Abstract
Activation of a naïve T cell is a highly energetic event, which requires a substantial increase in nutrient metabolism. Upon stimulation, T cells increase in size, rapidly proliferate, and differentiate, all of which lead to a high demand for energetic and biosynthetic precursors. Although amino acids are the basic building blocks of protein biosynthesis, and contribute to many other metabolic processes, the role of amino acid metabolism in T cell activation has not been well characterized. We have found that glutamine in particular is required for T cell function. Depletion of glutamine blocks proliferation and cytokine production, and this cannot be rescued by supplying biosynthetic precursors of glutamine. Correlating with the absolute requirement for glutamine, T cell activation induces a large increase in glutamine import, but not glutamate import, and this increase is CD28-dependent. Activation coordinately enhances expression of glutamine transporters and activities of enzymes required to allow the use of glutamine as a Krebs cycle substrate in T cells. The induction of glutamine uptake and metabolism requires extracellular signal regulated kinase (ERK) function, providing a link to T cell receptor signaling. Together, these data indicate that regulation of glutamine utilization is an important component of T cell activation. Thus, a better understanding of glutamine sensing and utilization in T cells may reveal novel targets for immunomodulation.
Introduction
Activation of a T lymphocyte induces cell growth, proliferation, and cytokine production, placing significant energetic and biosynthetic demands on the cell. In order for the cell to meet these demands, increased uptake and metabolism of nutrients must occur. This includes large changes in amino acid metabolism (1–6). In addition to serving as the basic building blocks of protein synthesis, amino acids contribute to many processes critical for growing and dividing cells, including nucleotide synthesis, energy metabolism, and redox control. Several genes associated with amino acid transport and amino acid biosynthesis are induced under starvation conditions in various cell types, including T cells (7–13). However, although amino acids are the basic building blocks of protein synthesis, and serve as substrates for many other metabolic processes, the regulation of amino acid utilization during T cell activation is poorly understood.
One potentially key amino acid for T cells is glutamine. Glutamine is the most abundant amino acid in serum, making it a readily available resource, and is involved in numerous processes important for lymphocyte activation (14, 15). Glutamine serves as an amine group donor for nucleotide synthesis, and glutamate (the first product of glutamine metabolism) is a metabolic nexus, playing direct roles in amino acid and glutathione synthesis. Glutamate can also be converted into the Krebs cycle intermediate α-ketoglutarate, providing a two-step pathway for glutamine to enter energy metabolism. Lymphocytes and thymocytes consume glutamine at rates comparable to, or even higher than, glucose consumption (1–3), and mitogen-induced T cell proliferation and cytokine production in culture require high levels of glutamine (16–19). Thus, pathways of glutamine utilization may serve as novel targets for immune modulation.
In order to investigate the role of glutamine in T cell function, we examined the changes in glutamine utilization during activation of purified T cells. We found that T cells are highly sensitive to glutamine levels, and this sensitivity is specific, in that glutamine cannot be replaced by metabolic precursors or products. T cell activation leads to a selective increase in glutamine import, and this is reflected by increased expression of glutamine transporters. Activities of enzymes involved in glutamine metabolism are also increased during T cell activation, likely allowing enhanced utilization of glutamine as a substrate for Krebs cycle metabolism.
Materials and Methods
Antibodies and reagents
Anti-CD3 (mAb 145-2C11) and anti-CD28 (mAb 37.51) antibodies, control hamster IgG, and PE-labeled anti-Thy1.2, anti-CD69, anti-CD25, and anti-CD98 antibodies were purchased from eBioscience. HRP-conjugated anti-mouse IgG and anti-rabbit IgG were from Jackson ImmunoResearch. The MEK inhibitor PD98059 was purchased from Biomol and used at 40 μM. ADP, lactate dehydrogenase (E.C. 1.1.1.27), and malate dehydrogenase (E.C. 1.1.1.37) were purchased from Calbiochem. 1-bromododecane, pyridoxal phosphate, NADH, triethanolamine-HCl, hydrazine dihydrochloride, α-ketoglutarate, glutaminase (E.C. 3.5.1.2), glutamate dehydrogenase (GDH3; E.C. 1.4.1.3), glutamic-oxaloacetic transaminase (GOT; E.C. 2.6.1.1), and glutamic-pyruvic transaminase (GPT; E.C. 2.6.1.2) were purchased from Sigma-Aldrich. L-[2,3,4-3H]-glutamine and L-[2,3,4-3H]-glutamic acid were from American Radiolabeled Chemicals.
Animals
C57BL/6J mice (6 weeks old) were purchased from The Jackson Laboratory. All mice were maintained in ventilated M.I.C.E. microisolator cages (Animal Care Systems) in the University of Maryland animal facility. Animals received humane care in compliance with the “Guide for the Care and Use of Laboratory Animals” published from the National Institute of Health. All mice were euthanized by carbon dioxide inhalation, as recommended by the AVMA Panel on Euthanasia.
T cell purification
Murine T cells were purified from spleens using the EasySep negative-selection system (Stem Cell Technologies) according to the manufacturer’s protocol. Purified T cells were generally >95% Thy1-positive, as determined by flow cytometry.
Cell lines and culture
The murine EL-4 thymoma cell line was purchased from American Type Tissue Collection. All cells were maintained in RPMI1640 medium (Mediatech) supplemented with 10% fetal bovine serum (FBS, Hyclone), penicillin/streptomycin, 10 mM HEPES buffer, and 55 μM 2-mercaptoethanol, with or without 2 mM glutamine, at 37°C in a 5% CO2 atmosphere. For glutamine withdrawal experiments, the FBS was replaced with 10% dialyzed FBS (J R Scientific). For amino acid uptake experiments, glutamine-deficient and glutamate-deficient RPMI1640 media were produced in-house, using the standard RPMI160 formulation but omitting either glutamine or glutamic acid.
T cell stimulation
Anti-CD3 and anti-CD28 antibodies were covalently attached to tosyl-activated Dynabeads (Invitrogen) following the manufacturer’s instructions, using 75 μg/mL of each antibody. Beads were mixed with T cells at a 3:1 ratio of beads:cells and incubated at 37°C for the desired time. For unstimulated samples, T cells were mixed with control hamster IgG-linked Dynabeads, and were then either used immediately or cultured in parallel with stimulated samples.
Proliferation and cytokine assays
Unfractionated C57BL/6J splenocytes were stimulated with soluble anti-CD3 antibody. Proliferation after three days of stimulation in vitro was determined by [3H]-thymidine incorporation. Cells were pulsed for 6–8h with 1 μCi/well of [3H]-thymidine (MP Biomedicals), transferred to glass fiber filters with a 96-well cell harvester (Tomtec), and analyzed by liquid scintillation using a 1450 Microbeta Trilux scintillation counter (Wallac). IL-2 and IFN-γ levels in 36-hour stimulation supernatants were determined using a sandwich ELISA. Primary and biotinylated secondary anti-cytokine antibodies and recombinant cytokine standards were purchased from eBioscience and used at the concentrations recommended by the manufacturer. Alkaline phosphatase-conjugated avidin was purchased from Jackson ImmunoResearch Laboratories and used at a 1:3000 dilution. Colorimetric alkaline phosphatase substrate was purchased from Sigma-Aldrich and used at 1 mg/mL in 10% diethanolamine buffer, and quantification was performed on a Versamax spectrophotometer (Molecular Devices). Data were analyzed using Softmax Pro software (Molecular Devices). All data are presented as the mean of triplicate samples ± S.D.
Amino acid uptake
Glutamine and glutamate uptake were measured using a modification of the amino acid uptake protocol of Edinger and Thompson (20). Briefly, unstimulated or stimulated T cells were resuspended to 2.5 × 107cells/mL in serum-free RPMI1640 lacking the amino acid being assayed (“uptake medium”). An aliquot of 2.5 × 106 cells was added to the top layer of a 0.7 mL microfuge tube containing 25 μL of 8% sucrose/20% perchloric acid (bottom layer), 200 μL of 1-bromododecane (middle layer), and 50 μL of uptake medium containing 45 nmol of L-[2,3,4-3H]-glutamine or L-[2,3,4-3H]-glutamic acid. Cells were allowed to take up radiolabeled amino acid for 10 min. at room temperature and then spun through the bromododecane into the acid/sucrose, stopping the reaction and separating the cells from unincorporated [3H]-amino acid. The perchloric acid/sucrose/T cell layer was removed and analyzed by liquid scintillation using a 1450 Microbeta Trilux scintillation counter (Wallac), and cell-free controls were subtracted. In comparisons of glutamine and glutamate uptake, final counts were adjusted to account for the higher specific activity of [3H]-glutamic acid (50 Ci/mol vs. 44 Ci/mol for [3H]-glutamine). Data points for all analyses are presented as the mean of triplicate samples ± S.D.
Flow Cytometry
Surface levels of activation markers were determined on unstimulated and stimulated purified T cells by flow cytometry. Following harvest, cells were washed once in PBS and resuspended in staining buffer (1% bovine serum albumin (BSA) and 0.01% sodium azide in PBS) containing PE-conjugated anti-CD69, anti-CD25, or anti-CD98 antibodies for 30 minutes at 4°C. Fluorescence values were then read on a FACSCalibur flow cytometer (Beckton Dickinson). Forward and side scatter gates were used to exclude dead cells. Data from ~104 live cells were analyzed using CellQuest software (Beckton Dickinson).
Analysis of cell-surface SNAT2
Unstimulated or stimulated T cells were surface biotinylated with EZ-Link Sulfo-NHS-biotin (Pierce) according to the manufacturer’s instructions. Cells were lysed in IP lysis buffer (0.5% NP-40, 10 mM Tris-HCl, 140 mM NaCl, pH 8.0) supplemented with 1 mM NaF, 1 mM sodium vanadate, 1mM PMSF, and Complete Mini protease inhibitor cocktail (Roche Diagnostics), and pre-cleared overnight at 4°C with Protein G-agarose (Sigma-Aldrich). Pre-cleared lysates were incubated with anti-SNAT2 antibody (Santa Cruz Biotechnology) and Protein G-agarose (Sigma-Aldrich) for 5 hours at 4°C, and immunoprecipitates were resolved by SDS-PAGE and transferred to nitrocellulose. Blots were probed with avidin-HRP (Pierce) and visualized using SuperSignal West Pico chemiluminescence reagents (Pierce).
Real-Time PCR
Total RNA was extracted from unstimulated or stimulated T cells using the Nucleospin RNA II kit (Macherey-Nagel). cDNA was generated using the iScript reverse transcriptase kit (Bio-Rad). Primers for real-time PCR were designed using Beacon Designer software (Premier Biosoft International), except for glutaminase (21) and were as follows: SNAT1: Fwd 5′ TTACCAACCATCGCCTTC 3′; Rev 5′ ATGAGAATGTCGCCTGTG 3′. SNAT2: Fwd 5′ GGTATCTGAACGGTGACTATCTG 3′; Rev 5′ TCTGCGGTGCTATTGAATGC 3′. Glutaminase: Fwd 5′ GCACTACACTTTGGACACCA 3′; Rev 5′ TAGCAACCCGTCGAGATT 3′. 18S: Fwd 5′ ATGCGGCGGCGTTATTCC 3′; Rev 5′ GCTATCAATCGTTCAATCCTGTCC 3′. Real-time PCR was performed in an iCycler iQ system (Bio-Rad) using iQ Supermix reagents (Bio-Rad), and analyzed with MyiQ software (Bio-Rad). Melt curve analysis was performed to confirm the presence of a single PCR product for each reaction, and agarose gel electropheresis was used to confirm that PCR products were the expected sizes. Fold induction was calculated by the ΔΔCt method, using 18S ribosomal RNA as the reference. Data are presented as the means of triplicate samples ± S.D.
Enzyme activity assays
The assay for glutaminase activity was adapted from Graham and Aprison (22) and Ardawi and Newsholme (23). Resting or stimulated T cells were lysed by sonication in 150mM potassium phosphate buffer (an equimolar mixture of K2HPO4 and KH2PO4), 50mM Tris-HCl (pH 8.6), 1mM EDTA, and 1% Triton X-100 and assayed at a concentration of 5×106 cell-equivalents/mL. The reaction was initiated by adding 15 μL of lysate to 85 μL of reaction buffer (180mM Tris-HCl (pH 9.4), 80mM glutamine, 70mM potassium phosphate buffer (an equimolar mixture of K2HPO4 and KH2PO4), 28mM NAD, 20mM hydrazine dihydrochloride, 2mM ADP, 0.05% Triton X, and 20 units/mL GDH), and the reaction was carried out at 37°C. GDH, GOT, and GPT activities were determined as described by Ardawi and Newsholme (23), with slight modifications. T cells were lysed by sonication in 50 mM trienthanolamine-HCl, 1 mM EDTA, 5 mM MgCl2, and 30 mM β-mercaptoethanol, adjusted to pH 7.5 with KOH, and assayed at a concentration of 5×106 cell-equivalents/mL. Assay conditions for GDH were: 70 mM Tris-HCl (pH 7.6), 100 mM ammonium acetate, 0.2 mM NADH, 2 mM ADP, and 8 mM α-ketoglutarate. Assay conditions for GOT were: 75 mM potassium phosphate (equimolar mixture of K2HPO4 and KH2PO4), 0.2 mM pyridoxal phosphate, 0.2 mM NADH, 40 mM α-ketoglutarate, 12.5 U/mL malate dehydrogenase, and 438 mM aspartate. Assay conditions for GPT were: 75 mM potassium phosphate (equimolar mixture of K2HPO4 and KH2PO4), 0.2 mM pyridoxal phosphate, 0.2 mM NADH, 10 mM α-ketoglutarate, 3 U/mL lactate dehydrogenase, and 1 M alanine. Reactions were initiated by addition of α-ketoglutarate, and were carried out at room temperature. Negative controls lackingα-ketoglutarate or cell lysate were run in parallel. For all enzymes, activity was determined by the change in absorbance at 340 nm, using a VersaMax spectrophotometer and Softmax Pro software (Molecular Devices). OD readings were taken every 8–10 s for at least 20 minutes, and rate was calculated from the linear portion of the curve. A340 values were converted into substrate concentrations using Beer’s Law (A=εLc, where A is absorption, ε is the extinction coefficient, L is the path length, and c is concentration) and the extinction coefficient of NADH (6.22 mmol−1•cm−1•l). The reported rates represent the averages of three independent experiments, each with triplicate samples (± S.D.).
Statistics
All statistical analyses were performed using Prism Version 5 software (GraphPad). The minimal level of confidence at which experimental results were considered significant was p<0.05. Statistical significance between samples in proliferation assays, and between glutamine and glutamate uptake, was determined by two-way ANOVA with Bonferroni post-test analysis. Statistical significance of glutamine uptake was determined by one-way ANOVA with Bonferroni post-test analysis, or by two-tailed t test. Statistical significance of enzyme activity assays in resting vs. stimulated T cells was determined by two-tailed t test.
Results
T cell activation is absolutely dependent on extracellular glutamine
In order to define the amino acid requirements for T cell activation, splenic T cells were stimulated in tissue culture medium depleted of individual amino acids, and proliferation in culture was measured. Not surprisingly, removal of any of the “essential” amino acids (V, L, I, F, W, K, T, M), which cannot be synthesized by mammalian cells, blocked T cell proliferation (data not shown). However, we also found that several “non-essential” amino acids were required for T cell proliferation, and the removal of glutamine consistently gave the strongest inhibition of any amino acid. Reducing glutamine levels by as little as 50% produced a detectable impairment in T cell proliferation, and reduction below 10% of normal culture levels led to an absolute proliferation block (Figure 1A). Similarly, removal of glutamine blocked secretion of interleukin-2 (IL-2, Figure 1B) and interferon-γ (IFN-γ, Figure 1C) by activated T cells. Depletion of other amino acids had variable effects on cytokine production, but glutamine was unique in being absolutely required for both IL-2 and IFN-γ. Notably, no other single depletion inhibited IL-2 production by more than 50%, and the “essential” amino acid leucine was not required for either IL-2 or IFN- γ secretion (data not shown).
Figure 1.
T cell activation requires high levels of glutamine. (A) C57BL/6J splenocytes were stimulated with titrated amounts of anti-CD3 antibody in medium containing the indicated concentration of glutamine. 2 mM is the standard glutamine concentration in RPMI1640 medium. Proliferation was measured after 3 days of stimulation. Means at a given antibody concentration without a common letter differ from each other and from 0 mM glutamine, P<0.05. Means with no letter do not differ significantly from 0 mM glutamine. (B, C) C57BL/6J splenocytes were stimulated for 36 hours with 1 μg/mL anti-CD3 antibody in complete (2 mM glutamine) or glutamine-free RPMI1640 medium, and IL-2 (B) and IFN-γ (C) levels were measured in culture supernatants. For resting samples, cells were cultured in complete medium in the absence of anti-CD3 antibody. *, P<0.01, ***, P<0.0001. All results are representative of at least 3 independent experiments.
The concentration of glutamine in RPMI1640 culture medium is 2 mM, which is over 30% of the total amino acid pool. Thus, it is possible that glutamine depletion has such a dramatic effect because there are insufficient levels of other amino acids to compensate. We therefore tested whether supplementing the medium with glutamic acid, which is readily converted into glutamine, could restore T cell proliferation in glutamine-free medium. As shown in Figure 2A, even medium supplemented with an extra 2 mM glutamic acid was unable to support T cell proliferation. Similarly, supplementing the medium with either 2 mM proline or 2 mM asparagine, each of which can serve as a precursor to synthesize glutamine, was unable to restore T cell proliferation in glutamine-free medium (Figure 2B). Glutamate, asparagine, and proline were also unable to substitute for glutamine in supporting cytokine production (data not shown). Thus, T cells specifically require glutamine for activation, consistent with previous studies using mitogenic lectins to activate lymphocytes (1).
Figure 2.
Biosynthetic precursors cannot substitute for glutamine in T cell activation. C57BL/6J splenocytes were stimulated as in Figure 1A, in complete medium or glutamine-free medium, or in glutamine-free medium supplemented with 2 mM glutamate (A), asparagine (B), or proline (B). Proliferation was measured after 3 days of stimulation. ***Different from glutamine-free, P<0.001. *Different from glutamine-free; P<0.05. All results are representative of at least 3 independent experiments.
Proliferation and cytokine secretion are relatively late events in T cell activation. In order to determine whether glutamine depletion also inhibits earlier events, we examined the expression of T cell surface markers after 24 hours of stimulation (Figure 3A–C). T cells stimulated in complete or glutamine-free medium induced expression of CD69, CD25, and CD98/4F2hc comparably, indicating that cells are able to initiate activation events in the absence of glutamine. However, cell growth was severely impaired in glutamine-free medium, as seen by the reduced forward scatter values (Figure 3D). Thus, T cells require glutamine for growth, cytokine secretion, and proliferation, but not for expression of activation markers, largely consistent with the findings of Hörig et al. (17).
Figure 3.
Glutamine is not required for induction of early T cell activation markers. Purified C57BL/6J T cells were stimulated for 24 hours with immobilized anti-CD3 and anti-CD28 antibodies in complete or glutamine-free medium. Cells were stained with PE-conjugated anti-CD69 (A), anti-CD25 (B), or anti-CD98 (C) antibodies and analyzed by flow cytometry. For resting samples, cells were cultured in complete medium in the presence of immobilized control hamster antibodies. (D) Forward scatter (FSC) plots of the T cells analyzed in A–C. Results are representative of 3 independent experiments.
T cell activation selectively increases glutamine uptake
The requirement for glutamine during T cell activation, and the inability of metabolic precursors to serve as substitutes, suggested that activated T cells would consume glutamine at a substantially higher rate than resting cells. To test this, glutamine uptake rates in unstimulated and 24 hour-stimulated T cells were compared. We consistently saw a 5–10-fold induction of glutamine uptake in activated T cells, relative to unstimulated controls (Figure 4A). Similar to previous findings with glucose uptake and metabolism (24), the enhanced glutamine uptake required CD28 costimulation (Figure 4B), implicating CD28 more broadly in metabolic control of T cells.
Figure 4.
T cells selectively enhance glutamine uptake during activation. (A) Purified T cells were cultured for 24 hours with either control hamster IgG (rest) or anti-CD3 plus anti-CD28 antibodies (24 hr stim), and glutamine uptake was measured. ***Different from rest, P<0.001. (B) Purified T cells were stimulated with either control hamster IgG (rest), anti-CD3 antibodies alone (CD3), or anti-CD3 plus anti-CD28 antibodies (CD3/28), and glutamine uptake was measured. (C) Purified T cells were stimulated as in A, and rates of uptake of glutamine and glutamate were measured. ***Different, P<0.001. (D) Constitutive glutamine uptake in EL-4 lymphoma cells was compared to uptake in resting and stimulated T cells. Means without a common letter differ, P<0.01. (E) Rates of constitutive glutamine and glutamate uptake were measured in EL-4 lymphoma cells. **Different from glutamate, P<0.01. All results are representative of at least 3 independent experiments, except for (B), which is representative of 2 independent experiments.
The increased uptake by activated T cells could be specific to glutamine, or might be part of a general increase in amino acid utilization. To distinguish these possibilities, we compared the changes in glutamine and glutamate uptake during T cell activation. As seen in Figure 4C, import of glutamine was induced by T cell activation, but glutamate uptake in activated T cells was comparable to uptake in resting cells. Thus, activated T cells selectively enhance glutamine uptake. Strikingly, the T lymphoma cell line EL-4 constitutively imported glutamine at an even higher rate than activated T cells (Figure 4D), and had a similarly strong preference for glutamine over glutamate (Figure 4E).
T cell activation induces expression of glutamine transporters
The increase in glutamine uptake during T cell activation suggested that expression of glutamine transporters was also induced. Although cells can import glutamine via multiple systems, the major glutamine transporters are members of the sodium-dependent neutral amino acid transporter (SNAT) family (25). We therefore used quantitative real-time PCR to measure SNAT mRNA expression levels during T cell activation. As shown in Figure 5A, stimulation of T cells through CD3 and CD28 induced expression of SNAT1 and SNAT2, with SNAT1 being induced more rapidly and to a higher level. mRNA expression peaked at 8 hours, and had begun to fall by 24 hours. Thus, induction of glutamine transporter gene expression is consistent with the increased glutamine uptake after T cell activation.
Figure 5.
T cell activation induces expression of SNAT transporters. (A) Purified C57BL/6J T cells were stimulated with immobilized anti-CD3 and anti-CD28 antibodies for the indicated times. SNAT1 and SNAT2 mRNA levels were determined by quantitative real-time PCR. (B) Purified T cells were stimulated for the indicated times, and surface proteins were biotinylated prior to lysis. SNAT2 protein was precipitated from lysates with anti-SNAT2 antibody, resolved by SDS-PAGE, and detected with avidin-HRP. The predicted mobility of SNAT2 is indicated to the left. Results are representative of 3 (A) or 2 (B) independent experiments.
In addition to overall transporter levels, nutrient transport can be regulated by cellular localization of the transporter proteins. For SNAT1 and SNAT2, it has been found that the bulk of the protein is located in intracellular vesicles (25), suggesting that increased transport may be due to a combination of increased protein expression and relocation of transporters from intracellular stores to the cell surface. We examined surface levels of SNAT2 during T cell activation by biotinylation of total surface protein, followed by immunoprecipitation of SNAT2 and detection by avidin-HRP. Immediately after stimulation, there was a moderate increase in surface SNAT2 levels, followed by a large increase after 15–18 hours (Figure 5B). Stimulation also induced changes in the pattern of surface proteins that associated with SNAT2 (seen as co-precipitating bands), suggesting that glutamine transport may be further regulated by proteins that interact with the transporters.
Glutamine uptake in T cells is regulated by ERK activity
The importance of glutamine for T cell function, and the large increase in glutamine uptake during activation, suggested that glutamine utilization might be regulated by T cell receptor (TCR)-initiated signals. TCR ligation results in activation of multiple signal transduction pathways, including members of the mitogen-activated protein kinase (MAPK) family (26). The MAPK family member extracellular signal regulated kinase (ERK) has been implicated in the control of SNAT expression and transport activity in response to amino acid starvation (27, 28).
We therefore tested whether ERK activity was required for the increase in glutamine uptake during T cell activation. T cells were stimulated in the presence or absence of the MEK inhibitor PD98059, which blocks ERK activation, and glutamine uptake was determined. As shown in Figure 6, 40 μM PD98059 (a concentration that inhibits MEK1 and MEK2, but not other kinases (29)) completely blocked the increased glutamine uptake. This was not due to a global block in activation, as PD98059 had little or no effect on the induction of several activation markers, including CD69 and CD98 (data not shown). Thus, ERK acts downstream of TCR/CD28 signaling to positively regulate glutamine uptake.
Figure 6.
Glutamine uptake in activated T cells is regulated by ERK signaling. Purified T cells were stimulated in the presence or absence of the ERK inhibitor PD98059 (40 μM), and glutamine uptake was measured as in Figure 4. **Different, P<0.01. Results are representative of 3 independent experiments.
T cell activation induces enzymes involved in glutamine metabolism
One possible explanation for the dependence of T cells on glutamine is that T cells use glutamine as a primary energy source. Although T cells are highly glycolytic, most pyruvate is converted to lactate rather than oxidized in the Krebs cycle (24, 30, 31). It has been suggested that glutamine serves as an alternate Krebs cycle substrate for lymphocytes (1, 3). We therefore examined the expression and activity of key enzymes in this metabolic pathway.
A major route of glutamine metabolism is initiated by the enzyme glutaminase, which hydrolyzes glutamine to produce glutamate. T cell activation induced glutaminase activity, consistent with an important role for glutamine in T cell function (Figure 7A). As with glutamine uptake, glutaminase activity in EL-4 cells was constitutively high (Figure 7A). Glutaminase mRNA was also induced early after T cell stimulation, peaking at 3 hours (Figure 7B). We have found that IL-2 mRNA also becomes readily detectable at 3 hours post-stimulation (data not shown), indicating that changes in glutamine metabolism occur with similar kinetics to other early T cell activation events.
Figure 7.
T cell activation induces enzymes involved in glutamine metabolism. (A) Purified T cells were cultured for 24 hours with immobilized control (rest) or anti-CD3 plus anti-CD28 (stim) antibodies, in the presence or absence of 40 μM PD98059 (stim + PD), and enzymatic activity of glutaminase was measured. Glutaminase activity in continuously growing EL-4 cells was also measured. (B) T cells were cultured with control (rest) or anti-CD3 plus anti-CD28 antibodies for the indicated times, in the presence or absence of 40 μM PD98059 (stim + PD), and glutaminase mRNA levels were determined by quantitative real-time PCR. (C) Purified T cells were cultured as in (A), and enzymatic activities of GDH, GOT, and GPT were measured. (D) Activities of GDH, GOT, and GPT in continuously growing EL-4 cells were determined. Means without a common letter differ, P<0.05. All results are representative of at least 3 independent experiments.
The entry point into the Krebs cycle for glutamine is α-ketoglutarate. We therefore examined the enzymes glutamate dehydrogenase (GDH), glutamic-oxaloacetic transaminase (GOT), and glutamic-pyruvic transaminase (GPT), each of which converts glutamate to α-ketoglutarate. GDH catalyzes the oxidative deamination of glutamate, producing ammonia and reducing NAD+ to NADH. GOT and GPT transfer the amine group from glutamate to oxaloacetate and pyruvate, producing aspartate and alanine, respectively. The activities of all three enzymes were induced by T cell activation, but GOT activity was greater than the activities of GDH and GPT combined (Figure 7C). This is consistent with analysis of glutamine metabolism in lymphocytes, as ammonia generation appears limited mainly to the initial step (deamidation to glutamate) and aspartate is a major product (1, 3). Notably, the activity of glutaminase was consistently lower than the activity of GDH or GOT, for both resting and activated cells, indicating that glutaminase activity is likely limiting for glutamine metabolic flux. EL-4 lymphoma cells demonstrated constitutively high enzyme activities, with GOT and GPT activities nearly 10 times the level found in activated T cells, but GOT remained the dominant enzyme (Figure 7D). As with glutamine uptake, induction of all four enzymes during T cell activation was blocked by ERK inhibition (Figure 7A–C). Thus, ERK signaling serves as a common regulatory pathway for both uptake and metabolism of glutamine in T cells.
Discussion
The role of metabolism as a regulator of cellular function has recently attracted increasing attention. There is a growing sentiment that metabolic pathways do not merely respond to changing conditions to maintain homeostasis, but are important participants in defining the activation state of a cell, and can respond to signal transduction events. Much of this renewed attention has come from studies demonstrating that altered glucose and glutamine metabolism is important for tumor cell growth and survival (32–35). However, rather than being limited to transformed cells, similar changes in cellular metabolism are likely to be important for any rapidly dividing cells, included activated T cells (36, 37).
In order to investigate the regulation of amino acid utilization by T cells, we began by testing the importance of individual amino acids for T cell activation. We found that T cells have an absolute requirement for a large external supply of glutamine, and that even moderate reductions within the normal physiological range impair T cell function. Other amino acids, including direct biosynthetic precursors, cannot substitute for glutamine, indicating that the need for glutamine is not simply due to insufficient levels of other nutrients in tissue culture medium.
This dependence on glutamine is similar to results found for unfractionated human and rodent lymphocytes stimulated with the T cell mitogens concanavalin A (Con A) and phytohemagglutinin (PHA) (16–19). However, in these systems, T cells represent 50% or less of the total cell population. This makes it difficult to assign metabolic effects directly to T cells, since activated T cells may in turn regulate the metabolism of other cells (e.g. via cytokines and/or direct cell-cell contact, or by changing the metabolite composition of culture medium). In addition, Con A and PHA likely stimulate cells by clustering large numbers of surface receptors, including some that might not normally be involved in T cell activation. Our results confirm the importance of glutamine in a more defined system, using purified T cells and specific stimulation via CD3 and CD28. Notably, we were able to show a specific requirement for CD28 costimulation, similar to previous studies of glucose metabolism (24). It thus appears that CD28 is important for regulation of T cell metabolism more generally, possibly serving as a point of coordination for many metabolic pathways.
Glutamine is non-essential in the diet, and is readily synthesized by mammalian cells (and is used by many as a mechanism of nitrogen excretion). Lymphocytes have been found to express glutamine synthetase activity (38), suggesting that they are also able to synthesize glutamine from glutamate. It is therefore unclear why T cells are unable to substitute other amino acids for glutamine. One possibility is that transport of other amino acids is insufficient to compensate for a lack of glutamine. We found that T cells increase glutamine uptake 5–10-fold upon activation, but fail to increase glutamate import. This is consistent with studies of the anionic amino acid transport system x−c, which appears to have low activity in lymphocytes (39–41). Thus, even in the presence of high glutamate levels, T cells would be unable to import enough to replace glutamine. In addition, import of a given amino acid is frequently influenced by the intracellular concentration of other amino acids (42). It is therefore possible that other amino acids are unable to replace glutamine because T cells cannot import them efficiently in the absence of a glutamine supply.
An alternative (and complementary) possibility is that glutamine is directly sensed in T cells, and so other amino acids cannot substitute for it. Amino acid sensing by mammalian cells is still poorly understood, and sensor pathways for glutamine have not been well characterized. Two major signaling kinases involved in amino acid sensing are the general control 2 (GCN2) kinase (43) and the target of rapamycin (TOR, known as mTOR in mammalian cells) kinase (44). Although sensing by GCN2 has been established for several amino acids in mammalian cells (45–48), studies examining GCN2 responsiveness to glutamine have not been reported. Investigation of glutamine sensing by mTOR has yielded conflicting results, with data indicating that mTOR activity may be dependent on (49), inhibited by (50), or insensitive to glutamine (51). Determining the roles of GCN2 and mTOR in glutamine responsiveness will require further study, and we are currently investigating this area.
Another attractive candidate for a glutamine sensor would be one or more of the proteins involved in glutamine transport (52). A transporter would have access to both intracellular and extracellular stores of glutamine, and could therefore use either pool for sensing. Glutamine is a favored substrate for the SNAT (SLC38) family of transporters (25), and we found that expression of SNAT1 and SNAT2 mRNA, as well as surface expression of SNAT2 protein, is induced by T cell activation. Notably, SNAT2 has been identified as a glutamine-responsive amino acid sensor (53). Hyde et al. have also implicated a separate, but unknown, JNK-dependent pathway for glutamine sensing (53), indicating that detection of individual amino acids may be complex, with overlapping and cooperating pathways contributing to the eventual response.
The absolute requirement of T cells for an external supply of glutamine and their high rate of T cell glutamine consumption suggest that T cells utilize glutamine for multiple roles beyond protein synthesis (14, 15, 54–56). The amide nitrogen of glutamine is used in the synthesis of nucleotides, NAD, and amino sugars, all of which are important for rapidly growing and dividing cells, such as activated T cells. However, it may be the production, and further metabolism, of glutamate that is of greatest importance. Although glutamate is a central component of many metabolic processes, the low glutamate uptake activity of T cells implies that they must generate glutamate intracellularly, most likely from the ample glutamine supply. We found that glutaminase gene expression and enzyme activity are both induced during T cell activity, consistent with this hypothesis. A recent report suggests that activated T cells may also serve as important suppliers of glutamate for other cell types (57), similar to the function of antigen presenting cells in providing reduced cysteine for T cells (58). Significantly, glutaminase activity appears to be rate-limiting for glutamine metabolism in activated T cells. It is therefore likely that glutaminase is a critical enzyme for T cells, and we are currently investigating further the regulation of glutaminase activity during T cell activation.
T cell activation induces metabolic enzymes that allow glutamate to enter the Krebs cycle (as α-ketoglutarate), namely GDH, GOT, and GPT. Our finding that GOT activity is highest among these three enzymes suggests that synthesis of aspartate is an important outcome of glutamine metabolism in T cells. This is consistent with observed rates of aspartate secretion by T cells (1, 3), and may also indicate poor aspartate uptake capacity, analogous to the limited ability to import glutamate. Aspartate is itself important for nucleotide synthesis, and so glutamine can contribute both directly, as a nitrogen donor, and indirectly, via production of aspartate. The partial oxidation of a-ketoglutarate in the Krebs cycle also produces ATP, potentially allowing activated T cells to divert glucose to other biosynthetic pathways (36, 37). It will therefore be important to examine glutamine metabolism in a broader context, tracking contributions of nitrogen and carbon atoms to downstream metabolites and macromolecules, and determining the interplay with other metabolic pathways.
The ability to coordinately regulate a wide range of metabolic pathways is important for cellular homeostasis in the face of changing conditions, but is also critical for cells undergoing changes in activation or differentiation state. The TOR signaling pathway is a well-established integrator of many cellular and extracellular cues, with both inputs and outputs connected to nutrient access and metabolism (reviewed in (44, 59)). Here we report that the ERK signaling pathway is another important regulator of cellular metabolism. ERK signaling is required for enhanced glutamine uptake and increased activity of key metabolic enzymes. ERK activation has also been found to be involved in the induction of System A transporter activity (mediated by expression of SNAT transporter proteins) in response to amino acid starvation in human fibroblasts (27) and Chinese hamster ovary cells (28). We have further found that ERK activity is required for TCR/CD28-induced changes in glucose metabolism (Marko et al., manuscript in preparation). Together, these results implicate ERK as another central player in cellular metabolic control.
Although ERK regulates glutamine uptake and metabolism in a coordinated fashion, it appears that multiple pathways are likely to be involved in these processes. Induction of glutaminase mRNA requires ERK activity, indicating that ERK regulates either transcription or stability of glutaminase mRNA. This differs from the induction of glutaminase via c-Myc, which blocks expression of regulatory microRNAs but does not appear to increase glutaminase mRNA itself (60). Thus, glutaminase expression is regulated by at least two distinct mechanisms.
The reliance of activated T cells on glutamine metabolism is strikingly similar to that of tumor cells, and may represent a common feature of all rapidly dividing cells (37, 61). However, the pattern of enzyme activity we observed (high GOT, low GPT) is distinct from the pattern recently reported for tumor (glioma) cells, in which GPT appeared to be the dominant activity (62). We found that the EL-4 lymphoma line showed a pattern of activity similar to that of activated T cells, albeit with higher levels for both enzymes, suggesting that GPT activity does not necessarily predominate in tumor cells. It remains unclear whether the differences between our findings and those of the Thompson group represent a divergence between tissue types or between the methods used to measure enzyme function, and analysis of a wider range of normal and tumor cells will be required to draw conclusions. However, this difference suggests the possibility that different aspects of glutamine metabolism may provide specificity for targeting therapeutics toward tumor cells vs. normal cells, or toward specific cell types (e.g. lymphocytes).
Acknowledgments
The authors thank Dr. Brooke D. Humphrey for technical assistance with real-time PCR primer design and for many helpful discussions, and Dr. Jeffrey C. Rathmell and Dr. Brian J. Bequette for critical reading of this manuscript.
Footnotes
This research was supported by funds from the NIH (K01 CA092156) and the Leukemia Research Foundation to K.A.F.
Abbreviations used in this paper: GCN2, general control 2; GDH, glutamate dehydrogenase; GOT, glutamic-oxaloacetic transaminase; GPT, glutamic-pyruvic transaminase; SNAT, sodium-dependent neutral amino acid transporter; TOR, target of rapamycin
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References
- 1.Ardawi MS, Newsholme EA. Glutamine metabolism in lymphocytes of the rat. Biochem J. 1983;212:835–842. doi: 10.1042/bj2120835. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Brand K, Williams JF, Weidemann MJ. Glucose and glutamine metabolism in rat thymocytes. Biochem J. 1984;221:471–475. doi: 10.1042/bj2210471. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Ardawi MS. Glutamine and glucose metabolism in human peripheral lymphocytes. Metabolism. 1988;37:99–103. doi: 10.1016/0026-0495(88)90036-4. [DOI] [PubMed] [Google Scholar]
- 4.Brand K, Fekl W, von Hintzenstern J, Langer K, Luppa P, Schoerner C. Metabolism of glutamine in lymphocytes. Metabolism. 1989;38:29–33. doi: 10.1016/0026-0495(89)90136-4. [DOI] [PubMed] [Google Scholar]
- 5.Koch B, Schroder MT, Schafer G, Schauder P. Comparison between transport and degradation of leucine and glutamine by peripheral human lymphocytes exposed to concanavalin A. J Cell Physiol. 1990;143:94–99. doi: 10.1002/jcp.1041430112. [DOI] [PubMed] [Google Scholar]
- 6.Nii T, Segawa H, Taketani Y, Tani Y, Ohkido M, Kishida S, Ito M, Endou H, Kanai Y, Takeda E, Miyamoto K. Molecular events involved in up-regulating human Na+-independent neutral amino acid transporter LAT1 during T-cell activation. Biochem J. 2001;358:693–704. doi: 10.1042/0264-6021:3580693. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Kilberg MS, Hutson RG, Laine RO. Amino acid-regulated gene expression in eukaryotic cells. FASEB J. 1994;8:13–19. doi: 10.1096/fasebj.8.1.8299885. [DOI] [PubMed] [Google Scholar]
- 8.Aulak KS, Mishra R, Zhou L, Hyatt SL, de Jonge W, Lamers W, Snider M, Hatzoglou M. Post-transcriptional regulation of the arginine transporter Cat-1 by amino acid availability. J Biol Chem. 1999;274:30424–30432. doi: 10.1074/jbc.274.43.30424. [DOI] [PubMed] [Google Scholar]
- 9.Fafournoux P, Bruhat A, Jousse C. Amino acid regulation of gene expression. Biochem J. 2000;351:1–12. doi: 10.1042/0264-6021:3510001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Ling R, Bridges CC, Sugawara M, Fujita T, Leibach FH, Prasad PD, Ganapathy V. Involvement of transporter recruitment as well as gene expression in the substrate-induced adaptive regulation of amino acid transport system A. Biochim Biophys Acta. 2001;1512:15–21. doi: 10.1016/s0005-2736(01)00310-8. [DOI] [PubMed] [Google Scholar]
- 11.Gazzola RF, Sala R, Bussolati O, Visigalli R, Dall’Asta V, Ganapathy V, Gazzola GC. The adaptive regulation of amino acid transport system A is associated to changes in ATA2 expression. FEBS Lett. 2001;490:11–14. doi: 10.1016/s0014-5793(01)02126-3. [DOI] [PubMed] [Google Scholar]
- 12.Hyde R, Christie GR, Litherland GJ, Hajduch E, Taylor PM, Hundal HS. Subcellular localization and adaptive up-regulation of the System A (SAT2) amino acid transporter in skeletal-muscle cells and adipocytes. Biochem J. 2001;355:563–568. doi: 10.1042/bj3550563. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Peng T, Golub TR, Sabatini DM. The immunosuppressant rapamycin mimics a starvation-like signal distinct from amino acid and glucose deprivation. Mol Cell Biol. 2002;22:5575–5584. doi: 10.1128/MCB.22.15.5575-5584.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Newsholme P, Curi R, Pithon Curi TC, Murphy CJ, Garcia C, Pires de Melo M. Glutamine metabolism by lymphocytes, macrophages, and neutrophils: its importance in health and disease. J Nutr Biochem. 1999;10:316–324. doi: 10.1016/s0955-2863(99)00022-4. [DOI] [PubMed] [Google Scholar]
- 15.Li P, Yin YL, Li D, Kim SW, Wu G. Amino acids and immune function. Br J Nutr. 2007;98:237–252. doi: 10.1017/S000711450769936X. [DOI] [PubMed] [Google Scholar]
- 16.Szondy Z, Newsholme EA. The effect of glutamine concentration on the activity of carbamoyl-phosphate synthase II and on the incorporation of [3H]thymidine into DNA in rat mesenteric lymphocytes stimulated by phytohaemagglutinin. Biochem J. 1989;261:979–983. doi: 10.1042/bj2610979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Horig H, Spagnoli GC, Filgueira L, Babst R, Gallati H, Harder F, Juretic A, Heberer M. Exogenous glutamine requirement is confined to late events of T cell activation. J Cell Biochem. 1993;53:343–351. doi: 10.1002/jcb.240530412. [DOI] [PubMed] [Google Scholar]
- 18.Yaqoob P, Calder PC. Glutamine requirement of proliferating T lymphocytes. Nutrition. 1997;13:646–651. doi: 10.1016/s0899-9007(97)83008-0. [DOI] [PubMed] [Google Scholar]
- 19.Yaqoob P, Calder PC. Cytokine production by human peripheral blood mononuclear cells: differential senstivity to glutamine availability. Cytokine. 1998;10:790–794. doi: 10.1006/cyto.1998.0358. [DOI] [PubMed] [Google Scholar]
- 20.Edinger AL, Thompson CB. Akt maintains cell size and survival by increasing mTOR-dependent nutrient uptake. Mol Biol Cell. 2002;13:2276–2288. doi: 10.1091/mbc.01-12-0584. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Masson J, Darmon M, Conjard A, Chuhma N, Ropert N, Thoby-Brisson M, Foutz AS, Parrot S, Miller GM, Jorisch R, Polan J, Hamon M, Hen R, Rayport S. Mice lacking brain/kidney phosphate-activated glutaminase have impaired glutamatergic synaptic transmission, altered breathing, disorganized goal-directed behavior and die shortly after birth. J Neurosci. 2006;26:4660–4671. doi: 10.1523/JNEUROSCI.4241-05.2006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Graham LT, Jr, Aprison MH. Distribution of some enzymes associated with the metabolism of glutamate, aspartate, gamma-aminobutyrate and glutamine in cat spinal cord. J Neurochem. 1969;16:559–566. doi: 10.1111/j.1471-4159.1969.tb06855.x. [DOI] [PubMed] [Google Scholar]
- 23.Ardawi MS, Newsholme EA. Maximum activities of some enzymes of glycolysis, the tricarboxylic acid cycle and ketone-body and glutamine utilization pathways in lymphocytes of the rat. Biochem J. 1982;208:743–748. doi: 10.1042/bj2080743. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Frauwirth KA, Riley JL, Harris MH, Parry RV, Rathmell JC, Plas DR, Elstrom RL, June CH, Thompson CB. The CD28 Signaling Pathway Regulates Glucose Metabolism. Immunity. 2002;16:769–777. doi: 10.1016/s1074-7613(02)00323-0. [DOI] [PubMed] [Google Scholar]
- 25.Mackenzie B, Erickson JD. Sodium-coupled neutral amino acid (System N/A) transporters of the SLC38 gene family. Pflugers Arch. 2004;447:784–795. doi: 10.1007/s00424-003-1117-9. [DOI] [PubMed] [Google Scholar]
- 26.Cantrell D. T cell antigen receptor signal transduction pathways. Annu Rev Immunol. 1996;14:259–274. doi: 10.1146/annurev.immunol.14.1.259. [DOI] [PubMed] [Google Scholar]
- 27.Franchi-Gazzola R, Visigalli R, Bussolati O, Dall’Asta V, Gazzola GC. Adaptive increase of amino acid transport system A requires ERK1/2 activation. J Biol Chem. 1999;274:28922–28928. doi: 10.1074/jbc.274.41.28922. [DOI] [PubMed] [Google Scholar]
- 28.Lopez-Fontanals M, Rodriguez-Mulero S, Casado FJ, Derijard B, Pastor-Anglada M. The osmoregulatory and the amino acid-regulated responses of system A are mediated by different signal transduction pathways. J Gen Physiol. 2003;122:5–16. doi: 10.1085/jgp.200308800. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Alessi DR, Cuenda A, Cohen P, Dudley DT, Saltiel AR. PD 098059 is a specific inhibitor of the activation of mitogen-activated protein kinase kinase in vitro and in vivo. J Biol Chem. 1995;270:27489–27494. doi: 10.1074/jbc.270.46.27489. [DOI] [PubMed] [Google Scholar]
- 30.Roos D, Loos JA. Changes in the carbohydrate metabolism of mitogenically stimulated human peripheral lymphocytes. II. Relative importance of glycolysis and oxidative phosphorylation on phytohaemagglutinin stimulation. Exp Cell Res. 1973;77:127–135. doi: 10.1016/0014-4827(73)90561-2. [DOI] [PubMed] [Google Scholar]
- 31.Hume DA, Radik JL, Ferber E, Weidemann MJ. Aerobic glycolysis and lymphocyte transformation. Biochem J. 1978;174:703–709. doi: 10.1042/bj1740703. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Lobo C, Ruiz-Bellido MA, Aledo JC, Marquez J, Nunez De Castro I, Alonso FJ. Inhibition of glutaminase expression by antisense mRNA decreases growth and tumourigenicity of tumour cells. Biochem J. 2000;348(Pt 2):257–261. [PMC free article] [PubMed] [Google Scholar]
- 33.Bonnet S, Archer SL, Allalunis-Turner J, Haromy A, Beaulieu C, Thompson R, Lee CT, Lopaschuk GD, Puttagunta L, Harry G, Hashimoto K, Porter CJ, Andrade MA, Thebaud B, Michelakis ED. A mitochondria-K+ channel axis is suppressed in cancer and its normalization promotes apoptosis and inhibits cancer growth. Cancer Cell. 2007;11:37–51. doi: 10.1016/j.ccr.2006.10.020. [DOI] [PubMed] [Google Scholar]
- 34.Vaughn AE, Deshmukh M. Glucose metabolism inhibits apoptosis in neurons and cancer cells by redox inactivation of cytochrome c. Nat Cell Biol. 2008;10:1477–1483. doi: 10.1038/ncb1807. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Zhao S, Lin Y, Xu W, Jiang W, Zha Z, Wang P, Yu W, Li Z, Gong L, Peng Y, Ding J, Lei Q, Guan KL, Xiong Y. Glioma-derived mutations in IDH1 dominantly inhibit IDH1 catalytic activity and induce HIF-1alpha. Science. 2009;324:261–265. doi: 10.1126/science.1170944. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Frauwirth KA, Thompson CB. Regulation of T lymphocyte metabolism. J Immunol. 2004;172:4661–4665. doi: 10.4049/jimmunol.172.8.4661. [DOI] [PubMed] [Google Scholar]
- 37.Vander Heiden MG, Cantley LC, Thompson CB. Understanding the Warburg effect: the metabolic requirements of cell proliferation. Science. 2009;324:1029–1033. doi: 10.1126/science.1160809. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Marchetti P, Ranelletti FO, Natoli V, Sica G, De Rossi G, Iacobelli S. Presence and steroid inducibility of glutamine synthetase in human leukemic cells. J Steroid Biochem. 1983;19:1665–1670. doi: 10.1016/0022-4731(83)90388-6. [DOI] [PubMed] [Google Scholar]
- 39.Ohmori H, Yamamoto I. Mechanism of augmentation of the antibody response in vitro by 2-mercaptoethanol in murine lymphocytes. I. 2-Mercaptoethanol-induced stimulation of the uptake of cystine, an essential amino acid. J Exp Med. 1982;155:1277–1290. doi: 10.1084/jem.155.5.1277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Ishii T, Sugita Y, Bannai S. Regulation of glutathione levels in mouse spleen lymphocytes by transport of cysteine. J Cell Physiol. 1987;133:330–336. doi: 10.1002/jcp.1041330217. [DOI] [PubMed] [Google Scholar]
- 41.Gmunder H, Eck HP, Droge W. Low membrane transport activity for cystine in resting and mitogenically stimulated human lymphocyte preparations and human T cell clones. Eur J Biochem. 1991;201:113–117. doi: 10.1111/j.1432-1033.1991.tb16263.x. [DOI] [PubMed] [Google Scholar]
- 42.Christensen HN. Role of amino acid transport and countertransport in nutrition and metabolism. Physiol Rev. 1990;70:43–77. doi: 10.1152/physrev.1990.70.1.43. [DOI] [PubMed] [Google Scholar]
- 43.Harding HP, Novoa I, Zhang Y, Zeng H, Wek R, Schapira M, Ron D. Regulated translation initiation controls stress-induced gene expression in mammalian cells. Mol Cell. 2000;6:1099–1108. doi: 10.1016/s1097-2765(00)00108-8. [DOI] [PubMed] [Google Scholar]
- 44.Schmelzle T, Hall MN. TOR, a central controller of cell growth. Cell. 2000;103:253–262. doi: 10.1016/s0092-8674(00)00117-3. [DOI] [PubMed] [Google Scholar]
- 45.Harding FA, McArthur JG, Gross JA, Raulet DH, Allison JP. CD28-mediated signalling co-stimulates murine T cells and prevents induction of anergy in T-cell clones. Nature. 1992;356:607–609. doi: 10.1038/356607a0. [DOI] [PubMed] [Google Scholar]
- 46.Zhang P, McGrath BC, Reinert J, Olsen DS, Lei L, Gill S, Wek SA, Vattem KM, Wek RC, Kimball SR, Jefferson LS, Cavener DR. The GCN2 eIF2alpha kinase is required for adaptation to amino acid deprivation in mice. Mol Cell Biol. 2002;22:6681–6688. doi: 10.1128/MCB.22.19.6681-6688.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Munn DH, Sharma MD, Baban B, Harding HP, Zhang Y, Ron D, Mellor AL. GCN2 kinase in T cells mediates proliferative arrest and anergy induction in response to indoleamine 2,3-dioxygenase. Immunity. 2005;22:633–642. doi: 10.1016/j.immuni.2005.03.013. [DOI] [PubMed] [Google Scholar]
- 48.Rodriguez PC, Quiceno DG, Ochoa AC. L-arginine availability regulates T-lymphocyte cell-cycle progression. Blood. 2007;109:1568–1573. doi: 10.1182/blood-2006-06-031856. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Fumarola C, La Monica S, Guidotti GG. Amino acid signaling through the mammalian target of rapamycin (mTOR) pathway: Role of glutamine and of cell shrinkage. J Cell Physiol. 2005;204:155–165. doi: 10.1002/jcp.20272. [DOI] [PubMed] [Google Scholar]
- 50.Nakajo T, Yamatsuji T, Ban H, Shigemitsu K, Haisa M, Motoki T, Noma K, Nobuhisa T, Matsuoka J, Gunduz M, Yonezawa K, Tanaka N, Naomoto Y. Glutamine is a key regulator for amino acid-controlled cell growth through the mTOR signaling pathway in rat intestinal epithelial cells. Biochem Biophys Res Commun. 2005;326:174–180. doi: 10.1016/j.bbrc.2004.11.015. [DOI] [PubMed] [Google Scholar]
- 51.Hara K, Yonezawa K, Weng QP, Kozlowski MT, Belham C, Avruch J. Amino acid sufficiency and mTOR regulate p70 S6 kinase and eIF-4E BP1 through a common effector mechanism. J Biol Chem. 1998;273:14484–14494. doi: 10.1074/jbc.273.23.14484. [DOI] [PubMed] [Google Scholar]
- 52.Hyde R, Taylor PM, Hundal HS. Amino acid transporters: roles in amino acid sensing and signalling in animal cells. Biochem J. 2003;373:1–18. doi: 10.1042/bj20030405. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Hyde R, Cwiklinski EL, MacAulay K, Taylor PM, Hundal HS. Distinct sensor pathways in the hierarchical control of SNAT2, a putative amino acid transceptor, by amino acid availability. J Biol Chem. 2007;282:19788–19798. doi: 10.1074/jbc.M611520200. [DOI] [PubMed] [Google Scholar]
- 54.McKeehan WL. Glycolysis, glutaminolysis and cell proliferation. Cell Biol Int Rep. 1982;6:635–650. doi: 10.1016/0309-1651(82)90125-4. [DOI] [PubMed] [Google Scholar]
- 55.Newsholme EA, Calder PC. The proposed role of glutamine in some cells of the immune system and speculative consequences for the whole animal. Nutrition. 1997;13:728–730. doi: 10.1016/s0899-9007(97)83034-1. [DOI] [PubMed] [Google Scholar]
- 56.Newsholme P. Why is L-glutamine metabolism important to cells of the immune system in health, postinjury, surgery or infection? J Nutr. 2001;131:2515S–2522S. doi: 10.1093/jn/131.9.2515S. discussion 2523S–2514S. [DOI] [PubMed] [Google Scholar]
- 57.Garg SK, Banerjee R, Kipnis J. Neuroprotective immunity: T cell-derived glutamate endows astrocytes with a neuroprotective phenotype. J Immunol. 2008;180:3866–3873. doi: 10.4049/jimmunol.180.6.3866. [DOI] [PubMed] [Google Scholar]
- 58.Angelini G, Gardella S, Ardy M, Ciriolo MR, Filomeni G, Di Trapani G, Clarke F, Sitia R, Rubartelli A. Antigen-presenting dendritic cells provide the reducing extracellular microenvironment required for T lymphocyte activation. Proc Natl Acad Sci (USA) 2002;99:1491–1496. doi: 10.1073/pnas.022630299. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Yang X, Yang C, Farberman A, Rideout TC, de Lange CF, France J, Fan MZ. The mammalian target of rapamycin-signaling pathway in regulating metabolism and growth. J Anim Sci. 2008;86:E36–50. doi: 10.2527/jas.2007-0567. [DOI] [PubMed] [Google Scholar]
- 60.Gao P, Tchernyshyov I, Chang TC, Lee YS, Kita K, Ochi T, Zeller KI, De Marzo AM, Van Eyk JE, Mendell JT, Dang CV. c-Myc suppression of miR-23a/b enhances mitochondrial glutaminase expression and glutamine metabolism. Nature. 2009;458:762–765. doi: 10.1038/nature07823. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.DeBerardinis RJ, Lum JJ, Hatzivassiliou G, Thompson CB. The biology of cancer: metabolic reprogramming fuels cell growth and proliferation. Cell Metab. 2008;7:11–20. doi: 10.1016/j.cmet.2007.10.002. [DOI] [PubMed] [Google Scholar]
- 62.DeBerardinis RJ, Mancuso A, Daikhin E, Nissim I, Yudkoff M, Wehrli S, Thompson CB. Beyond aerobic glycolysis: transformed cells can engage in glutamine metabolism that exceeds the requirement for protein and nucleotide synthesis. Proc Natl Acad Sci (USA) 2007;104:19345–19350. doi: 10.1073/pnas.0709747104. [DOI] [PMC free article] [PubMed] [Google Scholar]