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Glutamine-dependent biosynthetic pathways fuel autoreactive T and B cells in Foxp3 deficiency–mediated disease
Mohammad Adeel Zafar, Charlotte N. Hill Machado, Jyotirmaya Behera, Yuelin Zhong, Xiao Li, Shakchhi Joshi, Yassine El Fazaa, Virginia Camacho, Peter Georgiev, Kiran Kurmi, Marcia Haigis, Louis-Marie Charbonnier
Mohammad Adeel Zafar, Charlotte N. Hill Machado, Jyotirmaya Behera, Yuelin Zhong, Xiao Li, Shakchhi Joshi, Yassine El Fazaa, Virginia Camacho, Peter Georgiev, Kiran Kurmi, Marcia Haigis, Louis-Marie Charbonnier
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Research Article Inflammation Metabolism

Glutamine-dependent biosynthetic pathways fuel autoreactive T and B cells in Foxp3 deficiency–mediated disease

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Abstract

Foxp3 deficiency causes a profound loss of immune tolerance, unleashing autoreactive T and B cells, lymphoproliferation, cytokine-driven inflammation, and autoantibody production. This autoimmune pathology is fueled by increased glutamine usage, but it remains unresolved whether glutamine is necessary to produce energy or for intermediate metabolite biosynthesis responsible for immunomodulation. Here, we demonstrate that glutamine utilization for biosynthetic pathways supported autoimmune inflammation in the settings of Foxp3 deficiency and dextran sodium sulfate–induced colitis. By employing a model of autoimmunity driven by Treg-specific loss of Foxp3, we showed that this effect is independent of pathogenic Foxp3-deficient Treg reprogramming. Mechanistically, glutamine biosynthetic pathways sustained conventional T cell activation and proinflammatory cytokine production by preventing inosine accumulation and signaling, thus implicating adenosine pathway modulation in autoreactive T cell dysregulation. Conversely, autoreactive B cell activation and autoantibody production relied on glutamine-dependent asparagine availability, which we identified as a targetable vulnerability for autoantibody formation. These findings highlighted glutamine-driven biosynthetic processes as critical drivers of autoimmunity and revealed distinct metabolic vulnerabilities in autoreactive T and B cells that could be targeted for therapeutic intervention.

Authors

Mohammad Adeel Zafar, Charlotte N. Hill Machado, Jyotirmaya Behera, Yuelin Zhong, Xiao Li, Shakchhi Joshi, Yassine El Fazaa, Virginia Camacho, Peter Georgiev, Kiran Kurmi, Marcia Haigis, Louis-Marie Charbonnier

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Figure 2

DON exerts beneficial effects independently of ΔTregs in Foxp3-deficient mice.

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DON exerts beneficial effects independently of ΔTregs in Foxp3-deficient...
(A and B) Gross appearance and the respective spleens of 21-day-old Foxp3ΔEGFPiCreR26YFP/iDTR mice treated with vehicle and DON with or without diphtheria toxin (DT) (A) and survival over time (B). The results represent 1 of the 4 experiments. (C–J) Representative flow cytometric analysis and frequencies (scatterplots and means) of CD4+YFP+ ΔTregs (C and D); CD62LloCD44hi, CD62LhiCD44lo CD4+ Tconv (YFP–) cells (E and F); and IFN-γ and IL-4 expression by CD4+ Tconv (YFP–) cells (G and H) and IgG1+IgD– B cells (I and J) from the spleens of mice of the respective treatment group. (K) Serum concentrations of Ig IgM, IgA, IgG1, IgG2b, IgG2c, IgG3, and IgE of mice of the respective treatment group. (L and M) Representative immunofluorescence images of IgG deposit (original magnification, ×200) (L) and IgG MFI (M) of kidneys of mice of the respective treatment group (n = 6 per group). (N and O) Representative microscopic images of H&E staining (original magnification, ×200) (N) and histological scores (O) of the skin, lungs, livers, and kidneys of mice of the respective treatment group (n = 9 per group). Statistical significance was determined by 1-way ANOVA with Tukey’s multiple comparisons. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

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