Toll-like receptor 4 (TLR4) that is activated at the cell membrane recruits myeloid differentiation primary response protein 88 (MYD88) through TIR domain-containing adaptor protein (TIRAP). Signalling complexes containing MYD88, IL-1 receptor-associated kinases (IRAKs) and TNF receptor-associated factor 6 (TRAF6) are formed at the plasma membrane. TRAF6 activates the E3 ligases cellular inhibitor of apoptosis protein 1 (cIAP1) and cIAP2, which induce the ubiquitylation and subsequent degradation of TRAF3. The degradation of TRAF3 releases TRAF6 signalling complexes from TLR4 into the cytosol, where additional components are recruited and activated. Another branch of signalling pathways is stimulated when TLR4 is endocytosed. The adaptor protein TRAM recruits TIR domain-containing adaptor protein inducing IFNβ (TRIF) to endocytosed TLR4. Through the action of several E3 ligases — such as pellino 1 (PELI1), TRAF3 and TRAF6 — which mediate the ubiquitylation of signalling proteins such as receptor-interacting protein 1 (RIP1) and TRAF3, downstream pathways leading to nuclear factor-κB (NF-κB) activation and type I interferon (IFN) induction are activated. Deubiquitylation enzymes (DUBs), such as A20, provide mechanisms for the downregulation of various pro-inflammatory signalling pathways, by disassembling polyubiquitin chains. IκB, NF-κB inhibitor; IKK, IκB kinase; IRF3, interferon regulatory factor 3; MAPK, mitogen-activated protein kinase; NEMO, NF-κB essential modulator; TAB, TAK1-binding protein; TAK1, TGFβ-activated kinase 1; TBK1, TANK-binding kinase 1.