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Published on: November 11, 2025
Metabolic Control of Immunity-Unveiling Neutrophil Mechanisms.
Bruna F Correia1, Daniela Grosa1, M Guadalupe Cabral2
1iNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Neutrophils, once thought to be only glycolytic, are metabolically flexible cells. Understanding their immune metabolism offers new therapeutic strategies for diseases like cancer and chronic inflammation.
Area of Science:
- Immunology
- Metabolic pathways
- Cellular metabolism
Background:
- Neutrophils are key immune cells whose function is dictated by their metabolism.
- Traditionally viewed as glycolytic, neutrophils exhibit metabolic flexibility, utilizing pathways like glycolysis, the pentose phosphate pathway (PPP), amino acid metabolism, and lipid oxidation.
- Metabolic regulation involves nutrient-sensing pathways (e.g., mTOR, AMPK) and stress responses (e.g., HIF-1α), integrating environmental signals like hypoxia.
Purpose of the Study:
- To explore the metabolic plasticity of neutrophils.
- To understand how neutrophil metabolism is regulated by nutrient-sensing and stress-response pathways.
- To highlight the role of metabolic rewiring in neutrophil function during disease and its therapeutic potential.
Main Methods:
- Review of current literature on neutrophil metabolism.
- Analysis of metabolic pathways utilized by neutrophils (glycolysis, PPP, amino acid metabolism, lipid oxidation).
- Examination of regulatory pathways (mTOR, AMPK, HIF-1α) and their integration of environmental cues.
Main Results:
- Neutrophils are metabolically flexible, not strictly glycolytic.
- Metabolic pathways are dynamically engaged to meet cellular demands.
- Nutrient-sensing and stress-response pathways tightly regulate neutrophil metabolism.
- Metabolic dysregulation in neutrophils is implicated in various diseases, including chronic inflammation, metabolic syndromes, infection, and cancer.
Conclusions:
- Neutrophil metabolic plasticity is crucial for immune regulation in health and disease.
- Targeting neutrophil metabolism presents a promising therapeutic avenue for inflammatory disorders, metabolic diseases, infections, and cancer.
- Further understanding of neutrophil metabolism can lead to novel treatment strategies.
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