Isolation of an endotoxin-MD-2 complex that produces Toll-like receptor 4-dependent cell activation at picomolar

Theresa L Gioannini1, Athmane Teghanemt, DeSheng Zhang

  • 1Inflammation Program, Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA. theresa.gioannini@uiowa.edu

Insights

Host proinflammatory responses to endotoxins involve lipopolysaccharide-binding protein (LBP), CD14, Toll-like receptor 4 (TLR4), and MD-2. This study reveals a sequential transfer mechanism for endotoxin activation at picomolar concentrations.

Area of Science:

  • Immunology
  • Molecular Biology
  • Bacterial Pathogenesis

Background:

  • Host inflammatory responses to Gram-negative bacteria endotoxins depend on lipopolysaccharide-binding protein (LBP), CD14, Toll-like receptor 4 (TLR4), and MD-2.
  • Optimal endotoxin sensitivity requires a precise sequence of endotoxin-protein and protein-protein interactions.
  • The specific interactions between endotoxin-CD14 complexes and TLR4/MD-2 remain incompletely defined.

Purpose of the Study:

  • To elucidate the mechanism of endotoxin-MD-2 complex formation and its role in TLR4-mediated host cell activation.
  • To characterize the structure and bioactivity of a purified endotoxin-MD-2 complex.
  • To define the sequential interactions of endotoxin with LBP, CD14, and MD-2 leading to TLR4 activation.

Main Methods:

  • Purification of a stable, monomeric endotoxin-MD-2 complex via treatment of endotoxin-CD14 complexes with recombinant MD-2.
  • Assessing complex generation efficiency at picomolar endotoxin and nanogram/milliliter MD-2 concentrations.
  • Evaluating TLR4-dependent delivery and cell activation using the purified complex in human embryonic kidney (HEK) cells.

Main Results:

  • A bioactive endotoxin-MD-2 complex was efficiently generated at picomolar endotoxin concentrations, requiring prior formation of a monomeric endotoxin-CD14 complex.
  • The purified endotoxin-MD-2 complex induced TLR4-dependent cell activation at picomolar endotoxin levels, unlike endotoxin aggregates.
  • Excess MD-2 inhibited endotoxin-MD-2 complex delivery and cell activation, indicating a critical stoichiometry.

Conclusions:

  • TLR4-dependent host cell activation by picomolar endotoxin concentrations involves a sequential transfer of endotoxin from LBP to CD14, then to MD-2.
  • MD-2 acts as a bridge, simultaneously engaging endotoxin and TLR4 to initiate the inflammatory cascade.
  • This mechanism highlights the critical role of sequential molecular interactions in achieving high sensitivity to bacterial endotoxins.

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