Although the first biological activity attributed to MIF was described in the mid 1960s, information regarding MIF's precise role in cell physiology and immunity has emerged only in the last few years. Among recent findings has been the determination that MIF is expressed by many cell types including the monocyte/macrophage (
8), which historically had been considered to be the “target” of MIF action (
2,
3). MIF is present preformed in macrophages (and in T cells) and it exerts important, autocrine/paracrine activating effects upon its release (
8,
17). Antibody neutralization and signal transduction papers have supported the view that MIF acts by engaging a cell surface receptor (
8,
25,
26), however, the lack of information regarding candidate receptors has prompted investigations into nonclassical or specialized modes of action. These have included the biological role of an intrinsic tautomerase activity (
27,
53), which may be vestigial (
28), and an endocytic pathway that involves a direct interaction between MIF and the transcriptional regulator, Jab1 (
30).
We experienced considerable difficulty in preparing a bioactive,
125I-radiolabeled MIF, and in biosynthetically labeling the protein to a sufficiently high specific activity for cell binding studies. Radioiodination methods result in the adventitious oxidation of MIF's free cysteine residues, which need to be in a reduced state for cytokine bioactivity (
54). In contrast, we found that modification of MIF by Alexa-488 under mild conditions produced a fully bioactive protein that enabled the expression cloning of CD74 as a high-affinity, cell surface binding protein for MIF.
This work provides the first insight into a membrane receptor for MIF, and the proximate steps for signal transduction may now be considered in the context of the molecular biology of CD74. A role for CD74 in the transport of class II proteins from the endoplasmic reticulum to the Golgi complex has been established (
55); however, it also is known that 2–5% of cellular CD74 is expressed on the cell surface (
48,
56). CD74 surface expression occurs independently of class II and in a variety of different cell types (
50,
56). Of note, CD74-KO mice are developmentally immunocompromised and show lymphoid abnormalities beyond what would be expected from the protein's function as a class II chaperone (
34). Recent works have identified an accessory role for CD74 in immune cell stimulation, and this function requires a chondroitin–sulfate-dependent interaction between CD74 and CD44 (
57,
58). CD44 is a widely expressed and a polymorphic transmembrane protein with known tyrosine kinase activation properties (
59), and the horizontal recruitment of CD44 into an MIF–CD74 complex may be necessary for MIF signal transduction in some cell types. CD74 surface expression is also known to be regulated by the length of the protein's NH
2-terminal, intracellular domain, which varies depending on which of two in-phase initiation codons are used (
60). Whether this differential translation of CD74 mRNA mediates cellular sensitivity to MIF will also be important to investigate.
The intracellular portion of CD74 lacks sequence domains that might be predicted to interact with downstream signaling molecules. Thus, it is noteworthy that the expression of a truncated, CD74 intracellular domain alone has been shown to initiate p65-RelA–dependent transcriptional activation (
61). The activating ligand for CD74 was not been defined by these papers, and this activation pathway appears to require the recruitment of additional intracellular proteins (
61). Like MIF, CD74 is a homotrimer (
62), and MIF engagement of CD74 may act to effect the oligomerization or the stabilization of the intracellular domain that is necessary for downstream signaling. Thus, the MIF binding activity of CD74 provides insight into the biology of CD74 outside of its role in the transport of class II, and supports those papers that have defined an accessory signaling function for CD74 in immune cell physiology (
57,
58,
61).
Whether the binding of MIF to CD74 accounts for all of MIF's cellular actions is unknown, and perhaps unlikely in light of experiments suggesting a pathway for MIF internalization and binding to Jab1 (
30), and continued interest in the biological function of MIF's NH
2-terminal, catalytic domain (
28). Nevertheless, recent in vitro and in vivo works have placed MIF in a pivotal position for the control of innate immunity. MIF regulates the expression of TLR4 (
15), which is the receptor for gram-negative endotoxin, and the MIF release sustains proinflammatory function by inhibiting activation-induced, p53-dependent apoptosis (
10,
26). MIF's importance in the pathophysiology of infection also has been affirmed in experimental animal models of sepsis, where anti-MIF protects from death even when administered 8 h after infectious insult (
40). The recent finding that human MIF is encoded by four functionally distinct alleles, and that the high-expression alleles are associated with severe rheumatoid arthritis (
19) further emphasize this cytokine's importance in human inflammatory disease. Pharmacological interference in the MIF-CD74 interaction may offer an important new approach to the modulation of pathologic inflammatory processes.