“…1 Originally identified as the predominant LPS receptor, 2,3 TLR4 has subsequently been shown to also recognize protein F from respiratory syncytial virus, 4 taxol, 5 fibronectin, 6 and endogenous HSP 60. 7 A small secreted protein, MD-2, is necessary for initiating TLR4-mediated LPS responses 8 via an intracellular pathway that involves MyD88, IL-1R-associated kinase (IRAK), Tollip, [9][10][11][12][13][14] TRAF-6, ECSIT, and TAK-1, [15][16][17] which ultimately results in activation of mitogen-activated protein (MAP) kinases and transcription factors. TLR4 also triggers the MyD88-independent pathway via recruitment of the Toll-IL-1R adapter protein (TIRAP)/MyD88-like adapter (MAL), 18,19 which mediates delayed NF-kB, MAP kinase activation, 20 and dendritic cell maturation.…”