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Updated: Dec 9, 2025

Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
Immunometabolic control of trained immunity
Niels P Riksen1, Mihai G Netea1
1Dept. of Internal Medicine, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525, GA, Nijmegen, the Netherlands.
Trained immunity enhances host defense but can worsen chronic diseases like atherosclerosis. Understanding its metabolic and epigenetic drivers is key for developing new therapies targeting these pathways.
Area of Science:
- Immunology
- Metabolic pathways
- Epigenetics
Background:
- Innate immune cells develop long-term inflammatory phenotypes after stimuli, a process called trained immunity.
- Trained immunity can enhance host defense against infections but may contribute to chronic inflammatory diseases like atherosclerosis.
Purpose of the Study:
- To provide a comprehensive overview of the mechanisms underlying trained immunity.
- To explore the interplay between metabolic pathways and epigenetic reprogramming in trained immunity.
- To highlight potential pharmacological targets for therapeutic exploitation.
Main Methods:
- Review of current literature on trained immunity.
- Analysis of intracellular metabolic changes (glycolysis, TCA cycle, mevalonate pathway).
- Examination of epigenetic reprogramming, specifically histone modifications.
Main Results:
- Trained immunity involves significant alterations in cellular metabolism.
- Metabolic pathways like glycolysis, fumarate accumulation, and the mevalonate pathway are critical.
- These metabolic changes are closely linked with epigenetic reprogramming.
Conclusions:
- Metabolic pathways and epigenetic programs are intertwined in establishing trained immunity.
- Understanding these interactions is crucial for developing targeted therapies.
- Further research into these mechanisms can lead to novel treatments for inflammatory disorders.
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