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D-mannose suppresses macrophage IL-1β production
Simone Torretta1, Alessandra Scagliola1, Luisa Ricci1
1Cancer Metabolism Unit, Division of Genetics and Cell Biology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy.
Nature Communications
|December 14, 2020
Summary
D-mannose sugar suppresses inflammatory macrophage activation by disrupting their metabolism. This finding suggests D-mannose as a potential therapeutic for inflammatory conditions like endotoxemia and colitis.
Area of Science:
- Immunology
- Metabolic pathways
- Cellular biology
Background:
- D-mannose, a less common blood monosaccharide, inhibits tumor growth and promotes regulatory T cell differentiation.
- The impact of D-mannose metabolism on non-proliferative cells, like inflammatory macrophages, remains largely unexplored.
Purpose of the Study:
- To investigate the effects of D-mannose on macrophage activation and inflammatory responses.
- To elucidate the underlying metabolic mechanisms by which D-mannose influences macrophage function.
Main Methods:
- Assessed D-mannose effects on lipopolysaccharide (LPS)-induced macrophage activation in vitro.
- Administered D-mannose in mouse models of LPS-induced endotoxemia and DSS-induced colitis.
- Analyzed intracellular mannose-6-phosphate levels, glucose metabolism, and succinate-mediated HIF-1α activation.
Main Results:
- D-mannose suppressed LPS-induced macrophage activation, significantly reducing Interleukin-1 beta (IL-1β) production.
- In vivo, D-mannose administration improved survival in endotoxemia and reduced disease progression in colitis.
- Phosphomannose isomerase activity mediated the suppression by increasing mannose-6-phosphate, impairing glucose metabolism and subsequently reducing IL-1β expression.
Conclusions:
- D-mannose effectively suppresses inflammatory macrophage activation through a specific metabolic pathway involving mannose-6-phosphate and glucose metabolism.
- The study reveals a novel mechanism of metabolic hijacking in macrophage activation.
- D-mannose demonstrates potential as a safe and effective therapeutic agent for managing inflammatory diseases.

