In addition to its role as a mediator of innate pro-inflammatory responses
following bacterial lipopolysaccharide (LPS) binding, the 55kDa glycosyl-ph
osphatidylinositol-linked macrophage plasma membrane glycoprotein CD14 is n
ow also known to play a role in phagocytic clearance of apoptotic cells. Al
though apoptotic cell-associated ligand(s) for CD14 await definition, initi
al findings suggest that ligand binding occurs close to, or at the same sit
e as, LPS binding. Significantly, in contrast to LPS clearance and in keepi
ng with the non-phlogistic nature of apoptosis, CD14-dependent engulfment o
f apoptotic cells fails to elicit pro-inflammatory cytokine release from ma
crophages. Therefore CD14 may be regarded as an innate immune receptor both
for microbial products-after binding which activates inflammatory response
s-and for self components, which either fail to induce, or alternatively ac
tively suppress, inflammatory responses. Here we review current knowledge o
f the structure and functions of CD14, its ligands, its possible modes of s
ignal transduction and its place in the panoply of macrophage molecules imp
licated in apoptotic-cell clearance.