Itaconate is an anti-inflammatory metabolite that activates Nrf2 via alkylation of KEAP1
Open accessAbstract
The endogenous metabolite itaconate has recently emerged as a regulator of macrophage function, but its precise mechanism of action remains poorly understood. Here we show that itaconate is required for the activation of the anti-inflammatory transcription factor Nrf2 (also known as NFE2L2) by lipopolysaccharide in mouse and human macrophages. We find that itaconate directly modifies proteins via alkylation of cysteine residues. Itaconate alkylates cysteine residues 151, 257, 288, 273 and 297 on the protein KEAP1, enabling Nrf2 to increase the expression of downstream genes with anti-oxidant and anti-inflammatory capacities. The activation of Nrf2 is required for the anti-inflammatory action of itaconate. We describe the use of a new cell-permeable itaconate derivative, 4-octyl itaconate, which is protective against lipopolysaccharide-induced lethality in vivo and decreases cytokine production. We show that type I interferons boost the expression of Irg1 (also known as Acod1) and itaconate production. Furthermore, we find that itaconate production limits the type I interferon response, indicating a negative feedback loop that involves interferons and itaconate. Our findings demonstrate that itaconate is a crucial anti-inflammatory metabolite that acts via Nrf2 to limit inflammation and modulate type I interferons.
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Itaconate displays anti-inflammatory properties, in part because it activates transcription factor Nrf2, which has antioxidant and anti-inflammatory activity.
“Itaconate displays anti-inflammatory properties, in part because of its ability to activate the transcription factor Nrf2, which has antioxidant and anti-inflammatory activity (200).”
From Regulation and function of the mammalian tricarboxylic acid cycle (2023) · cites this paper as [200]
IRG1 is significantly increased in A20-deficient macrophages.
“IRG1 was also found to be significantly increased in A20-deficient macrophages”
From Coupling Krebs cycle metabolites to signalling in immunity and cancer (2018) · cites this paper as [68]
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- Authors
- Mills, E. L., Ryan, D. G., Prag, H. A., Dikovskaya, D., Menon, D., Zaslona, Z., Jedrychowski, M. P., Costa, A. S. H., Higgins, M., Hams, E., Szpyt, J., Runtsch, M. C., King, M. S., McGouran, J. F., Fischer, R., Kessler, B. M., McGettrick, A. F., Hughes, M. M., Carroll, R. G., Booty, L. M., Knatko, E. V., Meakin, P. J., Ashford, M. L. J., Modis, L. K., Brunori, G., Sévin, D. C., Fallon, P. G., Caldwell, S. T., Kunji, E. R. S., Chouchani, E. T., Frezza, C., Dinkova-Kostova, A. T., Hartley, R. C., Murphy, M. P., & O’Neill, L. A.
- Affiliations
- Harvard University (US)
- Trinity College Dublin (IE)
- University of Cambridge (GB)
- University of Dundee (GB)
- University of Oxford (GB)
- GlaxoSmithKline (United Kingdom) (GB)
- GlaxoSmithKline (Germany) (DE)
- University of Glasgow (GB)
- ORCID
- Mills, Evanna L.
- Ryan, Dylan G.
- Prag, Hiran A.
- Dikovskaya, Dina
- Costa, Ana S. H.
- Higgins, Maureen
- Hams, Emily
- Runtsch, Marah C.
- King, Martin S.
- McGouran, Joanna F.
- Kessler, Benedikt M.
- McGettrick, Anne F.
- Hughes, Mark M.
- Carroll, Richard G.
- Booty, Lee M.
- Meakin, Paul J.
- Ashford, Michael L. J.
- Modis, Louise K.
- Sévin, Daniel C.
- Fallon, Padraic G.
- Caldwell, Stuart T.
- Kunji, Edmund R. S.
- Chouchani, Edward T.
- Frezza, Christian
- Hartley, Richard C.
- Murphy, Michael P.
- Venue
- Nature
- Published
- 2018-03-28
- Volume
- 556
- Issue
- 7699
- Pages
- 113-117
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC6047741
- OpenAlex
- W2794844698
- Cited by
- 1,885
- References
- 29
- Citations by year
- 2026: 285 · 2025: 273 · 2024: 296 · 2023: 224 · 2022: 236 · 2021: 197 · 2020: 191 · 2019: 123 · 2018: 58
- FWCI
- 50.70
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.gla.ac.uk
- Licence
- cc-by-sa
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
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- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
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- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion)
- Apollo
- Funders
- GlaxoSmithKline
- University of Dundee
- Wellcome Trust (110158/Z/15/Z, 205455, 110159/Z/ 15/Z, /Z/15/Z, 109443/Z/15/Z)
- Cancer Research UK (C20953 / A18644, A18644, C20953, 18644)
- British Heart Foundation (FS/18/38/33659, PG/15/44/31574)
- Science Foundation Ireland (SFI 12/IA/1531, 12/IA/1531)
- Medical Research Council (MC_U105663139, C20953/A18644, MC_UU_00015/3, MC-U105663142, MC_UU_00015/7, MC_UU_12022/6)
- Biotechnology and Biological Sciences Research Council (BB/L01923X/1, BB/R50564X/1)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics, phytochemicals, and oxidative stress
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
- Keywords
- Nrf2, Keap1, cysteine alkylation, macrophages, lipopolysaccharide, 4-octyl itaconate, type I interferon, IRG1, ACOD1, oxidative stress, inflammation, cysteine sulfoxides, endogenous metabolites, inflammatory cytokines
- MeSH terms
- Kelch-Like ECH-Associated Protein 1, Alkylation, Animals, Anti-Inflammatory Agents, Carboxy-Lyases, Cattle, Cysteine, Female, Humans, Hydro-Lyases, Lipopolysaccharides, Macrophages, Proteins, Succinates, Cytokines, Interferon-beta, Rats, Wistar, Feedback, Physiological, NF-E2-Related Factor 2, Mice, Rats, HEK293 Cells
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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