“…In several studies that have addressed the molecular basis of endotoxin tolerance, LPS unresponsiveness has been associated with decreased expression of NF-B (10), up-regulation of IL-1R-associated kinase-M (IRAK-M) (7,11), and SHIP (12), deregulation of TLR4 (13,14) or the immune signal amplifier triggering receptor expressed on myeloid cells-1 (TREM-1) (9), and inhibition of IRAK-1 phosphorylation (15,16). The expression of IRAK-M has been pinpointed as a crucial factor in the control of this phenomenon (17), as previously suggested from analysis of IRAK-M Ϫ/Ϫ mice (18), and later shown by us in humans (7,11).…”