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Canagliflozin impairs T cell effector function via metabolic suppression in autoimmunity

Benjamin Jenkins, Julianna Blagih, Fernando Ponce Garcia Orcid Logo, Mary Canavan, Nancy Gudgeon, Simon Eastham, David Hill, Megan M. Hanlon, Eric H. Ma, Emma L. Bishop, April Rees Orcid Logo, James Cronin Orcid Logo, Elizabeth C. Jury, Sarah K. Dimeloe, Douglas J. Veale, Cathy Thornton Orcid Logo, Karen H. Vousden, David K. Finlay, Ursula Fearon, Gareth W. Jones, Linda V. Sinclair, Emma E. Vincent, Nick Jones Orcid Logo

Cell Metabolism, Volume: 35, Issue: 7, Pages: 1132 - 1146.e9

Swansea University Authors: Benjamin Jenkins, Fernando Ponce Garcia Orcid Logo, April Rees Orcid Logo, James Cronin Orcid Logo, Cathy Thornton Orcid Logo, Nick Jones Orcid Logo

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Abstract

Augmented T cell function leading to host damage in autoimmunity is supported by metabolic dysregulation, making targeting immunometabolism an attractive therapeutic avenue. Canagliflozin, a type 2 diabetes drug, is a sodium glucose co-transporter 2 (SGLT2) inhibitor with known off-target effects on...

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Published in: Cell Metabolism
ISSN: 1550-4131 1932-7420
Published: Elsevier BV 2023
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa63534
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Abstract: Augmented T cell function leading to host damage in autoimmunity is supported by metabolic dysregulation, making targeting immunometabolism an attractive therapeutic avenue. Canagliflozin, a type 2 diabetes drug, is a sodium glucose co-transporter 2 (SGLT2) inhibitor with known off-target effects on glutamate dehydrogenase and complex I. However, the effects of SGLT2 inhibitors on human T cell function have not been extensively explored. Here, we show that canagliflozin-treated T cells are compromised in their ability to activate, proliferate, and initiate effector functions. Canagliflozin inhibits T cell receptor signaling, impacting on ERK and mTORC1 activity, concomitantly associated with reduced c-Myc. Compromised c-Myc levels were encapsulated by a failure to engage translational machinery resulting in impaired metabolic protein and solute carrier production among others. Importantly, canagliflozin-treated T cells derived from patients with autoimmune disorders impaired their effector function. Taken together, our work highlights a potential therapeutic avenue for repurposing canagliflozin as an intervention for T cell-mediated autoimmunity.
Keywords: Immunometabolism, T cell, CD4 T cell, gliflozins, canagliflozin, autoimmunity, human
College: Faculty of Medicine, Health and Life Sciences
Funders: MRC UKRI (MR/X000095/1)
Issue: 7
Start Page: 1132
End Page: 1146.e9