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Macrophage metabolic reprogramming presents a therapeutic target in lupus nephritis.

Accepted version
Peer-reviewed

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Abstract

IgG antibodies cause inflammation and organ damage in autoimmune diseases such as systemic lupus erythematosus (SLE). We investigated the metabolic profile of macrophages isolated from inflamed tissues in immune complex (IC)-associated diseases, including SLE and rheumatoid arthritis, and following IgG Fcγ receptor cross-linking. We found that human and mouse macrophages undergo a switch to glycolysis in response to IgG IC stimulation, mirroring macrophage metabolic changes in inflamed tissue in vivo. This metabolic reprogramming was required to generate a number of proinflammatory mediators, including IL-1β, and was dependent on mTOR and hypoxia-inducible factor (HIF)1α. Inhibition of glycolysis, or genetic depletion of HIF1α, attenuated IgG IC-induced activation of macrophages in vitro, including primary human kidney macrophages. In vivo, glycolysis inhibition led to a reduction in kidney macrophage IL-1β and reduced neutrophil recruitment in a murine model of antibody-mediated nephritis. Together, our data reveal the molecular mechanisms underpinning FcγR-mediated metabolic reprogramming in macrophages and suggest a therapeutic strategy for autoantibody-induced inflammation, including lupus nephritis.

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Keywords

Fcγ receptors, lupus nephritis, metabolism, Animals, Cells, Cultured, Cellular Reprogramming, Dinoprostone, Energy Metabolism, Gene Expression Regulation, Glycolysis, Humans, Immunoglobulin G, Interleukin-1beta, Kidney, Lupus Nephritis, Macrophages, Mice, Mice, Inbred C57BL, Mice, Knockout, Reactive Oxygen Species, Receptors, IgG

Journal Title

Proc Natl Acad Sci U S A

Conference Name

Journal ISSN

0027-8424
1091-6490

Volume Title

117

Publisher

Proceedings of the National Academy of Sciences

Rights

All rights reserved
Sponsorship
Arthritis Research UK (21777)
Department of Health (via National Institute for Health Research (NIHR)) (NIHR BTRU-2014-10027)
Medical Research Council (MR/N024907/1)
Wellcome Trust (106809/Z/15/Z)
Medical Research Council (MC_UU_00015/3)
Wellcome Trust (110159/Z/15/Z)
Cambridge University Hospitals NHS Foundation Trust (CUH) (BRC)
Medical Research Council (MR/S035842/1)