The TLR4 signaling pathway is highly regulated. A. Following LPS binding, TLR4 signals through two main adaptor molecules, MyD88 and TRIF. In the MyD88 dependent pathway, IRAK1 and IRAK4 are phosphorylated, then dissociate from the complex and activate TRAF6. TRAF6 activates the MAP kinases ERK, JNK, and p38, as well as the IKK complex. IKK phosphorylates IκBα, leading to its degradation, releasing NFκB to enter the nucleus and activate gene transcription. In the TRIF dependent pathway, TBK-1 phosphorylates IRF3, which then dimerizes and enters the nucleus to transcribe Type 1 IFN-inducible genes. TRIF signaling also leads to a delayed NFκB response. B. TLR4 induces multiple negative regulators. A20 deubiquitinates and deactivates TRAF6. IRAKM may inhibit dissociation of IRAK1 from the receptor complex. SIGRR and ST2 are inhibitory cell-surface receptors. SOCS1 inhibits IFNR signaling, SHIP antagonizes PI3K, and MyD88s is a non-functional splice variant of MyD88. An unknown regulator likely inhibits IRF3 phosphorylation. IL-10, TGFβ, and cholinergic stimulation also inhibit induction of proinflammatory cytokines. Schematic adapted with permission of D. Hargreaves.

The TLR4-induced inflammatory response has multiple components with distinct regulatory requirements. Upon recognizing bacterial infection, TLR4 signaling initiates the inflammatory response gene program. Inflammatory response genes fall into different functional groups, or components. Each component is regulated according to its role in the immune response and its potential for deleterious effects on the body if produced excessively. For example, proinflammatory cytokines and vasoactive factors (clotting factors, histamine) need only be induced transiently, and require tight regulation to prevent systemic shock. Antimicrobial proteins need to be produced for as long as pathogens persist, have no potential to cause shock, and are not highly regulated. For some components, such as oxidative killing, which have both direct antimicrobial activity and potential to damage tissues, the regulatory requirements are less clear, and must be tissue-type and context-dependent.

LPS tolerance is an example of gene-specific regulation of the inflammatory response. Following LPS stimulation of naïve macrophages, both class T and class NT promoters recruit transcription factors and display increased histone acetylation, histone H3K4 trimethylation, and accessibility (represented by yellow starburst). In tolerant macrophages stimulated with LPS, class T promoters are deacetylated and inaccessible. Class NT promoters, on the other hand, are inducibly reacetylated, remethylated, and made accessible with faster kinetics.