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. 2010 Oct-Dec;1(4):310–313. doi: 10.4161/self.1.4.13736

Self and nonself recognition through C-type lectin receptor, Mincle

Yasunobu Miyake 1,, Eri Ishikawa 1, Tetsuaki Ishikawa 1, Sho Yamasaki 1,
PMCID: PMC3062385  PMID: 21487505

Abstract

Mincle (also called as Clec4e or Clecsf9) is a C-type lectin receptor expressed in activated macrophages. Recently, we have reported that Mincle transduces the activation signals through ITAM-containing adaptor protein, FcRγ and induces the secretion of inflammatory cytokines. Furthermore, we and other groups have identified that Mincle recognizes a wide variety of ligands such as damaged cells, fungus, yeast and mycobacteria. These results indicate that Mincle acts as a multi-task danger receptor for both self and nonself ligands. This review summarizes the recent discoveries about the ligands and immunological roles of Mincle.

Key words: Mincle, C-type lectin, FcRγ, danger receptor, dead cell, mycobacterium, inflammatory cytokine

Introduction

The CLR (C-type lectin receptor) is a family of Ca2+-dependent carbohydrate-binding lectins that contain at lease one C-type lectin-like domain (CTLD).1 Recently, CLR was highlighted as a member of the innate immune receptor families, which contain TLRs (Toll-like receptors), NLRs (Nod-like receptors) and RLRs (RIG-I-like receptors). Some CLRs deliver their signals via an association with ITAM (immunoreceptor tyrosine-based activation motif)2 bearing adaptors, which is used by acquired immune receptors, NK receptors and Fc receptors.3

Mincle (Macrophage-inducible C-type lectin) was originally identified as a transcriptional target of NF-IL6 (also called C/EBPβ) in macrophages.4 Mincle is a type II transmembrane protein mainly expressed in myeloid cells, such as macrophages and neutrophils and possesses a single carbohydrate-recognition domain (CRD) in the extracellular region. The expression level of Mincle in the steady-state condition is very low, however, it is strongly upregulated after exposure to various stimuli such as inflammatory cytokines and TLR ligands. Mincle is associated with an ITAM-containing Fc receptor γ chain (FcRγ) with a positively charged residue in the transmembrane region.5 The ligation of ITAM leads to a signaling cascade that begins with phosphorylation of ITAM tyrosine residues by Src-family kinases, followed by the recruitment and activation of Syk. Syk then activates a signaling cascade through CARD9, and this event leads to the induction of inflammatory cytokines such as TNFα, MIP-2 (CXCL2), KC (CXCL1) and IL-6. Therefore, Mincle may act as an inducible activating receptor for certain ligand(s).

Dead Cell Recognition by Mincle

To search for a specific ligand of Mincle, we first established a reporter cell line expressing Mincle, FcRγ and NFAT-GFP. When the cells were cultured alone without exchange of the medium, the number of GFP+ cells was gradually increased. During this culture period, increasing numbers of dead cells paralleled the increase in the GFP+ population, suggesting that a component derived from dead cells signals through Mincle. Indeed, we have identified SAP130 (spliceosome-associated protein 130) as a Mincle-binding protein.5 SAP130 is a component of the U2 snRNP, and is localized in the nucleus in normal live cells,6 and is released from necrotic cells, but not from live or early apoptotic cells. These results suggest that SAP130 released from necrotic cells may act as a danger signal through Mincle.

Whole-body irradiation or administration of dexamethazone induces massive cell death in the thymus, and consequently elicits transient infiltration of neutrophils into the thymus.7,8 The administration of an anti-Mincle blocking antibody resulted in a considerable suppression of such neutrophil infiltration, thus suggesting that Mincle is a functional sensor for damaged cells in vivo.

It has been reported that other CLRs expressed on myeloid cells potentially bind to dead cells.9 MBL (mannose-binding lectin), Lox-1 and MGL-1 are involved in the phagocytotic clearance of dead cells.1013 Human Dectin-1 (CLEC7A), DNGR1 (CLEC9A) and DEC205 (CD205) were also reported to bind to apoptotic or necrotic cells.1416 In most cases, however, the nature of the ligand(s) derived from dead cells is still unknown.

Neutrophil infiltration induces acute inflammation and tissue damage, but in some cases, early, small-scale neutrophil-mediated tissue destruction eventually promotes tissue repair.17 It has also been reported that infiltrating neutrophils assist macrophage-mediated clearance of stress-induced dead cells in the thymus.18 Therefore, it is possible to speculate that Mincle may trigger the “beneficial” recruitment of inflammatory cells in response to tissue damage. However, the function of Mincle in the recovery process of tissue repair remains to be determined.

Fungus Recognition by Mincle

Some C-type lectin receptors directly recognize specific fungi.19 Dectin-1 recognizes β-glucans on the surface of a wide variety of fungal species, including S. cerevisiae, C. albicans, C. posadasii, P. carinii and A. fumigatus, and this recognition mediates fungal uptake and killing, and the production of inflammatory cytokines and chemokines.2024 FcRγ-coupled Dectin-2 recognizes C. albicans, M. audouinii and T. rubrum.25,26 Other CLRs, such as MR (CD206), DC-SIGN, MBL, surfactant protein A (SP-A) and surfactant protein D (SP-D) have been implicated in antifungal immunity.2734

Wells et al. reported that Mincle recognized C. albicans and promoted the production of TNFα by macrophages.35 In addition, mice lacking Mincle showed a significantly increased susceptibility to systemic candidiasis. We established a Mincle reporter cell line and screened the cells for a response to 50 different kinds of fungi, including C. albicans. Three different strains of C. albicans were not recognized by Mincle in our reporter systems, although these strains differ from that used in the previous study. Therefore, Mincle may distinguish structural differences in the strain of C. albicans.

Instead, we found that Mincle recognized Malassezia species such as M. pachydermatis, M. furfur and M. japonica. Malassezia, an obligatory lipophilic organism commonly found on human skin, is a causative fungus of skin diseases and fatal sepsis, including intravascular catheter-associated sepsis.3638 However, the specific receptor for this organism on host cells has not been identified. Malassezia-induced production of cytokines such as TNFα, MIP-2, KC and IL-10 was significantly impaired in Mincle-deficient macrophages in vitro. Cytokine production and neutrophil infiltration against Malassezia injection were also impaired in Mincle-deficient mice in vivo. These results suggest that Mincle plays a crucial role in immune response to Malassezia fungi. Although Malassezia species can live as commensal flora in normal skin, these fungi elicit an inflammatory response in the skin lesions of patients with atopic/eczema dermatitis syndrome and psoriasis.36 Since Mincle expression is upregulated by several stresses, Mincle-induced inflammation may contribute to the regulation of dermatitis or sepsis elicited by Malassezia. The identification of a Mincle ligand in Malassezia will provide valuable information for the development of an effective therapy against Malassezia-related diseases.

Mincle Recognizes Mycobacterial Glycolipid TDM

Heat-killed Mycobacterium tuberculosis is widely used as a component of complete Freund's adjuvant (CFA), because it contains various immunostimulatory components. Among such components, cell wall glycolipid TDM (trehalose-6,6′-dimycolate), also known as cord factor, has been extensively studied for decades, as it possesses an effective adjuvant activity.39 One class of the receptors implicated in TDM recognition is the TLRs. MARCO (macrophage receptor with collagenous structure) is also reported to be a tethering factor of TDM to the macrophage, and is thought to activate the TLR2 signaling pathway.40 Another group reported that TDM activated macrophages and DCs via the Syk-Card9-Bcl10-Malt1 signaling axis rather than TLR-MyD88 pathway.41 Thus, the candidate receptor for TDM has been controversial.

Recently, we and another group have demonstrated that Mincle is the receptor for TDM.42,43 TDM activates macrophages to produce nitric oxide and inflammatory cytokines such as TNFα and MIP-2, and this effect was completely suppressed in Mincle-deficient macrophages. The in vivo TDM administration induced a robust elevation of inflammatory cytokines in sera and granuloma formation.44,45 Granulomas are complex aggregates of immune cells, and are widely believed to constrain mycobacterial infection by physically surrounding the infecting bacteria.46 No TDM-induced lung granuloma was formed in Mincle-deficient mice, suggesting that Mincle is a critical receptor for TDM-induced granuloma formation, most likely through the production of inflammatory cytokines/chemokines to recruit inflammatory cells.47 Schoenen et al. demonstrated that Mincle is essential for generation of Th1/Th17 cellular immunity to subunit vaccination using TDB (torehalose dibehenate; a synthetic analogue of TDM) as an adjuvant.43 These results suggest that Mincle may contribute to innate- and acquired-immunity against mycobacteria. Furthermore, the identification of the host receptor for TDM/TDB will provide valuable information related to the design of vaccine adjuvants against not only tuberculosis, but also other infectious diseases and cancers.

Conclusion

In recent years, many reports have shown that C-type lectin receptors are fundamental mediators of diverse immune interactions, especially in the recognition of various self and nonself ligands.9,19,48,49 Mincle uniquely senses the “danger” derived from both damaged-self and non-self pathogen to induce inflammatory responses (Fig. 1). Recognition of these molecules by Mincle may lead to beneficial inflammation that promotes tissue repair or host defense responses.

Figure 1.

Figure 1

Mincle is a dual sensor for self and non-self ligands. Mincle recognizes SAP130 released from necrotic cells (damaged self). Invading pathogens (non-self), such as Mycobacterium and the pathogenic fungus, Malassezia, are also recognized by Mincle. TDM (torehalose dimycolate) is Mycobacterial molecule identified as a ligand of Mincle. Sensing of these self and non-self ligands by Mincle leads to transduction of activation signals through FcRγ (ITAM-containing adapter protein), thus inducing the inflammatory responses that possess both physiological advantages and potential risks.

From a pathological point of view, Mincle has been reported to be dramatically upregulated in patients with rheumatoid arthritis,50 and rat chromosome 4q42 (which includes the gene encoding Mincle) has been linked to arthritis.51 These observations suggest that dysregulated expression of Mincle might elicit unwanted inflammation responsible for autoimmune or granulomatous diseases. The pathological risk, as well as the physiological advantage, of Mincle-mediated recognition of “danger” needs clarification, but is likely to provide information that could be useful for developing strategies against such diseases.

Abbreviations

CLR

C-type lectin receptor

FcRγ

Fc receptor common γ-chain

Mincle

macrophage-inducible C-type lectin

ITAM

immunoreceptor tyrosine-based activation motif

Footnotes

References

  • 1.Zelensky AN, Gready JE. The C-type lectin-like domain superfamily. FEBS J. 2005;272:6179–6217. doi: 10.1111/j.1742-4658.2005.05031.x. [DOI] [PubMed] [Google Scholar]
  • 2.Humphrey MB, Lanier LL, Nakamura MC. Role of ITAM-containing adapter proteins and their receptors in the immune system and bone. Immunol Rev. 2005;208:50–65. doi: 10.1111/j.0105-2896.2005.00325.x. [DOI] [PubMed] [Google Scholar]
  • 3.Kerrigan AM, Brown GD. Syk-coupled C-type lectin receptors that mediate cellular activation via single tyrosine based activation motifs. Immunol Rev. 2010;234:335–352. doi: 10.1111/j.0105-2896.2009.00882.x. [DOI] [PubMed] [Google Scholar]
  • 4.Matsumoto M, Tanaka T, Kaisho T, Sanjo H, Copeland NG, Gilbert DJ, et al. A novel LPS-inducible C-type lectin is a transcriptional target of NF-IL6 in macrophages. J Immunol. 1999;163:5039–5048. [PubMed] [Google Scholar]
  • 5.Yamasaki S, Ishikawa E, Sakuma M, Hara H, Ogata K, Saito T. Mincle is an ITAM-coupled activating receptor that senses damaged cells. Nat Immunol. 2008;9:1179–1188. doi: 10.1038/ni.1651. [DOI] [PubMed] [Google Scholar]
  • 6.Das BK, Xia L, Palandjian L, Gozani O, Chyung Y, Reed R. Characterization of a protein complex containing spliceosomal proteins SAPs 49, 130, 145 and 155. Mol Cell Biol. 1999;19:6796–6802. doi: 10.1128/mcb.19.10.6796. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Uchimura E, Watanabe N, Niwa O, Muto M, Kobayashi Y. Transient infiltration of neutrophils into the thymus in association with apoptosis induced by whole-body X-irradiation. J Leukoc Biol. 2000;67:780–784. doi: 10.1002/jlb.67.6.780. [DOI] [PubMed] [Google Scholar]
  • 8.Li J, Scherl A, Medina F, Frank PG, Kitsis RN, Tanowitz HB, et al. Impaired phagocytosis in caveolin-1 deficient macrophages. Cell Cycle. 2005;4:1599–1607. doi: 10.4161/cc.4.11.2117. [DOI] [PubMed] [Google Scholar]
  • 9.Robinson MJ, Sancho D, Slack EC, LeibundGut-Landmann S, Reis e Sousa C. Myeloid C-type lectins in innate immunity. Nat Immunol. 2006;7:1258–1265. doi: 10.1038/ni1417. [DOI] [PubMed] [Google Scholar]
  • 10.Ogden CA, deCathelineau A, Hoffmann PR, Bratton D, Ghebrehiwet B, Fadok VA, et al. C1q and mannose binding lectin engagement of cell surface calreticulin and CD91 initiates macropinocytosis and uptake of apoptotic cells. J Exp Med. 2001;194:781–795. doi: 10.1084/jem.194.6.781. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Nauta AJ, Raaschou-Jensen N, Roos A, Daha MR, Madsen HO, Borrias-Essers MC, et al. Mannose-binding lectin engagement with late apoptotic and necrotic cells. Eur J Immunol. 2003;33:2853–2863. doi: 10.1002/eji.200323888. [DOI] [PubMed] [Google Scholar]
  • 12.Oka K, Sawamura T, Kikuta K, Itokawa S, Kume N, Kita T, et al. Lectin-like oxidized low-density lipoprotein receptor 1 mediates phagocytosis of aged/apoptotic cells in endothelial cells. Proc Natl Acad Sci USA. 1998;95:9535–9540. doi: 10.1073/pnas.95.16.9535. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Yuita H, Tsuiji M, Tajika Y, Matsumoto Y, Hirano K, Suzuki N, et al. Retardation of removal of radiation-induced apoptotic cells in developing neural tubes in macrophage galactose-type C-type lectin-1-deficient mouse embryos. Glycobiology. 2005;15:1368–1375. doi: 10.1093/glycob/cwj028. [DOI] [PubMed] [Google Scholar]
  • 14.Weck MM, Appel S, Werth D, Sinzger C, Bringmann A, Grunebach F, et al. hDectin-1 is involved in uptake and cross-presentation of cellular antigens. Blood. 2008;111:4264–4272. doi: 10.1182/blood-2006-10-051375. [DOI] [PubMed] [Google Scholar]
  • 15.Sancho D, Joffre OP, Keller AM, Rogers NC, Martinez D, Hernanz-Falcon P, et al. Identification of a dendritic cell receptor that couples sensing of necrosis to immunity. Nature. 2009;458:899–903. doi: 10.1038/nature07750. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Shrimpton RE, Butler M, Morel AS, Eren E, Hue SS, Ritter MA. CD205 (DEC-205): a recognition receptor for apoptotic and necrotic self. Mol Immunol. 2009;46:1229–1239. doi: 10.1016/j.molimm.2008.11.016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Nathan C. Neutrophils and immunity: challenges and opportunities. Nat Rev Immunol. 2006;6:173–182. doi: 10.1038/nri1785. [DOI] [PubMed] [Google Scholar]
  • 18.Iyoda T, Nagata K, Akashi M, Kobayashi Y. Neutrophils accelerate macrophage-mediated digestion of apoptotic cells in vivo as well as in vitro. J Immunol. 2005;175:3475–3483. doi: 10.4049/jimmunol.175.6.3475. [DOI] [PubMed] [Google Scholar]
  • 19.Willment JA, Brown GD. C-type lectin receptors in antifungal immunity. Trends Microbiol. 2008;16:27–32. doi: 10.1016/j.tim.2007.10.012. [DOI] [PubMed] [Google Scholar]
  • 20.Herre J, Marshall AS, Caron E, Edwards AD, Williams DL, Schweighoffer E, et al. Dectin-1 uses novel mechanisms for yeast phagocytosis in macrophages. Blood. 2004;104:4038–4045. doi: 10.1182/blood-2004-03-1140. [DOI] [PubMed] [Google Scholar]
  • 21.Saijo S, Fujikado N, Furuta T, Chung SH, Kotaki H, Seki K, et al. Dectin-1 is required for host defense against Pneumocystis carinii but not against Candida albicans. Nat Immunol. 2007;8:39–46. doi: 10.1038/ni1425. [DOI] [PubMed] [Google Scholar]
  • 22.Viriyakosol S, Fierer J, Brown GD, Kirkland TN. Innate immunity to the pathogenic fungus Coccidioides posadasii is dependent on Toll-like receptor 2 and Dectin-1. Infect Immun. 2005;73:1553–1560. doi: 10.1128/IAI.73.3.1553-1560.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Steele C, Marrero L, Swain S, Harmsen AG, Zheng M, Brown GD, et al. Alveolar macrophage-mediated killing of Pneumocystis carinii f. sp. muris involves molecular recognition by the Dectin-1 beta-glucan receptor. J Exp Med. 2003;198:1677–1688. doi: 10.1084/jem.20030932. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Steele C, Rapaka RR, Metz A, Pop SM, Williams DL, Gordon S, et al. The beta-glucan receptor dectin-1 recognizes specific morphologies of Aspergillus fumigatus. PLoS Pathog. 2005;1:42. doi: 10.1371/journal.ppat.0010042. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.McGreal EP, Rosas M, Brown GD, Zamze S, Wong SY, Gordon S, et al. The carbohydrate-recognition domain of Dectin-2 is a C-type lectin with specificity for high mannose. Glycobiology. 2006;16:422–430. doi: 10.1093/glycob/cwj077. [DOI] [PubMed] [Google Scholar]
  • 26.Sato K, Yang XL, Yudate T, Chung JS, Wu J, Luby-Phelps K, et al. Dectin-2 is a pattern recognition receptor for fungi that couples with the Fc receptor gamma chain to induce innate immune responses. J Biol Chem. 2006;281:38854–38866. doi: 10.1074/jbc.M606542200. [DOI] [PubMed] [Google Scholar]
  • 27.Mansour MK, Schlesinger LS, Levitz SM. Optimal T cell responses to Cryptococcus neoformans manno-protein are dependent on recognition of conjugated carbohydrates by mannose receptors. J Immunol. 2002;168:2872–2879. doi: 10.4049/jimmunol.168.6.2872. [DOI] [PubMed] [Google Scholar]
  • 28.Dobozy A, Szolnoky G, Gyulai R, Kenderessy AS, Marodi L, Kemeny L. Mannose receptors are implicated in the Candida albicans killing activity of epidermal cells. Acta Microbiol Immunol Hung. 1996;43:93–95. [PubMed] [Google Scholar]
  • 29.Ezekowitz RA, Williams DJ, Koziel H, Armstrong MY, Warner A, Richards FF, et al. Uptake of Pneumocystis carinii mediated by the macrophage mannose receptor. Nature. 1991;351:155–158. doi: 10.1038/351155a0. [DOI] [PubMed] [Google Scholar]
  • 30.Cambi A, Gijzen K, de Vries JM, Torensma R, Joosten B, Adema GJ, et al. The C-type lectin DC-SIGN (CD209) is an antigen-uptake receptor for Candida albicans on dendritic cells. Eur J Immunol. 2003;33:532–538. doi: 10.1002/immu.200310029. [DOI] [PubMed] [Google Scholar]
  • 31.Serrano-Gomez D, Dominguez-Soto A, Ancochea J, Jimenez-Heffernan JA, Leal JA, Corbi AL. Dendritic cell-specific intercellular adhesion molecule 3-grabbing nonintegrin mediates binding and internalization of Aspergillus fumigatus conidia by dendritic cells and macrophages. J Immunol. 2004;173:5635–5643. doi: 10.4049/jimmunol.173.9.5635. [DOI] [PubMed] [Google Scholar]
  • 32.Kilpatrick DC. Mannan-binding lectin: clinical significance and applications. Biochim Biophys Acta. 2002;1572:401–413. doi: 10.1016/s0304-4165(02)00321-5. [DOI] [PubMed] [Google Scholar]
  • 33.Madan T, Eggleton P, Kishore U, Strong P, Aggrawal SS, Sarma PU, et al. Binding of pulmonary surfactant proteins A and D to Aspergillus fumigatus conidia enhances phagocytosis and killing by human neutrophils and alveolar macrophages. Infect Immun. 1997;65:3171–3179. doi: 10.1128/iai.65.8.3171-3179.1997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Yong SJ, Vuk-Pavlovic Z, Standing JE, Crouch EC, Limper AH. Surfactant protein D-mediated aggregation of Pneumocystis carinii impairs phagocytosis by alveolar macrophages. Infect Immun. 2003;71:1662–1671. doi: 10.1128/IAI.71.4.1662-1671.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Wells CA, Salvage-Jones JA, Li X, Hitchens K, Butcher S, Murray RZ, et al. The macrophage-inducible C-type lectin, mincle, is an essential component of the innate immune response to Candida albicans. J Immunol. 2008;180:7404–7413. doi: 10.4049/jimmunol.180.11.7404. [DOI] [PubMed] [Google Scholar]
  • 36.Ashbee HR. Recent developments in the immunology and biology of Malassezia species. FEMS Immunol Med Microbiol. 2006;47:14–23. doi: 10.1111/j.1574-695X.2006.00057.x. [DOI] [PubMed] [Google Scholar]
  • 37.Scheynius A, Johansson C, Buentke E, Zargari A, Linder MT. Atopic eczema/dermatitis syndrome and Malassezia. Int Arch Allergy Immunol. 2002;127:161–169. doi: 10.1159/000053860. [DOI] [PubMed] [Google Scholar]
  • 38.Devlin RK. Invasive fungal infections caused by Candida and Malassezia species in the neonatal intensive care unit. Adv Neonatal Care. 2006;6:68–77. doi: 10.1016/j.adnc.2006.01.005. [DOI] [PubMed] [Google Scholar]
  • 39.Azuma I, Seya T. Development of immunoadjuvants for immunotherapy of cancer. Int Immunopharmacol. 2001;1:1249–1259. doi: 10.1016/s1567-5769(01)00055-8. [DOI] [PubMed] [Google Scholar]
  • 40.Bowdish DM, Sakamoto K, Kim MJ, Kroos M, Mukhopadhyay S, Leifer CA, et al. MARCO, TLR2 and CD14 are required for macrophage cytokine responses to mycobacterial trehalose dimycolate and Mycobacterium tuberculosis. PLoS Pathog. 2009;5:1000474. doi: 10.1371/journal.ppat.1000474. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Werninghaus K, Babiak A, Gross O, Holscher C, Dietrich H, Agger EM, et al. Adjuvanticity of a synthetic cord factor analogue for subunit Mycobacterium tuberculosis vaccination requires FcRgamma-Syk-Card9-dependent innate immune activation. J Exp Med. 2009;206:89–97. doi: 10.1084/jem.20081445. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Ishikawa E, Ishikawa T, Morita YS, Toyonaga K, Yamada H, Takeuchi O, et al. Direct recognition of the mycobacterial glycolipid, trehalose dimycolate, by C-type lectin Mincle. J Exp Med. 2009;206:2879–2888. doi: 10.1084/jem.20091750. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Schoenen H, Bodendorfer B, Hitchens K, Manzanero S, Werninghaus K, Nimmerjahn F, et al. Cutting edge: Mincle is essential for recognition and adjuvanticity of the mycobacterial cord factor and its synthetic analog trehalose-dibehenate. J Immunol. 2010;184:2756–2760. doi: 10.4049/jimmunol.0904013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 44.Yamaguchi M, Ogawa Y, Endo K, Takeuchi H, Yasaka S, Nakamura S, et al. Experimental formation of tuberculous cavity in rabbit lung. IV. Cavity formation by paraffine oil extract prepared from heat killed tubercle bacilli. Kekkaku. 1955;30:521–524. [PubMed] [Google Scholar]
  • 45.Hunter RL, Olsen MR, Jagannath C, Actor JK. Multiple roles of cord factor in the pathogenesis of primary, secondary and cavitary tuberculosis, including a revised description of the pathology of secondary disease. Ann Clin Lab Sci. 2006;36:371–386. [PubMed] [Google Scholar]
  • 46.Adams DO. The granulomatous inflammatory response. A review. Am J Pathol. 1976;84:164–192. [PMC free article] [PubMed] [Google Scholar]
  • 47.Welsh KJ, Abbott AN, Hwang SA, Indrigo J, Armitige LY, Blackburn MR, et al. A role for tumour necrosis factor-alpha, complement C5 and interleukin-6 in the initiation and development of the mycobacterial cord factor trehalose 6,6′-dimycolate induced granulomatous response. Microbiology. 2008;154:1813–1824. doi: 10.1099/mic.0.2008/016923-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Cambi A, Figdor CG. Dual function of C-type lectin-like receptors in the immune system. Curr Opin Cell Biol. 2003;15:539–546. doi: 10.1016/j.ceb.2003.08.004. [DOI] [PubMed] [Google Scholar]
  • 49.Geijtenbeek TB, van Vliet SJ, Engering A, t Hart BA, van Kooyk Y. Self- and nonself-recognition by C-type lectins on dendritic cells. Annu Rev Immunol. 2004;22:33–54. doi: 10.1146/annurev.immunol.22.012703.104558. [DOI] [PubMed] [Google Scholar]
  • 50.Nakamura N, Shimaoka Y, Tougan T, Onda H, Okuzaki D, Zhao H, et al. Isolation and expression profiling of genes upregulated in bone marrow-derived mononuclear cells of rheumatoid arthritis patients. DNA Res. 2006;13:169–183. doi: 10.1093/dnares/dsl006. [DOI] [PubMed] [Google Scholar]
  • 51.Ribbhammar U, Flornes L, Backdahl L, Luthman H, Fossum S, Lorentzen JC. High resolution mapping of an arthritis susceptibility locus on rat chromosome 4 and characterization of regulated phenotypes. Hum Mol Genet. 2003;12:2087–2096. doi: 10.1093/hmg/ddg224. [DOI] [PubMed] [Google Scholar]

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