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A dynamic and coordinately regulated gene expression programme lies at the heart of the inflammatory process. This response endows the host with a first line of defence against infection and the capacity to repair and restore damaged tissues. However, unchecked, prolonged or inappropriately scaled inflammation can be detrimental to the host and lead to diseases such as atherosclerosis, arthritis and cancer1,2.

The acute inflammatory programme is initiated when germline-encoded pattern recognition receptors (PRRs) that are present in distinct cellular compartments respond to signs of microbial infection3,4. Once activated, these receptors trigger signalling cascades that converge on well-defined transcription factors. Mobilization of these factors leads to rapid, dynamic and temporally regulated changes in the expression of hundreds of genes that are involved in antimicrobial defence, phagocytosis, cell migration, tissue repair and the regulation of adaptive immunity.

Multiple genes within distinct functional categories are coordinately and temporally regulated by transcriptional 'on' and 'off' switches that account for the specificity of gene expression in response to external stimuli. Multiple layers of regulation — including chromatin state, histone or DNA modifications, and the recruitment of transcription factors and of the basal transcription machinery — collaborate to control these pathogen-induced or danger signal-induced gene expression programmes5,6, which vary depending on the cell lineage involved and the specific signal that is encountered. Although transcription is an essential first step, and certainly the most well-scrutinized area in studies of innate immunity5,6, proper regulation of immune genes also involves a plethora of additional post-transcriptional checkpoints. These occur at the level of mRNA splicing, mRNA polyadenylation, mRNA stability and protein translation. Many of these mechanisms are particularly important for modulating the strength and duration of the response and for turning the system off in a timely and efficient manner. In this Review, we cover exciting recent developments in this underexplored area. We also highlight the emerging role of long non-coding RNAs (lncRNAs) in controlling the inflammatory response. A better understanding of these processes could facilitate the development of selective therapeutics to prevent damaging inflammation.

Alternative splicing in innate immunity

Although transcriptional regulation has been at the forefront of studies of innate immunity, the role of post-transcriptional regulation in controlling gene expression in macrophages and other innate immune cells is equally important. Almost one-fifth of the genes that are expressed in human dendritic cells (DCs) undergo alternative splicing upon bacterial challenge. Most of these genes are involved in general cellular functions but some participate directly in antimicrobial defence7. Furthermore, stimulation of human monocytes with the Toll-like receptor 4 (TLR4) ligand lipopolysaccharide (LPS) and with interferon-γ (IFNγ) causes the polyadenylation machinery to favour proximal poly(A) site use in terminal exons that contain two or more poly(A) sites8. This type of alternative polyadenylation leads to a global shortening of 3′ untranslated regions (UTRs) and a loss of key regulatory elements such as microRNA (miRNA) target sites and AU-rich elements (AREs).

Alternative pre-mRNA processing. Following transcription, pre-mRNA intronic sequences are removed by splicing. The 5′ and 3′ splice sites of introns are recognized by the small nuclear ribonucleic particles (snRNPs) U1 and U2, respectively, before the spliceosome assembles and catalyses excision of the introns and the ligation of flanking exons9 (Fig. 1a). In addition, a poly(A) tail is added to the 3′ end of transcripts. A poly(A) signal and nearby U-rich or GU-rich downstream sequence elements (DSEs) are recognized by two multi-protein complexes — namely, cleavage and polyadenylation specificity factor (CPSF) and cleavage stimulation factor (CSTF), respectively — that promote endonucleolytic cleavage of the pre-mRNAs. Poly(A) polymerase (PAP; also known as PAPα and PAPOLA) subsequently catalyses the addition of a stretch of adenosines from the cleavage site10 (Fig. 1b).

Figure 1: Pre-mRNA processing into mature mRNAs: intron splicing and polyadenylation.
figure 1

a | Following transcription, pre-mRNA intronic sequences are removed by splicing. The 5′ and 3′ splice sites of introns are recognized by the small nuclear ribonucleoproteins (snRNPs) U1 and U2, respectively, then the spliceosome assembles and catalyses the excision of the introns and ligation of the flanking exons. A multi-protein complex, the exon junction complex, is deposited on exon–exon junctions. b | A poly(A) tail is also added to the 3′ end of transcripts. The poly(A) signal and nearby U-rich or GU-rich downstream sequence elements are recognized by two multi-protein complexes — namely, cleavage and polyadenylation specificity factor (CPSF) and cleavage stimulating factor (CSTF), respectively — that promote endonucleolytic cleavage of the transcript. Poly(A) polymerase (PAP) catalyses the subsequent addition of a stretch of adenosines from the cleavage site.

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Remarkably, >94% of human genes are subject to alternative splicing and/or alternative polyadenylation11. Types of alternative splicing that alter the sequence of the encoded protein include mutually exclusive exons, exon skipping, intron retention and the alternative use of 5′ or 3′ splice sites at intron ends. Alternative polyadenylation within an intron can also generate an mRNA that encodes a truncated protein product. However, alternative processing is by no means limited to internal sites. Alternative promoter use results in alternative first exons, which changes the length and sequence of the 5′ UTR. Similarly, alternative polyadenylation within the last exon can shorten or extend the 3′ UTR11 (Fig. 2a). Modifications to UTRs have important consequences because they can affect sequences that regulate subcellular mRNA localization, translation efficiency and mRNA stability12.

Figure 2: Regulation of Toll-like receptor signalling by alternative pre-mRNA processing.
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a | Toll-like receptor (TLR) signalling pathways are regulated through diverse transcripts that are generated by alternative splicing and alternative polyadenylation. Dashed lines indicate spliced transcript. b | The TLR4 signalling pathway is markedly regulated by alternative splicing of mRNAs encoding the receptor (TLR4) and the co-receptor (MD2), the adaptor molecules (myeloid differentiation primary response protein 88 (MYD88) and TRIF-related adaptor molecule (TRAM)), as well as the IL-1R-associated kinases (IRAKs). Inhibitory isoforms are shown in red. AP-1, activator protein 1; IRF, interferon-regulatory factor; LPS, lipopolysaccharide; MD2B, splice variant of MD2; MYD88s, splice variant of MYD88; NF-κB, nuclear factor-κB; smTLR4, soluble TLR4 splice variant; TAG, splice variant of TRAM; TRAF, TNF receptor-associated factor; TRIF, TIR-domain-containing adaptor protein inducing IFNβ. Part a from Ref. 11, Nature Publishing Group.

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Regulation of TLR signalling by alternative splicing and alternative polyadenylation. The TLR signalling pathway is subject to extensive post-transcriptional regulation, in which more than 256 alternatively processed transcripts encode variants of receptors, adaptors and signalling molecules13. Every TLR gene has numerous alternatively spliced variants13,14,15,16,17,18, and TLR1 to TLR7 all have between two and four predicted alternative polyadenylation sites16. These variant transcripts have myriad effects on signal transduction. For example, an alternatively spliced form of mouse Tlr4 mRNA includes an exon that is not present in the canonical mRNA15. An in-frame stop codon in this extra exon generates a secretable receptor isoform that lacks the transmembrane and intracellular domains that are present in the full-length protein. LPS stimulation enhances the expression of soluble TLR4 (smTLR4) by macrophages, and forced overexpression of smTLR4 inhibits LPS-mediated activation of nuclear factor-κB (NF-κB) and the production of tumour necrosis factor (TNF)15. An analogous TLR4 mRNA isoform that contains a premature stop codon is upregulated following LPS stimulation of human monocytes14. Induction of this isoform is significantly lower in monocytes from patients with cystic fibrosis who, compared with healthy controls, produce more TNF in response to LPS14. These results suggest that production of a truncated form of TLR4 generates a negative feedback loop that limits excessive inflammation. Another component of this negative feedback mechanism is the requisite TLR4 co-factor MD2 (which is encoded by LY96). Shortened MD2 isoforms have been described in both mouse macrophages19 and human monocytic cell lines20. The mRNA encoding the mouse MD2B variant lacks the first 54 bases of exon 3 (Ref. 19), whereas the mRNA encoding the human MD2s variant lacks all of exon 2 (Ref. 20). MD2s expression is upregulated by LPS, as well as by IFNγ and interleukin-6 (IL-6)20. Both MD2B and MD2s proteins bind TLR4 as efficiently as full-length MD2 but they fail to mediate signalling. MD2B inhibits cell surface expression of mouse TLR4 (Ref. 19), and MD2s inhibits the binding of full-length MD2 to TLR4 (Ref. 20). Thus, these shortened forms of MD2 inhibit macrophage stimulation by LPS19,20 by limiting productive interactions with full-length MD2. Together, these results suggest that the production of altered forms of either TLR4 or MD2 modulate macrophage responses to LPS and bacterial pathogens.

This idea that shorter protein isoforms fine-tune signalling is a common mechanism that occurs throughout the TLR signalling pathway. In response to LPS, myeloid differentiation primary response protein 88 (MYD88) enables the formation of multi-protein complexes that contain TLR4, MYD88, IL-1 receptor-associated kinase 1 (IRAK1) and IRAK4. IRAK1 is phosphorylated by IRAK4; phosphorylated IRAK1 binds to TNF receptor-associated factor 6 (TRAF6), and eventually NF-κB and activator protein 1 (AP-1) transcription factors are activated by IκB kinase (IKK) complexes (Fig. 2b). Stimulation of mouse monocytes with LPS or pro-inflammatory cytokines induces the expression of a splice variant of MYD88 — known as MYD88s — that lacks exon 2, which causes an in-frame deletion of the MYD88 intermediate domain21,22,23. Although MYD88s can still bind to TLRs and IRAK1, it cannot interact with IRAK4 (Ref. 22). Consequently, MYD88s is unable to mediate IRAK1 phosphorylation and NF-κB activation21. MYD88s also acts as a dominant-negative inhibitor of NF-κB signalling by forming heterodimers with full-length MYD88 (Ref. 21). By contrast, MYD88s does not impair LPS-induced AP-1 activation23. Thus, MYD88s production allows monocytes to differentially tune the NF-κB and AP-1 activation pathways.

Adding further complexity, IRAK1 is also subject to alternative splicing24,25. The IRAK1b24 and IRAK1-S25 variants result from the use of alternative 3′ splice sites in exon 12. Both proteins lack kinase activity24,25 and IRAK1-S fails to bind TRAF6 (Ref. 25). Nonetheless, both isoforms can induce NF-κB activation, possibly by forming functional heterodimers with full-length IRAK1 (Refs 24, 25). Conversely, a third alternatively spliced variant that lacks exon 11, IRAK1c, has no kinase activity and acts as a dominant-negative inhibitor26. IRAK1c suppresses both NF-κB activation and TNF production in response to LPS26. IRAK2, another IRAK-like molecule, has four known alternatively spliced isoforms27. IRAK2a and IRAK2b potentiate NF-κB activation, whereas IRAK2c and IRAK2d act as inhibitors27. Finally (as reviewed in Ref. 28), the NF-κB signalling cascade is tightly regulated by the expression of agonistic and antagonistic splice variants of inhibitor of NF-κB (IκB), IKK and the NF-κB transcription factor subunits RELA (also known as the p65 subunit), RELB and NF-κB2 (also known as the p100 subunit).

Regarding the MYD88-independent TLR pathway, TLR3 stimulation induces the association of the adaptor molecule TIR-domain-containing adaptor protein inducing IFNβ (TRIF) with TRIS, which is a shorter splice variant of TRIF that lacks the Toll/IL-1R (TIR) domain29. Overexpression of TRIS activates NF-κB and IFN-regulatory factor 3 (IRF3), whereas TRIS knockdown inhibits TLR3-mediated signalling29. These results suggest that the TLR3 signalling pathway involves the formation of heterocomplexes between TRIF and TRIS. TRIF-dependent TLR signalling also involves TRIF-related adaptor molecule (TRAM; also known as TICAM2) (Fig. 2b). In unstimulated cells, TRAM localizes to the plasma membrane where it interacts with TLR4 (Ref. 30). In human mononuclear cells, a longer isoform of TRAM, known as TAG, results from the use of an alternative 3′ splice site in exon 4 of TRAM, and this variant contains an additional Golgi dynamics domain. Consequently, TAG localizes to the endoplasmic reticulum (ER)30. Following stimulation with LPS, TRAM and TAG colocalize to late endosomes where TAG displaces the adaptor TRIF from its productive association with TRAM. TAG expression also promotes TRAM degradation. As a result, TAG inhibits LPS-induced IRF3 activation30. Finally, IRF3 is also alternatively spliced, with eight different transcript variants described to date: IRF3, IRF3a to IRF3f, and IRF3CL31,32,33. Among them, only IRF3e is able to undergo cytoplasm-to-nuclear translocation in response to TLR3 ligands and bind to the IFNB promoter as full-length IRF3 does32. The other isoforms inhibit the transactivation potential of IRF3 to various degrees31,32,33.

Together, these studies reveal how alternative splicing and alternative polyadenylation are exceedingly common events that occur throughout innate immunity and fine-tune almost all steps in the process (Fig. 2b). Nevertheless, surprisingly little is known about the mechanisms that drive this alternative processing. What is known is that bacterial challenge of human DCs changes the mRNA levels of >70 splicing factors34 and LPS stimulation of mouse macrophages increases the mRNA and protein levels of CSTF64 (also known as CSTF2), which can favour the use of weak proximal polyadenylation sites34. Finally, two recent reports35,36 indicate that the kinetics of pre-mRNA splicing itself might regulate gene expression during innate immune responses. Transcriptome-wide analysis of lipid A-stimulated macrophages revealed an accumulation of fully transcribed, but incompletely spliced, pre-mRNAs following TLR4 activation35. Similarly, TNF-induced splicing of intermediate and late transcripts is delayed compared with splicing of early gene pre-mRNAs36. These results suggest that not only are innate immune responses regulated by alternative pre-mRNA processing but the rate of such processing is also subject to variation, possibly to regulate the temporal order of gene expression in response to pro-inflammatory signals.

mRNA stability in innate immunity

Cellular mRNA levels are established by both mRNA production and degradation. Recently, in vivo labelling of newly synthesized RNAs using modified uridine (4-thiouridine (4sU)37 or bromodeoxyuridine (BrU)38), or purification of chromatin-associated mRNAs35 enabled the simultaneous assessment of total and nascent transcript levels in cells stimulated with LPS35,37 or TNF38. As a result, both gene transcription and RNA decay rates could be evaluated for their respective contributions to cell responses. These analyses showed that increases in RNA levels that are induced by pro-inflammatory stimuli are mainly due to changes in the rate of transcription35,37. However, the duration of these responses — particularly those that are rapid and transient — is mainly determined by the rate of RNA decay37. In LPS-stimulated and TNF-stimulated macrophages, a negative correlation can be observed between the speed of transcript induction and intrinsic mRNA stability39,40. In addition, challenge with LPS37, TNF38 and Mycobacterium tuberculosis17 modulates the stability of numerous transcripts. For example, stimulation of fibroblasts with TNF induces stabilization of 152 mRNAs and destabilization of 58 other transcripts38. Similarly, LPS treatment of DCs alters the stability of 6% of the expressed mRNAs37. Interestingly, the affected transcripts are enriched for inflammatory and immune signalling genes, as well as NF-κB targets37. Together, these results indicate that regulation of mRNA degradation is also essential for shaping innate immune responses.

ARE-mediated regulation of mRNA stability. In 1986, conserved AU-rich sequences were discovered in the 3′ UTR of the genes that encode the short-lived cytokines TNF41 and granulocyte–macrophage colony-stimulating factor (GM-CSF; which is encoded by CSF2)42. Insertion of the CSF2 AU-rich sequence into the 3′ UTR of the stable transcript encoding β-globin was shown to strongly induce its degradation42. These studies pioneered the discovery of AREs as major regulators of mRNA stability. Approximately 5–8% of all human transcripts contain AREs43,44 and many of these ARE-containing mRNAs are involved in inflammation43. Consistent with rapid mRNA decay being essential for controlling response duration, early and transient transcripts that are induced in LPS-stimulated or TNF-stimulated macrophages contain significantly more AREs in their 3′ UTRs than intermediate and late transcripts40. Moreover, numerous pro-inflammatory factors, as well as anti-inflammatory cytokines, undergo ARE-mediated regulation, including IL-6, IL-8, TNF, IL-1β, GM-CSF, inducible nitric oxide synthase (iNOS; also known as NOS2), transforming growth factor-β (TGFβ) and IL-10 (Refs 45, 46).

AREs consist of various large clusters of overlapping AUUUA pentamers and UUAUUUAUU nonamers that are specifically recognized by over 20 different ARE-binding proteins. Among them, tristetraprolin (TTP), butyrate response factor 1 (BRF1; also known as ZFP36L1), BRF2 (also known as ZFP36L2), KH-type splicing regulatory protein (KSRP; also known as KHSRP) and AU-rich element RNA-binding protein 1 (AUF1; also known as HNRNPD) stimulate target transcript decay by recruiting deadenylases and downstream degradation machineries45,46. By contrast, Y-box binding protein1 (YB1; also known as NSEP1) and the ELAV (embryonic lethal and abnormal vision) family members Hu-antigen R (HUR; also known as ELAVL1) and HUD (also known as ELAVL4) stabilize their targets by competing with the destabilizing ARE-binding proteins for ARE occupancy45,46 (Fig. 3a). ARE-mediated regulation of Tnf and Il1b mRNA stability has been well studied. Notably, HUR initially stabilizes both transcripts in response to LPS47. LPS also induces TTP synthesis and phosphorylation48,49, and phosphorylated TTP is sequestered by the chaperone protein 14-3-3 (Ref. 49). When dephosphorylated by protein phosphatase 2A50, TTP displaces HUR, binding the Tnf ARE with high affinity and the Il1b ARE with a lower affinity. TTP then recruits degradation factors to the Tnf transcript, but not to Il1b48. The destabilizing protein AUF1 also targets Tnf and Il1b mRNAs51. This regulation results in a rapid and transient induction of Tnf mRNA expression in response to LPS, whereas Il1b mRNA is induced more slowly and has a longer half-life48. Mice that are deficient in TTP52,53 or AUF1 (Refs 51, 54), or that express a mutant version of TNF that lacks its ARE47, develop severe inflammatory diseases52,53, including LPS-induced shock51,54. These symptoms, which result from excessive TNF and IL-1β production, illustrate the crucial role of ARE-mediated mRNA degradation in controlling inflammatory responses. Unexpectedly, mice that lack HUR expression in myeloid cells also show pathological exacerbation of their immune response55. This outcome might result from HUR-mediated stabilization of anti-inflammatory transcripts and/or inhibition of HUR-mediated translation in wild-type mice (see below). Together, these data highlight both the importance and the complexities of ARE-mediated post-transcriptional control of inflammation.

Figure 3: Regulation of mRNA stability during innate immune responses.
figure 3

a | Many cytokine transcripts contain AU-rich elements (AREs) in their 3′ untranslated regions (3′ UTRs). The recognition of these motifs by destabilizing ARE-binding proteins, such as tristetraprolin (TTP), stimulates mRNA deadenylation and decay. Conversely, the binding of stabilizing proteins — such as Hu-antigen R (HUR) — that compete with destabilizing factors inhibits ARE-mediated RNA degradation. b | The recognition of other regulatory elements, such as embryo deadenylation element (EDEN)-like sequences by CUG triplet repeat RNA-binding protein 1 (CUGBP1) can additionally stimulate RNA deadenylation, whereas binding of polypyrimidine tract-binding protein (PTB) to UC-rich sequences stabilizes mRNAs. c | Numerous transcripts that are involved in innate immune responses also contain a microRNA (miRNA) target site (or multiple sites) in their 3′ UTRs. Specific recognition of these sites by the RNA-induced silencing complex (RISC) leads to deadenylation of the mRNA and its subsequent degradation. d | Finally, the presence of an exon junction complex downstream of a stop codon of a translated mRNA induces nonsense-mediated decay through interactions between regulator of nonsense transcripts (UPF) proteins, phosphorylation of UPF1 and endonucleolytic cleavage of the transcript. ORF, open reading frame.

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Non-ARE-mediated regulation of mRNA stability. The modulation of pro-inflammatory transcript stability also involves non-ARE regulatory elements. For example, a constitutive decay element (CDE) in the TNF 3′ UTR confers an intrinsic short half-life to the transcript that is independent of ARE-mediated decay56. Recognition of embryo deadenylation element (EDEN)-like sequences — which are rich in uridine–purine dinucleotides — by CUG triplet repeat RNA-binding protein 1 (CUGBP1; also known as CELF1) additionally induces TNF and FOS mRNA deadenylation57. By contrast, polypyrimidine tract-binding protein (PTB; also known as PTBP1), which is induced by pro-inflammatory cytokines, stabilizes iNOS transcripts through the recognition of a UC-rich sequence in the 3′ UTR58 (Fig. 3b).

Among 3′ UTR regulatory elements, miRNAs have emerged as key modulators of mRNA decay and translation. They consist of 21-nucleotide-long non-coding RNAs that base-pair to partially complementary sequences in the 3′ UTR of their target RNAs. miRNAs act as the nucleic acid core of the RNA-induced silencing complex (RISC), which inhibits mRNA translation and/or causes deadenylation and the subsequent decay of target transcripts59 (Fig. 3c). More than 1,000 miRNAs have been identified in the human genome60 and as many as 60% of all mRNAs are predicted to contain a miRNA target site (or multiple sites)61. Abundant evidence has revealed the importance of miRNAs in the development of immune cells, as well as in the initiation and termination of inflammation (reviewed in Refs 62, 63).

Finally, transcripts that contain a very long 3′ UTR or an exon junction complex downstream of the translation termination codon can be degraded by nonsense-mediated decay (NMD) (Fig. 3d). This mechanism prevents the production of deleterious truncated proteins that are encoded by mutant or aberrantly spliced mRNAs containing premature termination codons. However, accumulating evidence shows that there is conserved expression of transcripts that are naturally spliced in their 3′ UTR64, notably in haematopoietic cells. Inhibition of NMD impairs haematopoiesis65 and deletion of the NMD factor regulator of nonsense transcripts 2 (UPF2) induces the upregulation of 186 genes in macrophages65. These results suggest that, in addition to its function as a quality control mechanism, NMD regulates gene expression in innate immune cells by controlling transcript stability.

Translation initiation in innate immunity

Many signalling events in innate immunity require gene expression changes that are too fast for new transcription or alternative pre-mRNA processing. In this case, changes in the translation of pre-existing mRNAs can allow for more rapid dynamic responses. Illustrating the importance of this post-transcriptional regulatory mechanism, LPS stimulation of DCs induces an immediate and massive increase in new protein synthesis within the first 60 minutes66.

Regulation of translation initiation factor activity. Among all translation initiation factors, eukaryotic translation initiation factor 2 (eIF2) is the best studied regulator in innate immunity. eIF2 forms a ternary complex with the initiator methionyl-tRNA and a molecule of GTP, and this complex binds to the 40S ribosomal subunit where it is essential for start codon recognition and recruitment of the 60S ribosomal subunit. Upon positioning of the 40S subunit at the start codon, eIF2 hydrolyses its bound GTP, which causes the release of eIF2 from the ribosome (Fig. 4a). The resulting eIF2–GDP is then recycled by the guanine nucleotide exchange factor eIF2B to form a new ternary complex that is competent for a new round of translation. The activity of eIF2 is regulated by four different kinases that phosphorylate its α-subunit (eIF2α) and block its recycling by eIF2B. The phosphorylation of eIF2 can be triggered by double-stranded RNA (through protein kinase RNA-activated (PKR; also known as eIF2AK2)), ER stress (through PKR-like ER kinase (PERK; also known as eIF2AK3)), exposure to ultraviolet light (through GCN2; also known as eIF2AK4) or haem deficiency (through haem-regulated inhibitor (HRI; also known as eIF2AK1)). The phosphorylation of eIF2 leads to global translational repression of most cellular and viral mRNAs67. Suppression of translation mediated by eIF2 phosphorylation is beneficial during viral infection as it blocks the production of new viral proteins and limits viral spread. However, under the pathological chronic ER stress, prolonged eIF2 phosphorylation can be deleterious and lead to apoptosis68. Interestingly, TLR3 or TLR4 activation in macrophages and fibroblasts leads to the dephosphorylation of eIF2B via TRIF69,70. As a consequence, the guanine exchange activity of eIF2B is strongly stimulated and recycling of eIF2 occurs even though eIF2α remains phosphorylated (Fig. 4a). This allows the maintenance of efficient mRNA translation rates and an increase in cell survival upon prolonged ER stress, while still benefitting from the unfolded protein response (UPR) that is triggered by the ER stress and is essential to restore protein-folding homeostasis in the cell.

Figure 4: Translation initiation control of innate immunity.
figure 4

a | Regulation of eukaryotic translation initiation factor 2 (eIF2) activity. Under normal conditions, eIF2 associates with a GTP molecule, a methionine-initiator tRNA (Met-tRNAi) and the 40S ribosome to participate in translation initiation. After initiation, the GTP molecule is hydrolysed and eIF2 is released from the 40S ribosome. The GDP-associated eIF2 is then recycled by eIF2B into a GTP-associated eIF2 that can re-engage in translation. During viral infection or endoplasmic reticulum (ER) stress, eIF2 can be phosphorylated, which impairs its recycling by eIF2B, leading to translational inhibition of most mRNAs. Toll-like receptor (TLR) engagement under ER stress conditions leads to eIF2B stimulation, which in turn is able to efficiently recycle eIF2, even in its phosphorylated form, to maintain translation. b | Regulation of eIF4E activity. TLR or interleukin-1 receptor (IL-1R) engagement induces the phosphorylation of eIF4E in an IL-1R-associated kinase 2 (IRAK2)-dependent and MAPK-interacting protein kinase 1 (MNK1)-dependent or MNK2-dependent manner to stimulate the translation of a subset of mRNAs. TLR engagement also activates the mammalian target of rapamycin (mTOR) pathway, which leads to eIF4E-binding protein (4EBP) phosphorylation, thus releasing the cap-binding protein eIF4E to stimulate the translation of mRNAs with highly structured 5′ untranslated regions (5′ UTRs). c | Translation re-initiation. A large proportion of cellular transcripts have predicted short upstream open reading frames (uORFs). When translated, these uORFs can affect the expression of the canonical ORF by different means. If the uORF overlaps with the main ORF, its translation will downregulate the translation of the main ORF, which will depend exclusively on leaky scanning of 40S ribosomal subunits that fail to recognize the start codon of the uORF and continue scanning the 5′ UTR until they reach the canonical ORF start codon — in this case the full-length mitochondrial antiviral signalling protein (FL-MAVS). Ribosomes that terminate translation of the uORF sometimes fail to dissociate from the mRNA, and the 40S ribosomal subunit might re-initiate scanning in a 5′ to 3′ direction until the ribosomes reach a new start codon situated in an optimal Kozak context. In this case, if the start codon is in the same reading frame as that of the canonical ORF, translation re-initiation will produce a truncated version of the canonical protein that is synthesized from the canonical ORF (in this case, the truncated version is called miniMAVS). If the internal start codon is not in the same reading frame, it can lead to the synthesis of a completely different protein. IFN, interferon; LPS, lipopolysaccharide; PABP, poly(A)-binding protein; TRIF, TIR-domain-containing adaptor inducing IFNβ.

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In addition to eIF2, the cap-binding protein eIF4E is highly regulated. eIF4E mediates the recruitment of the 40S ribosomal subunit by interacting both with the 5′ mRNA cap structure and the scaffold initiation factor eIF4G, which in turn contacts the 40S ribosome through eIF3 (Fig. 4b). In most cells, eIF4E levels are limiting, and thus the regulation of its activity has a strong impact on the translation efficiency of many mRNAs. Notably, eIF4E phosphorylation was recently shown to regulate the translation of pro-tumorigenic mRNAs71, and eIF4E phosphorylation is usually altered in response to viral infection, which suggests a potential role in regulating innate immunity72. Consistent with this, mice that lack the two MAPK-interacting protein kinases (MNK1 and MNK2) that are responsible for eIF4E phosphorylation (Fig. 4b), or that express a mutant form of eIF4E that cannot be phosphorylated, have an enhanced type I IFN response that blocks infection by RNA viruses73. Surprisingly, although the lack of eIF4E phosphorylation does not affect global mRNA translation, it leads to specific translational downregulation of many mRNAs, including the mRNA that encodes IκBα. This increases NF-κB expression following RNA virus infection or specific TLR3 activation, which results in the induction of mRNAs that encode IFNβ and IRF7.

The phosphorylation of eIF4E is also regulated by IRAK2 and IRAKM (also known as IRAK3) (Fig. 4b). It has been shown that MNK1 and eIF4E were hypophosphorylated upon LPS stimulation in IRAK2-deficient mice compared with wild-type mice74. Consistent with low eIF4E phosphorylation levels, translation of several cytokines (including TNF and IL-6) was less efficient in IRAK2-deficient macrophages in response to LPS stimulation. Thus, in addition to its role in promoting NF-κB induction, IRAK2 promotes the translation of pro-inflammatory cytokines. Interestingly, IRAKM was recently shown to interact with IRAK2 and inhibit its ability to phosphorylate eIF4E (Fig. 4b), thereby preventing increased translation of cytokine mRNAs75. This inhibitory effect is thought to be important for downregulating TLR responses.

The activity of translation initiation factors is also subject to regulation by lipid mediators. In alveolar macrophages that are exposed to prolonged LPS treatment, 15-deoxy-Δ-12,14-prostaglandin J2 (15d-PGJ2) — a prostaglandin with anti-inflammatory activity — inhibits eIF4A activity and induces the formation of stress granules76. eIF4A is a DEAD-box RNA helicase that is required to unwind any RNA secondary structures that might otherwise block 40S ribosome progression through the 5′ UTR to find the start codon. Impairment of eIF4A activity by 15d-PGJ2 leads to translational repression of most cellular mRNAs, as well as sequestration of the pro-inflammatory TRAF2 protein into stress granules to resolve chronic inflammatory responses76.

Together, these studies illustrate the diversity of mechanisms by which translation initiation factor activity is controlled by phosphorylation or direct interaction with small molecules to modulate both activation and resolution of inflammation.

Regulation by mTOR and 4EBPs. Mammalian target of rapamycin (mTOR) is a serine/threonine kinase that responds to many cellular stimuli, including TLR ligands. Its activation in macrophages occurs through MYD88–TRIF–phosphoinositide 3-kinase (PI3K)–AKT pathways77. In addition to regulating the transcription of immune genes, mTOR mediates the phosphorylation of eIF4E-binding proteins (4EBPs) (Fig. 4b). When hypophosphorylated, 4EBPs bind and sequester the translation initiation factor eIF4E to block its association with the scaffold initiation factor eIF4G and repress cap-dependent translation. Upon mTOR activation, 4EBPs become hyperphosphorylated and release eIF4E, which is then available to bind to eIF4G and participate in translation (Fig. 4b). The importance of 4EBPs in the translational control of innate immunity was revealed in mice that lack both 4EBP1 and 4EBP2 (Eif4ebp1−/−Eif4ebp2−/− mice), which are refractory to RNA virus infection78. Further analysis revealed that 4EBP-depleted cells have increased type I IFN production following exposure to polyinosinic:polycytidylic acid (poly(I:C)) or in response to viral infection. Interestingly, although eIF4E is required for the translation of most cellular mRNAs, its sequestration by 4EBPs mainly affects the expression of those transcripts with large secondary structures in their 5′ UTR and those that contain 5′ UTR oligopyrimidine tracts. Both of these UTR classes are highly dependent on eIF4E for efficient translation79,80. Among these genes, translation of IRF7 — which has a long and highly structured 5′ UTR — is stimulated in cells in which 4EBP1 and 4EBP2 are depleted. Consistent with a role of 4EBPs in regulating innate immunity-related genes, LPS-mediated activation of macrophages leads to mTOR-dependent 4EBP phosphorylation, which activates the translation of TNF, IL-6 and CXC-chemokine ligand 1 (CXCL1)79. Thus, 4EBPs act as negative regulators of innate immunity in unstimulated cells and are required both for inducing efficient expression of IFN-regulatory genes as well as for avoiding an excessive innate immune response against pathogens. In agreement with such an important role, inactivation of mTOR by the Leishmania spp. protease GP63 (also known as leishmanolysin) leads to translational repression of macrophage transcripts and is required for pathogen survival81.

In contrast to these findings, mTOR inactivation by rapamycin during the course of a bacterial infection has been shown to stimulate innate immunity by favouring the expression of pro-inflammatory genes82. Furthermore, infection of macrophages with a virulent strain of Legionella pneumophilia results in mTOR ubiquitylation and degradation, thereby suppressing its function83. Surprisingly, in this case, the resulting hypophosphorylation of 4EBPs leads to translational repression of low-abundance transcripts and activation of high-abundance transcripts. Among these abundant transcripts are those for pro-inflammatory cytokines. Interestingly, mTOR inactivation by L. pneumophilia requires the Dot/Icm secretion system, which suggests that triggering the innate immune system involves translational regulation following the detection of pathogen signatures.

The above data demonstrate the importance of translational regulation mediated by mTOR and 4EBPs in innate immunity. These data further illustrate the dual role of 4EBPs in restricting or promoting innate immunity depending on the nature of the pathogen.

Regulation of poly(A) length. The poly(A) tail located at mRNA 3′ ends has an essential role in translation by serving as a binding site for poly(A)-binding protein (PABP; also known as PABP1). Although recruited to the 3′ end, PABP interacts with multiple translation initiation factors and stimulates their activities (Fig. 4b). These interactions also bring the 5′ and 3′ ends into close proximity, thereby pseudo-circularizing the mRNA, which is thought to improve ribosome recycling and therefore translational efficiency84. Dynamic regulation of poly(A) tail length in numerous cell types has a strong impact on both translational efficiency and transcript stability85.

In unstimulated macrophages, TNF mRNA is constitutively expressed but it lacks a poly(A) tail and so fails to engage the translation machinery and produce TNF protein86. However, following LPS stimulation, TNF transcripts gain poly(A) tails, which activates their translation and allows the rapid and abundant expression of TNF protein. Such regulation is similar to that occurring in resting memory CD8+ T cells, in which constitutively expressed mRNA that encodes CC-chemokine ligand 5 (CCL5) lacks a poly(A) tail and so is translationally repressed until the T cell receptor is re-engaged. This re-engagement triggers polyadenylation of the pre-existing pool of CCL5 mRNA, which facilitates rapid translation and CCL5 protein secretion87. Interestingly, although the mechanism responsible for the deadenylation and subsequent readenylation of TNF has not been elucidated, the AU-rich elements that are located within its 3′ UTR are very similar in sequence to the motif that is recognized by the cytoplasmic polyadenylation element binding protein (CPEB; also known as CPEBP1). CPEB has been shown to regulate the translation of mRNAs for many pro-inflammatory cytokines (including IL-6) in mouse embryonic fibroblasts88. It is therefore possible that, in addition to TNF, many other transcripts may be constitutively produced in resting macrophages and stored in a translationally silent state until TLR engagement triggers their rapid readenylation and translation.

Alternative translation initiation pathways

Although most mRNAs are translated through the classical cap-dependent mechanism, a subset of cellular mRNAs can also rely on alternative ways to initiate translation, such as leaky scanning, non-AUG translation initiation, translation re-initiation and internal ribosome entry sites (IRESs).

Recognition of the start codon by the scanning 43S ribosome is modulated by the nucleotide sequence surrounding the AUG, which is also known as the Kozak context89. The optimal sequence corresponds to a purine at position −3 and a guanosine at position +1. If the Kozak context is not optimal, the 43S ribosome fails to recognize the AUG codon and continues its 5′ to 3′ scanning until it reaches a downstream start codon — this mechanism is known as leaky scanning. Leaky scanning occurs in a variety of transcripts and allows the expression of multiple isoforms of the same protein without the requirement for alternative splicing. In DCs, translation of the transcript that encodes the secreted protein osteopontin (also known as SPP1) is controlled by leaky scanning to produce full-length secreted osteopontin and an amino-terminal truncated osteopontin isoform that is restricted to the cytoplasm90. Interestingly, translation of the N-terminal isoform is not initiated at an AUG codon but probably at a GCC codon (coding for aspartic acid) that is located downstream of the canonical AUG. Expression of this N-terminal truncated osteopontin isoform is required for efficient podosome formation upon DC activation by CpG-containing oligonucleotides90.

Translation re-initiation occurs when an 80S ribosome that terminates translation at the stop codon is not completely recycled and the 40S ribosomal subunit is able to resume 5′ to 3′ scanning to reach a downstream initiation codon and re-initiate translation. The efficiency of re-initiation is linked to the length of the first open reading frame (ORF) that is translated, with shorter ORFs allowing for a more efficient re-initiation91. Indeed, it is thought that translation initiation factors (which are required for translation re-initiation) remain associated with ribosomal subunits for some time after elongation begins and, therefore, ribosomes that are translating short ORFs will have more chance of carrying all of the factors that are necessary for re-initiation. Interestingly, more than 45% of mammalian mRNAs are predicted to contain small upstream ORF (uORF) in their 5′ UTR92, which suggests that they could have a widespread role in regulating translation of the main ORF. In a recent report, two isoforms of the antiviral retinoic acid-inducible gene I (RIG-I) adaptor protein mitochondrial antiviral signalling protein (MAVS) — full length MAVS (FL-MAVS) and an N-terminal truncated isoform (miniMAVS) — were shown to be expressed from a single transcript species through the use of two in-frame start codons93. FL-MAVS is responsible for efficient type I IFN production during viral infection, whereas miniMAVS antagonizes FL-MAVS. Surprisingly, when dissecting the molecular mechanism responsible for miniMAVS translation, the authors revealed the presence of a short uORF in the 5′ UTR of the MAVS transcript that terminates downstream of the FL-MAVS start codon (Fig. 4c). Translation of this uORF allows ribosomes to bypass the FL-MAVS start codon. Then, through a mechanism of translation re-initiation, ribosomes can resume scanning and reach the start codon for translation of miniMAVS (Fig. 4c). By contrast, translation of FL-MAVS occurs through a leaky scanning mechanism whereby 40S ribosomal subunits fail to recognize the uORF start codon and continue scanning until they reach the start codon for FL-MAVS (Fig. 4c). The ratio of FL-MAVS and miniMAVS is dynamic during the course of viral infection, which suggests that leaky scanning and translation re-initiation can be differentially regulated. Finally, by performing genome-wide ribosome-footprinting experiments, numerous genes with multiple translation start sites have been identified, including genes that are involved in innate immunity, which demonstrates the widespread use of alternative translation initiation codons to increase the coding potential of mRNAs without involving alternative splicing.

In addition to translation re-initiation, some cellular transcripts rely on IRESs to initiate their translation. IRESs are RNA elements that can, through their secondary structure or primary sequence, recruit a 40S ribosomal subunit independently of the mRNA 5′ cap structure and the cap-binding factor eIF4E (reviewed in Ref. 84). Ribosome recruitment occurs through direct interactions between components of the translation machinery (including translation initiation factors) and the RNA sequence or structure, and can be regulated by IRES trans-acting factors. Although translation that is mediated by cellular IRESs is usually inefficient under normal conditions, it allows translation to be sustained during conditions where cap-dependent translation is compromised. A few genes that are involved in innate immunity have been reported to contain IRESs in their 5′ UTR, including hypoxia-inducible factor 1α (HIF1α) and human surfactant protein A (SPA; also known as PSPA)94,95. However, IRES activity for these transcripts has not yet been monitored in the context of innate immunity. By contrast, polysome profiling of breast cancer cells that had been incubated with conditioned medium from activated macrophages revealed the genes for which translation was upregulated in the context of an inflammatory response96. Among these genes, early growth response gene 2 (EGR2) and 1,25-dihydroxyvitamin D3 24-hydroxylase (CYP24A1) were reported to depend on IRESs for their translation under inflammatory conditions96,97. As innate immunity is often associated with cellular stress conditions in which cap-dependent translation is highly regulated, it is tempting to speculate that IRES-mediated translation could have a role in allowing the translation of transcripts that are required to cope with such stresses.

Gene-specific regulation

Translation can be regulated in a transcript-specific manner through the recruitment of RNA-binding proteins, lncRNAs or small RNAs (Fig. 5a,b). Such interactions can occur on the 5′ UTR, the coding sequence or the 3′ UTR of target mRNAs and depend either on the transcript primary sequence or on particular RNA secondary structures.

Figure 5: Translational control mediated by RNA-binding proteins and elongation factors.
figure 5

a | Translational control through RNA-binding proteins. Differential expression of microRNAs (miRNAs) during Toll-like receptor (TLR) signalling can lead to translational repression of immune-related mRNAs. This inhibition is thought to occur mainly at the level of translation initiation through targeting of scanning by the 40S ribosomal subunit125. miRNAs can also lead to target transcript deadenylation to block translation initiation. TLR signalling regulates the levels and activity of many AU-rich element (ARE)-binding proteins, which are thought to regulate translation initiation through mechanisms that are still not fully elucidated. b | Interferon-γ (IFNγ) induces the multistep assembly of an IFNγ-activated inhibitor of translation (GAIT) complex through the association of glutamyl-prolyl tRNA synthetase (EPRS) and heterogeneous nuclear ribonucleoprotein Q (HNRPQ) 8 hours after IFNγ treatment, which is followed by the association of the large ribosomal subunit protein L13A with glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and the formation of the fully functional GAIT complex. The GAIT complex binds to the 3′ untranslated region (UTR) of transcripts containing the GAIT element and represses their translation by abolishing the interaction between eukaryotic translation initiation factor 4G1 (eIF4G) and eIF3. c | Regulation of translation elongation. In macrophages, lipopolysaccharide (LPS) stimulation inhibits, in a mitogen-activated protein kinase (MAPK)-dependent manner, the kinase activity of eukaryotic elongation factor 2 kinase (eEF2K), thus increasing the pool of active eEF2 in the cell and stimulating translation elongation. HUR, Hu-antigen R; ORF, open reading frame; PABP, poly(A)-binding protein; TIA1, nucleolysin TIA1 isoform p40; TTP, tristetraprolin.

PowerPoint slide

Regulation by ARE-binding proteins. ARE-binding proteins are among the most important TLR-dependent regulators of translation. In addition to their role in modulating mRNA stability (see above), ARE-binding proteins have been reported to regulate the translation of key ARE-containing mRNAs following TLR engagement. Interestingly, because different ARE-binding proteins recognize similar sequence motifs, they can compete with one another for individual AREs and simultaneously occupy a single transcript that contains multiple AREs98 (Fig. 5a). This results in complex and dynamic regulatory networks, which possibly involve multiple molecular mechanisms that affect both transcript translation and stability. Illustrating this, translation of TNF in resting macrophages is repressed by the ARE-binding protein TTP. However, following LPS stimulation, activation of the p38 mitogen-activated protein kinase (MAPK)–MAPK-activated protein kinase 2 (MAPKAPK2) pathway leads to TTP phosphorylation, which decreases its affinity for TNF AREs. As a consequence, TTP is replaced by HUR, which stimulates TNF translation99.

The exact molecular mechanisms by which ARE-binding proteins regulate translation remain largely unexplored but most probably depend on the recruitment of additional proteins. In resting macrophages, TTP was shown to interact with DEAD-box protein 6 (DDX6; also known as RCK) and repress TNF translation, possibly by recruiting the mRNA to processing bodies (P-bodies)100. Nucleolysin TIA1 isoform p40 (TIA1), an ARE-binding protein that is required for translational regulation of TNF and other cytokines following TLR activation, has been shown to repress the translation of target mRNAs by preventing their engagement with polyribosomes101. Although the mechanism of this TIA1-dependent translational repression has not been fully elucidated, it has been suggested that TIA1 promotes the assembly of 48S-like ribosomes that lack eIF2 and are therefore unable to initiate translation102. This would be consistent with the known role of TIA1 in repressing the translation of mRNAs with 5′ UTR oligopyrimidine tracts under stress conditions — when eIF2α is phosphorylated and thus unavailable for translation — by relocalizing these mRNAs to stress granules103.

Regulation by the GAIT complex. In addition to ARE-binding proteins, the IFNγ-activated inhibitor of translation (GAIT) complex has an important role in gene-specific translational control in innate immunity. Evidence for the GAIT complex was first found in IFNγ-treated human monocytic U937 cells in which translation of the mRNA encoding ceruloplasmin (CP) was first stimulated and then strongly repressed after 16 hours of treatment104. Later, a 29-nucleotide bipartite stem–loop RNA structure that is located in the 3′ UTR of the CP transcript was reported to interact with a protein complex and shown to be sufficient to mediate translational repression of CP and that of reporter constructs expressed in IFNγ-treated cells105. Identification of the protein partners involved in GAIT — carried out using a yeast three-hybrid screen and affinity chromatography — revealed a 450 kDa complex that is composed of the large ribosomal subunit protein L13A (also known as RPL13A), glutamyl-prolyl tRNA synthetase (also known as EPRS and bifunctional glutamate/proline tRNA ligase), heterogeneous nuclear ribonucleoprotein Q (HNRPQ; also known as NSAP1) and glyceraldehyde-3-phosphate dehydrogenase (GAPDH)106,107. Interestingly, the GAIT complex is assembled in a two-step process in which, 8 hours after IFNγ treatment, EPRS and HNRPQ first assemble together but are unable to bind to GAIT element-containing mRNAs106 (Fig. 5b). After 12 to 24 hours of treatment, L13A is phosphorylated and released from the 60S ribosomal subunit, which allows its interaction with GAPDH and with the EPRS–HNRPQ heterodimer106,107 (Fig. 5b). The formed complex can then interact with the GAIT RNA element and drive translational repression by a mechanism that involves the direct interaction of L13A with the translation initiation factor eIF4G108. The L13A–eIF4G interaction interferes with the association of eIF4G with eIF3 and thus blocks the recruitment of the 40S ribosomal subunit to the target mRNA108 (Fig. 5b).

In addition to regulating translation of the CP transcript, a polysome-profiling experiment combined with microarray analysis of IFNγ-treated cells revealed that many other mRNAs are also regulated by the GAIT complex, including chemokines and chemokine receptors109, as well as genes that are involved in regulating GAIT complex assembly110. Among these genes, vascular endothelial growth factor A (VEGFA), which has a role in promoting angiogenesis during inflammation, was shown to contain a GAIT element in its 3′ UTR that was able to recruit the GAIT complex and repress VEGFA translation111. The GAIT RNA element that is located in the 3′ UTR of VEGFA is in close proximity to a binding site for the RNA-binding heterogeneous nuclear ribonucleoprotein L (HNRNPL) in complex with the double-stranded RNA-binding protein DRBP76 (also known as ILF3) and HNRNPA2/B1; this is also known as the HILDA complex. Binding of the GAIT complex and HNRNPL is mutually exclusive and mediated by a differential conformational change of the target RNA induced by each complex that, in turn, blocks the binding of the other complex112,113. This conformational switch allows the fine-tuning of VEGFA translation in the course of inflammation. Under normoxic conditions, IFNγ treatment activates the GAIT complex, which binds to the 3′ UTR of VEGFA to inhibit its translation. However, during hypoxia, HNRNPL is phosphorylated and relocalizes to the cytoplasm and binds to the 3′ UTR of VEGFA, thus impeding GAIT complex binding to allow for efficient VEGFA protein expression and to promote angiogenesis113.

Together, available data exemplify the complexity and dynamic aspect of gene-specific translational control in innate immunity. Indeed, simultaneous binding and competition for binding sites between different RNA-binding proteins allows the cell to integrate multiple inputs at the same time and to differentially regulate gene expression in a target-specific manner as appropriate. Furthermore, it introduces the notion of a post-transcriptional code for regulating gene expression whereby the combinatorial binding of RNA-binding proteins to a particular transcript determines its expression level.

Regulation of translation elongation

Although most regulation of translation is thought to occur at the initiation step, translation can also be controlled at the elongation step. However, the mechanisms for regulating elongation, as well as their impact in physiological processes, are still poorly understood. It is known that translation elongation can be regulated by the mTOR and MAPK pathways in response to many stimuli79. Among these, TLR activation in macrophages that are deficient in MAPK kinase kinase 8 (MAP3K8; also known as COT and TPL2) results in reduced phosphorylation of eukaryotic elongation factor 2 kinase (eEF2K), which suggests a role for MAP3K8 in the regulation of translation elongation79. In its unphosphorylated form, eEF2K acts as a translational repressor by phosphorylating eEF2 (Fig. 5c). Confirming an involvement of eEF2 in innate immunity, activation of the MAPK proteins p38γ (also known as MAPK12) and p38δ (also known as MAPK13) in a model of LPS-induced hepatitis was shown to stimulate eEF2 activity in macrophages114. As a consequence, the translation of TNF is upregulated, which induces apoptosis and necrosis of hepatic cells. Interestingly, partial knockdown of eEF2 using small interfering RNAs blocked TNF expression by macrophages following LPS stimulation both in vitro and in vivo, and this blockade was sufficient to protect mice from liver failure. This result highlights the importance of the regulation of translation elongation in pro-inflammatory cytokine expression. As regulation of eEF2 activity should have an impact on the translation of most cellular mRNAs, it would be of interest to monitor its effect on additional cellular functions.

lncRNAs in innate immunity

Although miRNAs modulate inflammatory gene expression62,63, exciting recent studies support important roles for additional non-coding RNAs in this setting. Although several lncRNAs were discovered and characterized prior to 2005 (Refs 115, 116, 117), advances in sequencing and array technologies over the past few years have led to the discovery of thousands of lncRNA transcripts in diverse cell types118,119,120,121,122,123,124. These lncRNAs have primarily been studied in the context of genomic imprinting, cancer and cell differentiation. More recently, however, their expression in immune cells has prompted investigation into their roles in transcriptional and post-transcriptional regulation of immune gene expression (Box 1).

Conclusions and perspectives

This Review highlights the wealth of post-transcriptional mechanisms that control the expression levels of immune genes. Although transcriptional regulation has been the focus in this area, it is clear that splicing, polyadenylation, mRNA stability and protein translation all act in concert to fine-tune and modulate the initiation, duration and magnitude of inflammatory gene expression in innate immunity. The expression of inhibitory splice variants that are induced by inflammatory signals, as well as tight control of mRNA half-lives, enable rapid and transient responses. Furthermore, regulation of mRNA translation allows a rapid response that can be directed against a specific set of genes or against the entire transcript population. Although exuberant 'on' signals clearly contribute to chronic inflammation, dysregulation of the 'off' signals can be equally damaging to tissues. Turning off the system in a timely and efficient manner is essential. The existence of multiple and apparently non-redundant regulatory mechanisms raises an important question concerning the relative importance of these individual controls. Such control at multiple checkpoints suggests that, individually, these hurdles are not sufficient to modulate a particular response, and a concerted effort by multiple regulatory mechanisms is required. A broader understanding of all of the layers of regulation in this system can provide important information that could be harnessed in vaccine development to improve the efficacy and duration of vaccine-induced immunity. Additionally, these multiple layers could be modulated therapeutically to thwart chronic inflammation, which contributes to a growing array of human diseases.