2019
DOI: 10.1016/j.immuni.2019.06.007
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Slc6a8-Mediated Creatine Uptake and Accumulation Reprogram Macrophage Polarization via Regulating Cytokine Responses

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Cited by 148 publications
(119 citation statements)
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“…The intracellular accumulation of (phospho)creatine has also been reported in macrophages exposed to other types of nanoparticles, namely silk, poly(lactic‐co‐glycolic acid) and silica nanoparticles,, as well as to ultrasmall superparamagnetic particles of iron oxide, and suggested to be associated with phagocytosis‐related energy demand . Furthermore, a role for creatine in the regulation of macrophage polarization has been recently proposed . Ji et al have shown that creatine, found to be actively taken up by resting macrophages, was a potent endogenous inhibitor of pro‐inflammatory IFN‐γ‐mediated polarization of mouse peritoneal macrophages, while supporting anti‐inflammatory IL4‐induced polarization.…”
Section: Discussionmentioning
confidence: 93%
“…The intracellular accumulation of (phospho)creatine has also been reported in macrophages exposed to other types of nanoparticles, namely silk, poly(lactic‐co‐glycolic acid) and silica nanoparticles,, as well as to ultrasmall superparamagnetic particles of iron oxide, and suggested to be associated with phagocytosis‐related energy demand . Furthermore, a role for creatine in the regulation of macrophage polarization has been recently proposed . Ji et al have shown that creatine, found to be actively taken up by resting macrophages, was a potent endogenous inhibitor of pro‐inflammatory IFN‐γ‐mediated polarization of mouse peritoneal macrophages, while supporting anti‐inflammatory IL4‐induced polarization.…”
Section: Discussionmentioning
confidence: 93%
“…Upstream of phosphocreatine, creatine is an antioxidant that can help protect cells and tissues against oxidative damage (44). Intriguingly, creatine and the Slc6a8 creatine transporter that was strongly increased by prior pneumococcal exposures can directly influence polarized macrophage cytokine expression, favoring the "alternative" activation phenotype in bone marrow-derived macrophages, perhaps by modifying chromatin accessibility (49). The alveolar macrophages that remodeled after pneumococcal pneumonia displayed elevated creatine without a skewing toward "alternative" activation, but it is possible that creatine may influence chromatin accessibility and transcriptome changes in this setting as well.…”
Section: Discussionmentioning
confidence: 99%
“…However, an intrinsic downside of depleting TAMs is the loss of their innate immunostimulatory role as the primary phagocytes and professional antigen-presenting cells (APCs) in solid tumours. Reprogramming or repolarizing immunosuppressive TAMs towards an immunostimulatory phenotype therefore can be an attractive direction; this second category of TAM-repolarizing strategies includes those reprogramming TAMs via CD40 agonists, HDAC inhibitors, PI3Kg inhibitors, and creatine 39,40,86,87,88 . Many of these TAM reprogramming strategies are currently under active clinical evaluation 39 .…”
Section: Discussionmentioning
confidence: 99%
“…Many of these TAM reprogramming strategies are currently under active clinical evaluation 39 . Notably, CD40 agonists work through activating CD40L-downstream NF-kB pathway 87,89 ; HDAC inhibitors work through altering histone modi cations 86,90,91 ; PI3Kγ inhibitors work through stimulating NF-κB activation while inhibiting C/EBPβ activation 88,92,93 ; and creatine uptake works through regulating cytokine responses 40 . Our discovery of MAO-A as a critical regulator of TAM polarization through modulating oxidative stress provides a new drug target and a new mechanism of action (MOA) for expanding TAM-repolarizing strategies.…”
Section: Discussionmentioning
confidence: 99%
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