Itaconate modifications: Mechanisms and applications, 2025, Yingyi Yang et al

Mij

Senior Member (Voting Rights)
Abstract
Itaconate is a mitochondrial metabolite generated from the tricarboxylic acid cycle intermediate cis-aconitate by the enzyme aconitate decarboxylase 1 (ACOD1). Beyond its metabolic role, itaconate has emerged as a critical regulator of immune and inflammatory signaling. Together with its electrophilic derivatives (e.g., 4-octyl itaconate, dimethyl itaconate), it modulates diverse cellular processes through covalent post-translational modifications. These include S-itaconation, a cysteine-directed Michael addition primarily mediated by electrophilic derivatives, and K-itaconation, a lysine-targeted, reversible acylation involving an itaconyl-CoA intermediate derived from itaconate.

Such modifications influence multiple immune regulators – including Kelch-like ECH-associated protein 1 (KEAP1), stimulator of interferon response cGAMP interactor 1 (STING1), NLR family pyrin domain containing 3 (NLRP3), glutathione peroxidase 4 (GPX4), and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) – thereby modulating inflammation, oxidative stress, and cell death pathways such as pyroptosis and ferroptosis. Preclinical studies demonstrate that itaconate derivatives confer therapeutic benefits in sepsis, colitis, neurodegeneration, autoimmunity, and cancer.

By contrast, endogenous itaconate exhibits context-dependent effects, acting as either a pro-resolving or immunostimulatory metabolite. This review integrates current insights into itaconate biosynthesis, molecular targets, post-translational modifications, detection technologies, and translational potential, underscoring its emerging role as a master regulator of immunometabolic reprogramming and inflammatory control.
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Looking forward, the development of site-selective itaconate analogs, targeted delivery systems, and activity-based sensors will accelerate the translation of these findings into clinical applications. Moreover, integrating itaconate biology with emerging fields such as epitranscriptomics, metabolic immune checkpoint regulation, and immunometabolic crosstalk in the microbiota may reveal new layers of complexity and opportunity.

In summary, itaconate modifications represent a paradigm shift in how we view endogenous metabolites – not merely as byproducts of metabolism but as precision regulators of cellular function. Continued exploration of their mechanisms and translational potential holds promise for developing novel therapies that restore immune balance in disease.
 
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