Bacterial endotoxin (lipopolysaccharide, LPS), a glycolipid found in the ou
ter membrane of Gramnegative bacteria. induces the secretion of pro-inflamm
atory cytokines such as tumor necrosis factor alpha (TNF-alpha), interleuki
n (IL)-1. and IL-6 by monocytes/macrophages. The secretion of these biologi
cally active compounds leads to multiple pathological conditions. such as s
eptic shock. There is substantial evidence that chronic exposure to LPS in
periodontal diseases mediates, at least in part. the tissue destruction ass
ociated with the Gram-negative infection. LPS receptor has been shown to be
CD14, a 55 kDa protein. LPS-CD 14 interactions mediate many monocyte/macro
phage functions in the inflammatory response. However, CD 14 lacks a cytopl
asmic domain, or any known signal transduction sequence motif, suggesting t
he existence of another cell surface domain capable of transducing signals.
More recently, significant work has implicated Toll proteins in LPS-mediat
ed signaling. The purpose of the present work was to investigate, identify,
and characterize secondary LPS binding cell surface domain(s) on monocytes
/macrophages. Initial experiments with anti-CD14 blocking antibody revealed
only partial blocking of the LPS induced TNF-alpha response. The kinetics
of these experiments suggested a second, low-affinity receptor. Cross-linki
ng experiments were performed to identify LPS binding sites. Two domains we
re identified: a 55 kDa protein which was inhibited by anti-CD14 (presumabl
y the CD14 receptor) and a second 78 kDa domain. Partial protein sequencing
of the 78 kDa domain using mass spectroscopic analysis ascribed this domai
n to Moesin (membrane organizing extension spike protein). Preliminary expe
riments using anti-Moesin monoclonal antibody revealed a dose-dependent blo
cking of LPS induced TNF-alpha response with a total blocking at 50 mug/ml.
Irrelevant isotype controls had no effect. Additional experiments were per
formed to evaluate the specificity of the anti-Moesin blocking. Separate ex
periments evaluated anti-Moesin effects on monocyte chemotaxis, IL-1 produc
tion in response to IL-1 stimulation, and TNF-alpha secretion in response t
o Staphylococcus aureus stimulation. Anti-Moesin antibody only blocked LPS-
mediated events. Histological analysis of tissue sections harvested from LP
S-induced skin lesions exhibited a 3-fold reduction of the polymorphonuclea
r neutrophil infiltrate in Moesin-deficient mice compared to wild type mice
. The data suggest that Moesin functions as an independent LPS receptor on
human monocytes.