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Publication : Macrophage metabolic reprogramming presents a therapeutic target in lupus nephritis.

First Author  Jing C Year  2020
Journal  Proc Natl Acad Sci U S A Volume  117
Issue  26 Pages  15160-15171
PubMed ID  32541026 Mgi Jnum  J:297372
Mgi Id  MGI:6438291 Doi  10.1073/pnas.2000943117
Citation  Jing C, et al. (2020) Macrophage metabolic reprogramming presents a therapeutic target in lupus nephritis. Proc Natl Acad Sci U S A 117(26):15160-15171
abstractText  IgG antibodies cause inflammation and organ damage in autoimmune diseases such as systemic lupus erythematosus (SLE). We investigated the metabolic profile of macrophages isolated from inflamed tissues in immune complex (IC)-associated diseases, including SLE and rheumatoid arthritis, and following IgG Fcgamma receptor cross-linking. We found that human and mouse macrophages undergo a switch to glycolysis in response to IgG IC stimulation, mirroring macrophage metabolic changes in inflamed tissue in vivo. This metabolic reprogramming was required to generate a number of proinflammatory mediators, including IL-1beta, and was dependent on mTOR and hypoxia-inducible factor (HIF)1alpha. Inhibition of glycolysis, or genetic depletion of HIF1alpha, attenuated IgG IC-induced activation of macrophages in vitro, including primary human kidney macrophages. In vivo, glycolysis inhibition led to a reduction in kidney macrophage IL-1beta and reduced neutrophil recruitment in a murine model of antibody-mediated nephritis. Together, our data reveal the molecular mechanisms underpinning FcgammaR-mediated metabolic reprogramming in macrophages and suggest a therapeutic strategy for autoantibody-induced inflammation, including lupus nephritis.
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