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ESI Special Topic: Toll-Like Receptors
Publication Date: June 2007

Toll-Like Receptors

ESI Special Topics: August 2007
Citing URL: http://esi-topics.com/tlr/interviews/Alexopoulou_Flavell.html

An INTERVIEW with Dr. Lena Alexopoulou and Dr. Richard Flavell
This month, Special Topics talks with Dr. Lena Alexopoulou and Dr. Richard Flavell about their highly cited paper, "Recognition of double-stranded RNA and activation of NF-kappa B by Toll-like receptor 3," (Alexopoulou L, Holt AC, Medzhitov, and Flavell RA, Nature 413[6857]: 732-8, 18 October 2001). This paper ranks at #6 on our list of the top 20 papers on Toll-like receptors published in the past decade. According to Essential Science IndicatorsSM, the paper currently has 1,166 citations to its credit. Dr. Alexopoulou’s work can be found in the field of Immunology, and Dr. Flavell’s work can be found in the fields of Immunology, Molecular Biology & Genetics, Clinical Medicine, and Neuroscience & Behavior. Dr. Alexopoulou is the Group Leader for the Laboratory of Toll-like Receptors and Innate Immunity at the Centre d’Immunologie de Marseille-Luminy. Dr. Flavell is Professor and Chairman of Immunobiology and Professor of Molecular, Cellular & Developmental Biology at the Yale University School of Medicine, as well as an Investigator for the Howard Hughes Medical Institute.

ST:  Would you please give our readers a brief summary of your October 2001 Nature paper?

Through a series of in vitro and in vivo experiments we showed for the first time that TLRs are implicated in viral recognition. When we started our studies, the ligand and function of Toll-like receptor 3 (TLR3) was unknown, and we decided to generate TLR3-deficient mice by gene targeting, with the idea that the analysis of these mice would let us uncover the biological function of TLR3.

Alexopoulou

Flavel

“As our understanding of the principal functions regulated by TLRs in immune and inflammatory responses has developed, so has the appeal in applying that knowledge to clinical problems.”

We found that TLR3 detects viral double-stranded RNA and polyI:C (a synthetic analogue of double-stranded RNA) and that TLR3 signaling leads to NF-kappaB activation and production of type I interferons and cytokines. TLR3-deficient mice were highly resistant to polyI:C-induced septic shock. Moreover, we showed that in response to polyI:C, NF-kappaB activation and dendritic cell maturation was independent of MyD88, an adaptor molecule downstream of most TLRs.

ST:  What were the main findings of your study, and what were the implications for the field?

Our major finding was that TLR3 detects viral double-stranded RNA and that polyI:C can signal independently of MyD88. Today we know that indeed TLR3 signals through an adaptor molecule called TRIF and that viral double-stranded RNA can also be detected by the cytosolic helicases RIG-I and MDA5. Moreover, we know that not only TLR3 but also TLR7, TLR8, and TLR9 are able to sense distinct viral nucleic acid structures, such as single-stranded RNA and unmethylated CpG DNA.

ST:  Have you done any follow-ups to this paper, or did this paper influence any of your later publications?

One of our major follow-ups was to investigate the importance of TLR3 in antiviral responses. As an infectious agent we used West Nile virus, which is transmitted to humans mainly through mosquito bites; however, the infection only becomes consequential if the virus succeeds in crossing the blood-brain barrier. Using the TLR3-deficient mice as our mouse model, we showed that West Nile virus pathogenesis in the brain of infected mice is dependent on TLR3, since TLR3-deficient mice are more resistant to infection than their wild-type controls. TLR3 signaling initiates an early inflammatory response in the periphery, including the production of TNF-alpha, which leads to the opening of the blood-brain barrier and the entrance of the virus into the brain that finally leads to brain inflammation (Wang T, et al., "Toll-like receptor 3 mediates West Nile virus entry into the brain causing lethal encephalitis," Nature Medicine, 10[12]: 1366-73, 2004).

Moreover, through collaboration with various research groups, we tested the involvement of TLR3 signaling in different viral infection models and found that TLR3 function can be either beneficial or detrimental depending on the virus.

ST:  If we were in an ideal world where you had unlimited resources, what research would you pursue?

The recent appreciation of the role of pattern recognition receptors (PRRs), including TLRs, on the initiation of innate immunity and orchestration of adaptive immunity has opened new avenues in our understanding of immune responses. It is important to clarify the role of each individual PRR, but the big challenge is to understand how in response to a specific pathogen the various PRRs and their signaling pathways cooperate and orchestrate the appropriate immune response in order to fight and eliminate the pathogenic microorganism.

ST:  What are your predictions for this field in the future, say in 10 years' time?

Based on the intense research in the last decade on the biological role of mammalian TLRs, we now know that TLR-mediated innate and adaptive immune responses play an important role in a variety of diseases including infectious diseases, sepsis, autoimmune diseases, allergy, cancer, and atherosclerosis. As our understanding of the principal functions regulated by TLRs in immune and inflammatory responses has developed, so has the appeal in applying that knowledge to clinical problems. Currently, various TLR agonists are being developed as adjuvants for new vaccines to prevent infectious diseases and cancer and for the treatment of viral infections, allergies, and cancer. Interestingly, a few of these promising drugs have already been approved and numerous others are in the phase of preclinical or clinical trials. As the list of disease states for which one or more TLRs and their associated adaptor molecules are involved is growing rapidly, it is reasonable that the TLRs will serve as a productive field for drug development for various diseases in the future.End

Lena Alexopoulou, Ph.D., CR1 CNRS
Centre d’Immunologie de Marseille-Luminy
Marseille, France

Richard Flavell, Ph.D., FRS
Howard Hughes Medical Institute
Yale University School of Medicine
New Haven, CT, USA

Dr. Lena Alexopoulou and Dr. Richard Flavell's most-cited paper with 1,166 cites to date:
Alexopoulou L, et al., "Recognition of double-stranded RNA and activation of NF-kappa B by Toll-like receptor 3," Nature 413(6857): 732-8, 18 October 2001. Source: Essential Science Indicators.

Related Links:
Dr. Richard Flavell is featured in ISIHighlyCited.com

ESI Special Topics: August 2007
Citing URL: http://esi-topics.com/tlr/interviews/Alexopoulou_Flavell.html

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