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Cited by 444

The DOI matches its Crossref record; 105 of the 105 references it cites were found in a registry or an index.

The role of itaconate in host defense and inflammation

Open access
Peace, Christian G., O’Neill, Luke A.J.·2022·Journal of Clinical Investigation

Abstract

Macrophages exposed to inflammatory stimuli including LPS undergo metabolic reprogramming to facilitate macrophage effector function. This metabolic reprogramming supports phagocytic function, cytokine release, and ROS production that are critical to protective inflammatory responses. The Krebs cycle is a central metabolic pathway within all mammalian cell types. In activated macrophages, distinct breaks in the Krebs cycle regulate macrophage effector function through the accumulation of several metabolites that were recently shown to have signaling roles in immunity. One metabolite that accumulates in macrophages because of the disturbance in the Krebs cycle is itaconate, which is derived from cis-aconitate by the enzyme cis-aconitate decarboxylase (ACOD1), encoded by immunoresponsive gene 1 (Irg1). This Review focuses on itaconate's emergence as a key immunometabolite with diverse roles in immunity and inflammation. These roles include inhibition of succinate dehydrogenase (which controls levels of succinate, a metabolite with multiple roles in inflammation), inhibition of glycolysis at multiple levels (which will limit inflammation), activation of the antiinflammatory transcription factors Nrf2 and ATF3, and inhibition of the NLRP3 inflammasome. Itaconate and its derivatives have antiinflammatory effects in preclinical models of sepsis, viral infections, psoriasis, gout, ischemia/reperfusion injury, and pulmonary fibrosis, pointing to possible itaconate-based therapeutics for a range of inflammatory diseases. This intriguing metabolite continues to yield fascinating insights into the role of metabolic reprogramming in host defense and inflammation.

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Metadata

Authors
Peace, C. G., & O’Neill, L. A. J.
Venue
Journal of Clinical Investigation
Published
2022-01-18
Volume
132
Issue
2
ISSN
  • 0021-9738 (ISSN-L)
  • 1558-8238
OpenAlex
W4206049057
Cited by
444
References
105
FWCI
26.38
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: The role of itaconate in host defense and inflammation. https://app.cochat.ai/papers/10.1172/jci148548
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Peace, C. G., & O’Neill, L. A. J. (2022). The role of itaconate in host defense and inflammation. Journal of Clinical Investigation. https://doi.org/10.1172/jci148548

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