Lyme disease, the most common arthropod-borne disease in the United States, is caused by infection with the pathogenic spirochete
Borrelia burgdorferi. In the eastern United States,
B. burgdorferi is transmitted primarily during engorgement of the tick
Ixodes scapularis on mammalian hosts. Recently, a shift in environmental conditions favoring the life cycle of the spirochete has augmented the number of Lyme disease diagnoses (
31,
49). Typically, the earliest hallmark of infection with
B. burgdorferi is the development of a characteristic skin rash, erythema migrans, which often occurs during the first week of infection and is usually accompanied by flu-like symptoms (
52). However, more severe pathological consequences can manifest from infection with the spirochete, including conduction system abnormalities, meningitis, and acute arthritis, which appears in 60% of untreated individuals in the United States. Some untreated individuals become persistently infected with the spirochete, which can result in chronic inflammation (
52). Treatment-resistant chronic pathologies resulting from
B. burgdorferi infection have been reported previously (
20,
47,
48).
The development of inflammation arising from infection with
B. burgdorferi is dependent on several factors, including spirochetal virulence, the number of bacteria in the affected tissues, and the host immune response generated against
B. burgdorferi, none of which appear to be mutually exclusive (
3). Recent studies using mice that are deficient for Toll-like receptors (TLRs) or the TLR adaptor molecule MyD88 have shed light on the importance of cells that compromise the innate immune system, including phagocytic cells, for the clearance of infection and resolution of disease (
9,
29,
54). Infection of these mice resulted in increased spirochetal burden at the peak of infection, although the impact of their deficiency on pathology varied among the studies. Those studies underscore the pressing significance of the early innate immune response for maintaining a level of infection that can be cleared by the more specific adaptive immune system.
B. burgdorferi induces the production of proinflammatory cytokines in different cell types (
38,
39,
43,
44). Although it has been shown that
B. burgdorferi stimulation of monocytes, mast cells, and other cell types results in increased expression of the proinflammatory cytokines tumor necrosis factor alpha (TNF-α), interleukin-12 (IL-12), and gamma interferon (IFN-γ), the specific mechanisms leading to this increased expression have not yet been completely elucidated (
13,
30,
39,
51).
B. burgdorferi contains lipidated outer surface proteins that activate the transcription factor NF-κB and subsequently upregulate the transcription of genes encoding chemokines and adhesion molecules in endothelial cells and fibroblasts (
15,
34,
50). Indeed, the lipoproteins comprising the outer membrane of
B. burgdorferi are the major immunogens of this spirochete, and as such, lipidated OspA, a model cell surface lipoprotein of
B. burgdorferi, induces the translocation of NF-κB and the transcription of target genes in phagocytic cells following TLR engagement (
55).
Activation of the p38 mitogen-activated protein (MAP) kinase pathway is critical for many immune response-related functions, including T-cell differentiation and death, macrophage and neutrophil effector functions (e.g., respiratory burst, granular exocytosis, etc.) (
4), and the production of proinflammatory cytokines including TNF-α and IFN-γ (
2,
22). Specific upstream activators of p38 MAP kinase include MKK3 and MKK6 (
17), which catalyze the transfer of a phosphate group to threonine and tyrosine residues within the activation loop kinase subdomain VIII. Four isoforms of p38 MAP kinase (p38α, p38β, p38δ, and p38γ) have been identified, and each one is encoded by a different gene. The expression and function of the p38 MAP kinase family members are tissue specific, although some members have demonstrated overlapping substrate specificities (
33,
46).
Members of the p38 MAP kinase family are selected targets for pyridinyl imidazole compounds (
28). Pyridinyl imidazoles act by competitively inhibiting the binding of ATP to the ATP binding cleft of protein kinases and therefore prevent the catalytic transfer of a phosphate molecule from ATP to hydroxyls on serine, threonine, and tyrosine residues on the target substrate (
18). SB203580, a member of this class of protein kinase inhibitors, specifically inhibits p38α and p38β MAP kinase function because it binds to a threonine side chain located in the ATP binding cleft (
18). Other MAP kinases, including p38δ and p38γ, are not inhibited by SB203580 due to the presence of a larger side chain, such as methionine or glutamine (
18,
19,
21).
p38 MAP kinase phosphorylates and activates transcription factors and other kinases, including the nuclear kinases mitogen- and stress-activated protein kinase 1 (MSK1) and MSK2. MSK1 activation constitutes a convergence point for the p38 MAP kinase and extracellular signal-regulated kinase (ERK) pathways, which are activated by different stimuli (
12). The role of MSK1 in proinflammatory responses is associated with its ability to phosphorylate RelA at Ser
276 and the subsequent increase in the transcriptional activity of the transcription factor NF-κB (
53). Other substrates for MSK1 have been defined, including the transcription factor ATF-1 and the cyclic AMP response element binding (CREB) protein. CREB is a transcription factor involved in the regulation of several genes in different cell types including IL-2 during T-cell activation. However, since naïve CD4
+ T cells express low or no levels of p38 MAP kinase (
40), MSK1 is probably a substrate for the MAP kinase ERK. The regulation of CREB activity through MSK1 may be relevant in stress conditions, such as during oxidative stress (
41), but it seems not to regulate IL-2 production during T-cell activation under nonstress conditions (
41). In other cell types, MSK-dependent CREB/ATF-1 activation also regulates the expression of several proinflammatory genes, including IL-6 (
25) and Cox-2 (
16,
36). Therefore, MSK-dependent activation of both CREB/ATF-1 and NF-κB regulate the expression of several proinflammatory factors.
Here, we report the p38 MAP kinase signaling pathway required for the production of TNF-α by phagocytic cells in response to B. burgdorferi lysates. Our results show that p38 MAP kinase signaling directs the production of TNF-α by phosphorylating the transcriptionally active subunit of NF-κB, an event that is mediated by MSK1.