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Updated: Jul 9, 2025

Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
Metabolite itaconate in host immunoregulation and defense
Wenchang Yang1,2, Yaxin Wang3, Kaixiong Tao1
1Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, Hubei, China.
Immune response gene 1 (IRG1) produces itaconate, a metabolite that regulates macrophage metabolism and immune responses. This review explores IRG1/itaconate
Area of Science:
- Immunology
- Metabolic pathways
- Cellular metabolism
Background:
- Immune cell function and differentiation are significantly influenced by metabolic states.
- Modulating immune cell metabolism offers a strategy to control host immune responses.
- Itaconate, a tricarboxylic acid (TCA) cycle intermediate, is synthesized by cis-aconitate decarboxylase (encoded by IRG1) in mitochondria.
Purpose of the Study:
- To comprehensively review the role of IRG1/itaconate and its derivatives in regulating macrophage metabolism and functions.
- To elucidate the connection between itaconate, macrophage metabolism, oxidative stress, and immune response.
- To explore the potential therapeutic applications of itaconate in inflammatory diseases and cancer.
Main Methods:
- Literature review of studies on IRG1, itaconate, and macrophage biology.
- Analysis of signaling pathways influenced by itaconate, including Keap1-Nrf2-ARE, ATF3-IκBζ, and STING.
- Examination of itaconate's impact on inflammatory diseases and cancer development.
Main Results:
- IRG1 expression is upregulated in macrophages upon proinflammatory stimulation.
- Itaconate inhibits succinate dehydrogenase, altering macrophage metabolic status.
- Itaconate modulates inflammatory and antioxidant responses via multiple signaling pathways.
Conclusions:
- Itaconate acts as a crucial link between macrophage metabolism, oxidative stress, and immune function.
- Understanding IRG1/itaconate pathways offers potential for novel therapeutic strategies.
- Itaconate's role in inflammation and cancer warrants further investigation for clinical applications.
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