The Toll-like receptor 4 protein acts as the transducing subunit of the lip
opolysaccharide receptor complex and assists in (fie detection of Gram-nega
tive pathogens within the mammalian host. Several lines of evidence support
the view that variation at the TLR4 locus may alter host susceptibility to
Gram-negative infection or the outcome of infection. Here, we surveyed TLR
4 sequence variation in the complete-coding region (2.4 kb) in 348 individu
als from several population samples; in addition, a subset of the individua
ls was surveyed at 1.1 kb of intronic sequence. More than 90% of the chromo
somes examined encoded the same structural isoform of TLR4, while the rest
harbored 12 rare amino acid variants. Conversely, the variants at silent si
tes (intronic and synonymous positions) occur at both low and high frequenc
ies and are consistent with a neutral model of mutation and random drift. T
he spectrum of allele frequencies for amino acid variants shows a significa
nt skew toward lower frequencies relative to both the neutral model and the
pattern observed at linked silent sites. This is consistent with the hypot
hesis weak purifying selection acted oil TLR4 and that most mutations affec
ting TLR4 protein structure have at least mildly deleterious phenotypic eff
ects. These results may imply that genetic variants contributing to disease
susceptibility occur at low frequencies in the population and suggest stra
tegies for optimizing the design of disease-mapping studies.