The receptors of the innate immune system are germ-line encoded and include the nucleotide-binding domain leucine-rich repeat containing receptors, the Toll-like receptors (TLRs), and the RIG-I-like receptors (RLRs). The RLRs are cytosolic sensors of pathogen RNA and include proteins encoded by the retinoic acid-inducible gene-I (RIG-I) [
2], the melanoma differentiation-associated gene 5 (MDA5) [
3,
4], and the laboratory of genetics protein 2 (LGP2) [
4] and DDX3, which is thought to associate with RIG-I [
5]. The helicase domains of RLRs detect the cytosolic RNA of microbial pathogens, generating signals that drive production of cytokines and interferons. Helicases are ATP-dependent enzymes that unidirectionally translocate along a transcript thereby dissociating nucleic acid duplexes [
6]. The RIG-I and MDA5 RLRs play critical roles in the recognition of foreign RNA and in the response to many viral pathogens. MDA5 and RIG-I contain a DExD/H-box RNA helicase domain and caspase activation and recruitment domains (CARDs). RIG-I recognizes 5′-triphosphate RNA, and MDA5 can recognize complex webs of pathogen RNA, comprised of both viral single-stranded and double-stranded RNA [
2]. The LGP2 RLR protein was found to lack a CARD domain and was originally identified as a dominant negative inhibitor of RIG-I signaling [
7]. Under some circumstances, though, it appears LGP2 can stimulate RLRs such as MDA5 and RIG-I [
8]. CARD engagement leads to interaction with a protein known as mitochondrial antiviral signaling protein (MAVS) that is alternatively designated CARDIF, HELICARD, or IPS-1 (referred to here as MAVS) [
9,
10]. Subsequently, upon oligomerization, MAVS signals to members of the IKK family of kinases that are critical for the innate immune response [
10]. Thus MAVS induces IKK
α and IKK
β stimulation that leads to translocation of NF-
κB, as well as IKK
ε/TBK1 stimulation that leads to translocation of IRF-3. These transcription factors stimulate production of cytokines, other innate immune response proteins, and type I interferons [
4].
Extracytosolic innate immune sensing of pathogens is mediated via the TLRs. Humans are known to encode ten TLRs which are each involved in the recognition of different pathogen-associated molecular constituents [
11]. The TLRs are transmembrane receptors found on the cell surface and/or associated with endocytic vesicles [
11]. Thus, they are ideally situated to detect extracytosolic pathogens. For example, TLR4 is required for the recognition of Gram-negative bacterial lipopolysaccharide (LPS, or endotoxin) while TLR3 is able to recognize dsRNA, a signature compound common in the lifecycle of many viruses, while TLR7 and 8 recognize ssRNA [
12]. Toll/IL-1 interacting receptor (TIR) adapters ultimately stimulate IkB family kinases (IKKs) often via transducing proteins such as IRAKs and TRAFs, thereby mediating signaling originally induced by engagement of TLRs that ultimately activates NF-
κB and IRF3 [
13].
Two classical IKKs, IKK
α and IKK
β, are critical for NF-
κB activation. They function, in large part, by phosphorylating the inhibitors of NF-
κB, known as IkBs. Once phosphorylated, IkBs are ubiquitinated and degraded. This allows NF-
κB subunits to translocate to the nucleus and activate target gene expression. NF-
κB is critical for driving the expression of numerous cytokines, chemokines, and costimulatory molecules, creating an inflammatory response [
14]. On the other hand, the two nonclassical IKK family members, IKK
ε and TBK1, are implicated in IRF3 activation. In particular, they are believed to directly phosphorylate several serine residues within the C-terminal activation domain of IRF3. Once phosphorylated, IRF3 dimerizes and translocates to the nucleus where it activates target gene expression [
15]. IRF3 activation is critically important for the activation of type I interferons, either directly [
16] or via an autocrine/paracrine loop [
17,
18]. Type I interferons, in turn, are capable of inducing a significant antiviral response in the host [
2,
13,
19].
Cells also encode cytosolic DNA sensors which detect DNA, which is not typically present in the cytosol and thus a pattern whose recognition signals the presence of viral nucleic acids. Nucleotide oligomerization domain-like receptor proteins (NLRs) are implicated in the intracytosolic recognition of sterile inflammatory instigators, such as urate crystals, intracytosolic DNA, or viral RNA. One such NLR, nucleotide oligomerization domain-like receptor protein 3 (NLRP3) is an inflammasome component that signals to the apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC) to induce the clustering-induced self-processing of procaspase 1 into caspase 1 which then digests the precursor form of pro-IL-1
β and pro-IL-18 to permit release of the inflammatory cytokines IL-1
β and IL-18 from the cell [
20]. Similar inflammatory pathways are triggered by engagement of other cytosolic DNA sensors such as AIM-2, another NLR that ultimately induces cleavage of procaspase 1 into caspase 1. Aim-2 can detect the molecular patterns of intracellular hazards such as pathogen DNA, particularly that of poxviruses [
21]. Other NOD proteins which are alternatively designated NACHT, LRR, and PYD function as sensors of toxic intracellular molecules including cytosolic DNA [
22]. Thus the NLRs represent examples of cytosolic DNA sensors capable of inducing an inflammatory antiviral response.
Another antiviral cytosolic sensor is the DNA-dependent activator of interferon (DAI), which binds B- and Z-form DNA, thereby recognizing intracytosolic viral DNA. Signals from such sensors are transduced by known innate immune kinases such as TBK1, which interacts with a protein known as stimulator of interferon genes (STINGs) to activate NF-
κB and IRF3 signaling [
10,
23,
24]. Finally, it is assumed that there is at least one other pathway for the detection of the dsDNA of microbes, based in part on DNA sensing in cells despite absence of the DAI pathway [
25]. The known receptors for viral DNA ultimately induce interferons, cytokines, and programmed cell death pathways.
Apoptosis is the programmed death of dangerous or unnecessary cells, for example, virally infected, aging, or malignant cells. It is thus one of the most ancient forms of innate immunity. Certain cellular bcl-2 proteins mediate resistance to programmed cell death (apoptosis) [
50–
52], typically via interaction with proapoptotic bcl-2-related proteins [
52]. Human bcl-2 also leads to increased nuclear translocation of the transcription factor, NF-
κB [
53–
55], which typically promotes cell survival [
14,
56,
57]. Other cellular bcl-2 proteins promote cell death in response to harmful stimuli such as viral infection. Other effectors of programmed cell death are caspases. Cleavage of cellular caspases and/or loss of mitochondrial integrity promote cell death in the face of many stimuli including viral infection. Still other death programs include pyroptosis—the death of cells following activation of the PYRIN domains and IL-1 release. Thus, in the absence of viral innate immune evasion, apoptosis provides an antiviral mechanism for the elimination of virally infected cells.