Mycoplasma genitalium is a sexually transmitted bacterial pathogen that causes nongonococcal chlamydianegative urethritis, mucopurulent cervicitis, endometritis, pelvic inflammatory disease, and tubal factor infertility in humans. However, pathogenic agents that induce inflammatory responses have not been identified in M. genitalium. In this study, we examined the involvement of Toll-like receptors ( Mycoplasma genitalium is an important, emerging sexually transmitted bacterial pathogen that is capable of eliciting a wide range of reproductive tract disease syndromes (3,19,20,28). M. genitalium has been identified as a causative agent of nongonococcal, chlamydia-negative urethritis (8, 50, 51) in men and of mucopurulent cervicitis, endometritis, pelvic inflammatory disease, and tubal factor infertility in women (6,7,24,33,34,45). However, pathogenic agents that induce an inflammatory response, such as endotoxin and exotoxin, have not been identified in M. genitalium.Recently, it has been reported that Toll-like receptors (TLRs) with a pattern recognition receptor function play a critical role in early innate recognition and in the inflammatory responses by the host defense against invading microbes (1, 21). Of 10 TLR family members reported, TLR2, TLR4, TLR5, and TLR9 have been implicated in the recognition of different bacterial components. Peptidoglycan, lipoarabinomannan, zymosan, and lipoproteins from various microorganisms are recognized by TLR2 (2,4,22,26,46,47,49,52). On the other hand, lipopolysaccharide, bacterial flagellin, and bacterial DNA are recognized by TLR4, TLR5, and TLR9, respectively (12,13,16,35). These TLR family members have been shown to activate NF-B via interleukin-1R-associated signal molecules, including myeloid differentiation protein (MyD88), interleukin-1R-activated kinase, tumor necrosis factor receptor-associated factor 6, and NF-B-inducing kinase (27).In this study, we examined the involvement of TLRs in activation of the immune response by lipoproteins from M. genitalium and their active components responsible for NF-B activation. MG149, a triacylated lipoprotein, was found to activate NF-B through TLR1 and TLR2.
MATERIALS AND METHODSCells. Cells of a human kidney cell line, 293T, were cultured in Dulbecco modified Eagle medium containing 10% fetal calf serum, 2 mM L-glutamine, 100 U/ml penicillin G, and 100 g/ml streptomycin. To exclude the possibility of mycoplasma infections in the cell cultures, the cell suspensions were inoculated onto pleuropneumonialike organism agar medium once a month. To check the contamination of mycoplasma, cells were also stained with 4Ј,6-diamidino-2-phenylindole (DAPI) once a week.
Synthesis of lipopeptide. Lipopeptide was synthesized by Bio-Synthesis (Lewisville, TX).TX-114 phase partitioning. M. genitalium G37 was cultured in SP-4 medium to the beginning of the stationary phase and then pelleted by centrifugation for 10 min at 12,000 ϫ g. M. genitalium cells were inactivated by incubation at 60°C for 30 min. Triton X-114 (TX-114) phase partitio...