Cited by 526Immune cells in cancerImmune responses and vaccinationsMicrobial metabolism and enzyme function

Immunoresponsive Gene 1 and Itaconate Inhibit Succinate Dehydrogenase to Modulate Intracellular Succinate Levels

Open access
Cordes, Thekla, Wallace, Martina, Michelucci, Alessandro, Divakaruni, Ajit S., Sapcariu, Sean C., Sousa, Carole, Koseki, Haruhiko, Cabrales, Pedro +3 more·2016·Journal of Biological Chemistry

Abstract

Metabolic reprogramming is emerging as a hallmark of the innate immune response, and the dynamic control of metabolites such as succinate serves to facilitate the execution of inflammatory responses in macrophages and other immune cells. Immunoresponsive gene 1 (Irg1) expression is induced by inflammatory stimuli, and its enzyme product cis-aconitate decarboxylase catalyzes the production of itaconate from the tricarboxylic acid cycle. Here we identify an immunometabolic regulatory pathway that links Irg1 and itaconate production to the succinate accumulation that occurs in the context of innate immune responses. Itaconate levels and Irg1 expression correlate strongly with succinate during LPS exposure in macrophages and non-immune cells. We demonstrate that itaconate acts as an endogenous succinate dehydrogenase inhibitor to cause succinate accumulation. Loss of itaconate production in activated macrophages from Irg1(-/-) mice decreases the accumulation of succinate in response to LPS exposure. This metabolic network links the innate immune response and tricarboxylic acid metabolism to function of the electron transport chain.

AI snapshot

Written from the paper’s full text.

TL;DR

This paper identifies an immunometabolic pathway in which Irg1/CAD-derived itaconate inhibits succinate dehydrogenase (SDH), causing succinate accumulation during LPS exposure. Loss of Irg1 in macrophages reduces itaconate and succinate, linking innate immune metabolism to TCA cycle and electron transport chain function.

Key findings

  • In LPS-activated RAW 264.7 macrophages, itaconate and succinate levels showed similar trends over 6 h, unlike citrate, α-ketoglutarate, fumarate, and malate; basal oxygen consumption rate remained unchanged.
  • Exogenous itaconate (0–25 mM, 6 h) increased intracellular itaconate dose-dependently and correlated strongly with succinate in resting and LPS-activated RAW 264.7 macrophages (r = 0.99) and in A549 cells (r = 0.99), while other TCA intermediates correlated poorly or negatively.
  • Itaconate was not metabolized to succinate: [1-13C]glutamine labeling produced ~65% M1 itaconate but no succinate labeling, and prelabeling with [U-13C6]glucose/[U-13C5]glutamine left succinate labeling ~90% after unlabeled itaconate.
  • Itaconate inhibited SDH/complex II: dose-dependent OCR inhibition in permeabilized RAW 264.7 macrophages and BMDMs with succinate, >75% reduction with 10 mM itaconate plus succinate/rotenone, and no effect on complex I or IV substrates; Irg1 KO BMDMs failed to produce itaconate and had significantly lower succinate than WT after LPS, while Irg1 overexpression in A549 cells increased succinate.

Methods

  • Cell models and treatments: RAW 264.7 macrophages, A549 lung adenocarcinoma cells, and primary BMDMs from C57BL/6J and Irg1 KO mice; LPS at 10 ng/ml; itaconate at 5, 10, and 25 mM for 6 h; A549 cells transfected with pCMV6-Irg1 or empty vector.
  • Metabolite and isotope analysis: GC-MS quantification of itaconate and TCA intermediates using external standard curves; isotopic labeling with [1-13C]glutamine, [U-13C6]glucose, and [U-13C5]glutamine; mass isotopomer distributions corrected for natural abundance.
  • Respiration and statistics: Seahorse XF96 oxygen consumption measurements in intact and permeabilized cells (perfringolysin O) with succinate/rotenone, glutamate/malate, pyruvate/malate, or ascorbate/TMPD/antimycin A; Pearson correlation and two-tailed Student’s t tests.

Limitations

  • Stated: The authors note variability in succinate accumulation between RAW 264.7 macrophages and BMDMs, likely due to cell, medium, and LPS variability; they also state that the physiological role of itaconate and Irg1 requires further investigation, particularly in macrophage development and differentiation.
  • Stated: It is not known whether downstream inflammatory responses are mediated directly by succinate or itaconate or through other mechanisms; no mammalian mitochondrial or plasma membrane itaconate transporters have been described, and other succinate-producing pathways (GABA shunt, glutaminolysis) could compensate.
  • Evident from the text: Most mechanistic experiments use cultured cells and exogenous itaconate up to 25 mM, whereas endogenous macrophage itaconate is cited as up to 8 mM; no in vivo inflammation or disease model is presented.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1074/jbc.m115.685792

Cites

52 of 52 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 41 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Itaconate causes dose-dependent inhibition of oxygen consumption rates in permeabilized RAW 264.7 macrophages and BMDMs.

    “We observed a dose depen- dent inhibition of OCRs by itaconate in RAW 264.7 macrophages (Fig. 5a) and BMDMs (Fig. 5b)”
    Quote in the paperSubstantial claim
  • Findingown data

    Itaconate fails to impact complex IV-mediated respiration.

    “Itaconate also failed to impact this complex IV-mediated respiration.”
    Quote in the paperSubstantial claim
  • Findingown data

    Basal oxygen consumption rates in LPS-activated RAW 264.7 macrophages remain unchanged compared with resting macrophages.

    “Notably, basal oxygen consumption rates (OCR) remained unchanged compared with resting macrophages (Fig. 1b).”
    Quote in the paperNot a substantial claim
  • Findingown data

    Medium itaconate levels were not appreciably affected by exposure to exogenous itaconate.

    “However, medium itaconate levels were not appreciably affected (Fig. 2g).”
    Quote in the paperNot a substantial claim
  • Findingown data

    Labeling of succinate after exposure to exogenous, unlabeled itaconate was unchanged in 13C-labeled resting and LPS-activated RAW 264.7 macrophages.

    “Because labeling of succinate after exposure to exogenous, unlabeled itaconate was unchanged (even in the physi-ological concentration used here) (Fig. 4d)”
    Quote in the paperSubstantial claim
  • May combine two claims. 10
  • Classified as probably not a substantial claim. 13
  • May combine two claims.

    Findingown data

    In A549 lung adenocarcinoma cells, succinate levels increase linearly with itaconate levels and correlate strongly (r = 0.99), whereas citrate, α-ketoglutarate, fumarate, and malate do not accumulate.

    “Succinate levels increased linearly with itaconate levels and correlated strongly (r ϭ 0.99), whereas other TCA cycle intermediates, including citrate, ␣-ketoglutarate, fumarate, and malate, did not accumulate (Fig. 3a).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In LPS-activated RAW 264.7 macrophages, high fractions of M1 itaconate isotopologues (~65%) are observed because of itaconate production via reductive glutamine metabolism, but no labeling is detected on succinate.

    “Although we observed high fractions of M1 itaconate isotopologues (ϳ65%) because of itaconate production via reductive glutamine metabolism, no labeling was detected on succinate (Fig. 4b).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Exposure to exogenous itaconate induces succinate accumulation in resting RAW 264.7 macrophages and resting BMDMs.

    “exposure to exogenous itaconate induces succinate accumulation in resting RAW 264.7 macrophages (Fig. 2e) as well as resting BMDMs (Fig. 2h)”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Variability in succinate accumulation upon LPS stimulation was observed when comparing RAW 264.7 macrophages and BMDMs.

    “Within our analyses, we did observe variability in succinate accumulation upon LPS stimulation when comparing RAW 264.7 macrophages and BMDMs.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Immunoresponsive Gene 1 and Itaconate Inhibit Succinate Dehydrogenase to Modulate Intracellular Succinate Levels *

    The first TCA cycle break occurs at isocitrate dehydrogenase, leading to accumulation of citrate, the precursor for itaconate.

    “The first break occurs at isocitrate dehydrogenase, leading to the accumulation of citrate, the precursor for itaconate”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [24] O'Neill, 2015, A broken Krebs cycle in macrophages, Immunity source

      Not checked in the free run.

    • cites [25] Jha, 2015, Network integration of parallel metabolic and transcriptional data reveals metabolic modules that regulate macrophage polarization, Immunity source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation
    § Immunoresponsive Gene 1 and Itaconate Inhibit Succinate Dehydrogenase to Modulate Intracellular Succinate Levels *

    Itaconate inhibits SDH ex vivo.

    “Although itaconate has been shown previously to inhibit SDH ex vivo (26 -28)”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [26] Booth, 1952, The inhibitory effects of itaconic acid in vitro and in vivo, J. Biol. Chem. source

      Not checked in the free run.

    • cites [27] Ackermann, 1949, Enzyme inhibition in relation to chemotherapy, Proc. Soc. Exp. Biol. Med. source

      Not checked in the free run.

    • cites [28] Dervartanian, 1964, Studies on succinate dehydrogenase: I: spectral properties of the purified enzyme and formation of enzyme-competitive inhibitor complexes, Biochim. Biophys. Acta.

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Immunoresponsive Gene 1 and Itaconate Inhibit Succinate Dehydrogenase to Modulate Intracellular Succinate Levels *

    Glycolytic metabolism is a prerequisite for succinate accumulation.

    “although glycolytic metabolism is a prerequisite (14).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] Palsson-McDermott, 2015, Pyruvate kinase M2 regulates Hif-1α activity and IL-1β induction and is a critical determinant of the Warburg effect in LPS-activated macrophages, Cell Metab source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Immunoresponsive Gene 1 and Itaconate Inhibit Succinate Dehydrogenase to Modulate Intracellular Succinate Levels *

    The second TCA cycle break occurs at succinate dehydrogenase (SDH), which may allow for succinate accumulation.

    “the second break occurs at succinate dehydrogenase (SDH), which may allow for succinate accumulation.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [24] O'Neill, 2015, A broken Krebs cycle in macrophages, Immunity source

      Not checked in the free run.

    • cites [25] Jha, 2015, Network integration of parallel metabolic and transcriptional data reveals metabolic modules that regulate macrophage polarization, Immunity source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Itaconate is a regulatory molecule that reprograms immune cell metabolism.

    “The emerging role of itaconate as a regulatory molecule to reprogram immune cell metabolism provides an intriguing link between innate immunity, metabolism, and disease pathogenesis.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The cell models used are representative of macrophages in vivo for conclusions about immune cell metabolism.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Itaconate is produced by mammalian CAD activity on cis-aconitate.

    “Itaconate was only recently identified as an endogenous mammalian biochemical (19), and subsequent studies demonstrated that this molecule was produced by mammalian CAD activity on cis-aconitate (20).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [20] Michelucci, 2013, Immune-responsive gene 1 protein links metabolism to immunity by catalyzing itaconic acid production, Proc. Natl. Acad. Sci. U.S.A source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Numerous metabolic pathways have been implicated in the metabolic reprogramming of immune cells, particularly those that regulate succinate levels, which can influence HIF signaling or other pathways.

    “Numerous metabolic pathways have been implicated in the metabolic reprogramming of immune cells, in particular those that regulate succinate levels, which, in turn, can influence HIF signaling or other pathways (13,25,40,41).”
    Quote in the paperNot a substantial claim0 of 4 sources checked
    • cites [13] Mills, 2014, Succinate: a metabolic signal in inflammation, Trends Cell Biol source

      Not checked in the free run.

    • cites [25] Jha, 2015, Network integration of parallel metabolic and transcriptional data reveals metabolic modules that regulate macrophage polarization, Immunity source

      Not checked in the free run.

    • cites [40] Chouchani, 2016, A unifying mechanism for mitochondrial superoxide production during ischemia-reperfusion injury, Cell Metab source

      Not checked in the free run.

    • cites [41] Chouchani, 2014, Ischaemic accumulation of succinate controls reperfusion injury through mitochondrial ROS, Nature source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Intracellular signaling pathways play key roles in macrophage polarization and likely sustain inflammation to some degree in the absence of Irg1.

    “Intracellular signaling pathways also play key roles in macrophage polarization and likely sustain inflammation to some degree in the absence of Irg1 (44).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [44] Sica, 2012, Macrophage plasticity and polarization: in vivo veritas, J. Clin. Invest. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Glutamine serves as a major carbon source for succinate production in LPS-activated macrophages via α-ketoglutarate or through the GABA shunt.

    “Glutamine serves as a major carbon source for succinate production in LPSactivated macrophages via ␣-ketoglutarate or, alternatively, through the GABA shunt (9).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Tannahill, 2013, Succinate is an inflammatory signal that induces IL-1β through HIF-1α, Nature source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    The variance in succinate accumulation is in the range reported by others and is likely a function of cell, medium formulation, and LPS variability.

    “This variance is in the range of succinate accumulation levels reported by others and is likely a function of cell, medium formulation, and LPS variability (9).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Tannahill, 2013, Succinate is an inflammatory signal that induces IL-1β through HIF-1α, Nature source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    Itaconate may have pleiotropic effects on cells depending on the expression, Ki, and compartment-specific impacts on succinate concentrations.

    “As such, itaconate may have pleiotropic effects on cells depending on the expression, K i , and compartment-specific impacts on succinate concentrations.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Various other pathways, such as the GABA shunt and glutaminolysis, contribute to succinate synthesis in macrophages and could allow compensation.

    “As noted above, various other pathways (e.g.GABA shunt, glutaminolysis) contribute to succinate synthesis in macrophages and could allow compensation (9, 13, 14).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [9] Tannahill, 2013, Succinate is an inflammatory signal that induces IL-1β through HIF-1α, Nature source

      Not checked in the free run.

    • cites [13] Mills, 2014, Succinate: a metabolic signal in inflammation, Trends Cell Biol source

      Not checked in the free run.

    • cites [14] Palsson-McDermott, 2015, Pyruvate kinase M2 regulates Hif-1α activity and IL-1β induction and is a critical determinant of the Warburg effect in LPS-activated macrophages, Cell Metab source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    IRG1-mediated itaconate production may act as a signaling molecule in other inflammatory situations or cellular states.

    “Given the regulatory role of itaconate in succinate accumulation described here, IRG1-mediated itaconate production may act as a signaling molecule in other inflammatory situations or cellular states.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Itaconate acts as an SDH inhibitor to influence TCA cycle metabolism by driving succinate accumulation.

    “Taken together, our data highlight a mechanistic function of itaconate whereby this metabolite acts as a SDH inhibitor to influence TCA cycle metabolism by driving succinate accumulation (Fig. 7).”
    • Also stated in: § Discussion · plain
      “This metabolite contributes to succinate accumulation in macrophages by acting as an endogenous SDH inhibitor.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Succinate inhibits HIF-1α signaling through inhibition of PHD2 but can also impact the activity of numerous α-ketoglutarate-dependent dioxygenases.

    “Succinate inhibits HIF-1␣ signaling through inhibition of PHD2 but can also impact the activity of numerous ␣-ketoglutarate-dependent dioxygenases (42,43).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [42] Xiao, 2012, Inhibition of α-KG-dependent histone and DNA demethylases by fumarate and succinate that are accumulated in mutations of FH and SDH tumor suppressors, Genes Dev source

      Not checked in the free run.

    • cites [43] Metallo, 2013, Understanding metabolic regulation and its influence on cell physiology, Mol. Cell. source

      Not checked in the free run.

19 of 19
  • The paper relies on this without support.

    The specific driver(s) of succinate accumulation in inflammatory macrophages have not yet been identified.

    “However, the specific driver(s) of this phenomenon has/have not yet been identified.”
  • The paper relies on this without support.

    A potential role of endogenously produced itaconate in succinate accumulation under inflammatory conditions has not yet been addressed and is unknown.

    “a potential role of endogenously produced itaconate in succinate accumulation under inflammatory conditions has not yet been addressed and is unknown.”
  • The paper relies on this without support.

    The Irg1 KO mouse model specifically abolishes itaconate production without other metabolic adaptations that affect succinate levels.

    “Notably, succinate concentrations in stimulated BMDMs from Irg1 KO mice were significantly lower than those quantified in BMDMs from WT mice, suggesting that CAD-derived itaconate influences succinate accumulation in LPS-induced macrophages (Fig. 6c).”
  • The paper relies on this without support.

    The effects of exogenous itaconate on succinate accumulation reflect the physiological role of endogenous itaconate.

    “In the cells studied, exogenous and endogenous, CAD-produced itaconate strongly correlated with succinate accumulation.”
  • The paper relies on this without support.

    The cell models used are representative of macrophages in vivo for conclusions about immune cell metabolism.

    “However, we consistently observed increased succinate downstream of itaconate production or administration in a variety of cell types.”
5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • LDHA-deficient T cells show decreased acetyl-CoA levels and decreased H3K9Ac on the Ifng promoter.

    “Mechanistically LDHA-deficient T cells showed decreased acetyl-CoA levels and decreased histone H3 acetylation at the lysine 9 residue (H3K9Ac), a histone mark associated with active transcription, on the Ifng promoter.”
  • Mice with T cell-specific LDHA deficiency produce less IFN-γ and are protected from immunopathology.

    “Mice with an T cell-specific LDHA deficiency produced less IFN-γ and were protected from immunopathology.”
  • LDHA is induced in activated T cells and enhances histone acetylation of Ifng via maintenance of acetyl-CoA levels to promote its expression.

    “The authors demonstrate that LDA, an enzyme that catalyzes the reversible conversion of pyruvate and NADH to lactate and NAD+, is induced in activated T cells and enhances histone acetylation of interferon gamma (Ifng) via the maintenance of acetyl-CoA levels to promote its expression 55.”
  • Artificial acetyl-CoA reduction through ACLY inhibition decreases IFN-γ expression, and acetate supplementation corrects H3K9Ac marks and IFN-γ expression in LDHA-deficient T cells.

    “Furthermore, artificial acetyl-CoA reduction, through inhibition of ACLY, decreased IFN-γ expression and acetate supplementation, which augmented acetyl-CoA production, corrected H3K9Ac marks and IFN-γ expression in LDHA-deficient T cells.”
  • Itaconate primarily acts as a protective, anti-inflammatory metabolite.

    “The generation of itaconate from the Krebs Cycle intermediate cis-aconitate contrasts with most other metabolite signals emanating from mitochondria, in that it primarily acts as a protective, anti-inflammatory metabolite55,59,60.”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Inconsistent itaconate concentrations for respiration assays

    Minor

    The methods list four itaconate concentrations for the permeabilized-cell respiration assay, but the Figure 5 caption lists five, including 2.5 mM.

  • Opposite claims about succinate's effect on HIF-1α signaling

    Minor

    The discussion says succinate inhibits HIF-1α signaling, whereas the earlier account says succinate stabilizes HIF-1α and enhances its downstream effect.

2 of 2

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Authors
Cordes, T., Wallace, M., Michelucci, A., Divakaruni, A. S., Sapcariu, S. C., Sousa, C., Koseki, H., Cabrales, P., Murphy, A. N., Hiller, K., & Metallo, C. M.
Affiliations
  • University of California San Diego (US)
  • University of Luxembourg (LU)
  • RIKEN Center for Integrative Medical Sciences (JP)
Corresponding author
Metallo, Christian M.
Venue
Journal of Biological Chemistry
Publisher
Elsevier BV
Published
2016-07
Volume
291
Issue
27
Pages
14274-14284
ISSN
0021-9258 (ISSN-L)
OpenAlex
W2361586644
Cited by
526
References
52
Citations by year
2026: 55 · 2025: 60 · 2024: 68 · 2023: 55 · 2022: 58 · 2021: 69 · 2020: 64 · 2019: 42 · 2018: 27 · 2017: 23 · 2016: 5
FWCI
19.57
Type
journal article
Language
en
Open access
Locations
  • Journal of Biological Chemistry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • Open Repository and Bibliography (University of Luxembourg) (submittedVersion, cc-by-nc-sa)
Funders
  • National Institutes of Health (R01CA188652, P01DK054441)
  • National Institute of Allergy and Infectious Diseases (R01AI082610)
  • National Heart, Lung, and Blood Institute (R53HL123015, P01HL110900, R01HL052684)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Microbial metabolism and enzyme function
Keywords
IRG1, itaconate, succinate accumulation, succinate dehydrogenase inhibition, cis-aconitate decarboxylase, TCA cycle, metabolic reprogramming, innate immunity, macrophages, lipopolysaccharide, electron transport chain, immunometabolism
MeSH terms
Animals, Cell Line, Hydro-Lyases, Lipopolysaccharides, Macrophages, Succinate Dehydrogenase, Succinates, Succinic Acid, Mice

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