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Comment
. 2021 Dec;22(12):1474-1476.
doi: 10.1038/s41590-021-01069-y.

Shortage of aspartate in mitochondria fuels arthritis

Affiliations
Comment

Shortage of aspartate in mitochondria fuels arthritis

Marc Scherlinger et al. Nat Immunol. 2021 Dec.

Abstract

In patients with rheumatoid arthritis, a short supply of aspartate in the mitochondria can force the endoplasmic reticulum of T cells to generate transmembrane TNF, which in turn contributes to synovial inflammation.

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Conflict of interest statement

Competing interests

The authors declare no competing interests

Figures

Figure 1
Figure 1. In RA a deficient aspartate shuttle from dysfunctional mitochondria drives TNF synthesis in T cells.
In T cells, aspartate is produced in the mitochondria from the tricarboxylic acid (TCA) cycle and shuttles to the cytosol to regenerate the electron acceptor nicotinamide adenine dinucleotide (NAD). NAD is a cofactor for ADP-ribosylation of proteins such as the chaperone protein BiP. However, in T cells from patients with RA a defective aspartate shuttle is responsible for reduced cytosolic NAD+ levels leading to a lack of BiP ADP-ribosylation. Under these conditions, BiP releases the endoplasmic reticulum (ER) stress protein IREα, which promotes ER expansion and the release of large quantities of TNF into the synovial tissue.

Comment on

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