More than just protein building blocks: how amino acids and related metabolic pathways fuel macrophage polarization

FEBS J. 2021 Jun;288(12):3694-3714. doi: 10.1111/febs.15715. Epub 2021 Feb 22.

Abstract

Macrophages represent the first line of defence in innate immune responses and additionally serve important functions for the regulation of host inflammation and tissue homeostasis. The M1/M2 model describes the two extremes of macrophage polarization states, which can be induced by multiple stimuli, most notably by LPS/IFN-γ and IL-4/IL-13. Historically, the expression of two genes encoding for enzymes, which use the same amino acid as their substrate, iNOS and ARG1, has been used to define classically activated M1 (iNOS) and alternatively activated M2 (ARG1) macrophages. This 'arginine dichotomy' has recently become a matter of debate; however, in parallel with the emerging field of immunometabolism there is accumulating evidence that these two enzymes and their related metabolites are fundamentally involved in the intrinsic regulation of macrophage polarization and function. The aim of this review is to highlight recent advances in macrophage biology and immunometabolism with a specific focus on amino acid metabolism and their related metabolic pathways: iNOS/ARG1 (arginine), TCA cycle and OXPHOS (glutamine) as well as the one-carbon metabolism (serine, glycine).

Keywords: TCA cycle; arginase/iNOS; glutamine; immunometabolism; macrophage polarization; nitric oxide; oxidative phosphorylation; polyamines; serine; α-ketoglutarate.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Arginase / genetics
  • Arginase / immunology
  • Arginase / metabolism*
  • Arginine / immunology
  • Arginine / metabolism*
  • Cell Differentiation / drug effects
  • Citric Acid Cycle / genetics
  • Citric Acid Cycle / immunology
  • Gene Expression Regulation
  • Glutamine / immunology
  • Glutamine / metabolism*
  • Glycine / immunology*
  • Glycine / metabolism
  • Humans
  • Immunity, Innate
  • Interferon-gamma / pharmacology
  • Lipopolysaccharides / pharmacology
  • Macrophage Activation / drug effects
  • Macrophages / classification
  • Macrophages / drug effects
  • Macrophages / immunology
  • Macrophages / metabolism*
  • Mitochondria / drug effects
  • Mitochondria / immunology
  • Mitochondria / metabolism
  • Nitric Oxide / immunology
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase Type II / genetics
  • Nitric Oxide Synthase Type II / immunology
  • Nitric Oxide Synthase Type II / metabolism*
  • Oxidative Phosphorylation
  • Serine / immunology
  • Serine / metabolism*

Substances

  • Lipopolysaccharides
  • Glutamine
  • Nitric Oxide
  • Serine
  • Interferon-gamma
  • Arginine
  • NOS2 protein, human
  • Nitric Oxide Synthase Type II
  • ARG1 protein, human
  • Arginase
  • Glycine