MTHFD2 is a metabolic checkpoint controlling effector and regulatory T cell fate and function. Author Ayaka Sugiura, Gabriela Andrejeva, Kelsey Voss, Darren Heintzman, Xincheng Xu, Matthew Madden, Xiang Ye, Katherine Beier, Nowrin Chowdhury, Melissa Wolf, Arissa Young, Dalton Greenwood, Allison Sewell, Shailesh Shahi, Samantha Freedman, Alanna Cameron, Patrik Foerch, Tim Bourne, Juan García-Cañaveras, John Karijolich, Dawn Newcomb, Ashutosh Mangalam, Joshua Rabinowitz, Jeffrey Rathmell Publication Year 2022 Type Journal Article Abstract Antigenic stimulation promotes T cell metabolic reprogramming to meet increased biosynthetic, bioenergetic, and signaling demands. We show that the one-carbon (1C) metabolism enzyme methylenetetrahydrofolate dehydrogenase 2 (MTHFD2) regulates de novo purine synthesis and signaling in activated T cells to promote proliferation and inflammatory cytokine production. In pathogenic T helper-17 (Th17) cells, MTHFD2 prevented aberrant upregulation of the transcription factor FoxP3 along with inappropriate gain of suppressive capacity. MTHFD2 deficiency also promoted regulatory T (Treg) cell differentiation. Mechanistically, MTHFD2 inhibition led to depletion of purine pools, accumulation of purine biosynthetic intermediates, and decreased nutrient sensor mTORC1 signaling. MTHFD2 was also critical to regulate DNA and histone methylation in Th17 cells. Importantly, MTHFD2 deficiency reduced disease severity in multiple in vivo inflammatory disease models. MTHFD2 is thus a metabolic checkpoint to integrate purine metabolism with pathogenic effector cell signaling and is a potential therapeutic target within 1C metabolism pathways. Keywords Animals, Disease Models, Animal, Mice, Humans, Signal Transduction, Mutation, Mice, Transgenic, Cell Differentiation, Inflammation, DNA Methylation, Cytokines, Mechanistic Target of Rapamycin Complex 1, Lymphocyte Activation, Methylenetetrahydrofolate Dehydrogenase (NADP), Purines, Inflammation Mediators, T-Lymphocytes, Regulatory, Th17 Cells Journal Immunity Volume 55 Issue 1 Pages 65-81.e9 Date Published 2022 Jan 11 ISSN Number 1097-4180 DOI 10.1016/j.immuni.2021.10.011 Alternate Journal Immunity PMCID PMC8755618 PMID 34767747 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML