RT Journal Article SR Electronic T1 MTHFD2 is a Metabolic Checkpoint Controlling Effector and Regulatory T Cell Fate and Function JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.02.03.428939 DO 10.1101/2021.02.03.428939 A1 Ayaka Sugiura A1 Gabriela Andrejeva A1 Kelsey Voss A1 Darren R. Heintzman A1 Katherine L. Beier A1 Melissa M. Wolf A1 Dalton Greenwood A1 Xiang Ye A1 Shailesh K. Shahi A1 Samantha N. Freedman A1 Alanna M. Cameron A1 Patrik Foerch A1 Tim Bourne A1 Xincheng Xu A1 Juan C. Garcia-Canaveras A1 Ashutosh K. Mangalam A1 Joshua D. Rabinowitz A1 Jeffrey C. Rathmell YR 2021 UL http://biorxiv.org/content/early/2021/02/03/2021.02.03.428939.abstract AB Antigenic stimulation promotes T cells metabolic reprogramming to meet increased biosynthetic, bioenergetic, and signaling demands. We show that the one-carbon (1C) metabolism enzyme Methylenetetrahydrofolate Dehydrogenase-2 (MTHFD2) is highly expressed in inflammatory diseases and induced in activated T cells to promote proliferation and produce inflammatory cytokines. In pathogenic Th17 cells, MTHFD2 also prevented aberrant upregulation of FoxP3 and suppressive capacity. Conversely, MTHFD2-deficiency enhanced lineage stability of regulatory T (Treg) cells. Mechanistically, MTHFD2 maintained cellular 10-formyltetrahydrofolate for de novo purine synthesis and MTHFD2 inhibition led to accumulation of the intermediate 5-aminoimidazole carboxamide ribonucleotide that was associated with decreased mTORC1 signaling. MTHFD2 was also required for proper histone de-methylation in Th17 cells. Importantly, inhibiting MTHFD2 in vivo reduced disease severity in Experimental Autoimmune Encephalomyelitis and Delayed-Type Hypersensitivity. MTHFD2 induction is thus a metabolic checkpoint for pathogenic effector cells that suppresses anti-inflammatory Treg cells and is a potential therapeutic target within 1C metabolism.Competing Interest StatementJCR has held stock equity in Sitryx and within the past two years has received unrelated research support, travel, and honorarium from Sitryx, Caribou, Nirogy, Kadmon, Calithera, Tempest, Merck, Mitobridge, and Pfizer. AMC, PF, and TB are employees of Sitryx.