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initial findings suggest that deficiency in b -arrestins may not affect TGF- b -
induced matrix production. 131 Further analysis, such as prolonged treatment
with TGF- b , may shed some light on the role of TGF- b and b -arrestins
in inflammatory and fibrotic diseases. In addition, b -arrestins have been
shown to regulate the orexin-1 receptor 132 and the TCR/CD28 coreceptor
complex. 133 Through interactions with these signaling pathways, b -arrestins
regulate inflammatory responses.
6. ROLE OF b -ARRESTINS IN HUMAN DISEASES
The involvement of b -arrestins in a number of inflammatory diseases
has been investigated using human tissues and animal models. Table 14.1
summarizes the animal models of inflammatory disease that have been stud-
ied using b -arrestin 1 or b -arrestin 2 knockout mice.
6.1. Pathogen recognition and clearance
b -Arrestins play a role in bacterial-induced inflammation and clearance,
such as in sepsis, 34,134,135 and Cryptococcus infections. 27 For example, mice
deficient in b -arrestin-2 showed decreased mortality and reduced infections.
Therefore, inhibition of b -arrestins may be used to limit bacterial and fungal
infections in some instances. 27,69
6.1.1 Neisseria meningitidis
N. meningitidis , a commensal bacterium causing cerebrospinal meningitis, is
an intracellular human-specific pathogen that functions through Type IV
pilus-mediated adhesion to human brain endothelial cells, leading to the
opening of intercellular junctions and allowing meningeal colonization. 136
The signaling receptor activated by the pathogen may be the b 2AR. 69 Stud-
ies have suggested that the b 2AR/ b -arrestin signaling pathway may mediate
bacterial colonization. 136,137 Type IV pili of N. meningitidis are able to acti-
vate the b 2AR/ b -arrestin signaling pathway, thus recruiting the polarity
complex and the cell junction proteins and allowing the opening of a para-
cellular route in endothelial cells. 138 By this process, N. meningitidis is able to
cross the blood-brain barrier and affect the central nervous system. 138 Acti-
vation of b 2AR endocytosis with specific agonists prevents signaling events
downstream of N. meningitidis adhesion and inhibits bacterial crossing of the
endothelial barrier. 69 Therefore, targeting the b 2AR/ b -arrestin signaling
pathway may be used for treatment and prevention of meningococcal
infection. 69
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