Biochemistry Flashcards

1
Q

Essay Details

A

1000 word essays –
This is the maximum

Excluded from word limit – title, headings, sub-headings, legends, figures, tables,
reference list and in text citations

Follow the formatting guidelines – if you do not follow them, your mark will be capped
at 65% - the grade descriptors refer to professional norms

Minimum 1.5 line spacing

Justify the text – must line up with both margins Button in word at the top, it must meet the margin at either side!

Harvard referencing only! ‘et al’ should be in italics with a full stop then a comma.

Font size 12

Include the word count in your submission

REMEMBER TO DO THIS
*You will also need to produce an annotated bibliography for 5 of your references – no
more than 2 review articles, the rest should be primary research.

Tips for essay:

  • Focus on one transcription factor and one disease > can introduce nuclear receptors / TF in the intro.
  • Discuss > give arguments for and against, consider the implications of. Don’t need to go into depth in the biochem structure etc. Do NOT include too much of the structural biochem, focus on the clinical / disease implications and pharmacology!
  • Intro > give an overview of the essay, mention all the other diseases and processes ChREBP is involved in but then say what you are focusing on! Can use sub headings in the body. ‘Mechanism action of ChREBP in Metabolic Pathways’
    Conclusion > do NOT add any new knowledge.
  • Submit 1 page of coursework for feedback and can book and 1-1 session.
  • Make sure you fulfil all the formatting guidelines so the mark is not capped!

How to get a good mark:
- Analyse and discuss the info > discuss! You need a good flow, so what? Why does it matter? Now what, what does it lead into? Every sentence must have a purpose > key information! Use words such as however, as a result, because of this, according to this source, this evidence suggests…
- Merge references, studies show that… however this study showed the opposite…
- Integrate detail, DO NOT just relay information, critically analyse!
- Refer to figures in the text!
-Conclusion > therapeutic relevance, metabolic implications, biomarker use to treat cancer?

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2
Q

Overview of nuclear receptors

A

Nuclear receptors: DIRECT activation by ligands:
e.g. PPAR, PPAR/, PPAR

Nuclear receptors: INDIRECT activation by ligands:
e.g. SREBP

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3
Q

CELL COMMUNICATION

A

There are four basic mechanisms for
cellular communication:

a. Contact-dependent (direct contact) - Molecules on the surface of one cell are recognized by receptors on the adjacent cell, lock and key

b. Paracrine signalling - Signal released from a cell has
an effect on neighbouring cells

c. Synaptic signalling - Nerve cells release
neurotransmitter which binds to
receptors on nearby cells

d. Endocrine signalling - hormones released from a cell
affect other cells throughout the
body

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4
Q

CELL BEHAVIOUR

A

Depends on multiple extracellular
signal molecules
* Each cell displays a set of
receptors allowing it be stimulated
by a set of ligands produced by
other cells
* These molecules work in synergy
to regulate the cell’s behaviour

Different cell types - Will respond differently to the
same extracellular signal
molecule.

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5
Q

SIGNAL TRANSDUCTION

A

Protein kinases and phosphatases
used in most signalling pathways

  • Addition of phosphate group to polar group of
    amino acid
  • Changes protein from hydrophobic to
    hydrophilic polar
  • Enables protein to alter conformation when
    interacting with other molecules
  • Phosphorylated amino acids able to interact with
    other proteins
  • Allows proteins to easily assemble and
    dissemble protein complexes
  • First steps involved in coordinating many cellular
    functions - proliferation, metabolism, apoptosis,
    inflammation and subcellular trafficking

GTP BINDING PROTEINS

Often used in signal transduction as
on/off switches

SECOND MESSENGERS - amplification of extracellular signal

cAMP
cGMP
DAG
IP3

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6
Q

RECEPTOR TYPES

A

ION-CHANNEL COUPLED RECEPTORS
In the presence of ions = opening o the channel. Channel opens or closes in response to concentration of signal ligand or membrane potential.
e.g. GABA –A and nicotinic ACh
receptors

G PROTEIN COUPLED RECEPTORS (GPCR)
Largest group >700 GPCR
Respond to neurotansmitters and hormones
Main target for drugs
External ligand binding to receptor activates an intracellular GTP-binding protein which regulates an enzyme that generates an intracellular second messenger.

ENZYME COUPLED RECEPTOR
signal molecule binds = active catalytic domain
E.g. Tyrosine Kinase
Ligand binding activates tyrosine kinase activity by autophosphorylation. Kinase activates transcription factor, altering gene expression (kinase cascade).

NUCLEAR RECEPTOR
Hormone binding allows the receptor to regulate the expression of specific genes.

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7
Q

General
features of
signal
transduction

A

Specificity – receptors only
on certain cell types

e.g. thyrotropin-releasing
hormone – response in
anterior pituitary not
hepatocytes – no receptors
Adr – alters glycogen
metabolism in hepatocytes
not adipocytes.
Receptors present but no
glycogen or metab enzyme in
adipocytes

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8
Q

HORMONES

A

Act via receptors in target
cells

High affinity – cells respond
to low [hormone]

Metabotropic receptors -
activate or inhibit enzyme
downstream from receptor

Ionotropic – open or close
ion channel in plasma
membrane – change in
membrane potential or ion
concentration

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9
Q

DIRECT REGULATION OF TRANSCRIPTION
BY HORMONES

A
  1. Hormone carried to the target tissue on serum binding proteins, diffuses across the plasma membrane and binds to its specific receptor protein in the nucleus.
  2. Hormone binding changes the conformation of the receptor. It forms homo or hetero dimers with other hormone receptor complexes and binds to specific regulatory regions called hormone response elements (HREs) in the DNA adjacent to specific genes.
  3. Receptor attracts Coactivator or corepressor proteins and with them regulates transcription of the adjacent genes, increasing or decreasing the rate of mRNA formation.
  4. Altered levels of the hormone regulated gene product produces the cellular response to the hormone!
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10
Q

NUCLEAR RECEPTORS and their impact on metabolism

A

48 identified to date in the human genome

➢ Homeostasis, reproduction, development and metabolism
➢ Metabolic receptors:
▪Energy/glucose metabolism (PPAR; PPAR)
▪Cholesterol transport/absorption (LXR)
▪Bile acids (FXR, LXR)
▪Xeno/endobiotics (PXR, CAR)
▪Cholesterol and fatty acid synthesis (SREBP)

➢Currently, targets for 10% of drugs in use

There’s a number of groups of nuclear receptors with similar structures = SUPERFAMILY > look up picture and examples.

ORPHAN RECEPTORS
Bind and are activated by currently unknown signalling
molecules (ligands, neurotransmitters, or hormones)
Share structural components with identified receptors whose signalling
molecules are already known

ALTERNATIVE CLASSIFICATION
Nuclear receptors are also classified according to their physiological ligands
and potential function

Adopted after the discovery of
their ligands.
Characterized by a lower
affinity for their ligands and
lower transcriptional activity.

Steroid hormone receptors, TR, VDR,
retinoic acid receptors (RARs)
characterized by high affinity for their
ligands and high transcriptional activity

Physiological ligands are
unknown, but may have
synthetic ligands. Often
functional inhibitors of
transcriptional activity of other
NR

look at slide 35 for essay!

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11
Q

NUCLEAR RECEPTORS:
DIRECT ACTIVATION BY LIGANDS

A

Examples - include members of subfamily 3 e.g. androgen receptor, oestrogen
receptors, glucocorticoid receptor, and progesterone receptor

n the absence of
ligand, located in the
cytosol
Hormone binding
triggers
* dissociation of heat
shock proteins
(HSP),
* Dimerization
* translocation to the
nucleus, where the
NR binds to
hormone response
element (HRE)

CLASS II NUCLEAR RECEPTORS

Examples - subfamily 1, e.g. retinoic acid receptor, retinoid X receptor and thyroid
hormone receptor

Retained in the nucleus
regardless of the ligand binding
status and bind as heterodimers (usually with RXR) to
DNA.
* often complexed
with corepressor proteins.
* Ligand binding to the nuclear
receptor causes dissociation of
corepressor and recruitment
of coactivator proteins.
* Additional proteins incl RNA
polymerase are then recruited
to the NR/DNA complex that
transcribe DNA into messenger
RNA.

INDIRECT ACTIVATION
SLIDES

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12
Q

NUCLEAR RECEPTORS: DOMAIN
STRUCTURE
(LIGAND GATED NR)

A

Ligand binding domain and DNA binding domain.

Hinge region = nuclear localisation signals.

DOMAIN A/B
Most variable – size and sequence
* Constitutive activating function (AF-1)
* Ligand-independent
* Phosphorylation site

DOMAIN C
▪ Most conserved domain
▪ DNA-binding domain:
* Targets receptor to specific DNA sequences (response
elements)
* 9 cysteines + other residues – high affinity binding
* Two Zinc fingers and COOH-terminal extension (CTE)

ZINC FINGERS
AAs required for discrimination of
core DNA recognition motifs in “P
box”
* Other residues in “D box” are
involved in dimerization

two α-helices:
1 -binds the major groove of DNA making
contacts with specific bases
2 - spans the COOH terminus of the
second zinc finger – at right angles

Steroid receptors > Ligand dependent binding. Sequence and spacing of core
recognition motifs determine
DNA binding specificity

DOMAIN D
Hinge region: DBD & LBD
▪Nuclear localization signals
▪ or
▪Domains for binding of co-repressors

DOMAIN E/F
Multi-functional:
1) Ligand binding
* AF-2: Ligand-dependent transcription activation
2) Mediates homo/hetero dimerization:
* Leucine zipper sequence
3) Protein-protein interactions

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13
Q

ChREBP

A

WHAT IS CHREBP?
* Carbohydrate signalling transcription factor – key metabolic regulator
* Name derived from interaction with carbohydrate response element sequences of
DNA
* Encoded by MLXIPL gene – chr 7
* encodes basic helix-loop-helix leucine zipper transcription factor of Myc/Max/Mad
superfamily - regulate cell proliferation, differentiation, and death

CHREBP IN TISSUES
ChREBP - regulates expression of specific genes coding for enzymes in glycolytic
and gluconeogenic pathways
Expressed in liver, white and brown adipose tissue, intestine, muscle, and
pancreatic β-cells - sites of active lipogenesis
Liver&raquo_space; adipose > intestine > kidney = muscle (also in regions of brain)
* Induces de novo lipogenesis from glucose in response to glucose flux
into adipocytes
* Liver - glucose induction of ChREBP promotes glycolysis and lipogenesis

STRUCTURE OF CARBOHYDRATE RESPONSE ELEMENT
BINDING PROTEIN (CHREBP)
Look at pic on slides - week 1

Two isoforms – α&β
low glucose inhibitory domain
glucose activated conserved element

CHREBP - MECHANISM
* Coordinates synthesis of enzymes needed for carbohydrate and fat synthesis
* Inactive in phosphorylated form and located in cytosol
* When phosphoryl group removed from ChREBP by PP2A - transcription factor enters
the nucleus
* In nucleus
* nuclear PP2A removes another phosphoryl group,
* ChREBP joins with Mlx, and switches on synthesis of enzymes: pyruvate kinase;
fatty acid synthase; and acetyl-CoA carboxylase

CHREBP AND GLUCOSE METABOLISM
can direct glucose metabolism from
oxidative phosphorylation to
anabolic pathways
required for the proliferation of
various cell types

PENTOSE PHOSPHATE PATHWAY – REGULATION OF
CHREBP
High
glucose > Pentose
phosphate
pathway

PP2A - allosterically activated by xylulose 5-phosphate
PP2A > Dephos –Ser – ChREBP enters nucleus
Dephos – Thr – activates ChREBP - associates with Mlx

Serum glucose elevated – isoforms of Glut2 and kinase
(hexokinase IV) in hepatocytes -rapid uptake and equilibration
of intracellular glucose levels
Flux of glucose promotes formation of xylulose-5-phosphate
(Xu-5-P) - activates protein phosphatase 2A (PP2A)
dephosphorylate ChREBP
promotes nuclear localization and DNA binding

EVIDENCE FOR ROLE OF CHREBP
ChREBP suppression in HCT116 cells and HepG2 hepatoblastoma cells
- decreased aerobic glycolysis and anabolism
- decreased synthesis of lipids and nucleotides
ChREBP suppression
- reduces glucose-induced pancreatic β-cell proliferation
- reduces mRNA levels of cell cycle regulators

ChREBP over-expression
- promotes glucose-stimulated β-cell proliferation

CHREBP
AND
CANCER

Cancers - characterised by reprogrammed glucose
metabolisms - fuel cell growth and proliferation

DISTURBANCE OF METABOLISM AND TUMOUR
DEVELOPMENT
* Many human tumours - high rate of aerobic glycolysis, de novo fatty acid synthesis
and nucleotide biosynthesis
* ? increased glucose metabolism - lipogenesis & nucleotide biosynthesis –
enhanced tumour cell growth and proliferation
* Increased de novo fatty acid synthesis needed by cancer cells - construction of
lipid membranes
* Inhibition of fatty acid synthetase inhibits cell proliferation and increases
apoptosis of tumour cells

CHREBP AND COLON CANCER
Lei et al. Carbohydrate response element binding protein (ChREBP) correlates with colon cancer progression and
contributes to cell proliferation. Sci Rep 10, 4233 (2020). https://doi.org/10.1038/s41598-020-60903-9

ChREBP mRNA and protein expression - significantly increased in colon cancer tissue
compared to healthy colon, and expression was positively correlated to colon
malignancy
In vitro, ChREBP knockdown inhibited cell proliferation and induced cell cycle arrest
in colon cancer cell lines

Glycolytic and lipogenic pathways were inhibited but the p53 pathway
activated after ChREBP knockdown
Indicates - ChREBP expression is associated with colon malignancy and might
contribute to cell proliferation by anabolic pathways and inhibiting p53
?ChREBP as a useful biomarker to evaluate malignancy of colon cancer

ChREBP knockdown inhibition of colon cancer cell proliferation and induced cell cycle
arrest

TUMORIGENESIS
Glucose uptake, glycolysis and lactate production are increased in tumours &
proliferating/developing cells in the presence of sufficient oxygen and
mitochondrial function - “Warburg effect” / “aerobic glycolysis”
ChREBP required for proliferation of HCT116 colorectal cancer cells
ChREBP suppression in HCT116 cells - decreases aerobic glycolysis and anabolism,
decreased synthesis of lipids and RNA and reciprocally increased mitochondrial
oxygen consumption
ChREBP switches from oxidative phosphorylation to aerobic glycolysis in cancer cells
In breast cancer [ChREBP mRNA] correlates with tumour progression

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14
Q

ChREBP and Colon Cancer

https://www.sciencedirect.com/science/article/pii/S0925443916303234
(Use this for other reference ideas)

Include pictures from the lecture slides!

Add to the role of ChREBP in glycolysis, lipogenesis and gluconeogenesis using other references.

Add to the future therapeutic use of ChREBP.

A

ChREBP to be a transcription factor that binds to carbohydrate response element (ChoRE) in the promoter of pyruvate kinase, liver and RBC (Pklr)
[7]
. ChREBP is also termed “MLX interacting protein like” (MLXIPL) and Williams–Beuren syndrome chromosomal region 14. ChREBP (a basic-helix-loop-helix leucine zipper protein) leads to formation of a heterodimer with a Max-like protein (MLX)
[8]
,
[9]
,
[10]
. ChREBP is expressed in the liver, white adipose tissues (WATs), brown adipose tissues (BATs), the intestine, muscle, and pancreatic β-cells
[7]
,
[11]
. ChREBP regulates gene transcription in glycolysis, de novo lipogenesis, and other pathways
[11]
, which suggests that ChREBP has an important role in the pathogenesis of metabolic diseases and cancers.

ChREBP is a basic-helix-loop-helix leucine zipper transcription factor
[7]
,
[8]
. ChREBP and MLX form a complex. The ChREBP/MLX complex binds to the ChoRE of ChREBP target genes in the nucleus.

ChREBP has two isoforms: α and β (
Fig. 1
A)
[15]
. In health, ChREBPα is localized mainly in the cytosol. Upon glucose stimulation, ChREBPα is translocated from the cytosol to the nucleus. ChREBPα induces ChREBPβ transcription

ChREBPα has a low glucose inhibitory domain (LID) and a glucose response conserved element (GRACE)
[15]
,
[16]
. In contrast, ChREBPβ has only GRACE and lacks LID
[15]
. Only under low glucose conditions, LID can inhibit the ChREBP activity conferred by GRACE.
Nevertheless, this two-step activation mechanism seems to be important to reach the glucose threshold for ChREBP-mediated gene expression and makes ChREBP a “glucose switch”.

ChREBP is activated through metabolite signals derived from glucose

Glucose stimulates ChREBP transactivity through several metabolites derived from glucose. Xylulose-5-phosphate, glucose-6-phosphate, fructose-2.6-bisphosphate, UDP-GlcAc, and acetyl CoA are candidate “glucose signals”.
Xylulose-5-phosphase (Xu-5-P), glucose-6-phosphate (G-6-P), and fructose 2,6-bisphosphate are thought to activate ChREBP transactivity
[18]
,
[20]
,
[21]
,
[22]
,
[23]
,
[24]
,
[25]
,
[26]
. Xu-5-P and G-6-P were thought to activate ChREBP transactivity through de-phosphorylation and allosteric modification of ChREBP.

ChREBP is suppressed by “starvation” signals.

Upon starvation, plasma levels of glucose are decreased, whereas those of glucagon and epinephrine are increased. Free fatty acids (FFAs) are produced through lipolysis by glucagon and epinephrine (abbreviated in this figure) in adipocytes. FFAs are taken up in the liver, and levels of AMP and ketone bodies are increased. AMP and ketone bodies inhibit ChREBP transactivity through allosteric effects. AMP also inhibits ChREBP transactivity by AMP-activated protein kinase. Glucagon and epinephrine (abbreviated in this figure) also increase cAMP levels, resulting in ChREBP inhibition through cAMP-dependent protein kinase (PKA).

de novo lipogenesis

ChREBP and SREBP1c regulate common genes in the pentose phosphate shunt and lipogenic pathway. hREBP also induces Tkt expression, an enzyme that produces Xu-5-P
[44]
,
[48]
. Activation of Xu-5-P-activated protein phosphatase (PP2A) causes an increase in ChREBP activation and glycolytic flux through phosphofructokinase activation mediated by dephosphorylation of fructose-6-phosphate,2-kinase:fructose-2,6-bisphosphatase.

Glycolysis

ChREBP regulates expression of Glut2 and a glycolytic rate-limiting enzyme (Pklr).

Gluconeogenesis

ChREBP regulates G6pc expression > G6pc has an important role in gluconeogenesis. Insulin suppresses expression of G6pc. Other gluconeogenic genes (fructose-1,6-bisphosphatase, glucagon receptors) are also induced by ChREBP activation (
Table 1
), so carbohydrate-induced activation of ChREBP dominates over the suppressive effects of insulin to enhance glucose production.

CANCER

“The Warburg Effect” - EXPLAIN.
Therefore, the Warburg effect is, in one sense, efficient for cell proliferation. https://www.science.org/doi/epdf/10.1126/science.1160809?src=getftr

ChREBP is required for the proliferation of HCT116 colorectal cancer cells
[97]
. ChREBP suppression in HCT116 cells decreases aerobic glycolysis and anabolism, and is accompanied by decreased synthesis of lipids and RNA and reciprocally increased mitochondrial oxygen consumption
[97]
. Moreover, ChREBP inhibition leads to p53 activation and induction of arrest in HCT116 cells
[97]
. These findings suggest that ChREBP has a key role in redirecting glucose metabolism to anabolic pathways and suppressing p53 activity, and that ChREBP switches from oxidative phosphorylation to aerobic glycolysis in cancer cells.
Further investigation is needed to clarify why the role of ChREBP in tumorigenesis might be dependent on different cell types.

https://www.sciencedirect.com/science/article/pii/S0925443916303234

Furthermore, forced ChREBP overexpression in primary hepatocytes activates transcription from the L-type Pyruvate kinase promoter in response to high glucose levels. The DNA-binding activity of ChREBP can be modulated in vitro by means of changes in its phosphorylation state, suggesting a possible mode of glucose-responsive regulation
https://pubmed.ncbi.nlm.nih.gov/11470916/

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15
Q

SREBP
(Sterol Regulatory Element Binding Proteins)

A

A key regulator of lipogenesis. It regulates a huge number of genes.

Transcription factor of basic helix-loophelix leucine zipper family.

Insulin modulates the SREBP pathway.

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16
Q

Immunometabolism

A

Immunometabolism describes the changes that occur in intracellular metabolic pathways in immune cells during activation.
It looks into how your immune system and metabolism interact and analyses the effects of this interaction > THE DOWNSTREAM IMPACT and impact on cell function that we should focus on.

Includes:
Macrophage metabolism and reprogramming
Key metabolites
Immunometabolic diseases
Molecular pathways

Focus on one disease in your essay and talk about the mechanism in detail! > e.g. Lupus, atherosclerosis, Alzheimer’s / Parkinson’s and COVID19.
Focus on one metabolic pathway, one mechanism and one disease and go in depth with multiple studies! e.g. one metabolite from the Krebs cycle etc.

Small molecules can target metabolic pathways and alter the phenotype of immune cells, raising the
possibility of therapeutic intervention.

Useful Reading:
A Guide to Immunometabolism for Immunologists

The main pathways:
1. Glycolysis > Glycolysis has been shown to be involved in a
number of immune processes.
* Both activated macrophages and T cells have a voracious appetite for glucose.
* Crucial for immune cell function.
* Metabolic switching – Oxidative Phosphorylation to
glycolysis for different disease states.

Normoxia > M2 macrophage > Helminths > IL-4
Hypoxia > M1 macrophage > PRR signalling > HIF1a.
Glycolysis > M1 macrophage > Il-1b production > function of NK cells.
PPP > nucleotides (DNA and RNA synthesis) and NADPH (lipid synthesis, glutathione biosynthesis).

  1. Pentose Phosphate Pathway > CYTOSOL
    * Supports cell proliferation and survival.
    * Diversion of intermediates from the glycolytic
    pathway towards the production of nucleotide and
    amino acid precursors that are necessary for cell
    growth and proliferation.
    * This involves the non-oxidative branch of the
    pentose phosphate pathway.
    * A second key function of the pentose phosphate
    pathway is the generation of reducing equivalents
    of NADPH, which has an important role in the
    maintenance of a favourable cellular redox
    environment and is also required for fatty acid
    synthesis.
    * This involves the oxidative branch of the pentose
    phosphate branch.
  2. Fatty acid oxidation > The fatty acid oxidation pathway allows for the
    mitochondrial conversion of fatty acids into
    numerous products that the cell can further use to
    generate energy, including acetyl-CoA, NADH and
    FADH2
    .
    * The initial step of fatty acid oxidation is the
    ‘activation’ of the fatty acid in the cytosol via an
    enzyme-mediated reaction with ATP to eventually
    generate a fatty acid acyl-CoA.
    * Overall, fatty acid oxidation can allow the
    production of high amounts of ATP, with the
    complete β-oxidation of a single palmitate molecule (a major fatty acid in mammalian cells) eventually
    having the potential to yield over 100 ATP
    molecules.
  3. Fatty acid synthesis > Allows cells to generate lipids that are necessary for
    cellular growth and proliferation from precursors
    derived from other cell intrinsic metabolic
    pathways.
    * The activity of the fatty acid synthesis pathway is
    closely coupled to mTOR signalling, (via SREBP
    (sterol regulatory element binding protein), FASN
    (fatty acid synthase) and ACC (acetyl CoA
    carboxylase), both of which are induced by SREBP.
    * Fatty acid synthesis uses products derived from
    several other metabolic pathways, notably
    glycolysis, the TCA cycle and pentose phosphate
    pathway.
  4. Amino Acids > Diverse metabolic pathways that make use of
    amino acids as substrates.
    * Building blocks in protein synthesis, amino acids
    can act as precursors for the de novo synthesis of
    branched-chain fatty acids.
    * Individual amino acids may play more specific
    roles in metabolic pathways.
    * Glutamine and aspartate are required for de
    novo purine and pyrimidine synthesis
    * Glutamine may also be used in actively
    proliferating cells as an alternative input for
    the TCA cycle where it can be used to
    support ATP production or, alternatively, as
    a source of citrate for fatty acid synthesis.
    * Additional amino acids, including arginine and
    tryptophan, are metabolised through various
    metabolic pathways to support cellular
    proliferation and anabolic growth.

Amino acid metabolism plays an important role in
mediating functionality of the innate and adaptive immune
systems.
* In macrophages, the amino acids glutamine and arginine are
crucial for immune functions including cytokine and nitric
oxide production.
* The fate of arginine in macrophages is a key distinction
between inflammatory and tolerant cell phenotypes.
* Tryptophan metabolism by macrophages may suppress the
activity of the adaptive immune system.
* In T cells, glutamine and arginine promote robust responses
to T cell receptor (TCR) stimulation, including proliferation
and cytokine production.
* Tryptophan has an important role in promoting T cell
proliferation, and lack of availability may mediate failure to
respond to infections or tumours.

  1. TCA Cycle > The TCA cycle (also known as the citric acid cycle or
    Krebs cycle) occurs in the matrix of the
    mitochondrion and is a major metabolic pathway
    that is thought to be used in most quiescent or
    non-proliferative cell settings.
    * Although some quiescent stem cells primarily use
    glycolysis, the TCA cycle and oxidative
    phosphorylation are a highly efficient mode of ATP
    generation used by cells whose primary
    requirements are energy and longevity.
    * Two major products of the TCA cycle are NADH and
    FADH2
    , which can transfer electrons to the electron
    transport chain to support oxidative
    phosphorylation and highly efficient ATP
    generation.
    * This process provides for basal subsistence in most
    cell types.

WARBURG EFFECT
How do cancer cells manage to activate glycolysis
despite the presence of oxygen?

Overexpression of HIF1a > increase in Gene transcription > increase in levels of pro cancer proteins > increased glucose metabolism, apoptosis resistance and angiogensis.

HIF1a:
HIF1𝛼 increases glucose uptake by
upregulating GLUT-1 expression
* HIF1𝛼 increases glucose phosphorylation by
upregulating hexokinase 2 expression
* Increase in HIF1𝛼 has similar effects to loss of
p53 function (greater glycolytic flux, reduced
pyruvate oxidation, and reduced production
of ATP by oxidative phosphorylation).

17
Q

Immunometabolism Essay -

A

Question: Using specific examples, please discuss how metabolic reprogramming is important in disease initiation, progression and targeting.
ONE METABOLIC PATHWAY, ONE MECHANISM, ONE DISEASE!

https://www.nature.com/articles/nri.2016.70:
- In recent years, a number of findings have been made in the area of immunometabolism, by which we mean the changes in intracellular metabolic pathways in immune cells that alter their function.
-What is emerging is a complex interplay between metabolic reprogramming and immunity, which is providing an extra dimension to our understanding of the immune system in health and disease.
-Immune cells with different functions use several different metabolic pathways to generate adequate levels of energy stores to support survival and to produce numerous biosynthetic intermediates to allow for cellular growth and proliferation.
-one example of the complex interplay of metabolic pathways, the process of fatty acid synthesis — which allows for the production of cell membranes and other key lipid-based structures that are necessary for proliferation — is dependent on the availability of intermediate products from the glycolytic pathway and tricarboxylic acid (TCA) cycle metabolism.

  • KEY POINT FOR ESSAY:
    Recent work demonstrating profound effects of inhibiting metabolic pathways in models of systemic lupus erythematosus98 and transplantation99, without any apparent toxicity, means we can also anticipate therapeutic interventions which could provide new and badly needed approaches to treat immune and infectious diseases.

Will it be possible to target specific events in immunometabolism to achieve a therapeutic effect in immune and inflammatory diseases (or in the setting of transplantation) without causing toxicity?

The metabolic regulation of the immune system is important in the pathogenesis and progression of numerous diseases, such as cancers, autoimmune diseases and metabolic diseases. The concept of immunometabolism was introduced over a decade ago to elucidate the intricate interplay between metabolism and immunity.

ESSAY:
Immunometabolism in systemic lupus erythematosus > focus on glucose metabolism / glycolysis > Essay:

INTRO:
Metabolism, including glycolysis, oxidative phosphorylation, fatty acid oxidation, and other metabolic pathways, impacts the phenotypes and functions of immune cells. The metabolic regulation of the immune system is important in the pathogenesis and progression of numerous diseases, such as cancers, autoimmune diseases and metabolic diseases.

Immunometabolism - define.

The phenotypic and functional changes of immune cells caused by metabolic regulation further affect and development of diseases. Based on experimental results, targeting cellular metabolism of immune cells becomes a promising therapy.
We believe that a better understanding of immune regulation in health and diseases will improve the management of most diseases.

Systemic lupus erythematosus (SLE) is a prototypical autoimmune disease characterized by the dysregulation of many immune cells including autoreactive B cells, macrophages, CD4+T cells, dendritic cells, and neutrophils.236The altered metabolic patterns of immune cells in SLE have been reported and are considered as potential therapeutic targets.

In Systemic Lupus Erythematosus (SLE), the glycolysis pathway undergoes significant alterations that impact immune cell function and contribute to the disease’s pathology. Here are some key biochemical aspects:

Increased Glycolysis in Immune Cells: T cells and other immune cells in SLE patients show elevated glycolysis. This shift supports the high energy demands of these chronically activated cells1.

Glucose Uptake and Metabolism: Enhanced expression of glucose transporters, such as GLUT1, on the surface of activated T cells increases glucose uptake. This glucose is then metabolized through glycolysis to produce pyruvate1.

Lactate Production: Under the influence of hypoxia-inducible factor 1-alpha (HIF-1α), pyruvate is often converted to lactate even in the presence of oxygen (aerobic glycolysis or the Warburg effect). This process is crucial for the differentiation and function of pro-inflammatory Th17 cells1.

Mitochondrial Dysfunction: Mitochondrial abnormalities in SLE can lead to reduced oxidative phosphorylation (OXPHOS), pushing cells to rely more on glycolysis for ATP production2.

Metabolic Imbalance: The balance between regulatory T cells (Tregs) and pro-inflammatory Th17 cells is disrupted in SLE. Th17 cells depend heavily on glycolysis, while Tregs rely more on fatty acid oxidation. This metabolic imbalance contributes to the inflammatory environment in SLE1.

Understanding these biochemical changes provides insight into potential therapeutic targets, such as glycolysis inhibitors, which could help modulate immune responses in SLE.

Mitochondrial dysfunction in SLE:
https://www.sciencedirect.com/science/article/pii/S0049017219302823?via%3Dihub

Mitochondria are crucial for cellular metabolism, producing energy through the TCA cycle and OXPHOS, and also act as signaling organelles. In the immune system, they play key roles in both adaptive and innate immunity. In SLE, mitochondrial dysfunction leads to increased ROS production, causing oxidative stress and apoptosis. This excessive apoptosis exposes cell debris to the immune system, triggering inflammation and a vicious cycle of cell damage.

Key points:

Mitochondrial Dynamics: Changes in mitochondrial shape affect metabolism, with fission promoting glycolysis and fusion enhancing OXPHOS.

ROS and Apoptosis: Elevated ROS in SLE leads to cell damage and apoptosis, contributing to inflammation.

Neutrophil Extracellular Traps (NETs): In SLE, defective NET removal and increased NETosis lead to type I interferon signaling and inflammation.

Mitochondrial ROS: Necessary for NETosis, with immune complexes inducing ROS production and mitochondrial DNA oxidation, further driving inflammation.

These mitochondrial abnormalities contribute to the chronic inflammation and immune dysregulation seen in SLE.

Abnormal metabolism in immune cells in SLE:
https://www.sciencedirect.com/science/article/pii/S0049017219302823?via%3Dihub

Metabolic regulation is crucial for cell differentiation, initially observed in cancer cells where energy production shifts from OXPHOS to glycolysis to support cell growth. In immune cells, similar metabolic changes occur during activation and differentiation. Resting T cells rely on OXPHOS, but upon activation, they shift to glycolysis. Regulatory and memory T cells, however, depend on fatty acid oxidation.

In SLE, CD4+ T cells show increased reactive oxygen intermediates (ROI) due to mitochondrial hyperpolarization, depleting antioxidants like glutathione and activating mTOR. This leads to altered T cell signaling and differentiation, increasing pro-inflammatory T cell subsets (Th2 and Th17) while decreasing others (Th1, Treg, CD8+). Treatments targeting these pathways, like N-acetylcysteine and rapamycin, have shown effectiveness in SLE.

Chronic activation in SLE shifts T cell metabolism to OXPHOS, though glycolysis is also elevated. This dual metabolic shift is linked to SLE pathology. B cells in SLE also show metabolic changes, with BCR stimulation increasing both glycolysis and OXPHOS. mTORC1 activation in B cells promotes autoantibody production, suggesting it as a therapeutic target.

These insights highlight the complex metabolic dysregulation in SLE and potential therapeutic avenues.

  1. https://www.nature.com/articles/s41392-024-01954-6

In Systemic Lupus Erythematosus (SLE), glycometabolism is upregulated in proinflammatory immune cells. Glycolysis in human and mouse macrophages can be induced by IgG immune complexes, relying on mTOR and HIF-1α, leading to increased IL-1β. Activated lymphocyte-derived DNA can induce M2b macrophage polarization, enhancing glycolysis and glycogenesis while downregulating the PPP. Although M2b macrophages are typically anti-inflammatory, more studies are needed to confirm these findings.

In SLE patients and mice, CD4+ T cells show overactivated metabolism, including glycolysis, making them key targets for treatment through metabolic regulation.

Glycolysis inhibitors can reduce autoimmune activation by blocking glucose uptake in CD4+ T cells. Treg cells’ impaired immunosuppressive functions in SLE can be improved by exogenous phosphofructokinase P, which enhances aerobic glycolysis. The differentiation of follicular helper T cells in SLE mice is linked to glycolysis, with PKM2 being a potential key factor in SLE pathogenesis.

B cells also play a role in glucose metabolic dysfunction in SLE mice, and Breg cells, which usually secrete anti-inflammatory IL-10, can become pro-inflammatory due to upregulated c-Myc and enhanced glycolysis via MAPK signaling.

  1. https://www.sciencedirect.com/science/article/pii/S0049017219302823?via%3Dihub

Additionally, immunometabolism has recently come into the limelight as a promising option for regulating immune cell differentiation and function that could be deployed therapeutically.
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease involving multiple organs whose precise pathophysiology and specific biomarkers remain largely unknown.

Abnormal metabolism in immune cells in SLE:
In SLE CD4+ T cells, increases of reactive oxygen intermediates (ROI) have been reported to be caused by mitochondrial hyperpolarization [6]; that is, elevation of mitochondrial transmembrane potential. Increases in ROI deplete the intracellular antioxidant glutathione, which in turn leads to increased ROI. Mammalian target of rapamycin (mTOR), a sensor of mitochondrial hyper polarization, is activated by oxidative stress. Activation of mTOR alters T cell receptor (TCR) signal transduction and induces specific T cell lineages - such as decreasing helper T (TH)1, regulatory T (Treg) and CD8+ T cells, and increasing TH2 and TH17 cells - by activating the small GTPase Rab4A and increasing Ca2+ flux. These processes might be therapeutic targets for SLE. In fact, treatment with N-acetylcysteine, which is a precursor of glutathione, and rapamycin, an inhibitor of mTOR, showed clinical effectiveness in refractory SLE patients [7], [8].

Study showing effectiveness of Rapamycin > https://pubmed.ncbi.nlm.nih.gov/16947529/
rapamycin has been shown to ameliorate T cell function and to prolong survival in lupus-prone MRL/lpr mice. We therefore undertook the present study to investigate whether rapamycin is beneficial in patients with SLE.
Mitochondrial dysfunction and Ca2+ fluxing could serve as biomarkers to guide decisions regarding future therapeutic interventions in SLE.

Examining metabolomic regulation offers valuable insights into the pathogenesis of SLE as well as the efficacy of various treatments. Studies in SLE patients and mouse lupus models have revealed that CD4+ T cells have a hypermetabolic state dominated by high glucose flux, mitochondrial oxidation and dysfunctions. Combination of the mitochondrial electron transporter chain complex I inhibitor Metformin (Met) and the glucose metabolism inhibitor 2-Deoxy-d-glucose (2DG) was effective in ameliorating disease activity and normalizing CD4+ T cell metabolism in a mouse lupus model.

*3. https://pmc.ncbi.nlm.nih.gov/articles/PMC5292723/

  • CD4+ T cells are active mediators of systemic lupus erythematosus (SLE) pathogenesis.
  • Lupus-prone mice carry large numbers of activated T cells (3) and signaling defects have been found in SLE CD4+ T cells.
  • The activation, proliferation and differentiation of CD4+ T cells are tightly regulated by cellular metabolism.
    -The importance of glucose metabolism in autoimmunity was demonstrated by the overexpression of the glucose transporter Glut1 in mice that led to CD4+ T cell hyperactivation.
    -This finding led us to hypothesize that cellular metabolism contributes to lupus pathogenesis through T cell activation, and that metabolism modulators could be used to reduce or revert disease.
  • We tested this hypothesis in TC mice, which express Sle1c2, as well as with CD4+ T cells from SLE patients. Here, we show that both glycolysis and mitochondrial oxygen consumption are elevated in CD4+ T cells from TC mice.
  • In vitro, treatment with mitochondrial electron transport chain complex I inhibitor metformin (Met) or glucose metabolism inhibitor 2DG normalized IFNγ production by TC CD4+ T cells.
  • In vivo, treatment of TC mice and other lupus models with the combination of Met and 2DG normalized T cell metabolism and reversed disease phenotypes. We also demonstrated that CD4+ T cells from SLE patients exhibited both a higher glycolysis and mitochondrial metabolism as compared to healthy controls.
    INCLUDE FIGURES > figure 4 looks good.

These results suggest that targeting T cell metabolism represents a promising therapeutic strategy for SLE.
Glucose metabolism is essential for B cell functions (48). Both glycolysis and mitochondrial metabolism are important for the activation and maturation of dendritic cells (49, 50), which can indirectly affect T cells.

Systemic Lupus Erythematosus (SLE) is an autoimmune disease in which autoreactive CD4+ T cells play an essential role. CD4+ T cells rely on glycolysis for inflammatory effector functions, but recent studies have shown that mitochondrial metabolism supports their chronic activation. How these processes contribute to lupus is unclear.
These results suggest that normalization of T cell metabolism through the dual inhibition of glycolysis and mitochondrial metabolism is a promising therapeutic venue for SLE.

*4. https://pmc.ncbi.nlm.nih.gov/articles/PMC6478810/

  • CD4+ T cells have numerous features of over-activated cellular metabolism in lupus patients and mouse models of the disease. This includes a higher glycolysis than in healthy controls.
  • Glucose transporters play an essential role in glucose metabolism by controlling glucose import into the cell from the extracellular environment.
  • We have previously shown that treatment of lupus-prone mice with 2-deoxy-D-glucose, which inhibits the first step of glycolysis was sufficient to prevent autoimmune activation. However, direct targeting of glucose transporters has never been tested in a mouse model of lupus.
  • Here, we show that CG-5, a novel glucose transporter inhibitor, ameliorated autoimmune phenotypes in a spontaneous lupus-prone mouse model.
    -In vitro, CG-5 blocked glycolysis in CD4+ T cells, and limited the expansion of CD4+ T cells induced by alloreactive stimulation. CG-5 also modulated CD4+ T cell polarization by inhibiting Th1 and Th17 differentiation and promoting regulatory T (Treg) induction.
    -Finally, CG-5 blocked glycolysis in human T cells. Overall, our data suggest that blocking glucose uptake with a small molecule inhibitor ameliorates autoimmune activation, at least partially due to its inhibition of glycolysis in CD4+ T cells.
  • Systemic lupus erythematosus (SLE) is a systemic autoimmune disease, in which autoreactive CD4+ T cells play an essential role by providing help to autoantibody-producing B cells both in mice and patients (1).
  • In lupus-prone mice and SLE patients, CD4+ T cells present an enhanced cellular metabolism (2–4). Naïve T cells (Tn) or resting T cells have a low energy demand and use mitochondrial oxidative phosphorylation (OXPHOS) to generate ATP for immune surveillance (5), while effector T cells (Teff) or activated T cells show an increase in glycolysis and mitochondrial metabolism to meet the biosynthetic demands (6). - –Glycolytic utilization in the presence of oxygen was first described in cancer cells as “Warburg Effect” and further found to be essential in activated T cells (7).
  • Glucose uptake provides a key metabolic checkpoint through the Glut family of glucose transporters. Stimulation of CD4+ T cells activates the PI3K-AKT pathway, which increases Glut1 expression, glucose uptake, and metabolism.
  • The therapeutic potential of targeting immune metabolism has been explored in lupus and as well as in autoimmune arthritis using mouse models (3, 13–16). Treatment with a combination of metformin and 2DG, two metabolic inhibitors that target mitochondrial and glucose metabolism, respectively, reversed lupus phenotypes in lupus-prone mice.
    -Here, we used a glucose transporter inhibitor, CG-5 .
  • CG-5 inhibited glycolysis in activated T cells while promoting fatty acid oxidation and the pentose phosphate pathway.
    -CG-5 also limited the expansion of CD4+ T cells induced by alloreactive stimulation.
    -Thus, the effect of this glucose transporter inhibitor is comparable to that of glycolysis inhibitors and underscore the translational potential of inhibiting glucose uptake to treat lupus.

INCLUDE THE FIGURES!

18
Q

Macrophage Reprogramming

A

M1 > pro inflammatory macrophages that come in to kill the pathogen > immune surveillance and stimulation.
iNOS one of the most reproducible factors of the M1 macrophage.

Major pathways for M1 macrophages > Glycolysis, iNOS and ROS.

What is the major driving factor that determines macrophage polarisation?
Metabolic reprogramming
TCA cycle.

Features of macrophage activation:
A ‘broken’ TCA cycle
* Reactive oxygen species production from
succinate dehydrogenase
* Succinate and itaconate production and
accumulation

Succinate

Succinate Accumulation: M1 macrophages exhibit elevated levels of succinate due to
increased glucose metabolism…… 4 key roles for succinate:

  1. Stabilization of HIF-1α: Succinate stabilizes Hypoxia-Inducible Factor 1-alpha (HIF-1α),
    promoting a pro-inflammatory response.
  2. Pro-Inflammatory Cytokine Production: Induction of pro-inflammatory cytokines such
    as interleukin-1 beta (IL-1β), interleukin-6 (IL-6), and tumour necrosis factor alpha (TNFα).
  3. ROS Production: Production of reactive oxygen species (ROS), contributing to the
    antimicrobial and pro-inflammatory functions of M1 macrophages.
  4. Supports Phagocytic Activity: Succinate-mediated metabolic reprogramming enhances
    the phagocytic capacity of M1 macrophages, aiding in the clearance of pathogens and
    cellular debris.