PMID- 29732501 OWN - NLM STAT- MEDLINE DCOM- 20191014 LR - 20191014 IS - 1432-1440 (Electronic) IS - 0946-2716 (Linking) VI - 96 IP - 6 DP - 2018 Jun TI - PKM2-dependent metabolic reprogramming in CD4(+) T cells is crucial for hyperhomocysteinemia-accelerated atherosclerosis. PG - 585-600 LID - 10.1007/s00109-018-1645-6 [doi] AB - Inflammation mediated by activated T cells plays an important role in the initiation and progression of hyperhomocysteinemia (HHcy)-accelerated atherosclerosis in ApoE(-/-) mice. Homocysteine (Hcy) activates T cells to secrete proinflammatory cytokines, especially interferon (IFN)-gamma; however, the precise mechanisms remain unclear. Metabolic reprogramming is critical for T cell inflammatory activation and effector functions. Our previous study demonstrated that Hcy regulates T cell mitochondrial reprogramming by enhancing endoplasmic reticulum (ER)-mitochondria coupling. In this study, we further explored the important role of glycolysis-mediated metabolic reprogramming in Hcy-activated CD4(+) T cells. Mechanistically, Hcy-activated CD4(+) T cell increased the protein expression and activity of pyruvate kinase muscle isozyme 2 (PKM2), the final rate-limiting enzyme in glycolysis, via the phosphatidylinositol 3-kinase/AKT/mechanistic target of rapamycin signaling pathway. Knockdown of PKM2 by small interfering RNA reduced Hcy-induced CD4(+) T cell IFN-gamma secretion. Furthermore, we generated T cell-specific PKM2 knockout mice by crossing LckCre transgenic mice with PKM2(fl/fl) mice and observed that Hcy-induced glycolysis and oxidative phosphorylation were both diminished in PKM2-deficient CD4(+) T cells with reduced glucose and lipid metabolites, and subsequently reduced IFN-gamma secretion. T cell-depleted apolipoprotein E-deficient (ApoE(-/-)) mice adoptively transferred with PKM2-deficient CD4(+) T cells, compared to mice transferred with control cells, showed significantly decreased HHcy-accelerated early atherosclerotic lesion formation. In conclusion, this work indicates that the PKM2-dependent glycolytic-lipogenic axis, a novel mechanism of metabolic regulation, is crucial for HHcy-induced CD4(+) T cell activation to accelerate early atherosclerosis in ApoE(-/-) mice. KEY MESSAGES: Metabolic reprogramming is crucial for Hcy-induced CD4(+) T cell inflammatory activation. Hcy activates the glycolytic-lipogenic pathway in CD4(+) T cells via PKM2. Targeting PKM2 attenuated HHcy-accelerated early atherosclerosis in ApoE(-/-) mice in vivo. FAU - Lu, Silin AU - Lu S AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Deng, Jiacheng AU - Deng J AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Liu, Huiying AU - Liu H AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Liu, Bo AU - Liu B AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Yang, Juan AU - Yang J AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Miao, Yutong AU - Miao Y AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Li, Jing AU - Li J AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Wang, Nan AU - Wang N AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Jiang, Changtao AU - Jiang C AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. FAU - Xu, Qingbo AU - Xu Q AD - Cardiovascular Division, BHF Centre for Vascular Regeneration, King's College London, London, SE5 9NU, UK. FAU - Wang, Xian AU - Wang X AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. xwang@bjmu.edu.cn. FAU - Feng, Juan AU - Feng J AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Peking University Health Science Center, Beijing, 100191, People's Republic of China. juanfeng@bjmu.edu.cn. LA - eng GR - 91439206/National Natural Science Foundation of P. R. China/International GR - 81770445/National Natural Science Foundation of P. R. China/International GR - 2016YFC0903100/National Key Research and Development Program of China/International GR - PKU2017LCX09/Special Program of Peking University for Clinical Medicine + X/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180507 PL - Germany TA - J Mol Med (Berl) JT - Journal of molecular medicine (Berlin, Germany) JID - 9504370 RN - 0 (Lipids) RN - 0 (RNA, Small Interfering) RN - 0LVT1QZ0BA (Homocysteine) RN - EC 2.7.1.40 (Pkm protein, mouse) RN - EC 2.7.1.40 (Pyruvate Kinase) SB - IM MH - Animals MH - Atherosclerosis/*metabolism MH - CD4-Positive T-Lymphocytes/*metabolism MH - Cells, Cultured MH - Female MH - Glycolysis MH - Homocysteine/blood MH - Hyperhomocysteinemia/*metabolism MH - Lipids/blood MH - Mice, Inbred C57BL MH - Mice, Knockout, ApoE MH - Pyruvate Kinase/genetics/*metabolism MH - RNA, Small Interfering/genetics OTO - NOTNLM OT - Atherosclerosis OT - CD4+ T cell OT - Homocysteine OT - Metabolic reprogramming OT - PKM2 EDAT- 2018/05/08 06:00 MHDA- 2019/10/15 06:00 CRDT- 2018/05/08 06:00 PHST- 2017/08/15 00:00 [received] PHST- 2018/04/29 00:00 [accepted] PHST- 2018/04/10 00:00 [revised] PHST- 2018/05/08 06:00 [pubmed] PHST- 2019/10/15 06:00 [medline] PHST- 2018/05/08 06:00 [entrez] AID - 10.1007/s00109-018-1645-6 [pii] AID - 10.1007/s00109-018-1645-6 [doi] PST - ppublish SO - J Mol Med (Berl). 2018 Jun;96(6):585-600. doi: 10.1007/s00109-018-1645-6. Epub 2018 May 7.