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Emerging Role and Characterization of Immunometabolism: Relevance to HIV Pathogenesis, Serious Non-AIDS Events, and a Cure

Clovis S. Palmer, Darren C. Henstridge, Di Yu, Amit Singh, Brad Balderson, Gabriel Duette, Catherine L. Cherry, Joshua J. Anzinger, Matias Ostrowski and Suzanne M. Crowe
J Immunol June 1, 2016, 196 (11) 4437-4444; DOI: https://doi.org/10.4049/jimmunol.1600120
Clovis S. Palmer
*Centre for Biomedical Research, Burnet Institute, Melbourne, Victoria 3004, Australia;
†Department of Infectious Diseases, Monash University, Melbourne, Victoria 3004, Australia;
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Darren C. Henstridge
‡Cellular and Molecular Metabolism Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia;
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Di Yu
§Laboratory of Molecular Immunomodulation, School of Biomedical Sciences, Monash University, Clayton, Victoria 3800, Australia;
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Amit Singh
¶Department of Microbiology and Cell Biology, Centre for Infectious Disease and Research, Indian Institute of Science, Bangalore 560012, India;
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  • ORCID record for Amit Singh
Brad Balderson
*Centre for Biomedical Research, Burnet Institute, Melbourne, Victoria 3004, Australia;
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Gabriel Duette
‖Instituto de Investigaciones Biomedicas en Retrovirus y SIDA, Facultad de Medicina, C1121ABG Buenos Aires, Argentina;
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Catherine L. Cherry
*Centre for Biomedical Research, Burnet Institute, Melbourne, Victoria 3004, Australia;
†Department of Infectious Diseases, Monash University, Melbourne, Victoria 3004, Australia;
#Infectious Diseases Department, The Alfred Hospital, Melbourne, Victoria 3004, Australia;
**School of Physiology, University of the Witwatersrand, Johannesburg, Gauteng 2000, South Africa; and
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Joshua J. Anzinger
††Department of Microbiology, University of the West Indies, Mona, Jamaica
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Matias Ostrowski
‖Instituto de Investigaciones Biomedicas en Retrovirus y SIDA, Facultad de Medicina, C1121ABG Buenos Aires, Argentina;
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Suzanne M. Crowe
*Centre for Biomedical Research, Burnet Institute, Melbourne, Victoria 3004, Australia;
†Department of Infectious Diseases, Monash University, Melbourne, Victoria 3004, Australia;
#Infectious Diseases Department, The Alfred Hospital, Melbourne, Victoria 3004, Australia;
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  • FIGURE 1.
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    FIGURE 1.

    Metabolic shifts in glucose metabolism during an immune response. (A) Naive T cells predominantly use glucose via OxPhos, whereas effector T cells exhibit high glycolytic metabolism. Precursors of aerobic glycolysis fuel biosynthetic pathways in activated cells required for protein and membrane synthesis. (B) Increased PI3K-mTOR signaling, nutrient uptake, and glycolysis are signature features of metabolically activated effector T cells. Memory T cells revert to low nutrient uptake, but are metabolically primed to respond rapidly to inflammatory growth signals or to Ag re-exposure.

  • FIGURE 2.
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    FIGURE 2.

    HIV-associated metabolic dysregulation influences immune cell responses, HIV biogenesis, and cell survival. Increased cell surface expression of Glut1 on CD4+ T cells and macrophages enhances glucose uptake. Upregulation of hexokinase (HX) converts glucose into G6P and forward feed to produce phosphoenolpyruvate (PEP), which is converted into pyruvate by pyruvate kinase muscle type 2 (PKM2). Nuclear translocation of PKM2 can induce activation of HIV LTR. Conversely, HX can bind to the outer mitochondrial membrane to maintain mitochondrial membrane potential and confer an antiapoptotic phenotype of macrophages. Increased glycolysis disengages GAPDH from its regulatory control (“moonlighting”) on inflammatory cytokines. Elevated aerobic glycolysis fuels the pentose-phosphate pathway (PPP) to synthesize amino acids and ribose-5-phosphate required for HIV protein and nucleotide synthesis. Upregulation of these metabolic pathways deprives the tricarboxylic cycle precursors for OxPhos, causing decreased mitochondrial ATP production and apoptosis in some effector CD4+ T cells. HIV infection may dysregulate mitochondrial biogenesis, resulting in oxidative stress.

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The Journal of Immunology: 196 (11)
The Journal of Immunology
Vol. 196, Issue 11
1 Jun 2016
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Emerging Role and Characterization of Immunometabolism: Relevance to HIV Pathogenesis, Serious Non-AIDS Events, and a Cure
Clovis S. Palmer, Darren C. Henstridge, Di Yu, Amit Singh, Brad Balderson, Gabriel Duette, Catherine L. Cherry, Joshua J. Anzinger, Matias Ostrowski, Suzanne M. Crowe
The Journal of Immunology June 1, 2016, 196 (11) 4437-4444; DOI: 10.4049/jimmunol.1600120

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Emerging Role and Characterization of Immunometabolism: Relevance to HIV Pathogenesis, Serious Non-AIDS Events, and a Cure
Clovis S. Palmer, Darren C. Henstridge, Di Yu, Amit Singh, Brad Balderson, Gabriel Duette, Catherine L. Cherry, Joshua J. Anzinger, Matias Ostrowski, Suzanne M. Crowe
The Journal of Immunology June 1, 2016, 196 (11) 4437-4444; DOI: 10.4049/jimmunol.1600120
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