Abstract
The innate immune cells sense microbial infection and self-ligands by pathogen recognition receptors (PRRs), such as toll-like receptors (TLRs) and regulatory receptors (RRs), associated with immunoreceptor tyrosine-based activation motif (ITAM). Rapid activation and concerted action of PRRs signaling and feedback inhibitory mechanisms must be engaged to ensure the host defense functions and to prevent cytotoxicity associated with excessive activation. ITAM-associated RRs can generate stimulatory or, paradoxically, inhibitory signals. The network of ITAM-associated RR, together with TLR-signaling pathways, are responsible for immunogenic or tolerogenic responses of macrophages and dendritic cells to their microenvironment. In macrophages, TLR4 signaling is inhibited by low-avidity ligation of ITAM-associated receptors, while high-avidity ligation of ITAM-associated receptors results in potentiation of TLR4 signaling together with resistance to extracellular cytokine microenvironment signals. In contrast to macrophages, TLR7/9 signaling in plasmacytoid DCs (pDCs) is inhibited by high-avidity ligation of ITAM-associated RR, while low-avidity ligation does not show any effect. Surprisingly, interference of ITAM-associated receptor signaling with TLR pathways has not been reported in conventional dendritic cells. Here, we present an overview of molecular mechanisms acting at the crossroads of TLR and ITAM-signaling pathways and address the question of how the high-avidity engagement of the ITAM-associated receptors in pDCs inhibits TLR7/9 signaling. Cellular context and spatiotemporal engagement of ITAM- and TLR-signaling pathways are responsible for different outcomes of macrophage versus pDC activation. While the cross-regulation of cytokine and TLR signaling, together with antigen presentation, are the principal functions of ITAM-associated RR in macrophages, the major role of these receptors in pDCs seems to be related to inhibition of cytokine production and reestablishment of a tolerogenic state following pDC activation. Pharmacologic targeting of TLR and ITAM signaling could be an attractive new therapeutic approach for treatment of chronic infections, cancer, and autoimmune and inflammatory diseases related to pDCs.
Introduction
Macrophages and dendritic cells (DCs) play a major role in initiating and sustaining innate and adaptive immune responses and are the nexus at which immune stimulation or suppression occurs (–). The innate immune cells sense microbial infection and self-ligands such as damaged or altered self, including dead cells, by pathogen recognition receptors (PRRs), such as toll-like receptors (TLRs) and lectin-like receptors (LLRs), also called C-type lectin receptors (). Rapid activation and concerted action of PRRs signaling is needed to ensure the host defense functions after infectious challenge or tissue damage. PRR agonists and secreted cytokines and chemokines are the drivers and the major regulators of fine-tuned innate immune responses. Concomitantly, feedback inhibitory mechanisms must be engaged to prevent cytotoxicity associated with excessive activation of the innate immune cells (). Thus, TLRs that confer functional specificity to macrophages and DC subsets trigger intracellular signaling cascades that result in the secretion of interferons (IFNs) and pro-inflammatory cytokines and activation of host defense programs necessary for innate or adaptive immune responses. The same cells also specifically express immunoreceptor tyrosine-based activation motif (ITAM)-associated receptors that can modulate TLR-signaling pathways (, , ). The conserved ITAM-signaling motif, with a consensus sequence YXXL/I–X6–8–YXXL/I (where X denotes any amino acid), is present in the cytoplasmic tail of transmembrane adaptor molecules associated with multiple receptors. Initially discovered ITAM-associated receptors, including the T-cell receptor, B-cell receptor (BCR), and Fc receptors (FcRs), were shown to induce phosphorylation of the tyrosines within the ITAMs, to recruit Syk tyrosine kinases, and to activate the immune cell. More recent studies have shown that some ITAM-associated receptors mainly in the innate immune cells efficiently inhibit downstream signaling triggered by other types of PRRs.
Here, we present an overview of molecular mechanisms acting at the crossroads of TLRs and regulatory receptors (RRs) signaling and address the question of how the engagement of the ITAM-associated receptors in macrophages and two subtypes of DCs, conventional dendritic cells (cDCs) and plasmacytoid DCs (pDCs), inhibits cytokine and TLR7/9 signaling. We compare ITAM-mediated inhibitory mechanisms and function of the ITAM-associated receptors in these cell types. We focused our review on the neglected observation that TLR signaling in pDCs is inhibited by high-avidity engagement of the ITAM-associated RRs; while in macrophages, it is inhibited by low-avidity engagement of these receptors.
On the basis of this comparison, we assess the functions of the ITAM-associated receptors in those cells types. We hypothesize that while antigen presentation and cross-regulation of cytokine and TLR signaling are the principal functions of ITAM-associated receptors in macrophages, the major role of these receptors in pDCs is the inhibition of cytokine production and reestablishment of a tolerogenic state following pDC activation.
Immunogenic and Tolerogenic Receptors of DCs
Plasmacytoid DCs are a highly specialized subset of DCs that function as sentinels for viral infection and cancer. They are responsible for production of type I and III IFNs, IFN-I (namely IFN-α, β, and ω) and IFN-III (IFN-λ1, λ2, λ3, and λ4 also called IL-29, IL-28A, IL-28B, and IL-28C), pro-inflammatory cytokines, and antigen presentation (Figure 1A). pDCs are able to detect genetic material of viruses with a subset of nucleotide-sensing TLRs localized in the endosomal compartment: TLR7, which recognizes single-stranded RNA, and TLR9, which recognizes DNA. TLR7 also recognizes synthetic imidazoquinoline components, for example Resiquimod (R848), whereas TLR9 recognizes synthetic CpG oligonucleotides. Ligation of TLR9 with aggregating CpG-A oligonucleotides in the early endosomes triggers the adaptor protein 3-dependent MyD88-IRF7 pathway that includes TLR adaptor MyD88, interleukin-1 receptor-associated kinase 1/4 (IRAK1/4), tumor necrosis factor receptor-associated factors 3 and 6 (TRAF3/6), and interferon-regulatory factor 7 (IRF7), and that results in the type I IFN production (, , , ) (Figure 1A). Activated IRF7, which is constitutively expressed in pDCs, translocates to the nucleus and, together with ATF-2, c-Jun, and nuclear factor kappa B (NF-κB) subunits p50 and RelA, initiates the transcription of IFN-I (). Furthermore, it has been demonstrated that TLR9-mediated induction of transforming growth factor β-activated kinase 1 (TAK1) and of inhibitor of nuclear factor κB kinase subunit β, followed by the IFN-β-stimulated activation of the JAK-STAT1/2 pathway, are essential for production of IFN-α (). This second loop of IFN-I signaling induced by IFN-β secreted by pDCs triggers a robust IFN-I/III response and expression of IFN-stimulated genes, and it can be blocked by mAbs against secreted IFN-I or IFN-α/β receptor. In contrast to IRF7-mediated production of IFN-I, monomeric CpG-B oligonucletides are transferred to an endolysosomal compartment where they activate the MyD88–NF-κB pathway that triggers expression of mitogen-activated protein kinases (MAPKs) and IRF5 (, ) (Figure 1A). Both, NF-κB and MAPKs, stimulate secretion of chemokines and of the pro-inflammatory cytokines interleukin-6 and tumor necrosis factor-α (TNF-α) and stimulate expression of co-stimulatory molecules, such as CD80 (B7.1) and CD86 (B7.2).
Figure 1
In addition to nucleotide-sensing TLRs, pDCs also recognize pathogens through a battery of cell surface RRs, including FcRs and LLRs. The principal function of these RRs on pDCs is to facilitate antigen capture and presentation and to prevent aberrant immune responses by modulating production of IFN-I and pro-inflammatory cytokines (
Human cDCs, also called classical or myeloid dendritic cells, can be divided into at least two subsets. The more common mDC1s (BDCA-1+CD1c+), which produce inflammatory cytokines and chemokines, are major stimulators of T cells (
Negative Signaling by Itam-Associated Receptors in Macrophages
Results obtained during the two last decennia show that immune receptors associated with an ITAM can generate stimulatory or, paradoxically, inhibitory signals (
Figure 2

High- and low-avidity engagement of the immunoreceptor tyrosine-based activation motif (ITAM)-associated receptors in macrophages. (A) High-avidity ligation of the ITAM-associated receptor results in synergy of ITAM and TLR4 signaling. High-avidity ligation of macrophage receptors, such as Fc receptors (FcRs) or β2-integrin [e.g., by cross-linking of FcR with immune complexes (IC), or β2-integrin with CD11b mAb or poly arginine–glycyl–aspartic acid (RGD) motifs (
Mechanisms Inhibiting TLR Signaling in Macrophages
Spatiotemporal compartmentalization of inhibitory ITAM-containing receptors into lipid rafts is a key event in the triggering of several ITAM-mediated inhibitory signals. Thus, the presence of ITAMs in inhibisome rafts can be responsible for induction of a phosphatidylinositol 3-OH kinase (PI3K)- and PLCγ2-mediated imbalance characterized by accumulation of inositol-1,4,5-triphosphate (InsP3) and low levels of diacylglycerol (Figure 2B). This imbalance results in triggering of constitutive calcium and MAPK signaling without phosphorylation of IκB at position Ser32 (
A recent study showed that the TLR pathway in macrophages could be inhibited by another molecular mechanism, in which ITAM-associated low-avidity signaling inactivates MyD88 (
Figure 3

Low-avidity signaling of β2-integrin regulates toll-like receptors (TLR) signaling in macrophages. (A) Inside-out signals are initiated by TLR4 activation through phosphatidylinositol 3-OH kinase (PI3K) and effector RapL β2-integrin by separation of the cytoplasmic domains of α- and β-integrin chains. (B) β2-integrin signals in a low-avidity (without even ligand binding) outside-in manner through ITAM-associated activation of the spleen tyrosine kinase (SYK) pathway, which induces phosphorylation of Tyr227 on MyD88 and of Tyr375 on TRIF. TLR4 signaling is regulated by Cbl-b-mediated degradation of MyD88 and TRIF. Skewed position of β2-integrin indicates conformational changes after separation of the cytoplasmic domains α and β. (C) Cbl-b associates with CD2-associated protein (CD2AP, CIN85) and enhances the ubiquitination and degradation of SYK and FcεRIγ. Ubiquitinated MyD88 and TRIF are degraded by the proteasome.
In contrast to the well-established role of MAPK in activation of IFN-β production, several recent reports highlight suppressive aspects of MAPK signaling in myeloid cells (
High-Avidity Engagement of the Itam-Associated RRs in pDCs Inhibits TLR7/9 Signaling
A cornerstone of the signal-switch hypothesis in macrophages is a direct relation between the avidity of the ITAM-associated receptor engagement and the intensity of IFN-I production (
Figure 4

High-avidity engagement of the immunoreceptor tyrosine-based activation motif (ITAM)-associated receptors in plasmacytoid DCs (pDCs) inhibits TLR7/9 signaling. (A) In immature pDCs, blood dendritic cell antigen 2 (BDCA-2) and CD32a (FcγRIIa) are expressed on the cell surface. Homeostatic levels of TLR7/9 are present in endosomes. (B) BDCA-2 mAb or HIV-1 gp120/anti-gp120 Ab complex simultaneously engages BDCA-2 and CD32a, leading to internalization of both receptors. Crosslinking of BDCA-2-induces B-cell receptor (BCR)-like ITAM-mediated signaling. BDCA-2 cross-linking induces formation CD2AP/SHIP1 complex, which inhibits the Cbl-b-induced ubiquitination of spleen tyrosine kinase (SYK), FcεRIγ, and FcγRIIa and maintains the expression levels of SYK and FcεRIγ.
The mechanism explaining inhibition of TLR7/9 signaling by high-avidity engagement of the ITAM-associated receptors in pDCs is not clear. The principal difference between pDCs and macrophages could reside in the localization and timing of the early steps of interaction of TLRs and ITAM-associated receptors. While in macrophages, the TLR4 and the ITAM-mediated β2-integrin signaling are concomitantly triggered from a close vicinity in the lipid raft (Figure 3), in pDCs, the TLR7/9 signaling is triggered from an endosome, whereas ITAM-mediated RRs signaling is triggered from the plasma membrane, with an unknown delay. Earlier findings suggested that in unstimulated pDCs, TLR7 and TLR9 reside in the endoplasmic reticulum and are delivered to the endolysosomal compartment only after uptake of RNA or DNA ligands to endosomes (
As in macrophages, ubiquitination of MyD88, SYK, and FcεRIγ could play a crucial role in the outcome of TLR7/9 and RRs signaling in pDCs. Ubiquitination of these molecules depends on the cellular context. It has been shown that upon BDCA2 cross-linking in human pDCs, CD2AP forms a complex with SHIP1 and Cbl-b with reduced Cbl-E3 ubiquitin ligase activity in comparison with CD2AP- or SHIP1-knocked-down pDCs (
In addition to ITAM-associated RRs, pDCs express an ITAM-associated FcR, FcγRIIa (CD32a), which is responsible for uptake and delivery of systemic lupus erythematosus (SLE) immune complexes (IC) in the endosomal compartment called the IFN signaling compartment, from where they trigger TLR9 signaling followed by massive IFN-I production (
Tolerogenic Effect of the High-Avidity Engagement of Itam-Associated Receptors in pDCs
Antigen targeted to pDCs by means of BDCA-2 mAb is rapidly endocytosed and traffics via early endosomes to MHC-enriched endosomes independently of TLR7/9 stimulation (
The capacity of pDCs to produce IFN-I and their central role at the interface of innate and adaptive immunity could make them important actors in antitumor immunity (
Concluding Remarks
Fifteen years after the discovery of the inhibitory role of BDCA-2 in IFN-I production in pDCs (
Figure 5

Cross talk between immunoreceptor tyrosine-based activation motif (ITAM)-associated receptor signaling and toll-like receptor (TLR) pathways in conventional dendritic cells (cDCs), MΦ, and plasmacytoid DCs (pDCs): an ITAM-centric view. ITAM-mediated activation pathways are shown by green arrows; ITAM-mediated inhibitory pathways are shown by red lines. Positive or negative control of immune responses in macrophages (MΦ) is determined by avidity of ITAM-associated receptors to their ligands. Production of interferons (IFNs)-I is facilitated by interferon-regulatory factor 3 (IRF3) in macrophages, by IRF5 in cDCs, and by IRF7 in pDCs. In cDCs, ITAM-associated receptor signaling can result in the IRF5-mediated production of IFN-β without engagement of TLRs (
Table 1
| TLR | ITAM-coupled receptors | ITAM/TLR cross talk | ||||||
|---|---|---|---|---|---|---|---|---|
| Receptor | Ligand | Receptor | Adaptor | Ligand | High-avidity ligation | Low-avidity ligation | ||
| High avidity | Low avidity | |||||||
| Macrophage | TLR4 | LPS | β2-Integrin FcγRI FcγRIIA FcαR FcεRI TREM2 | DAP12 FcRγ – FcRγ FcRγ DAP12 | Fibrinogen IC/RF IC/RF IC/RF IC/RF poly RGD | ECM Monomeric IgG or IgA, IVIg, mAb F(ab′)2 Semaphorin 6D |
|
|
| pDCs | TLR7 | ssRNA Resiquimod | BDCA-2 | FcεR1γ | HIV gp120, HCV E2; mAb | mAb Fab, F(ab′)2 |
| No/unknown effect |
| ILT7 | FcεR1γ | BST2 | ||||||
| FcεRIα | FcεR1γ | IgE | ||||||
| NKp44 | DAP12 | PCNA | ||||||
| TLR9 | CpG ODNs | Siglec-H | DAP12 | Sialic acid | ||||
| FcγRIIA | – | IC | ||||||
Cross talk between immunoreceptor tyrosine-based activation motif (ITAM)-signaling and toll-like receptors (TLR) pathways in macrophages and plasmacytoid DCs (pDCs).a
amAb, mAb Fab, and mAb F(ab′)2 are related to the respective receptor.
IC, immune complexes; RF, rheumatoid factor; IVIg, intravenous immunoglobulin; TREM2, triggering receptor expressed on myeloid cells 2; ECM, extracellular matrix; RGD, arginine–glycyl–aspartic acid motif; DAP12, DNAX activation protein 12; BDCA-2, blood dendritic cell antigen 2; ILT7, immunoglobulin-like transcript; PCNA, proliferating cell nuclear antigen.
Published data suggest that ITAM-associated receptors play different roles in pDCs, cDCs, and in macrophages. Under home-ostatic conditions in macrophages, the ITAM-associated receptors enable a fine-tuning of immune responses, including inhibition of IFN-I production and high sensitivity to extracellular cytokines. In an infection setting, ITAM-associated receptors in macrophages switch to signaling for robust production of cytokines including IFN-I, to cell activation and to low sensitivity to extracellular cytokines. In cDCs, ligation of ITAM-associated receptors leads to rapid activation of NF-ĸB and massive production of cytokines, which can occur without engagement of TLR. In contrast, the major role of ITAM-associated RRs in pDCs is related to inhibition of cytokine production and reestablishment of a tolerogenic state following pDC activation. Limitation of the ITAM-associated RR signaling in pDCs to high-avidity engagement could be related to a low homeostatic level of TLR7/9 in endosomes in immature pDCs under physiological conditions (
Interaction of the TLR pathway and ITAM signaling in pDCs plays an important role in control of the innate immune responses in viral infections (
Statements
Author contributions
The work was written by IH and NB-V with substantial contributions of VJ and RS to the conception, drafting, and revising the work for important intellectual content. All authors gave final approval of the version to be published; and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Funding
Our work was supported by grant from the Grantová Agentura České Republiky grant no. 14-32547S, by grant SVV-2017-260426, by grant INCa PAIR SEIN 2014-093, and by the project “BIOCEV—Biotechnology and Biomedicine Centre of the Academy of Sciences and Charles University” (CZ.1.05/1.1.00/02.0109), from the European Regional Development Fund.
Acknowledgments
The authors thank Jacques Nunes and Tomas Hofman for critical reading of this manuscript.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer, SM, and handling Editor declared their shared affiliation, and the handling Editor states that the process nevertheless met the standards of a fair and objective review.
Abbreviations
BCR, B-cell receptor; BDCA-2, blood dendritic cell antigen 2; BLNK, B-cell linker protein; BTK, Bruton’s tyrosine kinase; CD2AP, CD2-associated protein (AP); cDC, conventional dendritic cell; DAG, diacylglycerol; DAP12, DNAX activation protein 12; DC, dendritic cell; DCIR, dendritic cell immunoreceptor; ECM, extracellular matrix; FcRs, Fc receptors; IC, immune complexes; IL-6, interleukin-6; IFN, interferon; ILT7, immunoglobulin-like transcript; IRAK1/4, interleukin-1 receptor-associated kinase 1/4; IRF7, interferon-regulatory factor 7; ITAM, immunoreceptor tyrosine-based activation motif; ITIM, immunoreceptor tyrosine-based inhibition motif; LLR, lectin-like receptors; MDL-1, myeloid DAP12-associated lectin-1; MICL, myeloid C-type lectin-like receptor; Mincle, macrophage-inducible C-type lectin; MAPK, mitogen-activated protein kinases; NF-κB, nuclear factor kappa B; pDC, plasmacytoid DC; PI3K, phosphatidylinositol 3-OH kinase; PLCγ2, phospholipase Cγ 2; PRRs, pathogen recognition receptors; RF, rheumatoid factor; RGD, arginine–glycyl–aspartic acid motif; RRs, regulatory receptors; SHIP, SH2-domain-containing inositol phosphatase-1; R848, Resiquimod; SHP1, SRC-homology-2 (SH2)-domain-containing protein tyrosine phosphatase 1; TAK1, transforming growth factor β-activated kinase 1; TCR, T-cell receptor; TLRs, toll-like receptors; TNF-α, tumor necrosis factor-α; Treg, regulatory T cells T cells; TRAF3/6, tumor necrosis factor receptor-associated factors 3 and 6; TREM2, triggering receptor expressed on myeloid cells 2; SYK, spleen tyrosine kinase.
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Summary
Keywords
plasmacytoid dendritic cell, conventional dendritic cells, macrophage, toll-like receptors, regulatory receptors, immunoreceptor tyrosine-based activation motif-associated receptor, B cell receptor-like signaling
Citation
Hirsch I, Janovec V, Stranska R and Bendriss-Vermare N (2017) Cross Talk between Inhibitory Immunoreceptor Tyrosine-Based Activation Motif-Signaling and Toll-Like Receptor Pathways in Macrophages and Dendritic Cells. Front. Immunol. 8:394. doi: 10.3389/fimmu.2017.00394
Received
15 January 2017
Accepted
21 March 2017
Published
07 April 2017
Volume
8 - 2017
Edited by
Ulrich Blank, Institut national de la santé et de la recherche médicale (INSERM), France
Reviewed by
Axel Lorentz, University of Hohenheim, Germany; Sanae Ben Mkaddem, Institut national de la santé et de la recherche médicale (INSERM), France
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Copyright
© 2017 Hirsch, Janovec, Stranska and Bendriss-Vermare.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Ivan Hirsch, ivan.hirsch@inserm.fr, ivan.hirsch@natur.cuni.cz
†Present address: Ruzena Stranska, KU Leuven, Laboratorium Virologie en Chemotherapie (Rega Instituut), Leuven, Belgium
Specialty section: This article was submitted to Molecular Innate Immunity, a section of the journal Frontiers in Immunology
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