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Systematic review of glycolytic reprogramming in macrophages during bacterial infection reveals metabolic-immune coupling mechanisms.

Systematic review of glycolytic reprogramming in macrophages during bacterial infection reveals meta…
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Key Takeaway
Note that metabolic remodeling in macrophages offers a conceptual framework for future therapies against resistant infections, though immunological consequences remain incompletely defined.

This systematic review investigated the relationship between glycolytic reprogramming and immune responses within macrophages in the context of bacterial infection. The review focused on how metabolic networks influence immune function during infection.

The main findings suggest that metabolic remodeling serves as an integral immunoregulatory platform. Key metabolic components are shown to couple metabolic flux with inflammatory gene transcription, effectively balancing inflammasome activation against interferon responses. Furthermore, metabolites mediate immunomodulation through post-translational modifications, while diverse bacterial pathogens exploit these metabolic networks for immune evasion.

The review notes that immunological consequences of these metabolic shifts remain incompletely defined. Consequently, while the review identifies novel targetable pathways and offers a conceptual framework for developing innovative therapeutic strategies against persistent and antibiotic-resistant infections, direct clinical translation remains uncertain due to the lack of defined outcomes and safety profiles.

The practice relevance of this work lies in its identification of novel targetable pathways, offering a conceptual framework for developing innovative therapeutic strategies against persistent and antibiotic-resistant infections.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
Macrophage glycolytic reprogramming during bacterial infection is a recognized metabolic shift with profound yet incompletely defined immunological consequences. This review delineates how this metabolic remodeling extends beyond energy provision to function as an integral immunoregulatory platform. We systematically examine the dual roles of key metabolic components, including the conformational dynamics of pyruvate kinase M2 that couple metabolic flux with inflammatory gene transcription, and the NAD+/NADH ratio that balances inflammasome activation against interferon responses. The review further explores how metabolites like lactate, succinate, and itaconate mediate immunomodulation through novel post-translational modifications, including histone lactylation and protein succinylation. Crucially, we analyze how diverse bacterial pathogens such as Salmonella and Mycobacterium tuberculosis exploit these metabolic networks for immune evasion. By integrating recent advances in host immunometabolism with bacterial pathogenesis, this work not only deciphers critical molecular dialogues at the host-pathogen interface but also identifies novel targetable pathways, offering a conceptual framework for developing innovative therapeutic strategies against persistent and antibiotic-resistant infections.
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