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Updated: Jun 21, 2025

In Vitro Differentiation of Human CD4+FOXP3+ Induced Regulatory T Cells (iTregs) from Naïve CD4+ T Cells Using a TGF-β-containing Protocol
Published on: December 30, 2016
Phosphoglycerate mutase regulates Treg differentiation through control of serine synthesis and one-carbon metabolism
Abstract:
The differentiation and suppressive functions of regulatory CD4 T cells (Tregs) are supported by a broad array of metabolic changes, providing potential therapeutic targets for immune modulation. In this study, we focused on the regulatory role of glycolytic enzymes in Tregs and identified phosphoglycerate mutase (PGAM) as being differentially overexpressed in Tregs and associated with a highly suppressive phenotype. Pharmacologic or genetic inhibition of PGAM reduced Treg differentiation and suppressive function while reciprocally inducing markers of a pro-inflammatory, T helper 17 (Th17)-like state. The regulatory role of PGAM was dependent on the contribution of 3-phosphoglycerate (3PG), the PGAM substrate, to de novo serine synthesis. Blocking de novo serine synthesis from 3PG reversed the effect of PGAM inhibition on Treg polarization, while exogenous serine directly inhibited Treg polarization. Additionally, altering serine levels in vivo with a serine/glycine-free diet increased peripheral Tregs and attenuated autoimmunity in a murine model of multiple sclerosis. Mechanistically, we found that serine limits Treg polarization by contributing to one-carbon metabolism and methylation of Treg-associated genes. Inhibiting one-carbon metabolism increased Treg polarization and suppressive function both in vitro and in vivo in a murine model of autoimmune colitis. Our study identifies a novel physiologic role for PGAM and highlights the metabolic interconnectivity between glycolysis, serine synthesis, one-carbon metabolism, and epigenetic regulation of Treg differentiation and suppressive function.
Insights
Phosphoglycerate mutase (PGAM) regulates regulatory T cell (Treg) function by impacting serine synthesis and one-carbon metabolism. Inhibiting PGAM or serine metabolism modulates Treg activity and autoimmune responses.
Area of Science:
- Immunology and Metabolism
- Cellular Metabolism
- Epigenetics
Background:
- Regulatory CD4 T cells (Tregs) are crucial for immune homeostasis and are influenced by metabolic reprogramming.
- Glycolytic enzymes represent potential targets for immune modulation therapies.
- Phosphoglycerate mutase (PGAM) is identified as a key enzyme in Treg differentiation and function.
Purpose of the Study:
- To investigate the role of glycolytic enzymes, specifically PGAM, in regulating Treg differentiation and suppressive functions.
- To elucidate the metabolic pathways linking PGAM activity, serine synthesis, one-carbon metabolism, and Treg function.
- To explore the therapeutic potential of targeting PGAM and associated metabolic pathways for autoimmune diseases.
Main Methods:
- Pharmacologic and genetic inhibition of PGAM in Tregs.
- Analysis of Treg differentiation, suppressive function, and Th17-like cell induction.
- Investigation of the role of 3-phosphoglycerate (3PG) in de novo serine synthesis.
- In vivo studies using murine models of multiple sclerosis and autoimmune colitis, including dietary interventions (serine/glycine-free diet) and metabolic pathway inhibition.
Main Results:
- PGAM was overexpressed in Tregs and associated with a highly suppressive phenotype.
- PGAM inhibition reduced Treg differentiation and suppressive function, promoting a pro-inflammatory Th17-like state.
- PGAM's regulatory role was linked to serine synthesis from its substrate 3PG; blocking this pathway or adding exogenous serine reversed PGAM inhibition effects.
- Altering serine levels in vivo attenuated autoimmunity in a multiple sclerosis model.
- Serine limits Treg polarization via one-carbon metabolism and epigenetic methylation; inhibiting this pathway enhanced Treg function in autoimmune models.
Conclusions:
- PGAM plays a critical regulatory role in Treg differentiation and suppressive function.
- A metabolic axis exists between glycolysis, serine synthesis, one-carbon metabolism, and Treg epigenetic regulation.
- Targeting PGAM and related metabolic pathways offers a novel strategy for immune modulation in autoimmune diseases.
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