The milk pentasaccharide
LNFPIII has therapeutic action for metabolic and
autoimmune diseases and prolongs transplant survival in mice when presented as a neoglycoconjugate. Within
LNFPIII is the Lewisx
trisaccharide, expressed by many helminth parasites. In humans,
LNFPIII is found in human milk and also known as
stage-specific embryonic antigen-1.
LNFPIII-NGC drives alternative activation of macrophages and dendritic cells via NFκB activation in a TLR4 dependent mechanism. However, the connection between
LNFPIII-NGC activation of APCs, TLR4 signaling and subsequent MAP
kinase signaling leading to anti-inflammatory activation of APCs remains unknown. In this study we determined that the innate receptor CD14 was essential for
LNFPIII-NGC induction of both ERK and NFkB activation in APCs. Induction of ERK activation by
LNFPIII-NGC was completely dependent on CD14/TLR4-Ras-Raf1/TPL2-
MEK axis in bone marrow derived dendritic cells (BMDCs). In addition,
LNFPIII-NGC preferentially induced the production of Th2 "favoring"
chemokines CCL22 and matrix
metalloprotease protein-9 in a CD14 dependent manner in BMDCs. In contrast,
LNFPIII-NGC induces significantly lower levels of Th1 "favoring"
chemokines, MIP1α, MIP1β and MIP-2 compared to levels in LPS stimulated cells. Interestingly, NGC of the identical human milk
sugar LNnT, minus the alpha 1-3 linked
fucose, failed to activate APCs via TLR4/MD2/CD14 receptor complex, suggesting that the alpha 1-3 linked
fucose in
LNFPIII and not on
LNnT, is required for this process. Using specific chemical inhibitors of the MAPK pathway, we found that
LNFPIII-NGC induction of CCL22, MMP9 and
IL-10 production was dependent on ERK activation. Over all, this study suggests that
LNFPIII-NGC utilizes CD14/TLR4-MAPK (ERK) axis in modulating APC activation to produce anti-inflammatory
chemokines and
cytokines in a manner distinct from that seen for the pro-inflammatory
PAMP LPS. These pathways may explain the in vivo
therapeutic effect of
LNFPIII-NGC treatment for
inflammation based diseases.