAK-4-deficient cells that were untreated or treated with LPS (1 µg/ml) for the indicated times, using TRIzol reagent, following the protocol supplied by the manufacturer (Invitrogen, Carlsbad, CA). Five micrograms of each RNA sample was electrophoresed through a 1% denaturing formaldehyde-agarose gel, transferred to a nylon membrane (Hybond-N Membrane; Amersham, Arlington Heights, IL) and hybridized to cDNA fragments specific for gene encoding IP-10, glucocorticoid attentuated response gene 16 (GARG16), IFN-{beta}, or GAPDH. The probes were radioactively labeled using a multiprime DNA labeling system (Amersham) according to the manufacturer’s instructions.

Measurement of IL-6, TNF-{alpha}, IL-1, IL-12 p70, and IFN-{gamma}

On days 7–9 of the DC culture, cells were left untreated or stimulated with various ligands for TLRs (LPS or CpG-ODN (5'-TCG TCG TTT TGT CGT TTT GTC GTT-3'; phosphorothioate stabilized)) for 2 days. Cell supernatants were harvested after 48 h of treatment to measure TNF-{alpha}, IL-6, IFN-{gamma}, and IL-12 p70 production by ELISA kits (R&D Systems, Minneapolis, MN) according to the manufacturer’s instructions.

Flow cytometry

DCs were treated with various stimuli and then harvested for staining of surface molecules, including CD11c, MHC class II, CD40, CD80, and CD86. Before staining, they were preincubated with anti-CD16/32 (2.4G2; BD PharMingen, San Diego, CA) on ice for 30 min to minimize nonspecific staining. CD11c is a DC-specific marker (47) and MHC class II, CD40, CD80, and CD86 are expressed on activated DCs (29, 48). Fluorescent signals on cell surfaces were analyzed with a FACSCalibur flow cytometer (BD Biosciences, Mountain View, CA) and CellQuest software (BD Biosciences).

Allogeneic T cell stimulation

BM-derived DCs derived from either wild-type or IRAK-4-deficient mice were left untreated or stimulated with LPS or CpG-ODN for 2 days. Wild-type Th cells (CD4+) from BALB/c mice were prepared from spleens and lymph nodes and purified with MACS CD4+ T cell purification kits according to the manufacturer’s instructions. Briefly, 2 x 104 gamma-irradiated (15 Gy) DCs from wild-type and IRAK-4-deficient mice on 129/Ola;B6 mixed backgrounds were cocultured with 5 x 104 CD4+ T cells from BALB/c mice for 48 h. [3H]Thymidine was added for the last 16 h of culture. Plates were harvested and analyzed for [3H]thymidine incorporation using a filtermate harvester and a Matrix 96 reader (Packard Instrument, Meriden, CT). To examine the Th cell differentiation, irradiated DCs and Th cells were mixed and cultured for 6 days. Th cells were then harvested for measuring surface molecule expression, including CD69, by flow cytometric analyses. Culture supernatants were collected and IFN-{gamma} production was measured.

Western blot analysis

Protein samples were fractionated by 10% SDS-PAGE and blotted onto a nitrocellulose membrane. Western blots were then incubated with Abs raised against total I{kappa}B, phospho-Akt, total Akt (all from New England Biolabs, Beverly, MA), phospho-STAT1, or {alpha}-actin (Fisher Scientific, Pittsburgh, PA). For detection of IRF-3 dimers, peritoneal macrophages were stimulated with 1 µg/ml LPS for the indicated time periods and cell lysates were separated by native PAGE. Blots were then incubated with a specific Ab against IRF-3 as previously described (49). Protein bands were visualized using secondary HRP-conjugated Abs and the ECL detection system (Amersham Pharmacia Biotech, Piscataway, NJ).

Gel mobility shift assay

Nuclear extracts were prepared from mouse embryonic fibroblasts (MEFs) following treatment with or without 1 µg/ml LPS for various time periods. The Bio-Rad protein assay (Bio-Rad, Hercules, CA) was used to adjust for equal amounts of nuclear proteins in each sample. Gel mobility shift assay was performed using an NF-{kappa}B-binding DNA probe according to the previously described protocol (50).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Induction of IP-10 and IFN-{beta} are defective in LPS-stimulated IRAK-4-deficient macrophages

Previously we have noted that in IRAK-4-deficient macrophages, LPS-induced activation of NF-{kappa}B and JNK are not only delayed, but also never reach the peak activities observed in control wild-type cells. This is different from the MyD88 knockout cells, which exhibit a wild-type peak of NF-{kappa}B activity induced by LPS but with a delayed kinetics. To investigate whether this defect affects the induction of genes other than inflammatory cytokines, we examined LPS-induced IFN-{beta} and IP-10 gene expression in IRAK-4-deficient cells. As shown in Fig. 1A, both IFN-{beta} and IP-10 induction are impaired in LPS-stimulated macrophages lacking IRAK-4. IP-10 and another gene, GARG16, both inducible by IFN and LPS, are also abundantly expressed in MEFs. We therefore examined the induction of IP-10 and GARG16 by LPS in MEFs and found that both were severely defective in IRAK-4-deficient cells (Fig. 1B). Coincidentally, LPS-induced NF-{kappa}B activation was also severely impaired in MEFs lacking IRAK-4 (Fig. 1, C and D). In contrast, LPS-induced IP-10, GARG16, and NF-{kappa}B activation was less affected in MyD88-deficient MEFs (Fig. 1, B and C).



View larger version (75K):
[in this window]
[in a new window]
 
FIGURE 1. Impaired induction of LPS-inducible genes in IRAK-4-deficient mice A, BM-derived macrophages from wild-type and IRAK-4-deficient mice were stimulated with 1 µg/ml LPS for the indicated time periods to examine the expression of LPS-inducible genes, including IFN-{beta}, IP-10, and GARG16, by Northern blot analyses. Expression of GAPDH was also measured to control for protein loading. B, Wild-type (WT), IRAK-4 knockout (KO), and MyD88 knockout MEFs were stimulated with 1 µg/ml LPS for the indicated time periods, and mRNA expression of IP-10 and GARG16 were examined. C, Wild-type, IRAK-4 knockout, and MyD88 knockout MEFs were stimulated with 1 µg/ml LPS for the indicated time periods, and NF-{kappa}B activation was measured by the degradation of I{kappa}B by Western blot analysis. D, Wild-type and IRAK-4-deficient MEFs were stimulated with 1 µg/ml LPS for 1, 2 and 3 h. Nuclear extracts were then prepared for gel mobility shift assay to measure NF-{kappa}B activation.

 
The induction of IP-10 and IFN-{beta} could also be dependent on the activation of IRF-3 by LPS. Thus, we examined the LPS-induced dimerization of IRF-3, which is an indicator of IRF-3 activation, in IRAK-4-deficient cells. We found that IRAK-4 is dispensable for LPS-induced activation of IRF-3 (Fig. 2A). LPS is also capable of inducing the activation of the JAK/STAT pathway, which also contributes to the induction of gene transcription. We therefore examined the phosphorylation status and activation of STAT1 in macrophages and showed that LPS-induced activation of STAT1 was also independent of IRAK-4 (Fig. 2B). Taken together, these results suggest that unlike MyD88, IRAK-4 is required for LPS-mediated induction of IFN-{beta} and IP-10 and activation of the peak activity of NF-{kappa}B. On the other hand, IRAK-4 is similar to MyD88 in that it is dispensable for other signaling pathways such as those involving IRF-3 and STAT1.



View larger version (53K):
[in this window]
[in a new window]
 
FIGURE 2. IRAK-4 is dispensable for LPS-induced activation of IRF-3 and STAT1. A, Wild-type and IRAK-4-deficient macrophages were stimulated with 1 µg/ml LPS for the indicated time periods, and whole cell lysates were separated on a native polyacrylamide gel. Monomeric (unactivated) and dimeric (activated) forms of IRF-3 were detected by Western blot analysis. B, Wild-type and IRAK4-deficient macrophages were stimulated with 1.0 µg/ml LPS for the indicated time periods. Western blot analysis was performed with phospho-specific anti-STAT1 Ab. Anti-STAT1 and anti-STAT2 Abs were used for evaluating the expression of STAT proteins and for controlling protein loading. C and D, BM-derived macrophages were stimulated with LPS (1 µg/ml; C) or IL-1 (10 ng/ml; D) for the indicated time periods and Akt phosphorylation was examined by Western blot analyses using a phospho-specific Akt Ab. Probing with an anti-Akt Ab was done to control for loading.

 
The stimulation of cells with LPS induces activation of the PI-3-K pathway and strong phosphorylation of the downstream target Akt. In this study, we show that this pathway does not require the presence of IRAK-4 (Fig. 2C). Quite likely the pathway of PI-3-K runs in parallel to the MyD88->IRAK->TRAF6 pathway, although it remains to be confirmed that in MyD88- or TRAF6-deficient cells PI-3-K is activated in a normal fashion by LPS. Consistent with this possibility, IL-1, which employs a cellular signaling system similar to that used by LPS, is also capable of inducing mild activation of Akt, and this induction is also independent of IRAK-4 (Fig. 2D).

IRAK-4-deficient DC maturation is partially impaired after LPS stimulation

Having established the specific defects in LPS signaling in IRAK-4-deficient cells, we next investigated the effects of IRAK-4 deficiency on DC maturation and function. We used BM-derived DCs that were unstimulated or stimulated with LPS or other TLR ligands. First of all, surface expression of costimulatory molecules was examined. As shown in Fig. 3, wild-type DCs respond to LPS or CpG-ODN (a TLR9 ligand) by up-regulating CD40, CD80, CD86, and MHC class II. IRAK-4-deficient DCs, however, exhibited a partial defect in response to LPS, in that although the costimulatory molecules and MHC class II were still somewhat up-regulated, their levels of expression were reduced compared with those of wild-type controls. Markedly, IRAK-4-deficient DCs failed to respond to CpG-ODN at all. These results suggest that IRAK-4 is partially required for LPS-induced DC maturation.



View larger version (38K):
[in this window]
[in a new window]
 
FIGURE 3. DC maturation is partially impaired in IRAK-4-decifient mice in response to LPS stimulation and is completely impaired in response to CpG-ODN stimulation. Wild-type and IRAK-4-deficient BM-derived DCs were harvested and stimulated with (open histogram) or without (filled histogram) LPS (1 µg/ml) or CpG-ODN (10 µM) for 2 days. Cells were then stained with FITC- or PE-conjugated anti-CD40, anti-CD80, anti-CD86, and anti-MHC class II mAbs and analyzed for the expression of each surface marker by flow cytometry.

 
In sharp contrast, when unstimulated or LPS-stimulated DCs were cultured to evaluate their production of inflammatory cytokines, we found that IRAK-4-deficient DCs failed to produce any cytokines including IFN-{gamma}, IL-12 p70, TNF, and IL-6 (Fig. 4). These results are consistent with what we previously reported in LPS-challenged IRAK-4-deficient macrophages (38). Taken together, our results suggest that a proportion of LPS-induced signals controlled by IRAK-4 are absolutely required for the induction of inflammatory cytokines in different types of APCs.



View larger version (26K):
[in this window]
[in a new window]
 
FIGURE 4. Cytokine production induced by LPS, poly(I:C), and PGN is significantly blocked in IRAK-4-deficient DCs. BM-derived DCs from wild-type and IRAK-4-deficient mice were cultured with 10 ng/ml GM-CSF for 9 days. Cells were then left unstimulated or stimulated with 1 µg/ml LPS, 1 µg/ml poly(I:C), or 10 µg/ml PGN for 2 days. Levels of IFN-{gamma} (A), IL-12 p70 (B), TNF (C), and IL-6 (D) in the cell culture supernatants were determined by ELISA. The data indicate means ± SD of triplicate samples.

 
LPS-stimulated IRAK-4-deficient DCs are capable of triggering allogeneic T cell proliferation, but unable to stimulate Th1 cytokine production

One way to evaluate the function of LPS-maturated DCs is to assess their ability to induce alloreactive T cell proliferation. Wild-type and IRAK-4-deficient BM-derived DCs, either unstimulated or stimulated with LPS or CpG-ODN, were irradiated and incubated with allogeneic T cells. Wild-type DCs without TLR ligand treatment ("none" in Fig. 5A) were already able to stimulate T cell proliferation, while LPS or CpG-ODN further enhanced this allostimulatory activity of the DCs (Fig. 5A). IRAK-4-deficient DCs also exhibited such allostimulatory capacity, and LPS, but not CpG-ODN, was able to augment the activity of mutant DCs to a similar degree as compared with wild-type controls (Fig. 5A). These results are consistent with the expression levels of costimulatory molecules (Fig. 3) and suggest that partial expression of the costimulatory molecules, as seen on the surface of LPS-stimulated IRAK-4-deficient DCs, may be sufficient to stimulate T cell proliferation to allogeneic stimuli. However, the level of T cell activation, as characterized by CD69 expression, stimulated by allogeneic IRAK-4-deficient DCs was less than that induced by allogenic wild-type DCs (Fig. 5B).



View larger version (18K):
[in this window]
[in a new window]
 
FIGURE 5. IRAK-4 is required for certain stimulatory functions of DCs in the activation of allogenic T cells. Wild-type and IRAK-4-deficient DCs (129/B6 mixed background) were left unstimulated or stimulated with LPS (1 µg/ml) for 2 days and subsequently were subjected to gamma irradiation (15 Gy). Briefly, 2 x 104 DCs were cocultured with 5 x 104 allogeneic BALB/c CD4+ T cells in 96-well plates. A, DCs were cultured with CD4+ T cells for 48 h and [3H]thymidine was added for the last 16 h of culture. The allostimulatory activities of DCs from wild-type ({square}) or IRAK-4-deficient mice ({blacksquare}) on T cell proliferation were analyzed by [3H]thymidine incorporation. B, To examine Th cell activation and differentiation, irradiated DCs were cultured with allogeneic CD4+ T cells for 6 days. Th cells were harvested and measured for CD69 surface expression by flow cytometry. C, At the same time that T cells were harvested, culture supernatants were collected to measure IFN-{gamma} production by ELISA. The data indicate means ± SD of triplicate samples.

 
We next investigated the ability of LPS-stimulated DCs to induce Th differentiation of CD4+ T cells as another measurement of DC function. As shown in Fig. 5C, wild-type DCs primed with TLR ligands including LPS and CpG-ODN were capable of inducing IFN-{gamma}, but not IL-4 production by allogeneic CD4+ T cells under these culture conditions. On the other hand, LPS- or CpG-ODN-stimulated IRAK-4-deficient DCs failed to stimulate Th1 cytokine production from allogeneic T cells (Fig. 5C). Thus, IRAK-4 is required for both the LPS-induced production of inflammatory cytokines from DC as well as the LPS-mediated priming of DC to stimulate Th1 cell differentiation. Taken together, our results suggested that IRAK-4-deficient DCs exhibit specific defects in LPS signaling. Cytokine secretion and Th cell instruction by DCs use IRAK-4-dependent pathways, while the stimulation of T cell proliferation is IRAK-4 independent.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this article, we investigated various signaling events induced by LPS that are critical for the activation of APCs such as macrophages and DCs. We showed that IRAK-4, a key molecule in LPS signaling, is required for certain aspects of LPS signaling but not for others. At first glance, IRAK-4-deficient cells exhibited very similar phenotypes as observed in MyD88 knockouts, further confirming that MyD88 and IRAK-4 work in the same signaling cascade. However, there is at least one clear difference between the two knockouts, which provides some insight about the correlations between signaling pathways and cellular activation phenotypes.

Unlike MyD88 knockouts, cells lacking IRAK-4 are impaired in the induction of IFN-regulated genes such as IFN-{beta}, IP-10, and GARG16 in response to LPS. Interestingly, macrophages lacking both MyD88 and TIRAP displayed a mild defect of IP-10 and GARG16 induction by LPS (32). This is consistent with the possibility that IRAK-4 receives signals from both MyD88 family members and plays a critical role in transducing the signals from these proteins. The induction of IFN-{beta}, IP-10, and GARG16 likely depends on both NF-{kappa}B and IRF-3 (15). Other reports also suggest that LPS-induced STAT1 activation contributes significantly to IP-10 and GARG16 induction (17). Although IRF-3 and STAT1 activation appear normal in IRAK-4 knockout, LPS-mediated NF-{kappa}B activation appears to be defective. This defect in NF-{kappa}B activation induced by LPS appears to be more severe in IRAK-4-deficient cells than in cells lacking MyD88. It is quite possible that the intact activity of NF-{kappa}B is required for the full induction of IFN-regulated genes. This possibility is consistent with the results by Cheng and colleagues (15) that cells expressing an undegradable form of I{kappa}B, in which NF-{kappa}B activity is attenuated, fail to respond to LPS by IP-10 and IFN-{beta} induction. Intriguingly, IRAK-4-deficient MEF shows more severe defects in LPS-induced NF-{kappa}B activation and IP-10 and GARG16 expression than the mutant macrophages. Further investigations are required to elucidate the difference in LPS signaling between macrophages and MEFs.

It is intriguing to observe that in IRAK-4 knockout cells, there is a defect in LPS-induced IFN-{beta} induction but STAT1 activation is normal. Activation of the STAT1 and JAK pathway by LPS is believed to occur by the induction of IFN-{beta} followed by triggering of the IFN-{alpha}{beta} receptor (16). Consistently, the kinetics of LPS-induced STAT1 phosphorylation is delayed in wild-type cells (Fig. 2B and Ref.14), and Akira and colleagues (17) have shown that the LPS-induced gene induction that depends on the presence of STAT1 is also dependent on signaling by the IFN-{alpha}{beta} receptor. However, the strict dependence of LPS-induced STAT1 activation on the presence of the IFN-{alpha}{beta} receptor has not been reported. The possibility of a direct recruitment of the JAK-STAT signaling complex to TLR4 has not been ruled out. Interestingly, recent publications have shown that suppressor of cytokine signaling 1 (SOCS1), a well-known suppressor of the JAK-STAT pathway, is rapidly induced by LPS and plays a critical role in negatively regulating LPS signaling (51, 52). The mechanism of SOCS1 inhibition of LPS signaling, however, cannot be completely accounted for by the regulation of STAT1 activity since in SOCS1-deficient cells, LPS-induced STAT1 phosphorylation, as well as the activation of the NF-{kappa}B, JNK, and p38 pathways, are all abnormally enhanced.

It has been clearly demonstrated that LPS-stimulated DC maturation depends on the TLR4 signaling pathway. However, the involvement of MyD88 in this process is questionable, aside from a critical role in inflammatory cytokine production (29). In this study, we showed that IRAK-4 is not only required for inflammatory cytokine production but also is involved in the optimal expression of costimulatory molecules on DCs in response to LPS signaling. Importantly, LPS-activated IRAK-4-deficient DCs can still stimulate allogeneic T cell proliferation but fail to induce Th cell differentiation.

We previously demonstrated that animals lacking IRAK-4 are resistant to LPS-induced endotoxic shock but are more susceptible to infection by intact bacteria (38). Therefore, an IRAK-4 inhibitor, while useful in treating life-threatening septic shock, may result in a severe risk for patients not being able to control the concurrent infection. Along the same line, a beneficial effect could be expected from blocking IRAK-4 signaling in chronic inflammatory disorders, but the long-term usage of such an inhibitor may expose patients to opportunistic infections. In this context, the specific defect of DC function induced by LPS stimulation in the absence of IRAK-4 is interesting, since certain adaptive immune responses triggered by IRAK-4-deficient APCs remain intact. Further investigation into the impact of IRAK-4 on various signaling pathways and the molecular mechanisms of IRAK-4 function are required before a practical therapeutic design can be conceived.


    Acknowledgments
 
We thank L. T. Nguyen for helpful discussions and T. Horacek and M. Unno for technical assistance.


    Footnotes
 
1 This work was supported by the Canadian Institutes of Health Research (to W.-C.Y.) and by the CANVAC network for vaccines and immunotherapeutics of the Canadian Networks of Centers of Excellence Program. Back

2 Address correspondence and reprint requests to Dr. Wen-Chen Yeh, 620 University Avenue. #706, Toronto, Ontario, Canada M5G 2C1. E-mail address: wyeh{at}uhnres.utoronto.ca Back

3 Abbreviations used in this paper: DC, dendritic cell; TLR, Toll-like receptor; PI-3-K, phosphoinositol-3 kinase; IRAK, IL-1R-associated kinase; MyD88, myeloid differentiation factor 88; TRAF6, TNFR-associated factor 6; IRF, interferon regulatory factor; IP-10, IFN-{gamma}-inducible protein 10 kDa; GARG16, glucocorticoid attenuated response gene 16; TIRAP, Toll-IL-1R domain containing adapter protein; JAK, Janus kinase; SOCS, suppressor of cytokine signaling; BM, bone marrow; PGN, peptidoglycan; MEF, mouse embryonic fibroblast. Back

Received for publication March 7, 2003. Accepted for publication September 17, 2003.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Janeway, C. A., Jr., R. Medzhitov. 2002. Innate immune recognition. Annu. Rev. Immunol. 20:197.[Medline]
  2. Akira, S., K. Takeda, T. Kaisho. 2001. Toll-like receptors: critical proteins linking innate and acquired immunity. Nat. Immunol. 2:675.[Medline]
  3. Ulevitch, R. J., P. S. Tobias. 1995. Receptor-dependent mechanisms of cell stimulation by bacterial endotoxin. Annu. Rev. Immunol. 13:437.[Medline]
  4. Cella, M., A. Engering, V. Pinet, J. Pieters, A. Lanzavecchia. 1997. Inflammatory stimuli induce accumulation of MHC class II complexes on dendritic cells. Nature 388:782.[Medline]
  5. Poltorak, A., X. He, I. Smirnova, M. Y. Liu, C. Van Huffel, X. Du, D. Birdwell, E. Alejos, M. Silva, C. Galanos, et al 1998. Defective LPS signaling in C3H/HeJ and C57BL/10ScCr mice: mutations in Tlr4 gene. Science 282:2085.[Abstract/Free Full Text]
  6. Kimbrell, D. A., B. Beutler. 2001. The evolution and genetics of innate immunity. Nat. Rev. Genet. 2:256.[Medline]
  7. Underhill, D. M., A. Ozinsky. 2002. Toll-like receptors: key mediators of microbe detection. Curr. Opin. Immunol. 14:103.[Medline]
  8. O’Neill, L. A.. 2002. Toll-like receptor signal transduction and the tailoring of innate immunity: a role for Mal?. Trends Immunol. 23:296.[Medline]
  9. Akira, S., K. Hoshino, T. Kaisho. 2000. The role of Toll-like receptors and MyD88 in innate immune responses. J. Endotoxin Res. 6:383.[Medline]
  10. Martin, M. U., H. Wesche. 2002. Summary and comparison of the signaling mechanisms of the Toll/interleukin-1 receptor family. Biochim. Biophys. Acta 1592:265.[Medline]
  11. Kawai, T., O. Takeuchi, T. Fujita, J. Inoue, P. F. Muhlradt, S. Sato, K. Hoshino, S. Akira. 2001. Lipopolysaccharide stimulates the MyD88-independent pathway and results in activation of IFN-regulatory factor 3 and the expression of a subset of lipopolysaccharide-inducible genes. J. Immunol. 167:5887.[Abstract/Free Full Text]
  12. Navarro, L., M. David. 1999. p38-dependent activation of interferon regulatory factor 3 by lipopolysaccharide. J. Biol. Chem. 274:35535.[Abstract/Free Full Text]
  13. Monick, M. M., R. K. Mallampalli, A. B. Carter, D. M. Flaherty, D. McCoy, P. K. Robeff, M. W. Peterson, G. W. Hunninghake. 2001. Ceramide regulates lipopolysaccharide-induced phosphatidylinositol 3-kinase and Akt activity in human alveolar macrophages. J. Immunol. 167:5977.[Abstract/Free Full Text]
  14. Jacobs, A. T., L. J. Ignarro. 2001. Lipopolysaccharide-induced expression of interferon-{beta} mediates the timing of inducible nitric-oxide synthase induction in RAW 264.7 macrophages. J. Biol. Chem. 276:47950.[Abstract/Free Full Text]
  15. Doyle, S., S. Vaidya, R. O’Connell, H. Dadgostar, P. Dempsey, T. Wu, G. Rao, R. Sun, M. Haberland, R. Modlin, G. Cheng. 2002. IRF3 mediates a TLR3/TLR4-specific antiviral gene program. Immunity 17:251.[Medline]
  16. Toshchakov, V., B. W. Jones, P. Y. Perera, K. Thomas, M. J. Cody, S. Zhang, B. R. Williams, J. Major, T. A. Hamilton, M. J. Fenton, S. N. Vogel. 2002. TLR4, but not TLR2, mediates IFN-{beta}-induced STAT1{alpha}/{beta}-dependent gene expression in macrophages. Nat. Immunol. 3:392.[Medline]
  17. Hoshino, K., T. Kaisho, T. Iwabe, O. Takeuchi, S. Akira. 2002. Differential involvement of IFN-{beta} in Toll-like receptor-stimulated dendritic cell activation. Int. Immunol. 14:1225.[Abstract/Free Full Text]
  18. O’Neill, L.. 2000. The Toll/interleukin-1 receptor domain: a molecular switch for inflammation and host defence. Biochem. Soc. Trans. 28:557.[Medline]
  19. Muzio, M., N. Polentarutti, D. Bosisio, P. P. Manoj Kumar, A. Mantovani. 2000. Toll-like receptor family and signalling pathway. Biochem. Soc. Trans. 28:563.[Medline]
  20. Wesche, H., W. J. Henzel, W. Shillinglaw, S. Li, Z. Cao. 1997. MyD88: an adapter that recruits IRAK to the IL-1 receptor complex. Immunity 7:837.[Medline]
  21. Medzhitov, R., P. Preston-Hurlburt, E. Kopp, A. Stadlen, C. Chen, S. Ghosh, C. A. Janeway, Jr.. 1998. MyD88 is an adaptor protein in the hToll/IL-1 receptor family signaling pathways. Mol. Cell 2:253.[Medline]
  22. Cao, Z., W. J. Henzel, X. Gao. 1996. IRAK: a kinase associated with the interleukin-1 receptor. Science 271:1128.[Abstract]
  23. Muzio, M., J. Ni, P. Feng, V. M. Dixit. 1997. IRAK (Pelle) family member IRAK-2 and MyD88 as proximal mediators of IL-1 signaling. Science 278:1612.[Abstract/Free Full Text]
  24. Wesche, H., X. Gao, X. Li, C. J. Kirschning, G. R. Stark, Z. Cao. 1999. IRAK-M is a novel member of the Pelle/interleukin-1 receptor-associated kinase (IRAK) family. J. Biol. Chem. 274:19403.[Abstract/Free Full Text]
  25. Li, S., A. Strelow, E. J. Fontana, H. Wesche. 2002. IRAK-4: A novel member of the IRAK family with the properties of an IRAK-kinase. Proc. Natl. Acad. Sci. USA 99:5567.[Abstract/Free Full Text]
  26. Cao, Z., J. Xiong, M. Takeuchi, T. Kurama, D. V. Goeddel. 1996. TRAF6 is a signal transducer for interleukin-1. Nature 383:443.[Medline]
  27. Adachi, O., T. Kawai, K. Takeda, M. Matsumoto, H. Tsutsui, M. Sakagami, K. Nakanishi, S. Akira. 1998. Targeted disruption of the MyD88 gene results in loss of IL-1- and IL-18-mediated function. Immunity 9:143.[Medline]
  28. Kawai, T., O. Adachi, T. Ogawa, K. Takeda, S. Akira. 1999. Unresponsiveness of MyD88-deficient mice to endotoxin. Immunity 11:115.[Medline]
  29. Kaisho, T., O. Takeuchi, T. Kawai, K. Hoshino, S. Akira. 2001. Endotoxin-induced maturation of MyD88-deficient dendritic cells. J. Immunol. 166:5688.[Abstract/Free Full Text]
  30. Fitzgerald, K. A., E. M. Palsson-McDermott, A. G. Bowie, C. A. Jefferies, A. S. Mansell, G. Brady, E. Brint, A. Dunne, P. Gray, M. T. Harte, et al 2001. Mal (MyD88-adapter-like) is required for Toll-like receptor-4 signal transduction. Nature 413:78.[Medline]
  31. Horng, T., G. M. Barton, R. Medzhitov. 2001. TIRAP: an adapter molecule in the Toll signaling pathway. Nat. Immunol. 2:835.[Medline]
  32. Yamamoto, M., S. Sato, H. Hemmi, H. Sanjo, S. Uematsu, T. Kaisho, K. Hoshino, O. Takeuchi, M. Kobayashi, T. Fujita, et al 2002. Essential role for TIRAP in activation of the signalling cascade shared by TLR2 and TLR4. Nature 420:324.[Medline]
  33. Horng, T., G. M. Barton, R. A. Flavell, R. Medzhitov. 2002. The adaptor molecule TIRAP provides signalling specificity for Toll-like receptors. Nature 420:329.[Medline]
  34. Yamamoto, M., S. Sato, K. Mori, K. Hoshino, O. Takeuchi, K. Takeda, S. Akira. 2002. Cutting edge: a novel Toll/IL-1 receptor domain-containing adapter that preferentially activates the IFN-{beta} promoter in the Toll-like receptor signaling. J. Immunol. 169:6668.[Abstract/Free Full Text]
  35. Oshiumi, H., M. Matsumoto, K. Funami, T. Akazawa, T. Seya. 2003. TICAM-1, an adaptor molecule that participates in Toll-like receptor 3-mediated interferon-{beta} induction. Nat. Immunol. 4:161.[Medline]
  36. Yamamoto, M., S. Sato, H. Hemmi, K. Hoshino, T. Kaisho, H. Sanjo, O. Takeuchi, M. Sugiyama, M. Okabe, K. Takeda, S. Akira. 2003. Role of adaptor TRIF in the MyD88-independent Toll-like receptor signaling pathway. Science 301:640.[Abstract/Free Full Text]
  37. Hoebe, K., X. Du, P. Georgel, E. Janssen, K. Tabeta, S. O. Kim, J. Goode, P. Lin, N. Mann, S. Mudd, et al 2003. Identification of Lps2 as a key transducer of MyD88-independent TIR signalling. Nature 424:743.[Medline]
  38. Suzuki, N., S. Suzuki, G. S. Duncan, D. G. Millar, T. Wada, C. Mirtsos, H. Takada, A. Wakeham, A. Itie, S. Li, et al 2002. Severe impairment of interleukin-1 and Toll-like receptor signalling in mice lacking IRAK-4. Nature 416:750.[Medline]
  39. Kanakaraj, P., P. H. Schafer, D. E. Cavender, Y. Wu, K. Ngo, P. F. Grealish, S. A. Wadsworth, P. A. Peterson, J. J. Siekierka, C. A. Harris, W. P. Fung-Leung. 1998. Interleukin (IL)-1 receptor-associated kinase (IRAK) requirement for optimal induction of multiple IL-1 signaling pathways and IL-6 production. J. Exp. Med. 187:2073.[Abstract/Free Full Text]
  40. Kanakaraj, P., K. Ngo, Y. Wu, A. Angulo, P. Ghazal, C. A. Harris, J. J. Siekierka, P. A. Peterson, W. P. Fung-Leung. 1999. Defective interleukin (IL)-18-mediated natural killer and T helper cell type 1 responses in IL-1 receptor-associated kinase (IRAK)-deficient mice. J. Exp. Med. 189:1129.[Abstract/Free Full Text]
  41. Thomas, J. A., J. L. Allen, M. Tsen, T. Dubnicoff, J. Danao, X. C. Liao, Z. Cao, S. A. Wasserman. 1999. Impaired cytokine signaling in mice lacking the IL-1 receptor-associated kinase. J. Immunol. 163:978.[Abstract/Free Full Text]
  42. Swantek, J. L., M. F. Tsen, M. H. Cobb, J. A. Thomas. 2000. IL-1 receptor-associated kinase modulates host responsiveness to endotoxin. J. Immunol. 164:4301.[Abstract/Free Full Text]
  43. Kobayashi, K., L. D. Hernandez, J. E. Galan, C. A. Janeway, Jr., R. Medzhitov, R. A. Flavell. 2002. IRAK-M is a negative regulator of Toll-like receptor signaling. Cell 110:191.[Medline]
  44. Lutz, M. B., N. Kukutsch, A. L. Ogilvie, S. Rossner, F. Koch, N. Romani, G. Schuler. 1999. An advanced culture method for generating large quantities of highly pure dendritic cells from mouse bone marrow. J. Immunol. Methods 223:77.[Medline]
  45. Inaba, K., M. Inaba, N. Romani, H. Aya, M. Deguchi, S. Ikehara, S. Muramatsu, R. M. Steinman. 1992. Generation of large numbers of dendritic cells from mouse bone marrow cultures supplemented with granulocyte/macrophage colony-stimulating factor. J. Exp. Med. 176:1693.[Abstract/Free Full Text]
  46. Eriksson, U., M. O. Kurrer, I. Sonderegger, G. Iezzi, A. Tafuri, L. Hunziker, S. Suzuki, K. Bachmaier, R. M. Bingisser, J. M. Penninger, M. Kopf. 2003. Activation of dendritic cells through the interleukin 1 receptor 1 is critical for the induction of autoimmune myocarditis. J. Exp. Med. 197:323.[Abstract/Free Full Text]
  47. Metlay, J. P., M. D. Witmer-Pack, R. Agger, M. T. Crowley, D. Lawless, R. M. Steinman. 1990. The distinct leukocyte integrins of mouse spleen dendritic cells as identified with new hamster monoclonal antibodies. J. Exp. Med. 171:1753.[Abstract/Free Full Text]
  48. Mellman, I., R. M. Steinman. 2001. Dendritic cells: specialized and regulated antigen processing machines. Cell 106:255.[Medline]
  49. Iwamura, T., M. Yoneyama, K. Yamaguchi, W. Suhara, W. Mori, K. Shiota, Y. Okabe, H. Namiki, T. Fujita. 2001. Induction of IRF-3/-7 kinase and NF-{kappa}B in response to double-stranded RNA and virus infection: common and unique pathways. Genes Cells 6:375.[Abstract]
  50. Nguyen, L. T., G. S. Duncan, C. Mirtsos, M. Ng, D. E. Speiser, A. Shahinian, M. W. Marino, T. W. Mak, P. S. Ohashi, W. C. Yeh. 1999. TRAF2 deficiency results in hyperactivity of certain TNFR1 signals and impairment of CD40-mediated responses. Immunity 11:379.[Medline]
  51. Nakagawa, R., T. Naka, H. Tsutsui, M. Fujimoto, A. Kimura, T. Abe, E. Seki, S. Sato, O. Takeuchi, K. Takeda, et al 2002. SOCS-1 participates in negative regulation of LPS responses. Immunity 17:677.[Medline]
  52. Kinjyo, I., T. Hanada, K. Inagaki-Ohara, H. Mori, D. Aki, M. Ohishi, H. Yoshida, M. Kubo, A. Yoshimura. 2002. SOCS1/JAB is a negative regulator of LPS-induced macrophage activation. Immunity 17:583.[Medline]



This article has been cited by other articles:


Home page
J. Leukoc. Biol.Home page
C. Trumstedt, E. Eriksson, A. M. Lundberg, T.-b. Yang, Z.-q. Yan, H. Wigzell, and M. E. Rottenberg
Role of IRAK4 and IRF3 in the control of intracellular infection with Chlamydia pneumoniae
J. Leukoc. Biol., June 1, 2007; 81(6): 1591 - 1598.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Med.Home page
T. Kawagoe, S. Sato, A. Jung, M. Yamamoto, K. Matsui, H. Kato, S. Uematsu, O. Takeuchi, and S. Akira
Essential role of IRAK-4 protein and its kinase activity in Toll-like receptor-mediated immune responses but not in TCR signaling
J. Exp. Med., May 14, 2007; 204(5): 1013 - 1024.
[Abstract] [Full Text] [PDF]


Home page
ScienceHome page
N. Suzuki, S. Suzuki, D. G. Millar, M. Unno, H. Hara, T. Calzascia, S. Yamasaki, T. Yokosuka, N.-J. Chen, A. R. Elford, et al.
A critical role for the innate immune signaling molecule IRAK-4 in T cell activation.
Science, March 31, 2006; 311(5769): 1927 - 1932.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
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.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
A. Schoenemeyer, B. J. Barnes, Margo. E. Mancl, E. Latz, N. Goutagny, P. M. Pitha, K. A. Fitzgerald, and D. T. Golenbock
The Interferon Regulatory Factor, IRF5, Is a Central Mediator of Toll-like Receptor 7 Signaling
J. Biol. Chem., April 29, 2005; 280(17): 17005 - 17012.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
T. J. Connor, A. Harkin, and J. P. Kelly
Methylenedioxymethamphetamine Suppresses Production of the Proinflammatory Cytokine Tumor Necrosis Factor-{alpha} Independent of a {beta}-Adrenoceptor-Mediated Increase in Interleukin-10
J. Pharmacol. Exp. Ther., January 1, 2005; 312(1): 134 - 143.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
S. H. Diks, K. Kok, T. O'Toole, D. W. Hommes, P. van Dijken, J. Joore, and M. P. Peppelenbosch
Kinome Profiling for Studying Lipopolysaccharide Signal Transduction in Human Peripheral Blood Mononuclear Cells
J. Biol. Chem., November 19, 2004; 279(47): 49206 - 49213.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
E. Lye, C. Mirtsos, N. Suzuki, S. Suzuki, and W.-C. Yeh
The Role of Interleukin 1 Receptor-associated Kinase-4 (IRAK-4) Kinase Activity in IRAK-4-mediated Signaling
J. Biol. Chem., September 24, 2004; 279(39): 40653 - 40658.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Suzuki, N.
Right arrow Articles by Yeh, W.-C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Suzuki, N.
Right arrow Articles by Yeh, W.-C.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS