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Receptor-mediated transmembrane signaling plays an important role in health and disease. Recent significant advances in our understanding of the molecular mechanisms linking ligand binding to receptor activation revealed previously unrecognized striking similarities in the basic structural principles of function of numerous cell surface receptors. In this work, I demonstrate that the Signaling Chain Homooligomerization (SCHOOL)-based mechanism represents a general biological mechanism of transmembrane signal transduction mediated by a variety of functionally unrelated single- and multichain activating receptors. within the SCHOOL platform, ligand binding-induced receptor clustering is translated across the membrane into protein oligomerization in cytoplasmic milieu. This platform resolves a long-standing puzzle in transmembrane signal transduction and reveals the major driving forces coupling recognition and activation functions at the level of protein-protein interactions—biochemical processes that can be influenced and controlled. The basic principles of transmembrane signaling learned from the SCHOOL model can be used in different fields of immunology, virology, molecular and cell biology and others to describe, explain and predict various phenomena and processes mediated by a variety of functionally diverse and unrelated receptors. Beyond providing novel perspectives for fundamental research, the platform opens new avenues for drug discovery and development.
Cell surface receptors are integral membrane proteins and, as such, consist of three basic domains: extracellular (EC) ligand-binding domains, transmembrane (TM) domains and cytoplasmic (CYTO) signaling (or effector) domains. Upon recognition and binding of a specific ligand, cell surface receptors transmit this information into the interior of the cell, activating intracellular signaling pathways and resulting in a cellular response such as proliferation, differentiation, apoptosis, degranulation, the secretion of preformed and newly formed mediators, phagocytosis of particles, endocytosis, cytotoxicity against target cells, etc. Receptor-mediated TM signaling plays an important role in health and disease.1,2 Thus, modulation of signal transduction across the plasma membrane that can be used to modulate the cell response is not only of fundamental importance but has important clinical applications as well. However, until recently, there was no clear molecular understanding of the mechanisms underlying TM signaling. This significantly impeded progress in fundamental studies in biology and life sciences as well as in the development of new therapies.
Here I describe a general platform for receptor-mediated signaling, the Signaling Chain Homooligomerization (SCHOOL) platform. Within this platform, receptor oligomerization (clustering) is induced or tuned upon multivalent ligand binding outside the cell. Then, it is translated across the membrane into protein oligomerization inside the cell with formation of competent signaling oligomers in CYTO milieu being necessary and sufficient to trigger receptor activation. This uncovers for the first time the major driving forces behind coupling recognition and activation functions at the level of protein-protein interactions—biochemical processes that can be influenced and controlled. The platform also reveals previously unrecognized striking similarities in the basic mechanistic principles of function of numerous functionally diverse and unrelated cell surface receptors.
Based on location of binding and signaling (effector) domains, functionally diverse and unrelated cell surface receptors can be structurally classified into two main families: those in which binding and signaling domains are located on the same protein chain, the so-called single-chain receptors (SRs, Fig. 1), and those in which binding and signaling domains are intriguingly located on separate subunits, the so-called multichain receptors (Fig. 2). Because many multichain activating receptors are immune receptors, they are all commonly referred to as multichain immune recognition receptors (MIRRs).2–4
Examples of SRs include receptor tyrosine kinases (RTKs) that are TM glycoproteins consisting of a variable EC N-terminal domain, a single membrane spanning domain, and a large CYTO portion composed of a juxtamembrane domain, the highly conserved tyrosine kinase domain and a C-terminal regulatory region (Fig. 1).5 RTKs activate numerous intracellular signaling pathways, leading to a variety of cell responses. These receptors are triggered by the binding of their cognate ligands and transduce the recognition signal to the cytoplasm by phosphorylating CYTO tyrosine residues on the receptors themselves (autophosphorylation) and on downstream signaling proteins. The proteins of the tumor necrosis factor (TNF) receptor superfamily6 are a group of SRs critically involved in the maintenance of homeostasis of the immune system (Fig. 1). Triggered by their corresponding ligands, these receptors either induce cell death or promote cell survival of immune cells. Transforming growth factor-β (TGFβ) is a potent regulatory cytokine which inhibits the development of immunopathology to self or non-harmful antigens without compromising immune responses to pathogens.7 The TGFβ superfamily functions via binding to type I and II TM serine/threonine kinase receptors that belong to the SR family (Fig. 1).
Functionally diverse members of the MIRR family are expressed on many different immune cells, including T and B cells, natural killer (NK) cells, mast cells, macrophages, basophils, neutrophils, eosinophils, dendritic cells (DCs) and platelets.2–4,8 Figure 2 shows typical examples of MIRRs including the T cell receptor (TCR) complex, the B cell receptor (BCR) complex, Fc receptors (e.g., FcεRI, FcαRI, FcγRI and FcγRIII), NK receptors (e.g., NKG2D, CD94/NKG2C, KIR2DS, NKp30, NKp44 and NKp46), immunoglobulin (Ig)-like transcripts and leukocyte Ig-like receptors (ILTs and LIRs, respectively), signal regulatory proteins (SIRPs), dendritic cell immunoactivating receptor (DCAR), myeloid DNAX adapter protein of 12 kD (DAP12)-associating lectin 1 (MDL-1), blood DC antigen 2 protein (BDCA2), novel immune-type receptor (NITR), myeloid-associated Ig-like receptor (MAIR-II), triggering receptors expressed on myeloid cells (TREMs) and the platelet collagen receptor, glycoprotein VI (GPVI). For more information on the structure and function of these and other MIRRs, I refer the reader to recent reviews.2,9–28 The MIRR ligand-binding subunits are integral membrane proteins with small intracellular domains that are themselves inert with regard to signaling. Signaling is achieved through the association of the ligand-binding chains with signal-transducing subunits that contain in their CYTO domains one or more copies of the immunoreceptor tyrosine-based activation motifs (ITAMs) with two appropriately spaced tyrosines (YxxL/Ix6–8YxxL/I; where x denotes non-conserved residues)29 or the YxxM motif,30,31 found in the DAP10 CYTO domain31 (Fig. 2). The association of the MIRR subunits in resting cells is driven mostly by the non-covalent TM interactions between recognition and signaling components (Fig. 2) and plays a key role in receptor assembly, integrity and surface expression.4,15–17,19,24,27,32–43
Within the single- and multichain receptor families, the similar architecture of the receptors dictates similar mechanisms of receptor triggering which in turn provide the similarity of the therapeutic targets revealed at the level of protein-protein interactions involved in receptor-mediated signaling.2,44 This builds the structural basis for the development of novel pharmacological approaches as well as the transfer of our current and future clinical knowledge, experience and therapeutic strategies between seemingly unrelated diseases mediated by receptors within SR and MIRR families. As shown and described in detail below, the SCHOOL platform reveals striking similarities between members of these two families in mechanistic principles of receptor-mediated TM signal transduction.
Ligand-induced oligomerization of cell surface receptors is frequently employed in receptor-mediated TM signaling,5,45–47 with dimerization of receptors being the most frequent. Thus, the receptor dimer can be considered as an “elementary stimulatory unit” leading to a cell response. The fact that binding of multivalent but not monovalent ligand and subsequent receptor clustering are required for induction of the signaling cascade2,5,45,47–77 raises the following question: What is the molecular mechanism by which clustering of the EC binding domains leads to the generation of the activation signal by intracellular signaling domains?
According to the SCHOOL platform, signaling chain homooligomerization and formation of competent signaling oligomers in CYTO milieu provides the necessary and sufficient event to trigger receptors of both structural families (SRs and MIRRs) and induce cell activation (Fig. 3). Within the platform, receptor oligomerization induced or tuned upon ligand binding outside the cell is translated across the membrane into protein oligomerization in CYTO milieu, thus providing a general platform for receptor-mediated signaling. Intriguingly, in contrast to well-structured CYTO signaling domains of SRs, CYTO domains of MIRR signaling subunits belong to a novel class of intrinsically disordered proteins (IDPs; i.e., proteins that lack a well-defined ordered structure under physiological conditions in vitro).78–80 The recently discovered ability of these IDPs to homooligomerize,78,81 represents a missing and key piece of the MIRR triggering puzzle to accomplish our molecular understanding of receptor-mediated signaling (Fig. 3).
In my opinion, we encounter here one of the most intriguing questions: Why for MIRRs, the receptors with EC recognition and intracellular signaling domains located on separate protein chains, did nature selected to use a functional link between protein disorder and oligomericity? Since its discovery in 2004,78 the unusual and unique biophysical phenomenon of IDP homooligomerization has become of more and more interest to biophysicists and biochemists,82,83 and one can expect that further multidisciplinary studies will clarify this question of great interest and practical utility.
The SCHOOL model was initially developed in 2004 for MIRR-mediated TM signaling.49 Later, the SCHOOL-based mechanism has been suggested as a general mechanism for members of both receptor families—SRs and MIRRs.2,44
Introducing the homotypic interactions between the CYTO domains of receptor protein chains (SR) or of receptor signaling subunits (MIRR) as one of the key interactions involved in receptor triggering and TM signaling, the plausible and easily testable SCHOOL model thus defines this process as an outcome of the interplay between three major driving forces: ligand-receptor EC interactions, interreceptor (SR) and intrareceptor (MIRR) TM interactions and interreceptor CYTO homointeractions (Table 1, Fig. 4).
In MIRR-mediated signaling, all three protein-protein interactions, namely antigen/ligand-MIRR EC interactions as well as intrareceptor TM heterointeractions and interreceptor CYTO homointeractions (Fig. 4B, Table 1), intriguingly fall within the similar micromolar affinity range and are characterized by relatively rapid kinetics.78,81,89–95 Interestingly, the homooligomerization of the intrinsically disordered CYTO domains of MIRR signaling subunits is not accompanied by a disorder-to-order transition and is best described by a two-step monomer-dimertetramer fast dynamic equilibrium with monomer-dimer dissociation constants in the micromolar affinity range.78,81 Together, these findings are in line with the known dependence of the overall binding affinity between proteins on the function of the protein complex. For example, obligate homodimers are strongly associated with nano- or picomolar binding affinity while, in contrast, proteins that associate and dissociate in response to changes in their environment, such as the majority of signal transduction mediators, tend to bind more weakly. Thus, this conjugated and well-balanced system of interprotein interactions (Table 1, Fig. 4B) provides the ideal basis to explain the molecular mechanisms of the ability of MIRRs to transduce the EC information about recognition of different ligands/antigens across the cell membrane in highly specific and sensitive manner and translate it into different activation signals, thus triggering different intracellular pathways and resulting in different cell responses.
Within the SCHOOL platform of receptor-mediated signaling, the necessity and sufficiency of formation of competent signaling oligomers mediated by homointeractions between well-structured (SRs) or intrinsically disordered (MIRRs) CYTO signaling domains to trigger receptor function dictates several important restraints on receptor-mediated signaling (Table 2):
As described in more detail below, these general mechanistic principles are common for SRs and MIRRs linking mechanistically a variety of structurally and functionally diverse receptors.
Based on well-defined biochemical processes such as specific protein-protein interactions, the SCHOOL model represents the first general mechanistic model of receptor-mediated signaling and can be also defined as a dynamic, continuous, spatially homogeneous, descriptive and explanatory model.96 This model describes and explains molecular mechanisms and the main driving forces of TM signal transduction for structurally different and functionally unrelated members of the SR and MIRR families. Thus, the basic principles of TM signaling learned from the platform can be used in different fields of immunology and cell biology to describe processes that are mediated by a variety of cell surface receptors.2,4,44,49,97,98 Besides the ability to describe general principles of receptor-mediated signal transduction, the SCHOOL model provides a mechanistic explanation for specific processes behind “outside-in” receptor signaling that remain unclear. Since it was first published in 2004 for MIRR signaling,49 the model has also predicted several experimental observations that have been later reported for different immune cells.
By definition, the utility of scientific models is evaluated by their abilities to explain past observations, predict future observations and control events as well as by their simplicity or even aesthetic appeal. The distinct features demonstrating the utility of the SCHOOL model are described in detail below for specific receptors.
In contrast to MIRR-mediated TM signal transduction, the molecular mechanisms underlying SR (e.g., RTK) signaling have been fairly well delineated and suggest that intracellular formation of competent signaling oligomers plays a crucial role in receptor triggering (Fig. 5), thus proving the SCHOOL concept of SR signaling (Fig. 3). Within the SCHOOL model of SR signaling (Fig. 5), multivalent ligand binding results in receptor re-orientation and dimerization (oligomerization) mediated by interreceptor TM interactions84,85,87 and in subsequent formation of competent signaling oligomers in the cytoplasm.45,48,50,51,87,88,99–105 In RTKs, for example, this leads to trans-autophosphorylation at defined CYTO tyrosines through intrinsic kinase activity.88 RTKs and some other SRs such as, for example, members of the TNF receptor superfamily105,106 can exist as pre-assembled dimers/oligomers on the cell surface. In this scenario, within the SCHOOL model, binding to multivalent ligand results in reorientation of receptors in these oligomers to adopt an inter-unit geometry permissive for further receptor activation (Fig. 5).
RTKs are believed to transduce biochemical signals via lateral dimerization in the plasma membrane, thus suggesting a crucial role of proximity in RTK-mediated signaling.77,85,88,107–109 On the other hand, all the RTKs shown (Fig. 1), with the exception of the insulin and the insulin-like growth factor receptors, exist in equilibrium between monomers and dimers in the membrane of resting cells. This raises a question: Why does dimerization of receptors in resting cells not result in receptor triggering and cell activation? The answer is simple enough. Inter-unit orientation in receptor dimers has to be correct (permissive for signaling) to promote oligomerization of CYTO signaling domains. In RTK-mediated signaling, a conformational change has been proposed to occur in the EC domain upon ligand binding, leading to the rotation of the whole receptor.85,102,110,111 In line with this, the activation of the Neu RTK occurs only for a specific TM dimer interface, the rotation of which leads to periodic oscillations in kinase activity.112 Furthermore, the rotation of the kinase domain with respect to the TM domain by inserting residues into the C-terminal TM flanking region restores the kinase activity. For EGFR, the ligand-induced rotation of the EGFR EC domain has been reported to be transmitted to the receptor TM domain.110
Recent structural studies revealed a critical role of the orientation of receptor dimers in erythropoietin receptor (EpoR)-mediated transmembrane signaling.113–115 These studies show that the activating efficiency of EpoR, and by inference each of the cytokine receptor complexes, depends critically on the separation, orientation and relative disposition of bound receptors, suggesting a tight coupling of the EC domain orientation to the CYTO signaling events.
The type I TM glycoprotein gp130 is the commonly used signaling receptor chain of all interleukin (IL)-6-type cytokines (i.e., IL-6).116 Intriguingly, signal transduction via IL-6 requires not only gp130 homodimerization but also the correct relative orientation of the gp130 CYTO regions in ligand-specific receptor dimer, suggesting that subtle changes in the orientation of the receptor chains relative to each other might result in very different responses.117 Enforcement of gp130 dimerization is not sufficient for receptor activation but additional conformational requirements must be fulfilled.118 Therefore, like antibody-induced dimerization of the MIRRs (as described below), dimerization of the cytokine receptors by monoclonal antibodies is in most cases not enough to induce signal transduction.119 Together, these findings117–119 suggest that in cytokine receptor signaling, dimerization of not just EC but rather CYTO domains of the gp130 signaling subunit is critically required to trigger the receptor and initiate the signaling cascade. Interestingly, many members of the TNF receptor superfamily were once thought to signal through ligand-induced receptor trimerization. However, recently, these receptors have been shown to exist as pre-assembled oligomers on the cell surface.105,106 This suggests that upon the binding of the trimeric ligand, not only oligomerization (trimerization) of these single-chain receptors, but also the correct intermolecular relative orientation within trimers, plays a crucial role in signaling. Recently, ligand-induced formation of surface receptor oligomers has been reported for a member of the TNF receptor family, the Fas receptor.104 This SR has a CYTO death domain (DD) that upon receptor stimulation with a trivalent ligand, binds to the homologous DD of the adaptor protein Fas-associated death domain protein (FADD) and homotrimerizes, thus initiating the caspase signaling cascade. Interestingly, a mutation in Fas CYTO domain (T225K) linked to autoimmune lymphoproliferative syndrome impairs receptor oligomerization and inhibits Fas-mediated signaling but retains the ability to interact with FADD.104 This indicates that homointeractions between Fas CYTO tails have an important role in the receptor triggering. Similarly, CYTO domain-mediated dimerization of toll-like receptor 4 (TLR4) has been recently reported to play an important role in the TLR4 triggering and signal transduction.120,121
Thus, these and other studies reported to date strongly support the general SCHOOL platform concept and the SCHOOL model of SR-mediated signaling in particular, by showing that ligand-induced receptor dimerization is translated into protein dimerization in TM milieu and that the TM dimer interface contains the critical structural information that positions the receptor CYTO domains in a way permissive for oligomerization and signaling (Figs. 3–5).
In this work, I refer to multichain activating receptors (Fig. 2) that share a common organizing principle—their EC recognition module(s) and intracellular signaling module(s) are found on separate subunits that are noncovalently associated through their TM domains, as to multichain immune recognition receptors (MIRRs). It should be noted, however, that members of this family are not necessarily immune-related (an example is the major collagen receptor on platelets, GPVI).
The MIRR-mediated activation signal can be divided into four parts: (1) the EC recognition of a multivalent ligand/antigen resulting in the aggregation, or clustering, of the MIRRs, (2) MIRR triggering and TM signal transduction, (3) phosphorylation of the ITAM or YxxM tyrosine residues by protein tyrosine kinases (PTKs) and activation of specific intracellular pathways and (4) the activation of genes in the nucleus. The EC recognition of a ligand/antigen, the MIRR-triggered biochemical cascades and the mechanisms of gene activation are understood in significant detail. However, the mechanism by which the MIRR transduces the recognition information via receptor TM and juxtamembrane (JM) regions into intracellular biochemical events (part 2) has been a long-standing mystery. In other words, the key question remained unanswered: what is the molecular mechanism by which clustering of the EC recognition domains of MIRRs leads to receptor triggering and tyrosine phosphorylation of the intracellular ITAMs or YxxMs, thus initiating specific pathways and resulting in immune cell functional outcomes? It was also not known how this putative mechanism could explain the intriguing ability of immune cells to discern and differentially respond to slightly different ligands.
MIRR-mediated signal transduction plays an important role in health and disease, making these receptors attractive targets for rational intervention in a variety of immune disorders.1,13,16,19,122–125 Thus, future therapeutic strategies depend on our detailed understanding of the molecular mechanisms underlying MIRR triggering and subsequent TM signal transduction. In addition, understanding these mechanisms would give us a new handle in dissecting the basic structural and functional aspects of the immune response.
Despite numerous models of MIRR-mediated TM signal transduction suggested for particular MIRRs (e.g., TCR, BCR, Fc receptors, NK receptors, etc.), no current model fully explains how ligand-induced TM signal transduction commences at the molecular level. As a consequence, these models are mostly descriptive, do not explain mechanistically a vast majority of the specific processes behind “outside-in” MIRR signaling, and do not reveal clinically important points of therapeutic intervention. In addition, since the term “MIRR” was first introduced in 1992,3 and MIRR-triggered signaling pathways were hypothesized to be similar,3,70,126–128 no general mechanistic model of MIRR-mediated immune cell activation has been suggested to date with the exception of the SCHOOL model.4,49,97,129,130 This impeded our advanced understanding of the immune response, and more importantly, prevented the potential transfer of therapeutic strategies between seemingly disparate immune disorders.
A novel unusual biophysical phenomenon, the homointeractions of intrinsically disordered CYTO domains of ITAM-containing MIRR signaling subunits, has recently been discovered.78 Demonstrating that intrinsically disordered proteins do not necessarily undergo a transition between disordered and ordered states upon interaction,44,79,81 this finding opposes the generally accepted view on the behavior of IDPs. Perhaps even more intriguing is the fact that no chemical shift changes and significant changes in peak intensities are observed in the 1H-15N heteronuclear single quantum coherence (HSQC) spectra of 15N-labeled ζcyt upon dimerization.78,81 Later, the natural propensity of the random-coil TCRζ CYTO domain to homodimerize has been independently confirmed by other investigators.131 Interestingly, the homooligomerization of CYTO domains of MIRR signaling subunits is best described by a two-step monomer-dimer-tetramer fast dynamic equilibrium with dissociation constants in the micromolar affinity range.78,81 As mentioned above, the overall binding affinity between proteins depends on the function of the protein complex and proteins that associate and dissociate in response to changes in their environment, such as the majority of signal transduction mediators, tend to bind more weakly. In this context, micromolar binding affinities in combination with a rapid association and dissociation kinetics78 make the homotypic CYTO interactions between MIRR signaling subunits a valid candidate for involvement in MIRR-mediated signal transduction.
Uncovering a crucial physiological role of these unique homointeractions, the SCHOOL model suggests that formation of competent MIRR signaling subunit oligomers is necessary and sufficient to trigger the receptors and induce TM signal transduction and the downstream signaling sequence (Figs. 6 and and77).4,44,49,97,130 Intracellularly, the need for MIRR dimerization is consistent with the suggested structural hypothesis of cross-phosphorylation70,132 that assumes that (1) the kinase(s) responsible for catalyzing ITAM Tyr residue phosphorylations exist associated with the receptors, and (2) for steric reasons, these kinases cannot phosphorylate tyrosine residues on chains of the same receptor complex. Upon dimerization/oligomerization, these kinases phosphorylate the tyrosines of a distinct receptor complex (cross-phosphorylation, or transphosphorylation), thus triggering the receptor.70
Within the model, MIRR engagement by multivalent antigen (Fig. 6) or anti-MIRR antibodies (e.g., anti-CD3ε and anti-TCRβ for TCR or anti-Igβ antibodies for BCR; Fig. 7) leads to receptor clustering coupled with a multi-step structural reorganization driven by the homooligomerization of MIRR signaling subunits (Figs. 6 and and77). Ligand-induced MIRR clustering leads to receptor reorientation and formation of a dimeric/oligomeric intermediate in which signaling chains from different receptor units start to trans-homointeract and form signaling oligomers (Figs. 6 and and77, stage 1). Upon formation of signaling oligomers, PTKs phosphorylate the tyrosine residues in the ITAMs located on the CYTO tails of MIRR signaling subunits, leading to the generation of intracellular activation signal(s), dissociation of signaling oligomers and internalization of the engaged MIRR ligand-binding subunits (Figs. 6 and and77, stage 2). Signaling oligomers then interact with the signaling subunits of nonengaged receptors resulting in formation of higher-order signaling oligomers, thus propagating and amplifying the activation signal and resulting in internalization of the non-engaged MIRR recognition subunits (Figs. 6 and and77, stages 3 and 4).
Similar to SRs, some MIRRs such as TCR and major platelet collagen receptor GPVI, can exist as pre-assembled oligomers on the cell surface.71,133,134 In these oligomers, multivalent ligand binding or antibody stimulation results in re-orientation of receptors to adopt an interunit geometry permissive for further receptor activation (Figs. 6 and and77).
The model also assumes that the diversity of the immune cell response is partly provided by the combinatorial nature of MIRR-mediated signaling. Signal diversification may be achieved through different patterns of MIRR signaling subunit oligomerization4,49,97 in combination with distinct activation signals provided by different MIRR signaling modules135–146 and/or different ITAMs located on the same signaling module (e.g., TCRζ chain).147 Thus, according to the model, the diversity of cell functional outcomes in response to different ligands is higher with the more different signaling subunits the MIRR complex has.
As described above, within the SCHOOL model, there are three major driving forces of MIRR signaling: antigen/ligand-MIRR EC interactions, intrareceptor TM interactions and interreceptor CYTO interactions (see also Table 1 and Fig. 4B), and an outcome of the interplay between these forces defines MIRR triggering and activation. Antigen/ligand-MIRR interactions are generally of low affinity (micromolar range) and have rapid association and dissociation kinetics (reviewed in ref. 92). This low-affinity binding, in combination with fast kinetics, allows immune cells to recognize and discriminate a variety of antigens/ligands with high specificity, selectivity and sensitivity in order to respond with a variety of biological responses. Considering that EC and TM regions of MIRRs are well-ordered receptor segments while MIRR signaling CYTO domains are intrinsically disordered,2,78,79,81 an important and intriguing question is raised: how do MIRRs transduce highly ordered antigen recognition/discrimination EC information across the cell membrane into intracellular biochemical events, triggering specific pathways and resulting in a specific functional outcome?
Despite intensive studies of MIRR-mediated TM signal transduction, the only model that can answer this question and even more important, mechanistically explain how this signaling starts, is the SCHOOL model.4,49,97,130 As described above, all three major protein-protein interactions that define MIRR signaling are characterized by micromolar affinity and relatively rapid kinetics.78,89–95 Thus, this conjugated and well-balanced system of interprotein interactions can explain the molecular mechanisms of the ability of MIRRs to transduce the recognition/discrimination information across the cell membrane and translate it into different activation signals, thus triggering different intracellular pathways and resulting in different cell responses. Within the model, the MIRR-generated intracellular activation signals are combinatorial in nature and involve multiple components such as different ITAM Tyr phosphorylation patterns135–147 as well as formation of functionally different competent signaling oligomers formed by the CYTO homooligomerization of different MIRR signaling subunits.4,49,97,98,130 This system also explains mechanistically high specificity, selectivity and sensitivity of immune cells in recognition and discrimination of different antigens/ligands and how this recognition/discrimination results in different functional outcomes. This is particularly important for the TCR148 that has four different signaling subunits, namely ζ, CD3ε, CD3δ and CD3γ, known to play different roles in T cell biology.130,149 In addition, in contrast to other MIRR signaling subunits, ζ has three ITAMs that can provide differential Tyr phosphorylation patterns in response to different ligands, initiating different intracellular signaling pathways. Thus, within the model, TCR-mediated signaling and cell activation has the highest combinatorial potential as compared to other MIRRs, explaining a high variability of distinct TCR-triggered intracellular signaling pathways and therefore distinct T cell functional responses depending on the nature of the stimulus.4,49,97,98,130
Interactions between TM helices of recognition and signaling MIRR subunits maintain receptor integrity in unstimulated cells (Fig. 2)4,15–17,19,24,25,27,32–43,49,97,98,130,150–155 and determine the relative positions of these subunits in the receptor complex (angles, distances, etc.,), thus dictating the overall geometry and topology of MIRRs. Within the SCHOOL model, this overall structural architecture of MIRRs, in combination with the requirement to initiate interreceptor CYTO homointeractions between receptor signaling subunits (Figs. 3, ,66 and and77), impose several restraints for multivalent antigen/ligand-induced MIRR triggering (Table 2):4,49,97,98,
The restraints imposed by the SCHOOL model play an especially important role during the first stage of MIRR triggering (Figs. 6 and and77), at which point these spatial, structural and temporal requirements (correct relative orientation, suf- ficient proximity, long enough duration of the MIRR-ligand interaction and lifetime of MIRR dimers/oligomers) should be fulfilled to favor initiation of trans-homointeractions between MIRR signaling subunits and formation of competent signaling subunit oligomers. If these requirements are not fulfilled at this “final decision-making” point, the formed MIRR dimers/oligomers may dissociate from the ligand and remain signaling incompetent and/or break apart to its initial monomeric receptor complexes. Also, at this stage, slightly different ligands may bring two or more MIRRs in different relative orientations that favor homointeractions between different signaling subunits and result in formation of different signaling oligomers or combinations, thus initiating distinct signaling pathways. This mechanism can explain the ability of MIRRs to differentially activate a variety of signaling pathways depending on the nature of the stimulus.
Within the proposed model, the signaling oligomers formed dissociate from ligand-binding chains, which later are internalized (Figs. 6 and and77, stage 2). This dissociation mechanism provides a structural and mechanistic basis for our improved understanding of many immunological phenomena, such as adaptive T cell tolerance or anergy,185–191 differential biological role of CD3 chains,192 ligand- or antibody-induced exposure of a cryptic polyproline sequence in the CYTO domain of CD3ε,165,193–195 BCR desensitization,196–199 human cytomegalovirus (CMV) escape from NK attack200 and others. The dissociation mechanism also allows the initially formed signaling oligomers to sequentially homointeract with the signaling subunits of nonengaged receptors (Figs. 6 and and77, stages 3 and 4) resulting in formation of higher-order signaling oligomers, thus propagating and amplifying the signal. This leads to dissociation and subsequent internalization of the nonengaged ligand-binding subunits. Thus, as with bacterial chemoreceptors,201–203 the SCHOOL model-based mechanism of MIRR-mediated cell activation suggests spreading (propagation) activation signal from engaged to nonengaged receptors within receptor clusters.
Finally, it should be noted that similar spatial, structural and temporal restraints are imposed within the proposed model for MIRR triggering by not only antigen (Fig. 6) but also the anti-MIRR (Fig. 7), antibodies such as anti-TCRα, anti-TCRβ, anti-CD3ε, anti-Igβ and others. This can explain differential immune cell functional outcomes mediated by MIRRs depending on the specificity of the antibodies.159,160,163–165,204–208
The plausible and easily testable SCHOOL model is fundamentally different from those numerous models that have been previously suggested for particular MIRRs and has several important advantages.4,49,97,98,130
The SCHOOL model was initially developed as a general model for the structurally related MIRR family members, i.e., for all receptors that have EC recognition and intracellular signaling modules located on separate receptor subunits. For this reason, in order to support the main concept and assumptions of the model, a rapidly growing body of evidence from studies of various MIRRs is used in this work.
Within the SCHOOL model, in order to trigger the MIRR, two or more receptors should be clustered/oligomerized in sufficient proximity to each other to initiate homointeractions between signaling subunits with subsequent formation of competent signaling subunit oligomers (Figs. 6 and and77).4,49,97,130 To date, these spatial restraints imposed by the model on MIRR triggering and initiation of the signaling cascade are consistent with the experimental data observed.
T cell receptor. There is a growing line of structural, biophysical and cellular evidence suggesting that ligand-specific TCR oligomerization is critical to generate a functional signal and that TCR dimerization constitutes a necessary and sufficient step for triggering T cell activation.48,52,57–60,65–67,72,74,157,224–232 These findings clearly demonstrate that dimeric/oligomeric antigens are able to stimulate T cells, whereas monomeric fail to do so. Interestingly, a correlation between antigenicity and repetitiveness of major histocompatibility complex (MHC)-bound peptides (pMHCs) has been also shown.157 For dimeric pMHC class I and II complexes, the ability to trigger T cells has been reported to decrease with increasing length of the connecting spacer.233,234 Recently, by testing well-defined dimeric, tetrameric and octameric pMHC complexes containing rigid polyproline spacers of different lengths, it has been also shown that their ability to activate cytotoxic T lymphocytes decreases as the distance between their subunit MHC complexes increases.156 Intriguingly, the pre-TCR complex has been shown to form oligomers spontaneously, in a ligand-independent manner.235,236 This oligomerization is mediated by specific charged residues in the EC domain of the pre-TCRα chain and is necessary and sufficient to induce autonomous signaling and stimulate pre-TCR function.235,236 Recently, TCR-coreceptor complexes from naive or activated CD4+ or CD8+ T cells have been found to exist as either dimers or tetramers, whereas no monomers or multimers were detected.230
B cell receptor. Similar to the TCR-induced signaling, the BCR activation signal is shown to be triggered by cross-linking of receptors through multivalent antigen,10,54,56,166–168,237 thus confirming the necessity of BCR clustering for competent signaling and cell activation.232 Interestingly, as shown for the pre-BCR in 2007, the ability of the purified recombinant receptor to dimerize indicates that accessory protein(s) are not required for dimerization, and by extension, pre-BCR signaling through multimerization can occur in a ligand-independent fashion.55 Showing strong similarities to the observations reported for the pre-TCR-mediated signaling,235,236 these findings are well consistent with the molecular mechanisms proposed by the SCHOOL model.
Fc receptors. Multichain Fc receptors, such as FcεRI, FcαRI, FcγRI and FcγRIII have been known to initiate cell signaling following interactions with multivalent ligands that induce their clustering.35,62,63,132,140,163,169–173,238–241 FcεRI aggregates as small as dimers have been reported to be capable of providing an effective activation signal to cause mediator secretion.163 Using a set of chemically well-defined ligands of valences 1–3, the magnitude of the cellular response has been demonstrated to dramatically increase as the valency of a ligand raises from two to three.62 Trivalent ligands with rigid double-stranded DNA spacers have been shown to effectively stimulate FcεRI-mediated degranulation responses in a length-dependent manner, providing direct evidence for receptor trans-phosphorylation as a key step in the mechanism of signaling by this receptor, whereas long bivalent ligands with flexible spacers have been demonstrated to be very potent inhibitors of mast cell degranulation stimulated by multivalent antigen.174 In other studies, the spacing of receptors in ligand-specific FcεRI aggregates has been also shown to be important for generating the activation signal.239
NK receptors. Multivalent ligand-induced receptor oligomerization is presumed to be a common mechanism for initiating NK receptor-mediated signaling.175–177 Also, structural and biochemical studies of the NKG2D receptor68,242,243 have demonstrated that the receptor exists as a dimer not only in the crystal but also at the surface of unstimulated NK cells. However, in contrast to pre-BCR and pre-TCR, this ligand-independent dimerization does not trigger the receptor and initiate downstream signaling, suggesting that dimerization is necessary but not sufficient to trigger the receptor.
Glycoprotein VI. Collagen, a natural ligand of GPVI, contains the GPVI-binding GPO (glycine-proline-hydroxyproline) motifs that form about 10% of the fibrillar collagen sequence and thus represent multiple GPVI-binding sites.244 Using a series of collagen-like model peptides containing GPO motifs of increasing length within (GPP)n sequences, Smethurst et al.245 have demonstrated that platelet aggregation and protein tyrosine phosphorylation can be induced only by cross-linked peptides that contain two or more GPO triplets. Multimeric snake venom proteins such as convulxin also strongly activate GPVI in a multimer size-dependent manner,246,247 suggesting that clustering of GPVI receptors through multiple binding events leads to activation. Structural studies have revealed a dimeric state of GPVI and 2 parallel grooves on the GPVI dimer surface as collagen-binding sites with an orientation and spacing of these grooves precisely matching the dimensions of an intact collagen fiber.64 These findings provide a structural basis for GPVI signaling mechanisms in which collagen-induced GPVI clustering triggers a signaling cascade via the FcRγ-chain. In 2007, GPVI-FcRγ-chain oligomerization on the surface of unstimulated platelets has been directly demonstrated,71 suggesting that, like dimerization of NKG2D, oligomerization of GPVI is necessary but not sufficient to trigger the receptor. In 2009, using Fab antibodies that bind to GPVI dimer but not to GPVI monomer, it has been shown that GPVI is present as a functionally relevant dimer on the platelet surface.134 Convulxin, a C-type lectin-like protein from the venom of the South American rattlesnake that functions as a potent agonist of GPVI, has been reported recently to form a dimer in solution and bind eight copies of GPVI.248
Other MIRRs. Human TREM-1 receptor has been shown to exist as a “head-to-tail” dimer in crystal, suggesting that the dimeric TREM-1 most likely contains two distinct ligand-binding sites.69 High-avidity ligands are thought to trigger TREM-1 and TREM-2, suggesting that formation of multivalent ligand-receptor complexes is a necessary step in TREM-1-mediated cell activation.24,177 Murine paired immunoglobulin-like receptor (PIR)-A and human leucocyte immunoglobulin-like receptor (LILR)-A2 (ILT/LIR7) complexed with the FcRγ signaling chain through their TM domains are also required to be clustered by a multivalent ligand in order to initiate TM signaling.25,249 Recently, it has been shown that integrin signaling in neutrophils and macrophages requires ITAM-containing adaptors, DAP-12 and FcRγ, suggesting that integrin signaling-mediated activation of cellular responses in these cells proceeds by an MIRR-like mechanism.250 Homotypic associations involving TM domains have been reported to represent a driving force for integrin activation, thus providing a structural basis for the coincidence of ligand-induced integrin clustering and activation.251,252
A rapidly growing body of experimental evidence strongly supports the importance of interreceptor orientation within ligand-specific MIRR dimers/oligomers for receptor triggering and generation of an activation signal. These findings strongly support the orientational restraints imposed by the SCHOOL model on the initiation of interreceptor homointeractions between signaling subunits in order to trigger MIRRs (Table 2, Figs. 6 and and77).4,49,97,130 Suggesting the importance of relative orientation,4,49,97 the model explains for the first time why random encounters of MIRRs by lateral diffusion or oligomeric forms of MIRRs existing in unstimulated cells68,126,133,253–255 and platelets71 do not result in MIRR triggering and cell activation.
T cell receptor. While direct biophysical measurements of the interreceptor relative orientation in ligand-specific TCR dimers/oligomers have not yet been performed, several lines of evidence indicate that relative orientation plays an important role in TCR-mediated cell activation. Using monoclonal antibodies (mAbs) specific to the TCR, it has been shown that T cell activation does not correlate with the affinity of the mAbs but rather with the recognized epitope.208 In other studies, triggering of different epitopes of the TCR-CD3-ζ2 receptor complex has been also reported to induce different modes of T cell activation,204–207 suggesting that TCR signaling is not a simple “on-off ” switch through cross-linking and/or clustering. In addition, high concentrations of anti-TCR, but not anti-CD3, induce a proliferative response without antibody cross-linking.206 Also, anti-TCR and anti-CD3 have been demonstrated to be different in their capacity to induce responsiveness to IL-4,207 and in their requirement for costimulatory signals.204 Yang and Parkhouse have reported that stimulation of T cells with a panel of anti-CD3 mAb recognizing different epitopes has differential functional consequences.159 This demonstrated, for the first time, that differences in activation mechanisms exist not only between TCR and CD3, but also between epitopes within CD3, and the authors postulated that occupancy of different CD3 epitopes may result in different degrees of conformational change in the receptor complex.159 These results were further confirmed in other studies.256 In thymocytes, only anti-TCRβ Ab but not anti-TCRα Ab cause long-term TCR downmodulation.160 Using three-dimensional fluorescence quantitation methods, signaling-induced reorientation of T cell receptors that cannot be mediated by simple passive diffusion has been shown to take place during immunological synapse formation.257 In 2007, a change in the orientation of the TCR with respect to the membrane induced by binding to pMHC was proposed to play an important role in TCR signaling.142 In line with the SCHOOL model, conclusions about the importance of interreceptor orientation in the ligand-specific TCR dimers/oligomers have been also made in 2007 by Minguet et al.258 who suggested the so-called permissive geometry model of TCR signaling.231 Recently, the SCHOOL mechanism-suggested role of the rotation of the TCRs in regulation of downstream signaling pathways has been confirmed in homology modeling and molecular dynamics simulation studies on the positioning of autoimmune TCR-Ob.2F3 and TCR-Ob.3D1 on the MBP85-99/HLA-DR2 complex.259 In contrast to these multiple independent studies, Cochran et al.233 have reported that intermolecular orientation is not critical for triggering T cell activation. However, to address this issue, the authors have used in their studies pMHC dimers coupled via flexible chemical cross-linkers that do not prevent rotation of pMHC molecules around their long axis. This assumption is further supported by the authors' findings that estimated distances for the used cross-linkers in fully extended conformations (50, 70 and 90 Å) did not correlate with the apparent hydrodynamic diameter values experimentally determined for the corresponding cross-linked pMHC dimers in the surprisingly narrow range of 70 to 75 Å.233 Thus, these dimers cannot be considered as conformationally constrained, thus suggesting a lack of control over the interreceptor orientation in these experiments.233
The three-dimensional structures of the three A6-TCR/peptide/HLA-A2 complexes that generate very different T cell signals have been found to be remarkably similar to each other and to the wild-type agonist complex, suggesting that different signals are not generated by different ligand-induced conformational changes in the αβTCR.260 This is in agreement with the SCHOOL model proposing that different signaling oligomers can be formed and therefore different T cell signals can be generated depending on the intermolecular relative orientation in the ligand-specific TCR dimers/oligomers rather than ligandinduced EC conformational changes.4,49,97
In summary, a vast majority of the experimental findings reported so far strongly support an importance of interreceptor relative orientation in ligand-specific TCR clusters for TCR triggering and cell activation.
B cell receptor. BCRs have been proposed and confirmed to organize into oligomeric clusters on the B cell surface.126,253–255 The observed basal BCR clustering does not result in receptor triggering and subsequent cell activation suggesting that the oligomerization of the BCR is necessary but not sufficient for receptor activation,255 and that interreceptor relative orientation in the BCR dimers/oligomers plays an important role in receptor triggering. The differential effects of the point mutations in various parts of the TM sequence of BCR membrane Ig (mIg) have been reported to differentially affect B cell activation induced by mono- or polyvalent anti-mIg antibodies, thus providing more evidence for importance of correct intermolecular orientation in BCR signaling.41
Fc receptors. As shown for FcεRI, it is not only the number of crosslinked receptors that determines the magnitude of mediator secretion-causing signal induced by different mAbs, but also the relative orientation of receptors within the produced dimers, thus suggesting the importance of the orientational restraint in ligand-specific FceRI dimers/oligomers for generating competent activation signal.163,164,171,178,179,261 Further, in the IgA receptor, FcαRI, a positively charged arginine residue within the TM domain of ligand recognition α chain promotes association with the signaling FcRγ chain.153 Studies of signaling through mutants of the FcαRI have shown that a vertical relocation of this TM positive charge does not have any significant effect on proximal and distal receptor functions, whereas a lateral transfer of the positive charge completely abrogates these functions.38 A possible explanation for these findings is that a vertical relocation of the noncovalent electrostatic bond does not change interreceptor relative orientation within the receptor dimers/oligomers formed upon multivalent ligand stimulation while lateral transfer does.
NK receptors. Existence of dimeric NKG2D receptor complexes in both NKG2D crystals and at the surface of unstimulated NK cells68,242,243 suggests that not only dimerization, but also relative orientation of receptors within ligand-specific NKG2D dimers/oligomers, plays an important role in receptor triggering.
Glycoprotein VI. Similar to NKG2D receptor complexes, GPVI has been found to form a back-to-back dimer in the GPVI crystal64 and to exist in an oligomeric state on the surface of unstimulated platelets,71 suggesting an important role of interreceptor relative orientation within these oligomers in GPVI signaling.
According to the SCHOOL model, homooligomerization of the CYTO domains of MIRR signaling subunits drives formation of competent signaling oligomers, leading to triggering of the receptor and initiation of the signaling cascade (Figs. 6 and and77).4,49,97,130 Importantly, this homooligomerization also plays a crucial role in amplification and lateral propagation of the activation signal(s) (Figs. 6 and and77). The model also suggests that depending on the nature of stimuli, different signaling subunits can be oligomerized and become phosphorylated, thus triggering distinct signaling pathways and resulting in different functional outcomes.4,49,97,98 The experimental data obtained to date for different MIRRs strongly support this part of the main concept of the SCHOOL model.
The ability of the random-coil TCRζ CYTO domain to oligomerize was first reported in 2004,78 and later, independently confirmed in cell studies on the activity of membrane-anchored chimeric β2m/peptide molecules fused with the CYTO domain of ζ chain.131 Similarly, the propensity of the BCR Igα and Igβ signaling subunits to oligomerize78 has been recently independently confirmed and demonstrated to result in the ability of the BCR Igα/Igβ heterodimer to assemble into oligomers.262
Both in vitro and in vivo studies have shown that dimerization of CD3ε is critical and sufficient to substitute for a pre-TCR signal and drive double-positive transition, suggesting that the property of the pre-TCR responsible for β-selection is the autonomous formation of oligomers, which brings CD3 signaling subunits in close proximity to each other.235,236 These findings further confirm the ability of CD3ε to dimerize, first reported in 2004 for the CD3ε CYTO domain,78 and proves the physiological importance of this dimerization suggested by the SCHOOL model.4,49,97,98 Interestingly, the CD3ε EC domain has been recently shown to form a homodimeric structure in vitro.263
As reported,264 FceRIβ and γ signaling subunits independently dissociate from a ligand-binding α chain immediately after crosslinking with multivalent ligand. Moreover, these signaling subunits dissociate in the oligomerized form. Interestingly, only γ chains are oligomerized on surfaces of cells stimulated with a suboptimal concentration of antigen, while β chains remain dispersed.264 In contrast, stimulation of cells with an optimal concentration of antigen results in the distinct oligomerization of both signaling subunits.264
Within the SCHOOL model, dissociation of competent signaling oligomers from both engaged and nonengaged ligand-recognition subunits upon multivalent ligand stimulation, plays an important role in MIRR triggering, initiation of the signaling cascade, and signal amplification and propagation (Figs. 6 and and77).4,49,97 Experimental data accumulated to date strongly support this dissociation mechanism.
In activated T cells, the CD3 and ζ signaling chains have been shown to independently dissociate from the remaining receptor subunits.265–268 In line with the SCHOOL model, TCRs lacking ζ are endocytosed more rapidly than completely assembled receptors.269 Further, degradation of ζ promoted by its interaction with the lysosomal protein LAPTM5 has been recently shown to result in TCR downmodulation and to represent a unique mechanism for the control of surface TCR expression and T cell activation.270 For BCR, it has been reported that, upon binding of moderate-to low-affinity antigen, the Igα/Igβ subunits physically dissociate from mIg resulting in BCR desensitization.196 Interestingly, although desensitized cells fail to respond to receptor ligation by a high dose of antigen or by anti-Igλ antibodies, the dissociated Igα/Igβ signaling complex retains signaling function if aggregated by anti-Igβ antibodies.196 In this context, similar mechanisms are proposed by the SCHOOL model to be involved in the BCR desensitization,196,197,199 T cell clonal anergy186,189,190,271,272 and in the inhibition of T cell activation by the so-called TCR core peptide (CP).273 The ligand-mediated physical dissociation of the activated BCR complex has been later confirmed in other studies.274 In 2005,275 using primary murine B cells, it has been found that while >95% of the mIg is internalized following anti- Ig-induced aggregation, 20–30% of Igβ remains on the surface, suggesting that mIg and Igβ may function independently following the initial stages of signal transduction. As mentioned, upon crosslinking of the FcεRI with multivalent ligand, oligomerized signaling β and γ chains immediately dissociate from a ligand-recognition α chain.264
The SCHOOL model of MIRR signaling suggests that the multivalent ligand-receptor contact should last long enough to bring two or more MIRRs in sufficient proximity and correct relative orientation toward each other and hold them together to promote the interreceptor CYTO homointeractions between signaling subunits, thus initiating the downstream signaling cascade (Figs. 6 and and77).4,49,97,130 It should be noted that duration of the MIRR-ligand interaction generally correlates with the strength (affinity/avidity) of the ligand. Clearly, the strength of the ligand determines not only duration of the ligand-MIRR contact but also lifetime of an individual receptor in the engaged MIRR dimer/oligomer. These important aspects of the model are also consistent with the experimental data accumulated so far.
In T cells, the results of multiple reports show a broad correlation between the duration of TCR-ligand interaction and ligand potency.91,276,277 The importance of prolonged binding to antigen-presenting cells for T cell fate decisions has also been recently reported.278,279 A similar interpretation is possible for the data on a revised model of kinetic proofreading in which the duration of TCR engagement regulates the efficiency with which signals trickle through the rapidly reversible early activation pathways to induce later responses.280,281 It is also known that the off-rate of ligand binding plays a role in determining the specificity of the TCR-generated signal in a population of T cells that can discriminate between self and nonself in the thymus.282 Also, the number of TCR ITAMs required for efficient positive or negative selection has been reported to vary depending upon the affinity of the TCR/ligand interaction.283 In studies on T cell activation by bacterial superantigens, a simple relationship between the affinity of the Staphylococcus enterotoxin C3 (SEC3)-TCR interaction and the functional responses has been proposed; stronger binding results in stronger T cell responses.92 As recently shown, short-lived pMHC ligands induce anergy in T cell clones in vitro and specific memory T cells in vivo.284 Total signal strength has been demonstrated to determine the capacity of primed T cells to respond to homeostatic cytokines, to survive cytokine withdrawal and to accumulate in vivo.285 The strength of antigen stimulation is also known to regulate T cell progression through thresholds of proliferation, differentiation and death.286 The diffusion trapping of interacting TCRs and pMHCs in the plasma membrane has also been recently suggested to play an important role in TCR triggering.287 Interestingly, the affinity that defines the threshold for negative selection has been determined in studies using three transgenic mouse strains expressing distinct class I MHC-restricted TCRs.288 The authors also concluded that the affinity threshold for self-tolerance appears to be a constant for cytotoxic T lymphocytes.288
Similar to T cells, the B cell response to antigen varies as a function of antigen/BCR interaction affinity.289 As demonstrated, above the threshold, concentration of antigen required to trigger a response decreases as the affinity increases.289 BCR signal strength has been shown to determine B cell fate.290 Importantly, continuous receptor signaling of a defined amplitude appears to be critical for development and survival of mature B cells.291 It is also known that, upon binding of moderate- to low- but not high-affinity antigen, the Igα/Igβ subunits physically dissociate from mIg resulting in BCR desensitization.196 A critical role of receptor affinity in antigen-driven selection of B cell clones in vivo has also been suggested based on studies of stable B cell transfectants.292 Recently, the strength of the initial BCR-triggered activation signal has been proposed to finally determine the eventual duration of BCR signaling and the rate of its transmission through downstream pathways.293
A great body of evidence shows that the capacity of downstream signaling by an individual FcεRI depends on its capacity to remain in a cluster and is therefore influenced by the ligand affinity/avidity.62,94,173,180–182,294 The ability of a similar signaling mechanism to trigger distinct FcεRI-mediated mast cell responses like mediator release and survival has been reported to be determined by the FcRγ signal strength or duration.181,295 Interestingly, recent findings redefine FcαRI as a bifunctional inhibitory/activating receptor of the immune system that mediates both antiand proinflammatory functions of IgA, depending on ligand multimericity and duration of multivalent ligand-induced receptor signaling.183 In platelets, affinity/avidity of interaction of GPVI with collagen or convulxin has been suggested to play an important role in receptor signaling and GPVI-mediated platelet activation.95,247
The TCR is a multisubunit complex composed of the ligand-binding clonotypic αβ heterodimer, as well as the heterodimeric CD3δε and CD3γε signaling components and the disulfide-linked ζ homodimer that contain one (CD3ε, γ and δ chains) or three (ζ) ITAMs, respectively (Figs. 2 and and88). This receptor complex provides an intriguing ability of T cells to discern and differentially respond to MHC-bound peptides that can differ by only a single amino acid. The mechanism by which the precise ligand-binding specificities of the TCR are converted into the distinct intracellular signaling processes and diverse functional outcomes has been one of the most controversial topics in T cell immunology. The SCHOOL model suggests not only the mechanism of TCR triggering and cell activation that can explain the majority of immunological phenomena observed experimentally but also proposes distinct ways to control and modulate the T cell-mediated immune response.
The overall rigid geometry and topology of the TCR is defined by electrostatic interactions between TCRαβ TM domains and TM domains of different signaling dimers: CD3γε, CD3δε and ζ2.32,33,41 Interestingly, the TCRζ subunit seems to have a unique and dynamic relationship with the TCR-CD3 complex since only this signaling homodimer appears to turn over independently from the rest of the TCR complex on the cell surface.299 Assuming that different TCR signaling modules provide distinct signaling and T cell functional outcomes,44,49,97,130,135,300,301 the SCHOOL model of T cell activation suggests that depending on the nature of activating stimuli, two or more TCRs can be clustered to dimer/oligomer in different relative orientations that promote homointeractions between different signaling subunits. This results in formation of distinct CD3 and/or ζ signaling oligomers and their activation through the phosphorylation of the corresponding ITAM tyrosines (Fig. 8), thus initiating distinct signaling cascades and leading to distinct functional outcomes.
Within the model (Fig. 8), two or more TCRs are clustered to dimer/oligomer with sufficient interreceptor proximity upon binding with multivalent ligand, and simultaneously rotate around the receptor axis perpendicular to the membrane to adopt a correct relative orientation toward each other, permissive of initiating the trans-homointeractions between ζ molecules. Until the ζ ITAM tyrosines are phosphorylated by PTK(s), this process is reversible and its reversibility can depend on duration of the TCR-ligand contact that generally correlates with the strength (affinity/avidity) of the ligand, and sufficient lifetime of a receptor in TCR dimers/oligomers. At this point of bifurcation, two alternative pathways (Fig. 8, stages IV and III) leading to partial or full T cell activation, respectively, can take place depending on the nature of activating stimuli. As a result, either ζ or both ζ and CD3 signaling oligomers are formed with subsequent phosphorylation of ITAM tyrosines by PTKs and dissociation from remaining TCR-CD3 complexes or TCRαβ chains. At this irreversible stage, downstream signaling events are triggered. Later, the remaining TCR-CD3 complexes or TCRαβ chains are internalized. According to the proposed model, at least two different activation signals (shown in the Fig. 8 as signals A and B) can be provided from the ζ and CD3 signaling oligomers, and both signals are required for full activation of T cells. Within the model, the different activation signals Bε, Bδ and Bγ are delivered through CD3ε, δ and γ signaling oligomers, respectively (Fig. 8). Thus, distinct signaling is achieved through ζ and CD3 signaling oligomers and/or through various combinations of signaling chains in oligomeric CD3 structures (Fig. 8). Then, the signaling oligomers formed from the initially engaged TCR dimer/oligomer can sequentially homointeract with the relevant signaling subunits of nonengaged TCRs resulting in formation of higher-order signaling oligomers with their subsequent phosphorylation and dissociation from ligand-binding subunits (as illustrated for all MIRRs in Figs. 6 and and77). This process leads to amplification and lateral propagation of the activation signal(s). Later, the remaining nonengaged TCR-CD3 complexes or TCRαβ chains are internalized.
Therefore, in the context of the model, TCR clustering by the MHCs bound to agonist, partial agonist or antagonist peptides results in formation of receptor dimers/oligomers with similar interreceptor proximity but different intermolecular orientation. This does or does not lead to the initiation of homointeractions between different signaling subunits with their subsequent oligomerization and ITAM Tyr phosphorylation, providing distinct signaling and T cell functional outcomes. This mechanism is also proposed for T cell activation mediated by other stimuli such as anti-TCRα, anti-TCRβ, anti-CD3ε, etc.
There exist numerous models of TCR triggering and their modifications,2 including, but not limited to, a kinetic proofreading model,280,296,298,302–306 serial triggering model,162,307–310 serial encounter model,311 conformational models,126,165,193–195,258,312–319 permissive geometry model258 and clustering,52,59,60,75,224,258 segregation320–322 and mechanosensor256 models. However, despite the rapidly growing number of models and their modifications, no current model explains at the molecular level: (1) how ligand-induced TCR TM signaling commences, and (2) how this process occurs differentially for altered ligands or in altered cellular contexts.
Some of the models suggested so far were rejected in further studies. An example is a conformational model that suggests a lipid-dependent folding transition of the TCRζ CYTO domain to be a molecular switch linking ligand-induced TCR clustering and phosphorylation of the ζ ITAM tyrosines.315 Later, similar conformational model of TCR triggering was suggested based on a lipid-dependent folding transition of CD3ε CYTO domain.323,324 However, other studies have shown that the membrane binding mode of the ζ and CD3ε CYTO domains depends on lipid composition and revealed that lipid bilayers of the membrane models used315,323,324 are unstable and fuse and rupture upon protein binding, thus highlighting the importance of the choice of an appropriate membrane model for protein-lipid interactions studies. Binding of the ζ and CD3ε CYTO domains to stable lipid bilayers is not accompanied by a structural transition to a folded form, thus contradicting this conformational model.79,80 In addition, in contrast to the finding reported,315 phosphorylated ζ is still able to bind to stable lipid bilayers,79,80 further contradicting the suggested conformational model.315
In addition, most of the current models have been developed by investigators to describe their own experimental data. As a consequence, these models are mostly descriptive and often fail by trying to explain most of the immunological data accumulated to date. Many of the models suggested to date simply describe a phenomenon but not the mechanisms underlying the phenomenon. Examples include clustering models52,59,60,75,224,258 that describe a requirement for multivalent ligand to trigger TCR but do not explain the specific molecular mechanisms underlying those observations. Importantly, the lack of these mechanisms in a vast majority of the existing models prohibits the identification of clinically important points of therapeutic intervention. Table 3 illustrates comparative features of the currently existing models and demonstrates how these distinctive models for the first time can be readily combined into one model, the SCHOOL model of TCR triggering and TM signaling.
The powerful ability of the SCHOOL model to describe, explain and predict TCR-related immunological phenomena, providing a mechanistic explanation at the molecular level, is illustrated in Table 4. Selected examples are also described below in more detail.
Clinically relevant TCR CP, or TCR mimic peptide, represents a synthetic peptide corresponding to the sequence of the TM region of the ligand-binding TCRα chain critical for TCR assembly and function.325 This and similar TM peptides capable of inhibiting antigen-stimulated TCR-mediated T cell activation were first reported in 1997.326 Since that time, despite extensive basic and clinical studies of these peptides,273,327–336 the molecular mechanisms of action of these clinically relevant peptides have not been elucidated until 2004 when the SCHOOL model was first introduced.49 Within this model,4,49,97,98,129,221,222 the TCR CP competes with the TCRα chain for binding to CD3δε and ζ hetero- and homodimers, respectively, thus resulting in functional disconnection and predissociation of the signaling subunits from the remaining receptor complex. The proposed mechanism is the only mechanism consistent with all experimental and clinical data reported to date for TCR TM peptides and their lipid and/or sugar conjugates. The model also predicts that the same mechanisms of inhibitory action can be applied to MIRR TM peptides corresponding to the TM regions of not only the MIRR recognition subunits but the corresponding signaling subunits as well.4,49,97,98,129,222 This was recently confirmed experimentally334,337 by showing that the synthetic peptides corresponding to the sequences of the TM regions of the signaling CD3 (δ, ε or γ) and ζ subunits are able to inhibit the immune response in vivo. Importantly, the SCHOOL model is the first model that not only clearly explains the molecular mechanisms of action of TCR TM peptides4,49,97,98,129,222 but also extends the concept of their action through these mechanisms to other TM peptides of MIRRs and to the MIRR-mediated processes involved in viral pathogenesis.4,98,129,221,222,338–340
Interestingly, the model suggests a molecular explanation for the apparent discrepancies in in vitro and in vivo activities of cell-permeable chemical inducers of dimerization.341–343 In 1993, it was reported that in vitro chemically induced dimerization/oligomerization of the TCRζ CYTO domain results in T cell activation, as measured with a reporter gene assay.341 Later, activation of a chimeric receptor, containing binding domains for chemical inducers of dimerization fused to the CYTO tail of TCRζ chain, after stimulation with chemical dimerizers in Jurkat cells has been confirmed to show tyrosine phosphorylation of the TCRζ chain chimera, recruitment of phosphorylated Zap70, and generation of NFAT.342 However, in vivo studies demonstrated that signaling did not lead to increased expression of activation markers, T cell proliferation or apoptosis.342 The authors concluded that signaling through ζ alone is not sufficient to generate downstream events leading to full T cell activation or thymocyte selection; instead, additional CD3 components must be required to induce a functional response in primary thymocytes and peripheral T cells.342 Within the model, formation of both CD3γε/δε and ζ signaling oligomers is needed to provide competent activation signal(s) resulting in full cell activation (signals A and B, Fig. 8). Formation of only ζ signaling oligomers leads to partial T cell activation (signal A, Fig. 8).
The model also explains the apparent discrepancy in CD3 TM peptide activity between in vitro and in vivo T cell inhibition.334 It has been shown that the CD3δ and CD3γ TM peptides do not impact T cell function in vitro (the CD3ε TM peptide has not been used in the reported in vitro experiments because of solubility issues) but that all three CD3 (ε, δ and γ) TM peptides decrease signs of inflammation in an adjuvant-induced arthritis rat model in vivo and inhibit the immune response.334 Within the SCHOOL model,44,49,98,130,222 the CD3δ and CD3γ TM peptides disconnect the corresponding signaling subunits (CD3δ and CD3γ, respectively) from the remaining receptor complex. Thus, these subunits do not participate in further processes upon antigen stimulation. On the other hand, the previously reported in vitro activation studies with T cells lacking CD3γ and/or CD3δ CYTO domains indicate that antigen-stimulated induction of cytokine secretion and T cell proliferation are intact,344–346 thus explaining the absence of inhibitory effect of the CD3δ and CD3γ TM peptides in the in vitro activation assays used.334 However, in vivo deficiency either of CD3δ or CD3γ results in severe immunodeficiency disorders.192,347–349 This could explain the inhibitory effect observed in the in vivo studies for all three CD3 TM peptides.334 Thus, these experimental data confirm that our ability to selectively “disconnect” specific signaling subunits using the MIRR TM peptides in line with the SCHOOL model can provide a powerful tool to study MIRR functions and immune cell signaling.4,98
Interestingly, studies of T lymphocytes expressing a TCR with a mutant TCRβ TM domain have shown that upon antigen stimulation, these cells are similar to wild-type cells in terms of IL-2 secretion, IL-2 receptor expression and early activation and signaling events such as CD69 expression, Ca2+ flux, and CD3ε and ζ phosphorylation, but are specifically defective in undergoing activation-induced cell death.350 Point mutations in the TCRβ TM domain has been also reported to impair the development and function of CD8+ memory T cells without affecting primary effector T cell responses.351 Considering that in the TCR-CD3-ζ2 complex, the TCRβ TM domain is critical for interaction with the CD3γε signaling heterodimer,33 one can suggest that in a mutant TCR, the association of the CD3γε with the TCRβ chain is impaired. Upon antigen stimulation, this impaired (weakened) association prevents formation of CD3γε signaling oligomers and thus excludes CD3γ (but not CD3ε, because in the CD3εδ heterodimer of the TCR-CD3-ζ2 complex, there is another CD3ε chain capable of signaling independently of CD3ε in the CD3γε) from further participation in signaling and results in the lack of the activation signal Bγ (Fig. 8). Thus, within the model, only those signaling events that involve CD3γ (i.e., apoptotic response but not early activation and signaling events345,346,352,353) should be affected by a mutation of the TCRβ TM domain. This is in a good agreement with the data reported.350,351 Also, in this context, functional effect of this mutation should be and is very similar to the one observed by Collier et al. for CD3γ TM peptide,334 therefore providing more evidence for importance and utility of the proposed model and the MIRR TM peptides in studies on immune signaling.
The remarkable feature of the SCHOOL model is that it has a high predictive quality (Table 4) by generalizing molecular mechanisms of action and therefore potential therapeutic targets for all MIRRs.4,49,97,98,129,130,222
Structurally, all Fc receptors can be divided into two major categories: single- (FcγRIIA and FcγRIIA) and multichain (FcεRI, FcαRI, FcγRI and FcγRIIIA) receptors. Multichain Fc receptors, in turn, can be divided into two subcategories: receptors that contain one (FcαRI, FcγRI, FcγRIIIA) or two (FcεRI) signaling subunits (Fig. 2). To date, no general model has been suggested to explain at the molecular level how Fc receptor-mediated signaling commences.
As a general model of MIRR signaling, the SCHOOL model describes the molecular mechanisms underlying the receptor triggering for all multichain Fc receptors.4,49,97,130 The model also suggests that the FcεRI receptor that contains two different signaling subunits, β and γ (or FcRγ), has more capabilities to induce distinct signaling pathways and, therefore, lead to different functional outcomes as compared to the Fc receptors that contain only one signaling subunit (FcRγ) (Fig. 2).
The FcεRI receptor consists of a ligand-binding α subunit and two kinds of signaling subunits, a β chain and disulfide-linked homodimeric γ chains (Figs. 2 and and99). It plays a pivotal role in the initiation of allergic reactions when antigen crosslinks IgE antibodies bound to FcεRI on tissue mast cells or blood basophils.123,241,354–356
In resting cells, like with other MIRRs, intrareceptor TM interactions between FcεRIα, β and γ chains define the overall rigid geometry and topology of the FcεRI.35–37,39,43,155 Within the proposed model, upon stimulation with multivalent ligand, two or more FcεRIs are brought into close proximity and adopt a correct relative orientation, initiating the interreceptor trans-homointeractions between signaling subunits and weakening the intrareceptor TM interactions (stages I and II, Fig. 9). Then, depending on the duration of the FcεRI-ligand interaction (affinity/avidity of the ligand), the receptors can either go back to a resting state or forward to an active state, in which β and/or γ signaling oligomers are formed (stages III and IV, Fig. 4), thus promoting ITAM Tyr phosphorylation and generation of activation signal. Assuming that two different FcεRI signaling subunits, γ and β, provide distinct signaling,139,140,264,357–363 the model suggests49,97,130 that depending on the nature of ligand, the FcεRIs can be clustered to dimer/oligomer in different relative orientations that, in turn, promote homotypic interactions between different signaling subunits (Fig. 9). This leads to formation of distinct, γ and/or β, signaling oligomers, phosphorylation of the corresponding ITAM tyrosines and generation of different activation signals (signals A and B, Fig. 9), resulting in diverse functional outcomes. The formed β and/or γ oligomers can sequentially interact with β and/or γ subunits of nonengaged FcεRIs (as illustrated for all MIRRs in Figs. 6 and and77), thus amplifying and propagating the activation signal.
Interestingly, several mathematical models have been recently developed for the early signaling events mediated by FcεRI.364–367 Through model simulations, it has been shown how changing the ligand concentration, and consequently the concentration of receptor aggregates, can change the nature of a cellular response as well as its amplitude. These models are largely based on the recently suggested sequence of early events in FcεRI signaling.173,368 Combining the basic organizing principles of the SCHOOL model with the existing mathematical models might significantly improve our understanding the spatiotemporal organization of FcεRI-mediated signal transduction as well as our ability to predict how this system will behave under a variety of experimental conditions.
Selected examples illustrating the ability of the SCHOOL model to provide a mechanistic explanation for FcεRI-related immunological phenomena are shown in Table 5. These and other findings mentioned above strongly support the validity and utility of the proposed activation model for the FcεRI.
The BCR is a multimeric complex composed of mIg noncovalently associated with a disulfide-linked Igα/Igβ heterodimer that is responsible for signal transduction. In the resting state, like with other MIRRs, intrareceptor TM interactions between mIg and Igα/Igβ subunits define the overall rigid geometry and topology of the BCR.34,40,41,369 In cells, this receptor transduces signals leading to a variety of biologic responses including antigen receptor editing, apoptotic death, developmental progression, cell activation, proliferation and survival. Despite several BCR triggering and cell activation models that have been suggested,126,168,237,370–372 no model fully explains the molecular mechanisms underlying spatiotemporal organization of BCR-triggered TM signal transduction.
Within the SCHOOL model, two or more BCRs are brought into close proximity and adopt a correct relative orientation upon receptor engagement with multivalent ligand (Fig. 10). At this point, the trans-homointeractions between Igα and Igβ molecules are initiated, weakening the TM interactions within the BCR (Fig. 10, stages I and II). Then, depending on the duration of ligand-BCR interaction and therefore on the affinity/avidity of ligand, the receptors can go either back to resting state or forward to active state, in which signaling Igα/Igβ oligomers are formed, thus promoting ITAM Tyr phosphorylation and generation of activation signal (Fig. 10, stage III). Considering that Igα and Igβ chains can play different physiological roles,136–138,373 the model suggests that depending on the nature of stimuli, different Igα/Igβ signaling oligomers can form, thus resulting in phosphorylation of Igα and/or Igβ ITAM tyrosines and induction of distinct signaling pathways. Further, once formed, these oligomers can sequentially interact with Igα/Igβ subunits of nonengaged BCRs (as illustrated for all MIRRs in Figs. 6 and and77), thus propagating and amplifying the activation signal and favoring the formation and stabilization of supramolecular complexes that can promote sustained signaling. In this context, it can also be suggested that the more BCRs are initially engaged and/or the higher is the affinity/avidity of antigen, the faster is signaling cluster formation.
In contrast to Igβ and other ITAM-containing proteins, the dynamic equilibrium between monomeric and oligomeric species of Igα is slow, and this protein forms stable homooligomers (mostly, dimers and tetramers) even at very low protein concentrations.78 Formation of the stable Igα/Igβ clusters/oligomers may be particularly important for sustained signaling during the synapse formation between B cell and antigen-displaying target cell and subsequent antigen acquisition.374 Also, as recently shown,375 plasma membrane association of Igα/Igβ complexes results in a generation of biologically relevant basal signaling while the ability of the BCR to interact with both conventional as well as nonconventional EC ligands is eliminated.
As illustrated in Table 6 by several selected examples, the proposed model is capable of providing a mechanistic explanation for BCR-related immunological phenomena. Thus, a vast majority of the experimental findings reported so far strongly support the validity and utility of this activation model for the BCR.
Studies of patients deficient in GPVI identified this platelet membrane protein as a physiological collagen receptor. This receptor is noncovalently associated with FcRγ, the ITAM-containing homodimeric signaling module. The GPVI-FcRγ receptor complex induces platelet activation when it binds to collagen or other agonists, and GPVI-deficient platelets lack specifically collagen-induced aggregation and the ability to form thrombi on a collagen surface under flow conditions.16,376 The selective inhibition of GPVI and/or its signaling is thought by most experts in the field to inhibit thrombosis without affecting hemostatic plug formation. Thus, future therapeutic strategies targeting platelet-mediated disease depend on our detailed understanding of the molecular mechanisms underlying GPVI triggering and subsequent TM signal transduction. In addition, knowing these mechanisms would give us a new handle in dissecting the basic structural and functional aspects of thrombus formation.
In 2006, GPVI has been reported to form a back-to-back dimer in the GPVI crystal.64 Based on these findings, a model for GPVI signaling has been suggested, in which GPVI clustering triggers a signaling cascade via the FcRγ chain coreceptor.64 Despite its apparent similarity to the SCHOOL model,49 it does not explain the existence of oligomeric GPVI-FcRγ complexes at the surface of unstimulated platelets71 and does not suggest specific protein-protein interactions involved in the molecular mechanisms underlying the GPVI-triggered signaling. These findings64,71 raise an important and intriguing question: why does the observed basal receptor dimerization not lead to receptor triggering and subsequent platelet activation whereas agonist-induced receptor crosslinking/clustering does?
Despite extensive studies of the GPVI-FcRγ receptor complex and its mechanism of action,16,244,377,378 the only model that can answer this question and even more important, mechanistically explain how GPVI-mediated TM signaling begins, is the SCHOOL model.4,49,97,98,130,223,338,379 Within this model, GPVI-mediated platelet activation is a result of the interplay between GPVI-FcRγ TM interactions, the association of two TM Asp residues in the FcRγ homodimer with the TM Arg residue of GPVI,36 that maintain receptor integrity in platelets under basal conditions, and homointeractions between FcRγ subunits that lead to formation of signaling oligomers and initiation of a signaling response (Figs. 4B and and1111). Binding of the multivalent ligand (collagen) to two or more GPVI-FcRγ receptor complexes pushes the receptors to cluster, rotate and adopt an appropriate orientation relative to each other (Fig. 11, stages I and II), at which point the trans-homointeractions between FcRγ molecules are initiated. Upon formation of FcRγ signaling oligomers, the Srcfamily kinases Fyn or Lyn phosphorylate the tyrosine residues in the FcRγ ITAM that leads to generation of the activation signal (Fig. 11, stage III) and subsequent dissociation of FcRγ signaling oligomers and downmodulation of the remaining engaged GPVI subunits (Fig. 11, stage IV). Later, the dissociated oligomeric FcRγ chains can interact with FcRγ subunits of the nonengaged GPVI-FcRγ complexes, resulting in formation of higher-order signaling oligomers and their subsequent phosphorylation, thus providing lateral signal propagation and amplification (as illustrated for all MIRRs in Figs. 6 and and77).
Thus, for the preformed oligomeric receptor complexes existing in unstimulated platelets as found by Berlanga et al.71 the proposed model suggests that under basal conditions, the overall geometry of the receptor dimer keeps FcRγ chains apart, whereas stimulation by collagen results in breakage of GPVI-GPVI EC interactions and reorientation of signaling FcRγ homodimers, thus bringing them into close proximity and appropriate relative orientation permissive of initiating the FcRγ homointeractions and receptor triggering.
Intriguingly, suggesting how binding to collagen triggers the GPVI-mediated signal cascade at the molecular level, the SCHOOL model reveals GPVI-FcRγ TM interactions as a novel therapeutic target for the prevention and treatment of platelet-mediated thrombotic events.4,98,129,222,223,338,379 Preliminary experimental results provided support for this novel concept of platelet inhibition and resulted in the development of novel class of promising platelet inhibitors.223,338
Thus, the experimental evidence accumulated to date on the GPVI-mediated TM signal transduction and platelet activation strongly support the validity and utility of the proposed activation model for this receptor.
As illustrated in Figure 2, a structural assembly of many MIRRs, such as FcαRI, FcγRI, FcγRIIIA, ILT/LIR receptors, DCAR, NK and TREM receptors, etc., is very similar to that of the GPVI receptor; all these receptors have a ligand-recognition subunit and one homodimeric signaling subunit. Another CLR receptor, BDCA-2 (not shown in Fig. 2), is known to signal through the associated FcRγ signaling chain and has a typical MIRR assembly similar to that of DCAR (Fig. 2).8 Thus, the basic principles of GPVI triggering and TM signaling suggested by the SCHOOL model can be easily applied to these and other, structurally related, MIRRs. Selected examples illustrating the capability of the SCHOOL model to provide a mechanistic explanation for immunological phenomena mediated by these receptors are shown in Table 7.
The crucial role of receptor-mediated signaling in health and disease assumes that our understanding of the underlying molecular mechanisms and methods to modulate the cell response through control of transmembrane signal transduction can contribute significantly towards the improvement of existing therapies and the design of new therapeutic strategies for a diverse set of disorders. Recently discovered functional link between protein intrinsic disorder and oligomericity in structurally related multichain activating receptors represents a missing piece of the long-standing puzzle of signaling and reveals striking similarities in the basic mechanistic principles of function of most single- and multichain receptors. In this context, suggesting that formation of competent signaling oligomers mediated by homointeractions between well-structured (SRs) or intrinsically disordered (MIRRs) cytoplasmic signaling domains is a necessary and sufficient event to trigger receptor function, the SCHOOL-based mechanism represents a general biological mechanism of transmembrane signal transduction. Thus, within the SCHOOL platform, ligand binding-induced receptor clustering is translated across the membrane into protein oligomerization in cytoplasmic milieu. The basic principles of transmembrane signaling learned from the SCHOOL model can be used in different fields of immunology, virology, molecular and cell biology and others to describe, explain and predict various phenomena and processes mediated by a variety of functionally diverse and unrelated receptors. Beyond providing novel perspectives for fundamental research, the platform opens new avenues for drug discovery and development.
For MIRRs, the proposed SCHOOL model is the first general model that provides a set of basic principles of MIRR signaling and mechanistically explains how MIRR-mediated signaling commences and what the major driving forces and restraints of MIRR triggering/signaling are. Furthermore, this model is the first model that can describe, explain and predict numerous MIRR-mediated immunological phenomena. Thus, this model represents a powerful tool that can be used in dissecting the basic structural and functional aspects of the immune response and in further using this knowledge in both fundamental and clinical fields. In addition, revealing the major driving forces and fundamental stages of MIRR triggering and TM signal transduction, the model identifies effective ways of modulating the immune response.
Importantly, by generalizing mechanistic features of MIRR signaling, the SCHOOL model shows how the similar structural architecture of the MIRRs dictates similar mechanisms of MIRR triggering and subsequent TM signal transduction, and furthermore, reveals similar therapeutic targets in seemingly unrelated diseases. This permits the transfer of accumulated knowledge and pharmacological approaches between seemingly disparate immune disorders and builds the molecular basis for existing and future therapeutic strategies. Impressively, applications of this model have already illustrated how do the similar molecular mechanisms of MIRR signaling revealed by the model work in seemingly unrelated fields, such, for example, as T cell-mediated diseases, platelet-mediated thrombosis, and viral entry into target cells without triggering host-defense response.
In conclusion, I sincerely hope that the model and issues presented in this work will stimulate debate and new research to further test and apply the proposed model, thus opening new horizons in our multidisciplinary knowledge and generating new perspectives for the effective prevention and/or treatment of numerous disorders.
Previously published online: www.landesbioscience.com/journals/selfnonself/article/10832