Targeting the Mapk13-Tcf1-Slc7a5 Axis via One-Carbon Metabolic Regulation to Prevent Chronic Allograft Vasculopathy

Wang Yi1,2,3, Di Wu4, Jing Liu1,2,3

  • 1Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Insights

A newly discovered metabolic pathway involving Mapk13, Tcf1, and Slc7a5 sustains stem-like CD4+ T cells in chronic allograft vasculopathy (CAV). Targeting this axis or methionine uptake may improve long-term transplant survival.

Area of Science:

  • Immunology
  • Metabolic pathways
  • Epigenetics

Background:

  • Chronic allograft vasculopathy (CAV) is a major cause of organ transplant failure.
  • Stem-like CD4+ T cells contribute to CAV pathogenesis.
  • The mechanisms sustaining these cells during chronic rejection are not fully understood.

Purpose of the Study:

  • To elucidate the metabolic and epigenetic mechanisms maintaining stem-like CD4+ T cells in CAV.
  • To identify potential therapeutic targets for preventing CAV.

Main Methods:

  • Investigated the role of Mapk13, Tcf1, and Slc7a5 in a mouse model of CAV.
  • Utilized genetic deletion, dietary methionine restriction, and metabolic/epigenetic analyses.
  • Assessed T cell stemness and CAV progression.

Main Results:

  • Identified a metabolic-epigenetic axis: Mapk13 phosphorylates Tcf1, enhancing Slc7a5 and methionine uptake.
  • This process increases H3K4me3 at the Tcf7 locus, maintaining CD4+ T cell stemness.
  • Disrupting this axis (via genetic deletion or methionine restriction) reduced T cell stemness and prevented CAV in mice.

Conclusions:

  • The Mapk13-Tcf1-Slc7a5 axis is crucial for sustaining pathogenic T cells in CAV.
  • One-carbon metabolism represents a promising therapeutic target for enhancing long-term graft survival.