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  • Immuno-metabolic control of...
    Yero, Alexis; Bouassa, Ralph-Sydney Mboumba; Ancuta, Petronela; Estaquier, Jerome; Jenabian, Mohammad-Ali

    Cytokine & growth factor reviews, February 2023, 2023-02-00, Letnik: 69
    Journal Article

    Th17-polarized CD4+ effector T-cells together with their immunosuppressive regulatory T-cell (Treg) counterparts, with transcriptional profiles governed by the lineage transcription factors RORγt/RORC2 and FOXP3, respectively, are important gatekeepers at mucosal interfaces. Alterations in the Th17/Treg ratios, due to the rapid depletion of Th17 cells and increased Treg frequencies, are a hallmark of both HIV and SIV infections and a marker of disease progression. The shift in Th17/Treg balance, in favor of increased Treg frequencies, contributes to gut mucosal permeability, immune dysfunction, and microbial translocation, subsequently leading to chronic immune activation/inflammation and disease progression. Of particular interest, Th17 cells and Tregs share developmental routes, with changes in the Th17 versus Treg fate decision influencing the pro-inflammatory versus anti-inflammatory responses. The differentiation and function of Th17 cells and Tregs rely on independent yet complementary metabolic pathways. Several pathways have been described in the literature to be involved in Th17 versus Treg polarization, including 1) the activity of ectonucleotidases CD39/CD73; 2) the increase in TGF-β1 production; 3) a hypoxic environment, and subsequent upregulation in hypoxia-inducible factor-1α (HIF-1α); 4) the increased mTOR activity and glycolysis induction; 5) the lipid metabolism, including fatty acid synthesis, fatty acids oxidation, cholesterol synthesis, and lipid storage, which are regulated by the AMPK, mevalonate and PPARγ pathways; and 6) the tryptophan catabolism. These metabolic pathways are understudied in the context of HIV-1 infection. The purpose of this review is to summarize the current knowledge on metabolic pathways that are dysregulated during HIV-1 infection and their impact on Th17/Treg balance. Display omitted •HIV infection shifts the Th17/Treg imbalance in favor of Tregs, contributing to chronic immune dysfunction.•Th17 cells and Tregs share developmental routes regulated by their metabolism and microenvironment.•HIV infection upregulates mTOR, glycolysis, fatty acid synthesis and HIF-1α, related to Th17 cell differentiation.•HIV infection upregulates TGF-β1, purinergic and Kynurenine pathways, in favor of Tregs differentiation.•HIV infection downregulates AMKP, mevalonate pathway and PPAR-γ activity, which are related to Treg differentiation.