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Mitochondrial dysfunction in myeloid cells: a central deficit in autoimmune diseases
Chun-Ting J Kwong1, Mariana J Kaplan1
1Systemic Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, 10 Center Drive, 12N248C, Bethesda, MD 20892, USA.
Trends in Immunology
|September 10, 2025
Summary
Mitochondrial dysfunction in myeloid cells drives autoimmune diseases by disrupting immune tolerance. Targeting cellular metabolism offers a new therapeutic approach to restore immune balance.
Area of Science:
- Immunology
- Cellular Metabolism
- Mitochondrial Biology
Background:
- Autoimmune diseases result from genetic and environmental factors disrupting immune tolerance.
- Myeloid cell immunometabolism, especially mitochondrial dysfunction, is increasingly implicated in autoimmunity.
- Mitochondria are crucial for immune cell energy and fate, and their impairment contributes to chronic inflammation.
Purpose of the Study:
- To explore the role of chronic metabolic stress and mitochondrial dysfunction in myeloid cells during autoimmunity.
- To propose a model where metabolic stress reprograms myeloid cells, creating a cycle of cell death and immune activation.
- To highlight the potential of targeting mitochondrial function for autoimmune disease therapies.
Main Methods:
- Review of recent studies on myeloid cell immunometabolism and autoimmunity.
- Conceptual framework development linking metabolic stress, mitochondrial dysfunction, and immune dysregulation.
- Analysis of proposed mechanisms of myeloid cell maladaptation in autoimmune conditions.
Main Results:
- Chronic metabolic stress can reprogram myeloid cells, leading to impaired immune cell differentiation and function.
- Mitochondrial dysfunction fuels a cycle of cell death and aberrant immune activation.
- Myeloid cell maladaptation may result from sustained metabolic insults.
Conclusions:
- Viewing autoimmune diseases through a metabolic lens provides novel insights into pathogenesis.
- Therapeutic strategies targeting mitochondrial function hold promise for restoring immune balance in autoimmunity.
- Understanding myeloid cell immunometabolism is key to developing effective treatments for autoimmune disorders.
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