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Metabolic regulation of immune responses: therapeutic opportunities
Nadine Assmann, David K. Finlay
Nadine Assmann, David K. Finlay
Published June 1, 2016
Citation Information: J Clin Invest. 2016;126(6):2031-2039. https://doi.org/10.1172/JCI83005.
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Review

Metabolic regulation of immune responses: therapeutic opportunities

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Abstract

Immune cell metabolism is dynamically regulated in parallel with the substantial changes in cellular function that accompany immune cell activation. While these changes in metabolism are important for facilitating the increased energetic and biosynthetic demands of activated cells, immune cell metabolism also has direct roles in controlling the functions of immune cells and shaping the immune response. A theme is emerging wherein nutrients, metabolic enzymes, and metabolites can act as an extension of the established immune signal transduction pathways, thereby adding an extra layer of complexity to the regulation of immunity. This Review will outline the metabolic configurations adopted by different immune cell subsets, describe the emerging roles for metabolic enzymes and metabolites in the control of immune cell function, and discuss the therapeutic implications of this emerging immune regulatory axis.

Authors

Nadine Assmann, David K. Finlay

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Figure 2

Metabolic regulation of immune cell function.

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Metabolic regulation of immune cell function.
GAPDH has mutually exclusi...
GAPDH has mutually exclusive roles as a glycolytic enzyme and as an RNA-binding protein that represses protein translation. High rates of glycolysis engage GAPDH, leaving the translation of mRNAs, such as IFNG and IL2 mRNA, unconstrained. When the rate of glycolysis is inhibited, a variant of the glycolytic enzyme enolase locates to the nucleus where it inhibits the formation of the Foxp3-E2 splice variant, which is expressed in human iTregs with potent immunosuppressive activities. The glycolytic metabolite PEP promotes Ca2+/NFAT signaling and thereby T cell activation. Low glucose levels result in reduced PEP inhibiting NFAT and T cell activation. Strategies to increase PEP levels, such as inhibition of PKM or recombinant expression of PCK1, will restore normal T cell activation in low-glucose conditions. The Krebs cycle intermediate succinate contributes to the stabilization of HIF1α protein in inflammatory macrophages. HIF1α accumulates when the hydroxylases (PHDs) that promote HIF1α degradation are inhibited. Hypoxia and ROS also inhibit PHDs. Depending on the context, HIF1α can promote proinflammatory (IL-1β) or antiinflammatory (PD-L1, miR-210) functions in myeloid cells. Succinate also signals through ligating the cell surface receptor SUCNR1. Cytosolic citrate can also be metabolized to produce important inflammatory mediators such as ROS, NO, and prostaglandins (PGs). Citrate can also be metabolized to itaconic acid, which has important antimicrobial functions.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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