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Blood, 15 March 2004, Vol. 103, No. 6, pp. 2229-2237.
Prepublished online as a Blood First Edition Paper on November 20, 2003; DOI 10.1182/blood-2003-04-1356.

Submitted April 30, 2003
Accepted November 13, 2003
Distinct pathways of LPS-induced NF- B activation and cytokine production in human myeloid and non-myeloid cells defined by selective utilization of MyD88 and Mal/TIRAP
Evangelos Andreakos, Sandra M Sacre, Clive Smith, Anna Lundberg, Serafim Kiriakidis, Tim Stonehouse, Claudia Monaco, Marc Feldmann, and Brian M Foxwell*
Kennedy Institute of Rheumatology Division, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London, United Kingdom
* Corresponding author; email: b.foxwell{at}imperial.ac.uk.
How LPS signals through toll-like receptors (TLRs) to induce NF- B and inflammatory cytokines in septis remains unclear. Major candidates for that process are MyD88 and Mal/TIRAP but their role needs to be further defined. Here, we have examined the role of MyD88 and Mal/TIRAP in primary human cells of non-myeloid and myeloid origin as physiologically relevant systems. We found that MyD88 and Mal/TIRAP are essential for LPS-induced I B phosphorylation, NF- B activation and IL-6 or IL-8 production in fibroblasts and endothelial cells in a pathway that also requires IKK2. In contrast, in macrophages neither MyD88, Mal/TIRAP or IKK2 are required for NF- B activation or TNF , IL-6 or IL-8 production, although Mal/TIRAP is still involved in the production of IFN . Differential usage of TLRs may account for that, as in macrophages but not fibroblasts or endothelial cells, TLR4 is expressed in high levels at the cell surface, and neutralization of TLR4 but not TLR2 blocks LPS signaling. These observations demonstrate for the first time the existence of two distinct pathways of LPS-induced NF- B activation and cytokine production in human myeloid and non-myeloid cells defined by selective utilization of TLR4, MyD88, Mal/TIRAP and IKK2, and reveal a layer of complexity not previously expected.

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