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Blood, 15 January 2008, Vol. 111, No. 2, pp. 723-731.
Prepublished online as a Blood First Edition Paper on October 1, 2007; DOI 10.1182/blood-2007-05-091173.


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Submitted May 18, 2007
Accepted September 25, 2007

Calmodulin-dependent kinase IV links toll-like receptor 4 signaling with survival pathway of activated denditric cells

Maddalena Illario, Maria L Giardino-Torchia, Uma Sankar, Thomas J Ribar, Mario Galgani, Laura Vitiello, Anna Maria Masci, Francesca R Bertani, Elena Ciaglia, Dalila Astone, Giuseppe Maulucci, Anna Cavallo, Mario Vitale, Vincenzo Cimini, Lucio Pastore, Anthony R Means, Guido Rossi, and Luigi Racioppi*

Department of Molecular and Cellular Biology and Pathology, "Federico II" University of Naples, Naples, Italy
Department of Pharmacology and Cancer Biology, Duke University Medical Center, Durham, NC, United States
Laboratory of Immunobiology of Cardiovascular Diseases, Dept of Medical Sciences & Rehabilitation, IRCCS San Raffaele, Rome, Italy
Laboratory of Cellular & Molecular Pathology, IRCCS San Raffaele, Rome, Italy
CEINGE-Advanced Biotechnology, Naples, Italy
Institute of Physic, University "Sacro Cuore", Rome, Italy
Dept of Endocrinology and Molecular and Clinical Oncology, "Federico II" University of Naples, Naples, Italy
Department of Biomorphological and Functional Science, "Federico II" University of Naples, Naples, Italy
Department of Biochemistry and Medical Biotechnology, "Federico II" University of Naples, Naples, Italy
Interdipartimental Center for Immunological Sciente (CISI), "Federico II" University of Naples, Naples, Italy

* Corresponding author; email: racioppi{at}unina.it.

Microbial products, including lipopolysacharide, an agonist of Toll-like receptor 4 (TLR4), regulate the lifespan of dendritic cells (DC) by largely undefined mechanisms. Here, we identify a role for calcium-calmodulin-dependent kinase IV (CaMKIV) in this survival program. The pharmacological inhibition of CaMKs as well as ectopic expression of kinase-inactive CaMKIV decreases the viability of monocyte-derived dendritic cells (DC) exposed to bacterial lipopolysacharide (LPS). The defect in TLR-4 signaling includes a failure to accumulate the phosphorylated form of the cAMP response element-binding protein (pCREB), Bcl-2 and Bcl-xl. CaMKIV null mice have a decreased number of DC in lymphoid tissues and fail to accumulate mature DC in spleen upon in vivo exposure to LPS. Although isolated Camk4-/- DC are able to acquire the phenotype typical of mature cells and release normal amounts of cytokines in response to LPS, they fail to accumulate pCREB, Bcl-2 and Bcl-xl and therefore do not survive. The transgenic expression of Bcl-2 in CaMKIV null mice results in full recovery of DC survival in response to LPS. These results reveal a novel link between TLR-4 and a calcium-dependent signaling cascade comprised of CaMKIV-CREB-Bcl-2 that is essential for DC survival.


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