IRAK-1 was first identified by Cao
et al. through biochemical purification of the IL-1 dependent kinase activity that co-immunoprecipitates with the IL-1 type 1 receptor [
35]. Micropeptide sequencing and subsequent cDNA library screening yielded a full length cDNA clone encoding a protein with 712 amino acids and a predicted molecular size of ~76KD. IRAK-1 is expressed ubiquitously in diverse human tissues and cells. By radiation hybrid analysis, Thomas
et al. mapped the murine IRAK-1 gene to Xq29.52-q29.7 and human IRAK-1 gene to Xq28 [
36]. IRAK-1 protein contains an N-terminal death domain, a central serine/threonine kinase domain, and a C-terminal serine/threonine rich region. There are a putative nuclear localization sequence (NLS at aa 503–508) and a nuclear exit sequence (NES at aa 518–526)[
27]. Using human THP-1 cells, primary blood mononuclear cells, as well as mice splenocytes, we have demonstrated that there are two signature forms of IRAK-1; the unmodified 80KD form, and the modified 100KD form [
37]. IRAK-1 modification consists of phosphorylation, ubiquitination, and sumoylation [
27,
38,
39]. Depending upon the nature of its modification, IRAK-1 may perform distinct functions including activation of IRF5/7[
11,
18,
20], NFκB[
17,
40,
41], and Stat1/3 [
34,
42] ().
There are multiple pathways and steps leading to fully activated NFκB [
43]. The first step involves the classical pathway causing the activation of IKKα/β complex, which contributes to IκBα phosphorylation and degradation, and subsequent nuclear translocation of p65/RelA. The second step involves IKK

/TBK-1 dependent p65/RelA phosphorylation, which is independent of the classical pathway and IκBα degradation. Recent evidence indicates that IRAK-1 contributes to NFκB activation by facilitating p65/RelA phosphorylation, but not the classical pathway leading to IκBα degradation and p65 nuclear translocation [
17]. In agreement with this, we have also demonstrated that IRAK-1 deficient cells exhibit compromised p65/RelA phosphorylation, yet normal IκBα degradation following TLR2-ligand Pam
3CSK
4 challenge [
44]. IRAK-1 mediated IKK

activation may also lead to phosphorylation and activation of STAT-related transcription factors [
45].
Perhaps one of the major functions of IRAK-1 is to mediate the ligand-stimulated phosphorylation of IRF5/7 [
11,
20]. Studies from both Akira’s and Golenbock’s groups convincingly demonstrate that IRAK-1 deficiency leads to diminished activation of IRF5 and IRF7. Consequently, interferon alpha4 gene expression is dramatically decreased in IRAK-1
−/− cells following the stimulation with TLR7 and TLR9 ligand. In contrast, NFκB-mediated gene expressions such as TNFα seem to be un-altered in IRAK-1
−/− cells upon challenge with agonists for TLR 7/8 as well as TLR9 [
11]. Future efforts are needed to define new and physiologically relevant substrates for IRAK-1.
Besides mediating TLR signaling, IRAK-1 also participates in the regulation of adaptive immune response. For example, T cell co-stimulatory molecule CD26 can trigger the association of IRAK-1 with caveolin on antigen presenting monocytes, which is responsible for the subsequent expression of co-stimulatory molecule CD86 [
23].
IRAK-1 is regulated at multiple levels. First, IRAK-1 protein can undergo covalent modifications including phosphorylation, ubiquitination, and sumoylation [
34,
38,
39]. Upstream kinases such as IRAK-4 may contribute to the initial phosphorylation of IRAK-1 at Threonine 381 [
46]. Following such event, IRAK-1 can be quickly activated and exhibit self-phosphorylation within its Pro/Ser rich region. This self-phosphorylation may subject the IRAK-1 molecule to subsequent ubiquitination and proteosome-mediated degradation. IRAK-1 degradation may serve as a negative feedback mechanism to prevent excessive inflammatory signaling process. Indeed, IRAK-1 degradation correlates with reduced host response to endotoxin, and has been correlated with endotoxin tolerance observed in septic leukocytes [
37,
47–
51]. Intriguingly, we observed that IRAK-1 also gets sumoylated following either LPS or Pam
3CSK
4 challenge [
27,
34]. Sumoylated IRAK-1 enters the nucleus and contributes to Stat3 activation and selected gene expression [
34]. The dynamic balance of IRAK-1 phosphorylation, sumoylation and ubiquitination may therefore regulate cellular IRAK-1 protein levels and contributes to its diverse yet distinct functions.
IRAK-1 is also regulated through the differential splicing process, which gives rise to three distinct isoforms of IRAK-1 (IRAK-1a, 1b, and 1c). IRAK-1b derives from alternative splicing and deletion of 90bp within exon 12, which yields an in-frame deletion of 30 amino acids (residues 514–543) [
52]. IRAK-1c is due to alternative splicing and deletion of exon 11 and part of exon 12 [
53]. IRAK-1b exists in minute amount (less then 1% of IRAK-1) in most human cells and tissues with unknown function. On the other hand, the full length IRAK-1 and IRAK-1c are abundantly expressed in human leukocytes and most tissues [
27,
53]. In contrast to IRAK-1, both IRAK-1b and IRAK-1c are stable and do not undergo covalent modification following various stimulations [
27,
52]. Overexpression of IRAK-1c blocks IL-1β induced MAP kinase activation, suggesting that IRAK-1c may serve as a negative regulator of inflammation. Intriguingly, IRAK-1 is absent and IRAK-1c is the predominant form in young human brain tissues [
27,
53]. The absence of full length IRAK-1 may help keep the human brain in an immune-privileged state. In contrast to young humans, we recently found that both IRAK-1 and IRAK-1c are equally present in brain tissues obtained from aged humans [
27]. This may bear significant implication in terms of aging. Increased chronic inflammation is a hallmark of the aging process as evidenced by local infiltration of inflammatory cells such as macrophages, and higher circulatory levels of pro-inflammatory cytokines, complement components and adhesion molecules. Consequently, aging is often accompanied by increasing incidences of chronic inflammatory diseases such as Alzheimer’s or Parkinson’s disease. The molecular mechanisms contributing to the chronic inflammatory state during cellular senescence and the aging process is not clearly understood. Our finding that the full-length IRAK-1 and IRAK-1c are equally present in aged human brains may provide at least a partial explanation for the aging process. Future studies determining the mechanism of IRAK-1 mRNA differential splicing and the functions of different IRAK-1 splice forms are warranted.
Besides regulating innate and adaptive immune signaling, IRAK-1 protein is also implicated in regulating other cellular and physiological functions. IRAK-1 is widely expressed in numerous cells and tissues including neuronal cells, hepatocytes, endothelial cells, as well as epithelial cells [
26,
54–
56]. Consequently, IRAK-1 and related cellular signaling networks may play a critical role in regulating diverse physiological processes. Further studies are clearly warranted to further define these complex signaling networks that IRAK-1 is involved in.
Given the significant and diverse roles IRAK-1 play, it is not surprising that variations in IRAK-1 gene will lead to diverse inflammatory diseases. Indeed, deletion of the IRAK-1 gene in mice decreases the risk of Experimental Autoimmune Encephalomyelitis (EAE) [
33]. We have found that the IRAK-1 protein in leukocytes from human atherosclerosis patients is constitutively activated/sumoylated and localizes in cell nucleus [
34]. Furthermore, our human population-based study indicates that genetic variation in IRAK-1 gene correlates with the severity of atherosclerosis and serum C reactive protein levels [
2]. There are two IRAK-1 haplotypes and a rare variant haplotype (~10% of human population) contains three exon single nucleotide polymorphisms (SNPs). Humans harboring the variant IRAK-1 gene tend to have higher serum CRP levels and are at higher risk for diabetes and hypertension [
2]. IRAK-1 gene variation is also linked to the risk of sepsis. Arcaroli et al. demonstrated that sepsis patients with the rare variant IRAK-1 haplotype have increased incidence of shock, prolonged requirement for mechanical ventilatory support, and greater 60-day mortality [
32].