Energy metabolism and rheumatic diseases: from cell to organism
Open accessAbstract
In rheumatic and other chronic inflammatory diseases, high amounts of energy for the activated immune system have to be provided and allocated by energy metabolism. In recent time many new insights have been gained into the control of the immune response through metabolic signals. Activation of immune cells as well as reduced nutrient supply and hypoxia in inflamed tissues cause stimulation of glycolysis and other cellular metabolic pathways. However, persistent cellular metabolic signals can promote ongoing chronic inflammation and loss of immune tolerance. On the organism level, the neuroendocrine immune response of the hypothalamic-pituitary adrenal axis and sympathetic nervous system, which is meant to overcome a transient inflammatory episode, can lead to metabolic disease sequelae if chronically activated. We conclude that, on cellular and organism levels, a prolonged energy appeal reaction is an important factor of chronic inflammatory disease etiology.
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Energy-rich fuel allocation is important for an activated immune system.
“(i) energy-rich fuel allocation is important for an activated immune system [4,5]”
From Interaction of the endocrine system with inflammation: a function of energy and volume regulation (2014) · cites this paper as [5]
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- Authors
- Spies, C. M., Straub, R. H., & Buttgereit, F.
- Affiliations
- Stiftung Charité (DE)
- University Hospital Regensburg (DE)
- Charité – Universitätsmedizin Berlin (DE)
- Corresponding author
- Spies, Cornelia M
- Venue
- Arthritis Research & Therapy
- Published
- 2012
- Volume
- 14
- Issue
- 3
- Pages
- 216
- ISSN
- 1478-6354 (ISSN-L)
- PMC
- PMC3446535
- OpenAlex
- W2103769668
- Cited by
- 47
- References
- 93
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 2
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Arthritis Research & Therapy (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- energy metabolism, rheumatic diseases, chronic inflammation, immune cell activation, glycolysis, hypoxia, nutrient supply, metabolic signaling, immune tolerance, hypothalamic-pituitary-adrenal axis, sympathetic nervous system, metabolic disorders
- MeSH terms
- Animals, Energy Metabolism, Humans, Rheumatic Diseases
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