Fatty Acid Metabolites Combine with Reduced β Oxidation to Activate Th17 Inflammation in Human Type 2 Diabetes

Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data s...

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Published inCell metabolism Vol. 30; no. 3; pp. 447 - 461.e5
Main Authors Nicholas, Dequina A., Proctor, Elizabeth A., Agrawal, Madhur, Belkina, Anna C., Van Nostrand, Stephen C., Panneerseelan-Bharath, Leena, Jones, Albert R., Raval, Forum, Ip, Blanche C., Zhu, Min, Cacicedo, Jose M., Habib, Chloe, Sainz-Rueda, Nestor, Persky, Leah, Sullivan, Patrick G., Corkey, Barbara E., Apovian, Caroline M., Kern, Philip A., Lauffenburger, Douglas A., Nikolajczyk, Barbara S.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 03.09.2019
Subjects
Online AccessGet full text
ISSN1550-4131
1932-7420
1932-7420
DOI10.1016/j.cmet.2019.07.004

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Abstract Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data show that blockade of CPT1A inhibits Th17-associated cytokine production by cells from people with type 2 diabetes (T2D). A low CACT:CPT1A ratio in immune cells from T2D subjects indicates altered mitochondrial function and coincides with the preference of these cells to generate ATP through glycolysis rather than fatty acid oxidation. However, glycolysis was not critical for Th17 cytokines. Instead, β oxidation blockade or CACT knockdown in T cells from lean subjects to mimic characteristics of T2D causes cells to utilize 16C-fatty acylcarnitine to support Th17 cytokines. These data show long-chain acylcarnitine combines with compromised β oxidation to promote disease-predictive inflammation in human T2D. [Display omitted] •Glycolysis in T cells/PBMCs from T2D subjects fails to stimulate T2D inflammation•T cells from T2D subjects have altered mitochondria•Altered import or oxidation of fatty acids activates inflammation in healthy cells•Mitochondrial changes combine with fatty acid metabolites to activate inflammation Although glycolysis generally fuels inflammation, Nicholas, Proctor, and Agrawal et al. report that PBMCs from subjects with type 2 diabetes use a different mechanism to support chronic inflammation largely independent of fuel utilization. Loss- and gain-of-function experiments in cells from healthy subjects show mitochondrial alterations combine with increases in fatty acid metabolites to drive chronic T2D-like inflammation.
AbstractList Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data show that blockade of CPT1A inhibits Th17-associated cytokine production by cells from people with type 2 diabetes (T2D). A low CACT:CPT1A ratio in immune cells from T2D subjects indicates altered mitochondrial function and coincides with the preference of these cells to generate ATP through glycolysis rather than fatty acid oxidation. However, glycolysis was not critical for Th17 cytokines. Instead, β oxidation blockade or CACT knockdown in T cells from lean subjects to mimic characteristics of T2D causes cells to utilize C-fatty acylcarnitine to support Th17 cytokines. These data show long-chain acylcarnitine combines with compromised β oxidation to promote disease-predictive inflammation in human T2D.
Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data show that blockade of CPT1A inhibits Th17-associated cytokine production by cells from people with type 2 diabetes (T2D). A low CACT:CPT1A ratio in immune cells from T2D subjects indicates altered mitochondrial function and coincides with the preference of these cells to generate ATP through glycolysis rather than fatty acid oxidation. However, glycolysis was not critical for Th17 cytokines. Instead, β oxidation blockade or CACT knockdown in T cells from lean subjects to mimic characteristics of T2D causes cells to utilize 16C-fatty acylcarnitine to support Th17 cytokines. These data show long-chain acylcarnitine combines with compromised β oxidation to promote disease-predictive inflammation in human T2D. [Display omitted] •Glycolysis in T cells/PBMCs from T2D subjects fails to stimulate T2D inflammation•T cells from T2D subjects have altered mitochondria•Altered import or oxidation of fatty acids activates inflammation in healthy cells•Mitochondrial changes combine with fatty acid metabolites to activate inflammation Although glycolysis generally fuels inflammation, Nicholas, Proctor, and Agrawal et al. report that PBMCs from subjects with type 2 diabetes use a different mechanism to support chronic inflammation largely independent of fuel utilization. Loss- and gain-of-function experiments in cells from healthy subjects show mitochondrial alterations combine with increases in fatty acid metabolites to drive chronic T2D-like inflammation.
Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data show that blockade of CPT1A inhibits Th17-associated cytokine production by cells from people with type 2 diabetes (T2D). A low CACT:CPT1A ratio in immune cells from T2D subjects indicates altered mitochondrial function and coincides with the preference of these cells to generate ATP through glycolysis rather than fatty acid oxidation. However, glycolysis was not critical for Th17 cytokines. Instead, β oxidation blockade or CACT knockdown in T cells to mimic characteristics of T2D promotes cells from lean subjects to utilize 16 C-fatty acylcarnitine to support a Th17 cytokines. These data show long chain acylcarnitine combines with compromised β oxidation to promote disease-predictive inflammation in human T2D. Although glycolysis generally fuels inflammation, Nicholas, Proctor and Agrawal et al. report that PBMCs from subjects with type 2 diabetes use a different mechanism to support chronic inflammation largely independent of fuel utilization. Loss- and gain-of-function experiments in cells from healthy subjects show mitochondrial alterations combine with increases in fatty acid metabolites to drive chronic T2D-like inflammation.
Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data show that blockade of CPT1A inhibits Th17-associated cytokine production by cells from people with type 2 diabetes (T2D). A low CACT:CPT1A ratio in immune cells from T2D subjects indicates altered mitochondrial function and coincides with the preference of these cells to generate ATP through glycolysis rather than fatty acid oxidation. However, glycolysis was not critical for Th17 cytokines. Instead, β oxidation blockade or CACT knockdown in T cells from lean subjects to mimic characteristics of T2D causes cells to utilize 16C-fatty acylcarnitine to support Th17 cytokines. These data show long-chain acylcarnitine combines with compromised β oxidation to promote disease-predictive inflammation in human T2D.Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17 profile that predicts the metabolic status of people with obesity are untested. Th17 function requires fatty acid uptake, and our new data show that blockade of CPT1A inhibits Th17-associated cytokine production by cells from people with type 2 diabetes (T2D). A low CACT:CPT1A ratio in immune cells from T2D subjects indicates altered mitochondrial function and coincides with the preference of these cells to generate ATP through glycolysis rather than fatty acid oxidation. However, glycolysis was not critical for Th17 cytokines. Instead, β oxidation blockade or CACT knockdown in T cells from lean subjects to mimic characteristics of T2D causes cells to utilize 16C-fatty acylcarnitine to support Th17 cytokines. These data show long-chain acylcarnitine combines with compromised β oxidation to promote disease-predictive inflammation in human T2D.
Author Nicholas, Dequina A.
Zhu, Min
Persky, Leah
Kern, Philip A.
Ip, Blanche C.
Habib, Chloe
Raval, Forum
Sullivan, Patrick G.
Proctor, Elizabeth A.
Jones, Albert R.
Sainz-Rueda, Nestor
Nikolajczyk, Barbara S.
Agrawal, Madhur
Panneerseelan-Bharath, Leena
Corkey, Barbara E.
Van Nostrand, Stephen C.
Cacicedo, Jose M.
Apovian, Caroline M.
Lauffenburger, Douglas A.
Belkina, Anna C.
AuthorAffiliation 3 Current address: Departments of Neurosurgery, Pharmacology, and Biomedical Engineering, Pennsylvania State University, Hershey, PA, 17033 USA
5 Department of Pathology, Boston University School of Medicine, Boston, MA, 02118 USA
8 Department of Anatomy and Neurobiology, Spinal Cord and Brain Injury Research Center, University of Kentucky, Lexington KY, 40536 USA
1 Department of Microbiology, Boston University School of Medicine, Boston, MA, 02118 USA
10 Barnstable Brown Diabetes and Obesity Research Center, University of Kentucky, Lexington KY, 40536 USA
4 Department of Pharmacology and Nutritional Sciences, University of Kentucky, Lexington KY, 40536 USA
6 Current address: College of Health Sciences, Merrimack College, North Andover, MA, 01845, USA
9 Department of Medicine, University of Kentucky, Lexington KY, 40536 USA
7 Department of Medicine, Boston University School of Medicine, Boston, MA, 02118 USA
2 Department of Biological Engineering, Massachusetts Institute of Technology, Cambridg
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  organization: Department of Microbiology, Boston University School of Medicine, Boston, MA 02118 USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31378464$$D View this record in MEDLINE/PubMed
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Issue 3
Keywords metaflammation
fatty acid oxidation
immunometabolism
glycolysis
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Supervision: CA, PK, DL, BN
These authors contributed equally
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Conceptualization: DN, EP, MA, LB, BC, PS, DL, BN
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Snippet Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17...
Mechanisms that regulate metabolites and downstream energy generation are key determinants of T cell cytokine production, but the processes underlying the Th17...
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SubjectTerms Adult
Aged
Carnitine - analogs & derivatives
Carnitine - metabolism
Carnitine O-Palmitoyltransferase - genetics
Cells, Cultured
Cross-Sectional Studies
Cytokines - metabolism
Diabetes Mellitus, Type 2 - metabolism
fatty acid oxidation
Fatty Acids - metabolism
Female
Gene Knockdown Techniques
glycolysis
Glycolysis - genetics
Humans
immunometabolism
Inflammation - metabolism
Lymphocyte Activation - immunology
Male
Membrane Transport Proteins - genetics
metaflammation
Middle Aged
Obesity - metabolism
Oxidation-Reduction
Th17 Cells - immunology
Transfection
Young Adult
Title Fatty Acid Metabolites Combine with Reduced β Oxidation to Activate Th17 Inflammation in Human Type 2 Diabetes
URI https://dx.doi.org/10.1016/j.cmet.2019.07.004
https://www.ncbi.nlm.nih.gov/pubmed/31378464
https://www.proquest.com/docview/2268574979
https://pubmed.ncbi.nlm.nih.gov/PMC8506657
Volume 30
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