PMID- 31681260 OWN - NLM STAT- MEDLINE DCOM- 20201103 LR - 20230503 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - Metabolic Programming of Macrophages: Implications in the Pathogenesis of Granulomatous Disease. PG - 2265 LID - 10.3389/fimmu.2019.02265 [doi] LID - 2265 AB - Metabolic reprogramming is rapidly gaining appreciation in the etiology of immune cell dysfunction in a variety of diseases. Tuberculosis, schistosomiasis, and sarcoidosis represent an important class of diseases characterized by the formation of granulomas, where macrophages are causatively implicated in disease pathogenesis. Recent studies support the incidence of macrophage metabolic reprogramming in granulomas of both infectious and non-infectious origin. These publications identify the mechanistic target of rapamycin (mTOR), as well as the major regulators of lipid metabolism and cellular energy balance, peroxisome proliferator receptor gamma (PPAR-gamma) and adenosine monophosphate-activated protein kinase (AMPK), respectively, as key players in the pathological progression of granulomas. In this review, we present a comprehensive breakdown of emerging research on the link between macrophage cell metabolism and granulomas of different etiology, and how parallels can be drawn between different forms of granulomatous disease. In particular, we discuss the role of PPAR-gamma signaling and lipid metabolism, which are currently the best-represented metabolic pathways in this context, and we highlight dysregulated lipid metabolism as a common denominator in granulomatous disease progression. This review therefore aims to highlight metabolic mechanisms of granuloma immune cell fate and open up research questions for the identification of potential therapeutic targets in the future. CI - Copyright (c) 2019 Wilson, Mayr and Weichhart. FAU - Wilson, Jayne Louise AU - Wilson JL AD - Center for Pathobiochemistry and Genetics, Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria. FAU - Mayr, Hannah Katharina AU - Mayr HK AD - Center for Pathobiochemistry and Genetics, Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria. FAU - Weichhart, Thomas AU - Weichhart T AD - Center for Pathobiochemistry and Genetics, Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria. LA - eng GR - P 27701/FWF_/Austrian Science Fund FWF/Austria GR - P 30857/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20191004 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (PPAR gamma) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/physiology MH - Cell Polarity MH - Citric Acid Cycle MH - Granuloma/*etiology MH - Humans MH - Lipid Metabolism MH - Macrophage Activation MH - Macrophages/*metabolism MH - Mechanistic Target of Rapamycin Complex 1/physiology MH - PPAR gamma/physiology MH - Sarcoidosis/complications/metabolism MH - Schistosomiasis/complications/metabolism MH - Signal Transduction MH - Tuberculosis/complications/metabolism PMC - PMC6797840 OTO - NOTNLM OT - granuloma OT - immunometabolism OT - macrophage OT - sarcoidosis OT - schistosomiasis OT - tuberculosis EDAT- 2019/11/05 06:00 MHDA- 2020/11/04 06:00 PMCR- 2019/01/01 CRDT- 2019/11/05 06:00 PHST- 2019/06/14 00:00 [received] PHST- 2019/09/09 00:00 [accepted] PHST- 2019/11/05 06:00 [entrez] PHST- 2019/11/05 06:00 [pubmed] PHST- 2020/11/04 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.02265 [doi] PST - epublish SO - Front Immunol. 2019 Oct 4;10:2265. doi: 10.3389/fimmu.2019.02265. eCollection 2019.