Abstract
Metabolic rewiring underlies the effector functions of macrophages1,2,3, but the mechanisms involved remain incompletely defined. Here, using unbiased metabolomics and stable isotope-assisted tracing, we show that an inflammatory aspartate–argininosuccinate shunt is induced following lipopolysaccharide stimulation. The shunt, supported by increased argininosuccinate synthase (ASS1) expression, also leads to increased cytosolic fumarate levels and fumarate-mediated protein succination. Pharmacological inhibition and genetic ablation of the tricarboxylic acid cycle enzyme fumarate hydratase (FH) further increases intracellular fumarate levels. Mitochondrial respiration is also suppressed and mitochondrial membrane potential increased. RNA sequencing and proteomics analyses demonstrate that there are strong inflammatory effects resulting from FH inhibition. Notably, acute FH inhibition suppresses interleukin-10 expression, which leads to increased tumour necrosis factor secretion, an effect recapitulated by fumarate esters. Moreover, FH inhibition, but not fumarate esters, increases interferon-β production through mechanisms that are driven by mitochondrial RNA (mtRNA) release and activation of the RNA sensors TLR7, RIG-I and MDA5. This effect is recapitulated endogenously when FH is suppressed following prolonged lipopolysaccharide stimulation. Furthermore, cells from patients with systemic lupus erythematosus also exhibit FH suppression, which indicates a potential pathogenic role for this process in human disease. We therefore identify a protective role for FH in maintaining appropriate macrophage cytokine and interferon responses.
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Data availability
Proteomics data from Fig. 1d were previously deposited11 to the ProteomeXchange Consortium through the PRIDE partner repository with the dataset identifier PXD029155. All other proteomics, RNA-seq data and metabolomics data have been deposited to Dryad (https://doi.org/10.5061/dryad.6wwpzgn28). All other data are available from the corresponding authors upon request. Source data are provided with this paper.
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Acknowledgements
We would like to thank members of the O’Neill Lab for discussions and staff at Novogene for assistance with RNA-seq; B. Moran and G. McManus for assistance with flow cytometry and confocal microscopy, respectively; A. Dhir for discussions; and A. Capps for assistance with anti-2SC immunoblotting. L.A.J.O. was funded by the European Research Council (Metabinnate 834370) and the Science Foundation Ireland (20/SPP/3685). V.Z. was funded by the WWCR (14-0319). A.V.K. was funded by the Wellcome Trust (Multiuser Equipment Grant, 208402/Z/17/Z). N.F. was funded by the NIH (R01NS1268). C. Johansson was funded by the Medical Research Council UK (MR/V000659/1). C. Jefferies was funded by the NIH (R01AI164504), the Office of the Assistant Secretary of Defense for Health Affairs through the Department of Defense Lupus Research Program (LRP), (W81XWH-18-1-0709) and Cedars-Sinai Precision Health RFP 2020. M.P.M. was funded by the Medical Research Council UK (MC_UU_00028/4) and the Wellcome Trust (Investigator award 220257/Z/20/Z). C.F. was funded by the Medical Research Council UK (MRC_MC_UU_12022/6) and the European Research Council (Consolidator ERC819920). Schematics in Fig. 1i, Extended Data Figs. 4e and 6j and Supplementary Fig. 1 were created using BioRender (https://biorender.com).
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Contributions
A.H., C.G.P., D.G.R. and L.A.J.O. conceptualized the project. A.H., C.G.P. and D.G.R. were lead experimentalists, provided intellectual input, designed all experiments, analysed and visualized the data and co-wrote the paper with input from all authors. E.A.D. performed in vivo experiments. E.N.M., L.H., G.D.L.S., M.I., D.J.W., S.V. and C. Jefferies generated data from patients with SLE. J.E.T.-K. assisted with immunofluorescence experiments. C.F., M. Yang, A.S.H.C. and E.N. assisted with metabolomics. A.B.-C. and A.V.K. assisted with proteomics. A.F.M., M. Yin, T.A.J.R., A.M.C. and H.A.P. performed in vitro experiments. C.F. and V.Z. provided inducible Fh1+/fl and Fh1fl/fl mouse tissue. N.F. verified protein succination with 2SC antibody on provided macrophage lysates. C. Johansson provided Mavs–/– mouse tissue. M.P.M. and C.F. provided intellectual input and oversaw a portion of the research programme. L.A.J.O. obtained funding and oversaw the research programme.
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Extended data figures and tables
Extended Data Fig. 1 LPS stimulation drives fumarate accumulation and protein succination.
a-c, Fumarate-mediated protein succination with LPS (n = 3) and 2SC abundance in NS and LPS-stimulated BMDMs (n = 5; LPS 4 h). d, Heatmap of metabolites linked to aspartate-argininosuccinate shunt in NS and LPS-stimulated BMDMs (n = 5; LPS 24 h) e, Metabolite abundance of aspartate-argininosuccinate shunt metabolites in LPS-stimulated BMDMs pre-treated with DMSO or AOAA (n = 3; LPS 4 h; aspartate (P = 0.0000005)). f, Asl expression with silencing of Asl following LPS stimulation (n = 3; LPS 24 h). g, Fumarate levels with silencing of Asl following LPS stimulation (n = 3; LPS 24 h). c,e-g, Data are mean ± s.e.m. a, 1 representative blot of 3 shown. n = biological replicates. P values calculated using two-tailed Student’s t-test for paired comparisons or one-way ANOVA for multiple comparisons.
Extended Data Fig. 2 LPS stimulation drives fumarate accumulation via glutamine anaplerosis and an aspartate-argininosuccinate shunt.
a, Schematic diagram indicating U-13C-glutamine tracing into distinct metabolic modules. b, U-13C-glutamine tracing into glutamate, α-KG and succinate in LPS-treated BMDMs (m+4 and m+5 labelling intensity and total isotopologue fraction distribution) (n = 3; LPS 4 h). c, U-13C-glutamine tracing into γ-glutamylcysteine, GSH and GSSG in LPS-treated BMDMs (m+5 labelling intensity and total isotopologue fraction distribution) (n = 3; LPS 4 h). d, U-13C-glutamine tracing into aspartate, argininosuccinate, fumarate and malate in LPS-treated BMDMs (m+4 labelling intensity and total isotopologue fraction distribution) (n = 3; LPS 4 h). Data are mean ± s.e.m. n = biological replicates. P values calculated using two-tailed Student’s t-test for paired comparisons.
Extended Data Fig. 3 LPS stimulation drives fumarate accumulation via glutamine anaplerosis and an aspartate-argininosuccinate shunt.
a, Schematic diagram indicating 15N2-glutamine tracing into distinct metabolic modules. b, 15N2-glutamine tracing into glutamate and asparagine in LPS-treated BMDMs (m+1 and m+2 labelling intensity and total isotopologue fraction distribution) (n = 3; LPS 4 h). c, 15N2-glutamine tracing into GSH and GSSG in LPS-treated BMDMs (m+1 and m+2 labelling intensity and total isotopologue fraction distribution) (n = 3; LPS 4 h). d, 15N2-glutamine tracing into aspartate, arginine and citrulline in LPS-treated BMDMs (m+1 labelling intensity and total isotopologue fraction distribution) (n = 3; LPS 4 h; aspartate (P = 0.000001)). Data are mean ± s.e.m. n = biological replicates. P values calculated using one-way ANOVA for multiple comparisons.
Extended Data Fig. 4 Increase in aspartate-argininosuccinate shunt metabolites in cytosol and Irg1–/– macrophages.
Heatmap (min-max) of metabolites linked to mitochondrial bioenergetics and redox signalling (a) and the aspartate-argininosuccinate shunt (b) in NS and BMDMs (n = 3; LPS 24 h). c, Metabolite abundance of TCA cycle and aspartate-argininosuccinate shunt metabolites in WT and Irg1–/– BMDMs (n = 3; LPS 24 h); itaconate (P = 0.00000000000002, succinate (P = 0.00000003), fumarate (P = 0.000018)). d, Nitrite levels in WT and Irg1–/– BMDMs (n = 3; LPS 24 h). e, Schematic of metabolic changes occurring during mid-phase TCA cycle rewiring in WT and Irg1–/– BMDMs. Data are mean ± s.e.m. n = biological replicates. P values calculated using two-tailed Student’s t-test for paired comparisons or one-way ANOVA for multiple comparisons. Schematic in panel e was created using BioRender (https://biorender.com).
Extended Data Fig. 5 FH deletion increases bioenergetic stress, fumarate, and mitochondrial membrane potential.
a, Bioenergetic ratios in BMDMs treated with DMSO or FHIN1 (n = 3). b, Fumarate and 2SC levels in BMDMs treated with DMSO or FHIN1 (n = 3). qPCR (n = 5) (c) and western blot (n = 2) (d) analysis of Fh1 expression in Fh1+/+ and Fh1–/– BMDMs (EtOH/TAM 72 h; LPS 4 h; Fh1+/+ NS vs Fh1+/+LPS (P = 0.00000002), Fh1+/+ NS vs Fh1–/– NS (P = 0.00000000000002), Fh1–/– NS vs Fh1–/– LPS (P = 0.0000000000014)). e, Bioenergetic ratios in Fh1+/+ and Fh1–/– BMDMs (n = 3; EtOH/TAM 48 h). f, Heatmap of top 50 significantly abundant metabolites in Fh1+/+ and Fh1–/– BMDMs (n = 3; LPS 4 h). g, Fumarate and 2SC levels in Fh1+/+ and Fh1–/– BMDMs (n = 3; EtOH/TAM 72 h). h, Glycolysis as measured by ECAR in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 8 (DMSO/FHIN1); (n = 6 (DMF); LPS 4 h). n = technical replicates from 1 experiment performed with 3 pooled biological replicates. Data are mean ± s.d. i, Glyceraldehyde 3- phosphate (G3P) and 2,3-phosphoglycerate (2/3-PG) levels and ratio in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h; G3P (P = 0.00004)). Immunofluorescence (j) and quantification (k) of Mitotracker red staining in BMDMs pre-treated with DMSO or FHIN1 (n = 8 (DMSO); n = 19 (FHIN1); LPS 4 h). n = technical replicates from representative experiment. Scale bar = 20 μm. Data are mean ± s.d. a-c,e,g,i Data are mean ± s.e.m. Representative blots or images of 2 (d) or 1 experiment(s) (j) shown. n = biological replicates unless stated otherwise. P values calculated using two-tailed Student’s t-test for paired comparisons or one-way ANOVA for multiple comparisons.
Extended Data Fig. 6 FH inhibition remodels inflammatory gene expression.
a, Il10 and Tnfa expression in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 5 (Il10); n = 6 (Tnfa); LPS 4 h; FHIN1/Il10 P = 0.000002, DMF/Il10 P = 0.0000004). b, Il1b expression and IL-6 release in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 6; 4 h LPS; DMF/Il1b (P = 0.000046), DMF/IL-6 (P = 0.00000002)). c, Enrichment map plot of shared significantly increased genes in BMDMs pre-treated with DMF or FHIN1 compared to DMSO control (n = 3; LPS 4 h). d, Western blot of total and phospho-AKT, JNK, ERK and p38 levels in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 2). e, Jun expression in RNA seq from BMDMs pre-treated with DMF or FHIN1 compared to DMSO control (n = 3; LPS 4 h). f, Fos expression in RNA seq from BMDMs pre-treated with DMF or FHIN1 compared to DMSO control (n = 3; LPS 4 h). g, Western blot of total and phospho-STAT3 levels in BMDMs pre-treated with anti-CD210 antibody (1 h) (n = 4; LPS 4 h). h, FH protein and gene expression levels in Fh1+/+ and Fh1+/– BMDMs (n = 2; EtOH/TAM 72 h). Data are mean. i, ELISA of IL-10 and TNF-α release in BMDMs pre-treated with DMSO or AOAA (n = 3; LPS 4 h; IL-10 (P = 0.000483)). j, Schematic depicting mild suppression of IL-10 expression during typical LPS signalling (left), and increased suppression of IL-10 following FH inhibition, leading to dysregulated TNF-α release (right). a,b,e,f,i Data are mean ± s.e.m. 1 representative blot of 2 (d, h) or 4 (g) shown. n = biological replicates. P values calculated using two-tailed Student’s t-test for paired comparisons or one-way ANOVA for multiple comparisons. Schematic in panel j was created using BioRender (https://biorender.com).
Extended Data Fig. 7 FH inhibition triggers the NRF2 and ATF4 stress response and promotes GDF15 release.
a, Heatmap of significantly differentially expressed RNA seq data in BMDMs pre-treated with FHIN1 compared to DMSO control (n = 3; LPS 4 h). Volcano plots of proteomics in BMDMs pre-treated with DMSO, FHIN1 (b) or DMF (c) (n = 5; LPS 4 h). d, ELISA of GDF15 in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). e, Nrf2 expression or ATF4 protein levels after silencing of Nrf2 or Atf4, respectively, in BMDMs pre-treated with DMSO or FHIN1 (n = 6; LPS 4 h). f, Gdf15 expression after silencing of Nrf2 or Atf4 respectively in BMDMs pre-treated with DMSO or FHIN1 (n = 3, LPS 4 h; FHIN1/Nrf2 RNAi (P = 0.000048)). d-f, Data are mean ± s.e.m. e, 1 representative blot of 6 shown. n = biological replicates unless stated otherwise. P values calculated using one-way ANOVA for multiple comparisons.
Extended Data Fig. 8 IFN-β release following FH inhibition is independent of cGAS-STING.
a, Heatmap (min-max) of significantly differentially expressed RNA seq data in BMDMs pre-treated with DMSO or DMF (n = 3; LPS 4 h). b, Phospho-STAT1, STAT1, phospho-JAK1 and JAK1 levels in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 3; LPS 4 h). c, Ifnb1 expression after silencing of Nrf2 in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 3, LPS 4 h). d, Nrf2 expression after silencing of Nrf2 in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 3, LPS 4 h; FHIN1 (P = 0.0000008), DMF (P = 0.0000012)). e, Ifnb1 expression in BMDMs pre-treated with DMSO or FHIN1 in the presence of NAC (n = 3; LPS 4 h). f, TRAF3 levels in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). g, IL-1β levels in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 3). h, p-p65 levels in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 3). i, D-loop and Non-NUMT DNA fold expression in ethidium bromide (EtBr)-treated BMDMs (n = 5; D-loop (P = 000000000031, Non-NUMT (P = 0.0000000012). j, Lamin B1 and α-tubulin in cytosolic and membrane-bound organelle fractions following digitonin fractionation (n = 3). k, IFN-β release from 2’,3’ cGAMP- or CpG-transfected BMDMs pre-treated (1 h) with C-178 or ODN2088 (n = 3 (cGAMP); n = 4(CpG); 3 h). l, Ifnb1 expression in BMDMs pre-treated with DMSO or FHIN1 in conjunction with C-178 or ODN2088 (1 h) respectively (n = 3; LPS 4 h). m, Cgas, Tmem173 and Tlr9 expression with silencing of Cgas, Tmem173 and Tlr9 respectively in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). n, IFN-β release with silencing of Cgas, Tmem173 and Tlr9 respectively from BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). o, Tmem173 expression in BMDMs pre-treated with DMSO, FHIN1 or DMF (n = 3, LPS 4 h). p, ND4, ND5 and ND6 RNA levels in whole cell extracts of BMDMs pre-treated with DMSO or FHIN1 in the presence of IMT1 (n = 5; LPS 4 h; ND5 (P = 0.000052)). q, ND4, ND5 and ND6 RNA levels in cytosolic extracts of BMDMs pre-treated with DMSO or FHIN1 in the presence or absence of IMT1 (n = 5; LPS 4 h). r, IFN-β release in BMDMs pre-treated with DMSO or FHIN1 in the presence of IMT1 (n = 3; LPS 4 h). c-e,i,k-r, Data are mean ± s.e.m. b,f-h,j, 1 representative blot of 3 shown. n = biological replicates. P values calculated using two-tailed Student’s t-test for paired comparisons or one-way ANOVA for multiple comparisons.
Extended Data Fig. 9 Mitochondrial membrane potential modifiers increase mtRNA and trigger IFN-β release.
a, Tlr7 expression with silencing of Tlr7 in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). b, Ddx58 and Ifih1 expression with silencing of Ddx58 and Ifih1 respectively in BMDMs pre-treated with DMSO or FHIN1 (n = 5; LPS 4 h; DMSO/Ddx58 (P = 0.000000000002), FHIN1/Ddx58 (P = 0.000000813792), DMSO/Ifih1 (P = 0.00000009), FHIN1/Ifih1 (P = 0.00000014)). c, Tlr3 expression and IFN-β release with silencing of Tlr3 in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h; DMSO/Tlr3 (P = 0.000000007), FHIN1/Tlr3 (P = 0.000013487)). d, TBK1 and p-TBK1 in BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). e, Ifnb1 expression in WT and Mavs–/– BMDMs pre-treated with DMSO or FHIN1 (n = 3; LPS 4 h). f, MFI of TMRM staining in BMDMs pre-treated with DMSO, FHIN1, oligomycin or valinomycin (n = 3, LPS 4 h). g, IFN-β release from BMDMs pre-treated with DMSO, FHIN1, oligomycin or valinomycin (n = 4; LPS 4 h; oligomycin (P = 0.0000003)). h, MFI of TMRM staining and IFN-β release from BMDMs pre-treated with DMSO or CCCP (n = 4 (TMRM), n = 3 (IFN-β); LPS 4 h; CCCP/IFN-β (P = 0.00000008)). i, MFI of TMRM staining in BMDMs pre-treated with DMSO or MMF (n = 3, LPS 4 h). Immunofluorescence (j) and quantification (k) of dsRNA in BMDMs pre-treated with DMSO, FHIN1 or oligomycin or transfected with poly (I:C) (n = 8; LPS 4 h). n = technical replicates from representative experiment. Data are mean ± s.d. Scale bar = 20 μm. l, D-loop fold expression in DNA and RNA isolated from cytosolic fractions of digitonin-fractionated BMDMs pre-treated with DMSO or oligomycin (n = 4 for mtDNA, n = 5 for mtRNA). Immunofluorescence (m) and quantification (n) of dsRNA in BMDMs pre-treated with DMSO or valinomycin (n = 9 (DMSO); n = 6 (Valinomycin); LPS 4 h). n = technical replicates from representative experiment. Data are mean ± s.d. Scale bar = 20 μm. o, Quantification of dsRNA immunofluorescence in Fh1+/+ and Fh1–/– BMDMs (n = 7 (Fh1+/+ Control); n = 6 (Fh1+/+ LPS); n = 12 (Fh1–/– Control); n = 10 (Fh1–/– LPS); EtOH/TAM 72 h; LPS 4 h). n = technical replicates from representative experiment. Data are mean ± s.d. a-c,e-i,l Data are mean ± s.e.m. d,j,m, 1 representative blot or image of 3 experiments shown. n = biological replicates unless stated otherwise. P values calculated using two-tailed Student’s t-test for paired comparisons, one-way ANOVA for multiple comparisons.
Extended Data Fig. 10 Prolonged LPS stimulation increases mitochondrial membrane potential and dsRNA.
a, MFI of TMRM staining in BMDMs (n = 3). Immunofluorescence (b) and quantification (c) of dsRNA in BMDMs (n = 8 (0/48 h); n = 9 (24 h)). n = technical replicates from representative experiment. Data are mean ± s.d. Scale bar = 20 μm. d, Ddx58 and Ifih1 expression in BMDMs (n = 4; LPS 4 h; Ddx58 (P = 0.0000000010), Ifih1 (P=0.00000012)). e, Fh1 expression in IFN-β-stimulated BMDMs (n = 3). a,d,e, Data are mean ± s.e.m. b, 1 representative image of 3 experiments shown. n = biological replicates unless stated otherwise. P values calculated using two-tailed Student’s t-test for paired comparisons, one-way ANOVA for multiple comparisons.
Supplementary information
Supplementary Figures
Supplementary Figs. 1 and 2 and uncropped blots.
Supplementary Table 1
A list of antibodies used in the study.
Supplementary Table 2
A list of primer sequences used in the study.
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Hooftman, A., Peace, C.G., Ryan, D.G. et al. Macrophage fumarate hydratase restrains mtRNA-mediated interferon production. Nature 615, 490–498 (2023). https://doi.org/10.1038/s41586-023-05720-6
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DOI: https://doi.org/10.1038/s41586-023-05720-6
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