Immunometabolic regulation of inflammation in aging and disease

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Abstract/Contents

Abstract
Alzheimer's disease (AD) is the 6th leading cause of death in the United States and over 43 million people have been diagnosed with AD worldwide. Aging is the number one risk factor for AD, with over 1 in 10 individuals above the age of 65 at risk for developing AD. While it was previously hypothesized that misfolded protein aggregates such as amyloid-beta (Aβ) were sufficient to cause symptomatic AD, more recent research suggests myeloid cells play a fundamental role in the progression of age-associated diseases such as AD. Specifically, circulating pro-inflammatory factors can promote cognitive decline and, in the brain, microglia lose the ability to maintain immune homeostasis and clear misfolded proteins that are associated with neurodegeneration. The molecular mechanisms, however, that initiate and sustain maladaptive inflammation with aging are not well understood. Here, we demonstrate that de novo NAD+ synthesis is active in innate immune cells and is required for maintenance of normal immune homeostasis in inflammation and aging. Specifically, there is a downregulation of quinolinate phosphoribosyl transferase (QPRT), the rate-limiting enzyme for de novo NAD+ synthesis, and replenishment of this enzyme results in rejuvenation of aged myeloid cells. In addition, we demonstrate that the myeloid EP2 receptor in the CNS and periphery converges on a metabolic node of glucose regulation in which glucose is sequestered in aged macrophages, preventing substrate access to the electron transport chain and fuel for oxidative phosphorylation. Coupled with increasing evidence that aged macrophages depend heavily on glucose as a fuel source, these findings reveal a breakdown in energy homeostasis within aging immune cells. Finally, by inhibiting the EP2 receptor in myeloid cells, we are able to restore cognitive function and immune homeostasis in a model of aging.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2021; ©2021
Publication date 2021; 2021
Issuance monographic
Language English

Creators/Contributors

Author Minhas, Paras Singh
Degree supervisor Long, Jonathan
Thesis advisor Long, Jonathan
Thesis advisor Mochly-Rosen, Daria
Thesis advisor Rando, Thomas A
Thesis advisor Wang, Xinnan
Degree committee member Mochly-Rosen, Daria
Degree committee member Rando, Thomas A
Degree committee member Wang, Xinnan
Associated with Stanford University, Neurosciences Program

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Paras S. Minhas.
Note Submitted to the Neurosciences Program.
Thesis Thesis Ph.D. Stanford University 2021.
Location https://purl.stanford.edu/pm746tp3994

Access conditions

Copyright
© 2021 by Paras Singh Minhas
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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