# Current Views of Toll-Like Receptor Signaling Pathways

Authors: Masahiro Yamamoto; Kiyoshi Takeda
Journal: Gastroenterology Research and Practice
 (2010)

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## Abstract

On microbial invasion, the host immediately evokes innate immune responses. Recent studies have demonstrated that Toll-like receptors (TLRs) play crucial roles in innate responses that lead not only to the clearance of pathogens but also to the efficient establishment of acquired immunity by directly detecting molecules from microbes. In terms of intracellular TLR-mediated signaling pathways, cytoplasmic adaptor molecules containing Toll/IL-1R (TIR) domains play important roles in inflammatory immune responses through the production of proinflammatory cytokines, nitric oxide, and type I interferon, and upregulation of costimulatory molecules. In this paper, we will describe our current understanding of the relationship between TLRs and their ligands derived from pathogens such as viruses, bacteria, fungi, and parasites. Moreover, we will review the historical and current literature to describe the mechanisms behind TLR-mediated activation of innate immune responses.


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## Body

## 1. Introduction

Innate and adaptive immunities play important roles in the elimination of various pathogens such as viruses, bacteria, and parasites in mammals [1–3]. The adaptive immune system exerts highly specific responses to microbes by producing antibodies from B cells or through the generation of killer or helper T lymphocytes, resulting in life-long immunological memory. This process may take weeks, or even months, to establish sufficient levels of immunity. On the other hand, the innate immune system promptly responds to the invasion of microbes and acts as the first line of defense, whereby innate immune cells such as macrophages or dendritic cells (DCs) play a central role in the production of proinflammatory cytokines or nitric oxide.Almost 20 years ago, Janeway proposed that pattern recognition receptors (PRRs), which recognize pathogen-associated molecular patterns (PAMPs) specific to each pathogen, are expressed on innate immune cells and discriminate self or nonself structures [4]. However, the existence of PRRs had not been elucidated until 1996, when Hoffman’s group identified “Toll” in Drosophila, a mutant defective in antifungal defense [5]. Subsequently, a mammalian homolog of Toll was discovered using a bioinformatics approach, and its overexpression in mammalian cells was shown to induce proinflammatory cytokines and induce expression of costimulatory molecules to stimulate acquired immunity [6]. This study opened new avenues for the identification of additional members of this family of proteins, now known as Toll-like receptors (TLRs), in humans and mice [1–3]. To date, more than 10 members of the TLR family have been reported in mammals and function as PRRs, recognizing a variety of PAMPs, such as lipopolysaccharide, lipoprotein, nucleic acids, amongst others [1–3].Signaling molecules that participate inDrosophila Toll pathways, such as Dorsal, Cactus, or Pelle, had been previously identified by the isolation of the corresponding insect mutants in the 1980s [7]. In 1991, the amino acid sequence of the cytoplasmic portion of interleukin-1 (IL-1) was reported to resemble that of Drosophila Toll [8]. Since activation of IL-1R signaling pathways activated a transcription factor, nuclear factor kappa B (NF-κB), a mammalian homolog of Drosophila Dorsal, the counterpart of Drosophila Toll had been first considered to be IL-1R at that time [8]. After identification of mammalian TLRs, TLRs and the IL-1R were demonstrated to possess a highly conserved intracellular domain, now known as the Toll-IL-1R (TIR) domain. Ligand recognition of TLRs causes dimerization of the cytoplasmic TIR domains, culminating in activation of downstream intracellular signaling. Similar to Drosophila Toll signaling and mammalian IL-1R signaling, TLR signaling also activates NF-κB as well as mitogen-activated protein kinases (MAPKs) to stimulate gene expression, including proinflammatory cytokines and costimulatory molecules [9]. In addition, the mammalian TLR system establishes antiviral immune responses predominantly through the production of type I interferon (IFN) [10].In this paper, we will discuss the current view of mammalian TLR pathways, focusing on the molecular basis of extracellular and intracellular signaling events.


## 2. PAMPs and TLRs

So far, there are 10 members of the human and 13 members of the mouse TLR family that have been identified [1–3]. TLR1-TLR10 are conserved between humans and mice, although TLR10 is not functional in mice because of a retroviral insertion. In addition, TLR11-13 are not present in humans. Thus, despite some species-specific receptors, most members are conserved in mammals.Among the TLRs, the ligand of TLR4 was first identified by genetic studies. The C3H/HeJ mutant mouse strain is hyporesponsiveness to lipopolysaccharide (LPS), a cell wall component mainly found in Gram-negative bacteria, and possesses a recessive autosomal mutation in the Lps locus [11, 12]. Positional cloning of the Lps locus revealed a point mutation in the TLR4 gene. TLR4-deficient mice also showed a similar hyporesponsiveness to LPS [13]. C3H/HeJ-type TLR4 fails to activate NF-κB in response to LPS, indicating that TLR4 is essential for the recognition of LPS in vivo.In addition to LPS, bacterial lipoprotein moieties are recognized by TLR1, TLR2, and TLR6. TLR1 plays an important role in the recognition of a synthetic lipoprotein,N-palmitoyl-S-dipalmitoylglyceryl (Pam3) Cys-Ser-(Lys)4 (CSK4) (Pam3CSK4), and the outer-surface lipoprotein of the pathogen Borrelia burgdorferi, outer surface protein A (OspA) [14, 15]. TLR6 participates in the recognition of macrophage-activating lipoprotein 2 kD (MALP-2) derived from mycoplasma [16]. Both TLR1 and TLR6 require dimerization with TLR2 to be functional [16]. TLR2 is also essential for the recognition of peptidoglycan, lipoarabinomannan, porins, Trypanosoma cruzi Glycosylphosphatidylinositol-anchored mucin-like glycoproteins (tGPI-mucin), or Hemagglutinin (HA) proteins from not only bacteria but also viruses or parasites [1].Genomic nucleic acids from bacteria and viruses, or their analogs, stimulate the production of proinflammatory cytokines and type I IFN. Among them, immunostimulatory bacterial DNA was first identified in Calmette-Guerin bacilli, which are capable of promoting antitumor activity and inducing type I IFN (IFN-α/β) and type II IFN (IFN-γ) in human peripheral blood leukocytes [17, 18]. Among the TLR family members, TLR9 is responsible for the recognition of unmethylated CpG DNA. TLR9 also recognizes genomic DNA from DNA viruses such as HSV-1, HSV-2, or MCMV [1]. As well as nucleic acids, hemozoin, a malaria-derived insoluble crystal, is a ligand for TLR9 [19].RNA is also a TLR ligand. TLR3 recognizes a synthetic double-stranded RNA (dsRNA) analog, polyinosinic-polycytidylic acid (poly I:C), and dsRNA derived from Reovirus, EMCV, RSV, or West Nile virus (WNV) [1]. In contrast to dsRNA recognition by TLR3, guanosine-rich and uridine-rich single-stranded RNAs (ssRNAs) derived from HIV or influenza virus are ligands for TLR7 [20, 21]. In addition, low molecular weight compounds of the nucleoside analog imidazoquinoline, known as Imiquimod (Aldara, R-837, S-26308), and R-848 (resiquimod, S-28463) are synthetic TLR7 ligands [22, 23].TLR5 and TLR11 recognize protein moieties from bacteria or parasites. TLR5 is essential for the recognition of a component of bacterial flagella, flagellin. The highly conserved central portion of flagellin that is pivotal for bacterial motility is bound by TLR5 [24]. TLR11 recognizes a parasite-derived profilin-like molecule that is a potent inducer of IL-12 and known as soluble Toxoplasma antigen. It plays an important role in parasite motility and invasion into host cells [25, 26]. TLR11 might also recognize PAMPs from uropathogenic bacteria, since TLR11-deficient mice are highly susceptible to the pathogen. However, the natural ligand for TLR11 from uropathogenic bacteria has not yet been identified [27]. Thus, TLRs recognize a number of PAMPs from various microbes. (See Figure 1).Figure 1
Extracellular and intracellular TLRs. TLRs can be divided into extracellular and intracellular TLRs. TLR1, TLR2, TLR4, TLR5, TLR6, and TLR11 recognize their ligands on the cell surface. On the other hand, TLR3, TLR7, TLR8, and TLR9 are intracellularly localized.


## 3. Molecular Basis of TLRs Structure and Ligand Recognition

TLRs are type I transmembrane proteins that consist of three major domains: (1) a leucine rich extracellular domain; (2) a transmembrane domain; (3) a cytoplasmic TIR domain. Ligand recognition by TLRs is mediated by the extracellular domain that harbors a leucine rich repeat (LRR) composed of 19–25 tandem copies of the “xLxxLxLxx” motif [28]. So far, the crystal structure of TLR1, TLR2, TLR3, TLR4, and TLR6 with or without their ligands has been resolved, and these studies predict that the extracellular domain of the TLRs forms a horseshoe-like structure [28]. Notably, structural analysis and biochemical studies indicate that all TLRs form hetero- or homodimers (e.g., TLR1/TLR2, TLR2/TLR6, TLR3/TLR3, and TLR4/TLR4), which probably facilitates dimerization of the cytoplasmic TIR domain to activate intracellular signaling [28]. In the case of the homodimers of TLR3 or TLR4, direct or indirect interactions by ionic and hydrogen bonds with their ligands are essential for the recognition [29, 30]. On the other hand, TLR2 forms a heterodimer together with either TLR1 or TLR6 to recognize triacyl or diacyl peptides in internal protein pockets through hydrophilic interactions [31, 32].


## 4. Localization of TLRs: Extracellular and Intracellular TLRs

The TLR family can be largely divided into extracellular and intracellular members. TLR1, TLR2, TLR4, TLR5, TLR6, and TLR11 are largely localized on the cell surface to recognize PAMPs. On the other hand, TLR3, TLR4, TLR7, TLR8, and TLR9 are intracellularly expressed in endosomal- or lysosomal-compartments and the endoplasmic reticulum (ER).TLR4 is tightly bound to MD-2 on the cell surface [33]. In addition, CD14 and LPS-binding protein (LBP) also participate in the recognition of LPS by TLR4/MD-2. CD14 efficiently transfers an LBP-LPS complex to TLR4/MD-2 for cellular activation. In addition, TLR4 is internalized into endosomal compartments in response to LPS stimulation [33]. For TLR2 ligand recognition, TLR1, TLR6, and a host on non-TLR receptors, such as CD36 or Dectin-1, form heterodimers with TLR2 and are involved in the recognition of most TLR2 ligands or β-glucan, respectively [34, 35]. The intracellular TLRs such as TLR3, TLR7, TLR8, and TLR9 are localized on the ER membrane in resting cells. However, upon stimulation, they are trafficked to the endosomal compartment [36, 37]. The intracellular localization is regulated by the ER membrane protein UNC93B, which directly interacts with the intracellular TLRs [38]. Mice bearing a point missense mutation of this gene are defective in the trafficking of TLR3, TLR7, and TLR9 and fail to activate cellular signaling [38]. Moreover, processing of the ectodomain of TLR9 by cathepsins in the endolysosomal compartments is required for compartment-specific activation [39, 40]. Thus, the localization of TLRs responsible for detecting foreign (nonself) nucleic acids is tightly regulated to avoid a response to self-DNA on the cell surface [41]. (See Figure 1).


## 5. NF-κB and MAPK Activation in TLR- Mediated Intracellular Signaling

As discussed above, the cytoplasmic portion of TLRs shows high similarity to that of IL-1R family members and is called the TIR domain. Activation of TLR signaling culminates in NF-κB and MAPKs that regulate gene expression of various immune and inflammatory mediators [9]. In TLR signaling, NF-κBs are sequestered by cytoplasmic IκB proteins including nuclear inhibitor of NF-κB (IκB)α, and IκBβ in unstimulated cells. Stimulation by TLR ligands mediates degradation of these IκBs by the proteasome, a process dependent on their phosphorylation by the IκB kinase (IKK) complex composed of IKKα, IKKβ, and NEMO (also known as IKKγ), allowing the nuclear translocation of NF-κB [42]. Transcriptional activity is controlled by a variety of nuclear proteins such as Akirin2 or the family of nuclear IκBs, IκBζ, IκBNS, and Bcl-3 [43–45].The activation of the IKK complex is regulated by several MAPK kinase kinases (MAP3K) including TAK1, MEKK3, Tpl2, and ASK1 [1]. Among them, TAK1 has been most studied in view of its molecular role in TLR/IL-1R-mediated IKK activation [46]. TAK1 participates in IKK activation in a complex with TAK1-binding protein 1 (TAB1), TAB2, and TAB3, at least in vitro [46]. However, the roles of TAB protein family members in TLR/IL-1R-mediated signaling remain controversial, since neither TAB1 nor TAB2-deficient mice showed any abnormalities of TLR/IL-1R signaling pathways [47–49]. The activation of the TAK1-TABs complex is regulated not by protein phosphorylation, but by lysine 63 (K63)-linked ubiquitination [50]. In contrast to K48-linked ubiquitination that mediates proteasome-dependent protein destruction, K63-linked ubiquitination is involved in cellular processes such as DNA repair, in addition to activation of the TAK1-TABs complex [51]. The formation of K63-linked polyubiquitin chains is catalyzed by the E2 ubiquitin conjugating enzyme complex Ubc13 and Uev1A [52]. The role of Ubc13 in TLR-mediated NF-κB activation remains controversial, since mice lacking Ubc13 exhibit almost normal NF-κB activation and IκB degradation in response to TLR ligands or IL-1 [53]. The TAK1 complex also regulates activation of MAPKs, such as ERK1/2, p38, and JNK, to control mRNA expression or the stability of mRNA for inflammatory genes by mediating phosphorylation of AP-1 transcription family proteins [54, 55].Upstream of the TAK1 complex, a RING finger-containing E3 ligase, TRAF6, is involved in K63-linked ubiquitination-mediated signaling [1]. The activity of TRAF6 is regulated by the family of death domain containing-IL-1R-associated kinases (IRAKs), IRAK1, IRAK2, IRAK-M, and IRAK-4 [56, 57]. Among them, IRAK-1, IRAK-2, and IRAK-4 positively regulate TRAF6 activity, while IRAK-M limits TLR/IL-1R-medaited immune responses. Genetic studies using mice lacking IRAK-1, IRAK-2 or IRAK-4 have demonstrated that deficiency of both IRAK-1 and IRAK-2 is comparable to the lack of IRAK-4 alone, suggesting a central role of IRAK-4 in TLR/IL-1R-mediated signaling. Moreover, IRAK-4 interacts with an upstream adaptor molecule, MyD88, through a homophilic interaction of the death domain [58]. MyD88 plays a critical role in both TLR- and IL-1R-mediated signaling pathways [59, 60]. (See Figure 2).Figure 2
TLR-mediated MyD88-dependent or TRIF-dependent pathways. TIR domain-containing adaptors MyD88, TIRAP, TRIF, and TRAM define TLR-mediated signaling. MyD88 and TIRAP are adaptors for the MyD88-dependent pathways, which mainly activate proinflammatory cytokine production. On the other hand, TRIF and TRAM are adaptors for IRF3 activation, resulting in production of type I IFN by TLR3- or TLR4-mediated TRIF-dependent pathways. In pDCs, TLR7/TLR9-mediated MyD88-dependent pathways induce IRF7 activation, leading to IFNα production.


## 6. Specific Participation of the TIR Domain-Containing Adaptor Molecules in TLR Signaling

MyD88 is a member of the family of cytosolic TIR domain-containing adaptor molecules. In addition to MyD88, the family includes TIRAP (also known as Mal), TRIF (also known as TICAM-1), TRAM (also known as TICAM-2), and SARM. As discussed above, the cytoplasmic portion of TLRs harbors a TIR domain, to which individual TIR domain-containing adaptors are selectively recruited to specific TLRs, generating signaling specificity for each TLR [9]. MyD88 is a master adaptor molecule that is utilized by not only all IL-1R family members, but also by almost all TLRs, with the exception of TLR3 [1]. TIRAP interacts with MyD88 through the TIR domain and selectively participates in TLR2- and TLR4-mediated MyD88-dependent signaling pathways [61, 62].Whereas LPS, the TLR4 ligand, fails to stimulate the production of proinflammatory cytokines in MyD88-deficient cells, it still activates NF-κB and MAPK and induces gene expression of type I IFN, indicating the presence of MyD88-independent pathways in TLR4 signaling [63, 64]. Moreover, TLR3 activates MyD88-independent signaling, suggesting the existence of other TIR domain-containing adaptor molecules that function in the TLR3- and TLR4-mediated pathways [65]. TRIF plays a critical role in the TLR3- and TLR4-mediated MyD88-independent pathways [63, 64]. Although TRIF is bound to TLR3 through the TIR domain, TLR4 utilizes TRAM to activate TRIF-dependent signaling [66–68]. Thus, TLR4 utilizes MyD88 and TIRAP for the MyD88-dependent pathway to induce mainly proinflammatory cytokines, or TRIF and TRAM for the MyD88-independent pathway to induce type I IFN and IFN inducible genes (IRGs) [9]. Moreover, internalization of TLR4 is shown to be required for proper activation of the TRIF-dependent pathway [69]. In addition, a very recent study demonstrates a two-stage activation mechanism for TLR4-mediated signaling pathways, in which assembly of a multiprotein complex including MyD88, TRAF6, Ubc13, IKKγ, cIAP1/2, TAK1, and TRAF3 induces K63-linked ubiquitination of cIAP1/2 that leads to degradation of TRAF3, subsequently resulting in MyD88-signaling complex inducing its translocation from membrane to the cytosol and TAK1 activation [70].Regarding SARM, a previous biochemical report has suggested that human SARM is required for negative regulation of the TLR3-mediated MyD88-independent pathway by inhibiting the interaction of TRIF with TLR3 [71]. However, mice lacking SARM do not show any abnormalities in TLR3-mediated, or other TLR-mediated, signaling, indicating the minor role of SARM in TLR signaling pathways [72].


## 7. Signaling Pathways for TLR-Mediated Type I IFN Production

TLR3/TLR4-mediated MyD88-independent (TRIF-dependent) signaling induces the expression of type I IFN and IRGs [9]. In addition, TLR7- and TLR9-mediated MyD88-dependent pathways also lead to type I IFN production, especially in a subtype of dendritic cells called plasmacytoid dendritic cells (pDCs) [73]. Thus, TLR-mediated type I IFN production is mediated by the TLR3/TLR4-mediated TRIF-dependent or the TLR7/TLR9-mediated MyD88-dependent pathways [1]. Expression of type I IFN is largely controlled by IRF transcription factors, which consist of 9 members. Among them, IRF1, IRF3, IRF7, and IRF8 are involved in TLR-mediated type I IFN production [74].Downstream of TRIF, two TRAF proteins, TRAF3 and TRAF6, participate in type I IFN production [75, 76]. Although deficiency in TRAF3 has resulted in severe abnormalities in TRIF-mediated type I IFN production as well as IL-10 production, it is largely normal in TRAF6-deficient cells, suggesting that TRAF3 rather than TRAF6 plays the critical role in the TLR3/TLR4-mediated TRIF-dependent pathway [75, 76]. Signaling from TRAF3 activates IRF3, predominantly leading to IFN-β expression [75, 76]. Phosphorylation of the C-terminal serine/threonine rich portions of IRF3 by IKK-related kinases, TBK1 (also known as T2K or NAK) and IKK-i (also known as IKKε), is required for this activation [77, 78]. Phosphorylated IRF3 forms a homodimer and translocates into the nucleus where it binds to the DNA and interacts with the nuclear coactivator proteins p300 and CBP to positively regulate the transcription of the IFNβ gene [79]. IKK-i and TBK1 are bound to TANK (also known as I-TRAF), NAP1 (also known as AZ2) and TBKBP1 (also known as SINTBAD) [80–82]. Although the molecules regulate the kinase activities of TBK1 and IKK-i, much like NEMO, which critically controls IKKα and IKKβ, their physiological roles in TLR3/TLR4-mediated type I IFN production remain to be elucidated [1].In vivo stimulation by TLR7 or TLR9 ligands in mice leads to the production of high levels of IFNα, mainly from pDCs [1]. TLR7- and TLR9-dependent IFNα production requires MyD88, but not TRIF [83, 84]. MyD88-dependent expression of IFNα is mediated by IRF7 [83, 84], a protein structurally related to IRF3 that plays a master role in TLR7- and TLR9-mediated IFNα production [74]. Like IRF3, which is phosphorylated by IKK-i and TBK1 [85, 86], IRF7 is also phosphorylated in response to TLR7 and TLR9 ligands in pDCs, although by IRAK-1 and IKKα [83]. Moreover, PI3K, osteopontin, TRAF3, and TRAF6 regulate IRF7 activation [87]. In addition to IRF7, IRF1 participates in IFNβ gene expression in conventional DCs (cDCs) [88]. IRF1 as well as IRF7 is directly bound to MyD88 and activated in response to TLR9 ligands [89]. Moreover, IRF8 also plays an important role in IFNα and IFNβ, as well as IL-12 p40, production by pDCs and other DCs [90]. Another IRF member, IRF5, is indispensable for proinflammatory cytokine production, rather than type I IFN, in the MyD88-dependent pathways mediated by almost all TLRs [91]. Thus, IRFs are divergent regulators of the production of not only type I IFN, but also inflammatory cytokines. (See Figure 2).


## 8. Conclusions

A variety of PAMPs derived from a wide range of pathogens, including viruses, bacteria, fungi, and parasites, are recognized by TLRs. After ligation of the PAMPs, TLRs initiate intracellular signaling pathways to activate immune responses via the TIR domain. The TIR domain of the receptor interacts with the intracellular TIR domain-containing adaptors MyD88, TIRAP, TRIF, TRAM, and SARM, which generate the specificity of the downstream signaling and unique outputs of each TLR. The MyD88-dependent pathways mainly regulate proinflammatory cytokine production and IRF1- or IRF7-mediated type I IFN production in DCs. On the other hand, TLR3- and TLR4-mediated TRIF-dependent pathways control IRF3-mediated IFNβ production. Large bodies of the past, current, and future literature on TLR signaling pathways can be applied not only to liver immune cells, such as Kupffer cells, but also nonimmune cells including hepatocytes and other liver cells.



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