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      Crystal structure of cis-aconitate decarboxylase reveals the impact of naturally occurring human mutations on itaconate synthesis

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          Itaconic acid was first described in the 19th century and was later appreciated mostly as a fungal metabolite of interest to polymer synthesis. Its surprising recent discovery as a key metabolite during the activation of inflammatory macrophages led to the recognition that it plays critical roles in linking metabolism and innate immunity. However, the lack of a crystal structure of cis-aconitate decarboxylase (CAD, the enzyme that synthesizes itaconate) has made it impossible to address many questions central to the chemistry, biology, evolution, and medical importance of itaconic acid synthesis. We have now determined the crystal structure of CAD and have identified amino acids that make up the active center, as well as human mutations with strong effects on itaconate synthesis.

          Abstract

          cis-Aconitate decarboxylase (CAD, also known as ACOD1 or Irg1) converts cis-aconitate to itaconate and plays central roles in linking innate immunity with metabolism and in the biotechnological production of itaconic acid by Aspergillus terreus. We have elucidated the crystal structures of human and murine CADs and compared their enzymological properties to CAD from A. terreus. Recombinant CAD is fully active in vitro without a cofactor. Murine CAD has the highest catalytic activity, whereas Aspergillus CAD is best adapted to a more acidic pH. CAD is not homologous to any known decarboxylase and appears to have evolved from prokaryotic enzymes that bind negatively charged substrates. CADs are homodimers, the active center is located in the interface between 2 distinct subdomains, and structural modeling revealed conservation in zebrafish and Aspergillus. We identified 8 active-site residues critical for CAD function and rare naturally occurring human mutations in the active site that abolished CAD activity, as well as a variant (Asn152Ser) that increased CAD activity and is common (allele frequency 20%) in African ethnicity. These results open the way for 1) assessing the potential impact of human CAD variants on disease risk at the population level, 2) developing therapeutic interventions to modify CAD activity, and 3) improving CAD efficiency for biotechnological production of itaconic acid.

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          Most cited references41

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          Electrophilic properties of itaconate and derivatives regulate the IκBζ–ATF3 inflammatory axis

          Metabolic regulation has been recognized as a powerful principle guiding immune responses. Inflammatory macrophages undergo extensive metabolic rewiring 1 marked by the production of substantial amounts of itaconate, which has recently been described as an immunoregulatory metabolite 2 . Itaconate and its membrane-permeable derivative dimethyl itaconate (DI) selectively inhibit a subset of cytokines 2 , including IL-6 and IL-12 but not TNF. The major effects of itaconate on cellular metabolism during macrophage activation have been attributed to the inhibition of succinate dehydrogenase2,3, yet this inhibition alone is not sufficient to account for the pronounced immunoregulatory effects observed in the case of DI. Furthermore, the regulatory pathway responsible for such selective effects of itaconate and DI on the inflammatory program has not been defined. Here we show that itaconate and DI induce electrophilic stress, react with glutathione and subsequently induce both Nrf2 (also known as NFE2L2)-dependent and -independent responses. We find that electrophilic stress can selectively regulate secondary, but not primary, transcriptional responses to toll-like receptor stimulation via inhibition of IκBζ protein induction. The regulation of IκBζ is independent of Nrf2, and we identify ATF3 as its key mediator. The inhibitory effect is conserved across species and cell types, and the in vivo administration of DI can ameliorate IL-17-IκBζ-driven skin pathology in a mouse model of psoriasis, highlighting the therapeutic potential of this regulatory pathway. Our results demonstrate that targeting the DI-IκBζ regulatory axis could be an important new strategy for the treatment of IL-17-IκBζ-mediated autoimmune diseases.
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            Itaconate: the poster child of metabolic reprogramming in macrophage function

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

              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.
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                Author and article information

                Journal
                Proc Natl Acad Sci U S A
                Proc. Natl. Acad. Sci. U.S.A
                pnas
                pnas
                PNAS
                Proceedings of the National Academy of Sciences of the United States of America
                National Academy of Sciences
                0027-8424
                1091-6490
                8 October 2019
                23 September 2019
                23 September 2019
                : 116
                : 41
                : 20644-20654
                Affiliations
                [1] aDepartment Structure and Function of Proteins, Helmholtz Centre for Infection Research , 38124 Braunschweig, Germany;
                [2] bResearch Group Biomarkers for Infectious Diseases, TWINCORE Centre for Experimental and Clinical Infection Research , 30625 Hannover, Germany;
                [3] cResearch Group Biomarkers for Infectious Diseases, Helmholtz Centre for Infection Research , 38124 Braunschweig, Germany;
                [4] dResearch Core Unit Metabolomics, Hannover Medical School , 30625 Hannover, Germany;
                [5] eInstitute for Biochemistry, Biotechnology and Bioinformatics, Technische Universität Braunschweig , 38106 Braunschweig, Germany;
                [6] fCentre for Individualised Infection Medicine , 30625 Hannover, Germany
                Author notes
                3To whom correspondence may be addressed. Email: konrad.buessow@ 123456helmholtz-hzi.de or frank.pessler@ 123456twincore.de .

                Edited by Philippa Marrack, National Jewish Health, Denver, CO, and approved September 3, 2019 (received for review May 24, 2019)

                Author contributions: W.B., K.B., and F.P. designed research; F.C., P.L., A.A.I., K.S., V.K., J.v.d.H., W.B., and K.B. performed research; F.C., P.L., J.v.d.H., W.B., K.B., and F.P. analyzed data; and P.L., K.B., and F.P. wrote the paper.

                1F.C. and P.L. contributed equally to this work.

                2K.B. and F.P. contributed equally to this work.

                Author information
                http://orcid.org/0000-0003-2031-5942
                Article
                201908770
                10.1073/pnas.1908770116
                6789909
                31548418
                50b91076-de36-45b7-bd6d-ae8dc7f3da0b
                Copyright © 2019 the Author(s). Published by PNAS.

                This open access article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND).

                History
                Page count
                Pages: 11
                Categories
                PNAS Plus
                Biological Sciences
                Immunology and Inflammation
                PNAS Plus

                macrophage,enzymology,itaconic acid,cis-aconitate,decarboxylase

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