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Blood, 15 February 2008, Vol. 111, No. 4, pp. 1781-1788.
Prepublished online as a Blood First Edition Paper on November 19, 2007; DOI 10.1182/blood-2007-07-102343.


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Submitted July 23, 2007
Accepted October 21, 2007

Bmx tyrosine kinase regulates TLR4-induced IL-6 production in human macrophages independently of p38 MAPK and NF{kappa}B activity

Christine D Palmer, Brenda E Mutch, Sarita Workman, John P McDaid, Nicole J Horwood, and Brian M J Foxwell*

Kennedy Institute of Rheumatology Division, Faculty of Medicine, Imperial College London, London, United Kingdom
Royal Free Medical School, Dept of Immunology, University College London, London, United Kingdom

* Corresponding author; email: b.foxwell{at}imperial.ac.uk.

Chronic inflammation, as seen in conditions such as rheumatoid arthritis (RA) and Crohn's disease, is in part driven by discordant production of inflammatory cytokines such as tumour necrosis factor {alpha} (TNF) and interleukin (IL)-6. Tyrosine kinase activity is essential to LPS-induced cytokine production in monocytes, and previous studies by us and others have implicated a role for the Tec family kinase Bruton's tyrosine kinase (Btk) in inflammatory cytokine production. Here we show that knockdown of Btk using RNAi results in decreased TNF, but not IL-6 production. Further investigations into the signalling mechanisms regulating IL-6 production led to the discovery that the Tec kinase bone marrow tyrosine kinase gene in chromosome X (Bmx) regulates TLR-induced IL-6 production. Our data further showed that Bmx-dependent super-induction of IL-6 does not involve nuclear factor (NF)-{kappa}B activity. More detailed investigations of pathways downstream of Bmx signalling revealed that Bmx targets the IL-6 3' untranslated region (UTR) to increase mRNA stabilisation via a novel, thus far undefined p38 mitogen activated protein kinase (MAPK)-independent pathway. These data have important implications for the design of therapeutics targeted against specific cytokines and their regulators in inflammatory disease.


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