PMID- 35465285 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2223-8956 (Electronic) IS - 1016-3190 (Print) IS - 1016-3190 (Linking) VI - 34 IP - 2 DP - 2022 Apr-Jun TI - Emerging role of the itaconate-mediated rescue of cellular metabolic stress. PG - 134-138 LID - 10.4103/tcmj.tcmj_79_21 [doi] AB - Metabolic regulations play vital roles on maintaining the homeostasis of our body. Evidence have suggested that ATF3 and nuclear factor erythroid 2-related factor 2 (NRF2) are critical for maintaining cell function, metabolism, and inflammation/anti-inflammation regulations when cells are under stress, while the upstream regulators in the stressed cells remain elusive. Recent findings have shown that tricarboxylic acid cycle metabolites such as itaconate and succinate are not just mitochondrial metabolites, but rather important signaling mediators, involving in the regulations of metabolism, immune modulation. Itaconate exerts anti-inflammatory role through regulating ATF3 and NRF2 pathways under stressed conditions. In addition, itaconate inhibits succinate dehydrogenase, succinate oxidation and thus blocking succinate-mediated inflammatory processes. These findings suggest itaconate-ATF3 and itaconate-NRF2 axes are well-coordinated machineries that facilitate the rescue against cellular stress. Here, we review these fascinating discoveries, a research field may help the development of more effective therapeutic approach to manage stress-induced inflammation, tissue damage, and metabolic disorder. CI - Copyright: (c) 2021 Tzu Chi Medical Journal. FAU - Sun, Der-Shan AU - Sun DS AD - Department of Molecular Biology and Human Genetics, Tzu Chi University, Hualien, Taiwan. FAU - Chang, Hsin-Hou AU - Chang HH AD - Department of Molecular Biology and Human Genetics, Tzu Chi University, Hualien, Taiwan. LA - eng PT - Journal Article PT - Review DEP - 20210901 PL - India TA - Tzu Chi Med J JT - Tzu chi medical journal JID - 101770275 PMC - PMC9020237 OTO - NOTNLM OT - ATF3 OT - Inflammasome OT - Itaconate OT - Mitochondrial stress OT - Nuclear factor erythroid 2-related factor 2 COIS- Prof. Hsin-Hou Chang, an editorial board member at Tzu Chi Medical Journal, had no role in the peer review process of or decision to publish this article. The other author declared no conflicts of interest in writing this paper. EDAT- 2022/04/26 06:00 MHDA- 2022/04/26 06:01 PMCR- 2021/09/01 CRDT- 2022/04/25 05:48 PHST- 2021/03/23 00:00 [received] PHST- 2021/04/23 00:00 [revised] PHST- 2021/05/14 00:00 [accepted] PHST- 2022/04/25 05:48 [entrez] PHST- 2022/04/26 06:00 [pubmed] PHST- 2022/04/26 06:01 [medline] PHST- 2021/09/01 00:00 [pmc-release] AID - TCMJ-34-134 [pii] AID - 10.4103/tcmj.tcmj_79_21 [doi] PST - epublish SO - Tzu Chi Med J. 2021 Sep 1;34(2):134-138. doi: 10.4103/tcmj.tcmj_79_21. eCollection 2022 Apr-Jun.