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Publication : GPR91 senses extracellular succinate released from inflammatory macrophages and exacerbates rheumatoid arthritis.

First Author  Littlewood-Evans A Year  2016
Journal  J Exp Med Volume  213
Issue  9 Pages  1655-62
PubMed ID  27481132 Mgi Jnum  J:236624
Mgi Id  MGI:5806690 Doi  10.1084/jem.20160061
Citation  Littlewood-Evans A, et al. (2016) GPR91 senses extracellular succinate released from inflammatory macrophages and exacerbates rheumatoid arthritis. J Exp Med 213(9):1655-62
abstractText  When SUCNR1/GPR91-expressing macrophages are activated by inflammatory signals, they change their metabolism and accumulate succinate. In this study, we show that during this activation, macrophages release succinate into the extracellular milieu. They simultaneously up-regulate GPR91, which functions as an autocrine and paracrine sensor for extracellular succinate to enhance IL-1beta production. GPR91-deficient mice lack this metabolic sensor and show reduced macrophage activation and production of IL-1beta during antigen-induced arthritis. Succinate is abundant in synovial fluids from rheumatoid arthritis (RA) patients, and these fluids elicit IL-1beta release from macrophages in a GPR91-dependent manner. Together, we reveal a GPR91/succinate-dependent feed-forward loop of macrophage activation and propose GPR91 antagonists as novel therapeutic principles to treat RA.
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