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乳酸改变人巨噬细胞的代谢并提高其杀伤能力。

Lactate Alters Metabolism in Human Macrophages and Improves Their Ability to Kill .

机构信息

TB Immunology Group, Department of Clinical Medicine, Trinity Translational Medicine Institute, St James's Hospital, Trinity College Dublin, The University of Dublin, Dublin, Ireland.

School of Veterinary Medicine and Conway Institute, University College Dublin, Dublin, Ireland.

出版信息

Front Immunol. 2021 Oct 6;12:663695. doi: 10.3389/fimmu.2021.663695. eCollection 2021.

Abstract

In order to mount an appropriate immune response to infection, the macrophage must alter its metabolism by increasing aerobic glycolysis and concomitantly decreasing oxidative phosphorylation; a process known as the Warburg effect. Consequently, lactate, the end-product of glycolysis, accumulates in the extracellular environment. The subsequent effect of lactate on surrounding macrophages is poorly understood. (Mtb), the causative organism of Tuberculosis (TB), is phagocytosed by macrophages in the airways. Mtb infected macrophages upregulate aerobic glycolysis and effector functions to try to kill the bacteria. Our lab has previously shown that human macrophages produce lactate in response to infection with Mtb. Although lactate has largely been considered a waste product of aerobic glycolysis, we hypothesised that the presence of extracellular lactate would impact subsequent immunometabolic responses and modulate macrophage function. We demonstrate that the presence of exogenous lactate has an immediate effect on the cellular metabolism of resting human macrophages; causing a decrease in extracellular acidification rate (ECAR; analogous to the rate of glycolysis) and an increase in the oxygen consumption rate (OCR; analogous to oxidative phosphorylation). When lactate-treated macrophages were stimulated with Mtb or LPS, glycolysis proceeds to increase immediately upon stimulation but oxidative phosphorylation remains stable compared with untreated cells that display a decrease in OCR. This resulted in a significantly reduced ECAR/OCR ratio early in response to stimulation. Since altered metabolism is intrinsically linked to macrophage function, we examined the effect of lactate on macrophage cytokine production and ability to kill Mtb. Lactate significantly reduced the concentrations of TNF and IL-1β produced by human macrophages in response to Mtb but did not alter IL-10 and IL-6 production. In addition, lactate significantly improved bacillary clearance in human macrophages infected with Mtb, through a mechanism that is, at least in part, mediated by promoting autophagy. These data indicate that lactate, the product of glycolysis, has a negative feedback effect on macrophages resulting in an attenuated glycolytic shift upon subsequent stimulation and reduced pro-inflammatory cytokine production. Interestingly, this pro-resolution effect of lactate is associated with increased capacity to kill Mtb.

摘要

为了对感染产生适当的免疫反应,巨噬细胞必须通过增加有氧糖酵解并同时减少氧化磷酸化来改变其代谢;这个过程被称为瓦博格效应。因此,糖酵解的终产物乳酸在细胞外环境中积累。乳酸对周围巨噬细胞的后续影响尚不清楚。(Mtb),结核病(TB)的病原体,被气道中的巨噬细胞吞噬。感染 Mtb 的巨噬细胞上调有氧糖酵解和效应功能,试图杀死细菌。我们的实验室之前表明,人类巨噬细胞会产生乳酸来响应 Mtb 的感染。尽管乳酸在很大程度上被认为是有氧糖酵解的废物产物,但我们假设细胞外乳酸的存在会影响随后的免疫代谢反应并调节巨噬细胞功能。我们证明,外源性乳酸的存在会立即对静止人类巨噬细胞的细胞代谢产生影响;导致细胞外酸化率(ECAR;类似于糖酵解的速率)降低和耗氧量(OCR;类似于氧化磷酸化)增加。当用 Mtb 或 LPS 刺激乳酸处理的巨噬细胞时,糖酵解会在刺激后立即继续进行,但与未处理的细胞相比,氧化磷酸化保持稳定,未处理的细胞显示 OCR 降低。这导致在刺激早期 ECAR/OCR 比值显著降低。由于代谢改变与巨噬细胞功能内在相关,我们研究了乳酸对巨噬细胞细胞因子产生和杀伤 Mtb 的能力的影响。乳酸显著降低了人类巨噬细胞对 Mtb 反应产生的 TNF 和 IL-1β 的浓度,但不改变 IL-10 和 IL-6 的产生。此外,乳酸通过至少部分通过促进自噬来改善 Mtb 感染的人类巨噬细胞中的细菌清除。这些数据表明,糖酵解的产物乳酸对巨噬细胞具有负反馈作用,导致随后的刺激下糖酵解转移减弱,促炎细胞因子产生减少。有趣的是,乳酸的这种促解决作用与杀死 Mtb 的能力增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57a/8526932/06e9b36ad4ea/fimmu-12-663695-g001.jpg

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