Until now, immunometabolism has been defined as the impact that cellular metabolism may have on the development of the immune response, focusing mainly on cells that are part of the immune system, whether adaptive or innate. Indeed, many reviews focus on immune cells and the metabolic pathways involved in their activation and functionality. However, immunometabolism should also include the early responses established by parenchymal and connective cells after damage or infection. These responses are essential for the immune control of pathogens and the subsequent development of the immune responses themselves. That is why we are now going to shed light on the cells at the forefront during infection and how their metabolism, and its inherent control during the infection, can contribute to a more or less effective antiviral response.
a. Metabolic-dependent sensing of the viral genome and interferon secretion
During a viral infection, cells at the infection site develop an antiviral response based on the secretion of type I interferons (including IFN-α and β) and type III interferons (structurally related to the IL-10 family) [
113]. About type I interferons, infected cells will predominantly secrete IFN-β, while IFN-α subtypes concern immune cells and more particularly monocytes and dendritic cells.
The secretion of IFNs and the resulting antiviral response depend on the recognition of viral PAMPs by cellular PRRs. Viral nucleic acids are the most powerful mediators among the PAMPs capable of alerting the infected cell. The PRRs involved in the detection of these viral nucleic acids vary according to their type. The recognition of viral RNA in the cytosol of infected cells is based on the RIG-I-like receptor (RLR) family, which includes RIG-I and MDA5. RIG-I has shown the ability to bind RNA with motifs that are not found in mammals, such as 5'-PPP or 5'-PP caps [
114,
115]. On the other hand, detection through MDA5 remains to be explored, although MDA5 has been shown to be essential as a sensor for synthetic double-stranded RNA, such as the poly:IC and the picornaviruses [
116,
117]. In both cases, recognition is followed by a conformational change and oligomerization of RLRs via their Caspase Activation and Recruitment Domain (CARD). Subsequently, this domain becomes available to bind to the Mitochondrial Antiviral Signaling protein (MAVS) CARD domain, localized at the external mitochondrial membrane (
Figure 6) [
118,
119]. The RLR – MAVS interaction thus leads to the activation of IFN regulatory factors 3, 7 (IRF3, IRF7) and NF-κB. This activation occurs via a signaling cascade involving TNF3 receptor-associated factor (TRAF3), TANK-binding kinase 1 (TBK1) and IκB kinase-ε (IKKε), resulting in the secretion of type I and III IFNs (
Figure 6) [
120]. The detection of cytosolic DNA is based on the cGAS/STING axis, which, despite the introduction of other sensors, remains the most widely reported pathway in the literature. By detecting cytosolic dsDNA, cyclic GMP-AMP Synthase (cGAS) produces cyclic GMP-AMP (cGAMP) leading to the activation of Stimulator of Interferon Genes (STING) [
121]. In turn, STING forms a signaling complex with TBK1 inducing IRF3 and the expression of type I and III IFNs (
Figure 6) [
121]. At the endosomal level, TLRs 3, 7/8 and 9 respectively detect double-stranded DNA, single-stranded RNA and DNA containing unmethylated CpGs [
122]. Signaling by TLRs leads, via their own adaptor proteins (TIR domain Containing Adaptator Molecule 1 - TICAM1 and Myeloid Differentiation primary response 88 - MYD88), to the same transcriptional factors as for the RLR and cGAS/STING pathways, namely activation and dimerization of IRFs 3 and 7 [
122]. Finally, the viral genome can also be detected via sensors associated with the inflammasome, the nucleotide-binding oligomerization domain (NOD)-like receptors (NLRs) and particularly NLRP3 NOD-Like Receptor family, Pyrin domain containing 3 (NLRP3). This detection induces MAPK-dependent signaling, associated with the implementation of unspecific inflammatory signals [
123]. Additionally, signaling via MAVS leads as previously mentioned, to a more specific antiviral response [
122].
Figure 6.
Molecular mechanisms leading to the detection of viral genome. Detection of RNA or DNA from viral origin is dependent on several pathways acting in concert to establish a rapid and efficient antiviral response. These include the activation of RIG-I like (RLR) receptors, Toll-like (TLR) receptors but also of the inflammasome via NLRP3. In addition, cytosolic viral DNA or released DNA resulting from mitochondrial damages lead up to a detection through the cGAS/STING pathway. All these warning signals are integrated and lead to the activation of transcription factors common to these detection pathways, namely IRF3, IRF7 and NF-κB. These transcription factors interact with their promoters to enable the expression of type I and III interferons, on the one hand, and pro-inflammatory cytokines on the other.
Figure 6.
Molecular mechanisms leading to the detection of viral genome. Detection of RNA or DNA from viral origin is dependent on several pathways acting in concert to establish a rapid and efficient antiviral response. These include the activation of RIG-I like (RLR) receptors, Toll-like (TLR) receptors but also of the inflammasome via NLRP3. In addition, cytosolic viral DNA or released DNA resulting from mitochondrial damages lead up to a detection through the cGAS/STING pathway. All these warning signals are integrated and lead to the activation of transcription factors common to these detection pathways, namely IRF3, IRF7 and NF-κB. These transcription factors interact with their promoters to enable the expression of type I and III interferons, on the one hand, and pro-inflammatory cytokines on the other.
Interestingly, the recent discovery of the interplay between metabolism in signaling and the detection of the viral genome has been observed. For example, the role of lactate production in IFN regulation has recently been highlighted [
124]. Using a metabolomic approach in a model of human embryonic kidney cells (HEK293) stimulated with poly:IC, the down-regulation of glycolysis, illustrated by the decrease in all its intermediates, was demonstrated during the establishment of type I IFN production, dependent on the RLR pathway [
124]. In particular, the reduction in glycolysis observed during RLR signaling was associated with a reduction in mitochondrial localization of hexokinase 2 (HK2), which is essential for hexokinase to exert its full functionality. These data seem to suggest an inverse relationship between glycolysis and antiviral signaling, since inhibition of glycolysis, either by HK2 knockout or pharmacologically with 2-deoxyglucose inevitably, leads to an increase in TBK1-IRF3 signaling and IFN-β production [
124]. To support this idea, the same work highlighted the intrinsic inhibitory function of lactate on RLR activation. Knockdown of the PDHc subunit of pyruvate dehydrogenase led to the impairment of oxidative phosphorylation and accumulation of lactate. This lactate has been shown to interact with MAVS, limiting its mitochondrial localization, its association with RIG-I and its aggregation, all of which are essential for signaling in the IFN pathway (
Figure 7) [
124]. Furthermore, while lactate has a direct effect on MAVS, no deficits in the cGAS/STING pathway have been reported in these models [
124]. In parallel, and supporting the idea that oxidative phosphorylation, unlike glycolysis, favors MAVS signaling, the production of mitochondrial ROS has been shown to be essential for MAVS oligomerization (
Figure 7). Inhibition of mitochondrial ROS formation by MitoQ, an antioxidant that specifically targets mROS, results in a reduction in MAVS oligomerization and a subsequent lower secretion of IFN-β [
125]. Mitochondrial ROS are thought to be involved in the peroxidation of mitochondrial membrane lipids, in turn, the state of the mitochondrial membrane influences MAVS oligomerization [
126].
The link between metabolic pathways and viral genome detection has also been demonstrated in the cGAS/STING and TLRs pathways (
Figure 7). In T cells, inhibition of mTORC1, a complex involved in the control of metabolism and cell growth, led to a drastic reduction in the production of type I IFN compared to control cells, despite stimulation with cGAMP and a co-stimulation signal [
127]. The importance of mTORC1 on the activity of the cGAS/STING pathway was demonstrated pharmacologically using rapamycin but also in T cell from KO mice for Raptor, a subunit of the mTORC1, leading to a loss of activity of the complex [
127]. Investigation of the mechanism by which mTORC1 influences cGAS/STING led to evidence that two downstream factors of mTORC1 (i.e., 4E-BP1 and S6K1) would play a role in the antiviral axis, with S6K1 being preponderant (
Figure 7) [
127]. However, it has not been explored whether this effect was due to a variation in metabolism in particular, even though mTORC1 finely regulates T cell metabolism, notably during their activation. On the other hand, it has been previously reported that specific inhibition of S6K1 by PF-4708671 resulted in exacerbated glycolysis and inhibition of mitochondrial complex I, illustrating the intimate relationship between S6K1, oxidative phosphorylation and mitochondrial metabolism [
128,
129]. These data again support the importance of oxidative phosphorylation in the secretion of type I IFNs. In addition to its role in cellular metabolism, S6K1 interacts directly with STING via its kinase domain to form a tripartite S6K1-STING-TBK1 complex required for IRF3 activation [
130]. Similarly, the detection of the endosomal genome by TLRs appears to depend on mTORC1. In mouse pDCs, stimulation of TLR9 by its ligand in the presence of rapamycin resulted in lower type I IFN production, and this decrease was correlated with a reduction in IRF7 phosphorylation in rapamycin-treated cells [
131]. As previously mentioned, the pathway involving S6K downstream of mTORC1 appears to be involved [
130]. Endosomal RNA detection also seems to be affected when mTORC1 is inhibited, since immunization of mice with the Yellow Fever Virus vaccine strain (17D) in the presence of rapamycin results in a decrease in IFN-α/β secretion, this time linked to downregulation of signaling via TLR7 [
131]. Interestingly, the effect of mTORC1 appears to be limited to the cGAS/STING and TLR/MYD88 axes, since the use of poly:IC as an antagonist of RLRs in the presence of rapamycin does not result in a difference in IFN production compared to the control situation [
131]. Although these data were obtained in immune cells, it is reasonable to speculate that a similar function could be found in non-immune cells. Thus, the metabolic context at the time of infection influences the efficiency of interferon secretion.
Figure 7.
Involvement of metabolism in viral genome detection. The study of the influence of metabolic pathways on the detection of viral pathogens reveals the intricate relationship between metabolic players and viral genome detection. The mTORC1 pathway and S6K, which is a part of this major signaling pathway, have shown their role in promoting cGAS/STING and TLR-dependent detection pathways. On the other hand, aerobic glycolysis and its final metabolite, lactate, interact negatively with the RLR-dependent detection pathway, notably by inhibiting MAVS.
Figure 7.
Involvement of metabolism in viral genome detection. The study of the influence of metabolic pathways on the detection of viral pathogens reveals the intricate relationship between metabolic players and viral genome detection. The mTORC1 pathway and S6K, which is a part of this major signaling pathway, have shown their role in promoting cGAS/STING and TLR-dependent detection pathways. On the other hand, aerobic glycolysis and its final metabolite, lactate, interact negatively with the RLR-dependent detection pathway, notably by inhibiting MAVS.
b. Metabolic-dependent antiviral response
In fact, a metabolism suited to the secretion of type I and III IFNs is important, since the IFNs thus secreted, via an autocrine activation loop and a paracrine action, lead to the production of antiviral effectors [
132]. Because these two types of IFNs are secreted concomitantly, it is difficult to determine their intrinsic effect on the production of interferon stimulated genes (ISGs). Type I and III IFNs bind to their respective receptors, IFNAR1/2 and IFNLR1/IL-10Rβ, resulting in the phosphorylation and homodimerization of STAT1 or Gamma interferon Activation Factor (GAF). Additionally, it results in the formation of the Interferon Stimulated Genes Factor 3 (ISGF3) complex composed of IRF9 and phosphorylated STAT1 and 2 [
132]. ISGF3 then interacts with interferon-sensitive responsive element (ISRE), while GAF interacts with gamma interferon activation site (GAS), both leading to the expression of ISGs (
Figure 8) [
132]. ISGs include several antiviral effectors with different functions. While attachment has so far found few limiting factors, apart from heparanase [
133], entry is the target of several antiviral effectors, including Myxovirus resistance genes (MX1 and MX2) or proteins of the IFN-inducible transmembrane (IFITM) and tripartite motif (TRIM) families. MX1 and MX2 appear to limit the arrival of viral components in their destination compartment [
134,
135], while members of the IFITM family, found mainly in late endosomes and lysosomes, inhibit the entry of viruses using these pathways [
136,
137,
138]. However, their mechanism of action remains unclear, with some suggesting that they alter the endosomal acidification essential to the fusion process, while others argue that IFITMs may directly influence the physical properties of endosomal and lysosomal membranes [
139].
Figure 8.
Antiviral effectors and cell metabolism interactions. The binding of type I and III interferons (IFNs) to their respective receptors results, through the JAK/STAT pathway, in the nuclear translocation of ISGF3 and GAF factors. These factors interact with their respective promoters, ISRE and GAS, leading to the expression of interferon-stimulated genes (ISGs), which act as effectors in the antiviral response. During viral infection, several of these ISGs have exhibited antiviral activity, whether during virus entry, replication, or assembly. Other ISGs, such as ISG15, play a role in promoting the antiviral response by enhancing the activity of certain factors involved in this response. Metabolism and the antiviral response are intricately linked, particularly in the expression of antiviral effectors. Oxidative phosphorylation, for instance, tends to enhance the expression of certain interferon-stimulated genes (ISGs) like ISG15, ISG54, or ISG56. However, a duality in this response appears to exist, as some genes encoding antiviral effectors are more expressed during aerobic glycolysis, suggesting they might serve as a backup mechanism in the event of metabolic reprogramming during infection.
Figure 8.
Antiviral effectors and cell metabolism interactions. The binding of type I and III interferons (IFNs) to their respective receptors results, through the JAK/STAT pathway, in the nuclear translocation of ISGF3 and GAF factors. These factors interact with their respective promoters, ISRE and GAS, leading to the expression of interferon-stimulated genes (ISGs), which act as effectors in the antiviral response. During viral infection, several of these ISGs have exhibited antiviral activity, whether during virus entry, replication, or assembly. Other ISGs, such as ISG15, play a role in promoting the antiviral response by enhancing the activity of certain factors involved in this response. Metabolism and the antiviral response are intricately linked, particularly in the expression of antiviral effectors. Oxidative phosphorylation, for instance, tends to enhance the expression of certain interferon-stimulated genes (ISGs) like ISG15, ISG54, or ISG56. However, a duality in this response appears to exist, as some genes encoding antiviral effectors are more expressed during aerobic glycolysis, suggesting they might serve as a backup mechanism in the event of metabolic reprogramming during infection.
Among the ISGs inhibiting viral entry, the cholestrol-25-hydroxylase (CH25H) has been reported for several viruses, including DENV and ZIKV [
140]. The CD25H catalyzes the conversion of cholesterol into 25-hydroxy-cholesterol (25HC), an intermediate thought to be involved in the alteration of physicochemical properties of the membrane and thus, inhibiting the fusion of enveloped viruses [
9]. But 25HC possibly plays a post-entry role as an inhibitor of the sterol synthesis pathway, which is essential for viral progeny [
141,
142,
143,
144]. The translation of viral proteins is also a target for antiviral effectors, including proteins of the Interferon Induced Protein with Tetratricopeptide repeats family - IFIT (ISG56/IFIT1, ISG54/IFIT2), the protein kinase R (PKR) or ISG15. PKR and IFIT proteins regulate translation initiation by interacting with the initiation factors eiF2α, eiF3C or eiF3E [
145,
146,
147,
148]. In addition, certain proteins of the IFIT family have the ability to recognize type 0 caps (without 2-O-methylation) or type 1 caps (
m7GpppA
mN) leading to inhibition of translation [
149,
150]. ISG15 protein, a key player in ISGylation at the post-translational stages of viral and host proteins production, has shown multiple functions depending on the
ISGylated target [
151,
152,
153]. Going from IRF3 stabilization, maintaining downstream signaling, to increasing the affinity of 4EHP, a negative regulator of translation, for the 5’ cap of messenger RNAs, promoting its ability to inhibit translation [
152,
153]. The establishment of the replicative complex by deformation of the endoplasmic reticulum (ER) is an essential element in flavivirus replication. This phenomenon is complicated by the expression of Interferon α inducible protein 6 (IFI-6), which prevents the ER membrane invaginations required for the replicative complex [
154].
In a similar way to type I IFN secretion, we showed that the promotion of oxidative phosphorylation was favorable to the production of antiviral effectors in response to poly:IC stimulation. Indeed, the stimulation of galactose-cultured cells to increase their oxidative phosphorylation resulted in greater expression of ISG54 and ISG56, two antiviral effectors belonging to the IFIT family (
Figure 8) [
155]. This positive effect on ISGs expression was abolished in response to rotenone treatment, undeniably linking the observed effect to mitochondrial chain activity [
155]. Recently, we showed that up-regulation of antiviral effector production in galactose-grown cells was actually associated with anaplerotic feeding of TCA and OXPHOS by L-glutamine [
156]. Surprisingly, other colleagues have shown that high glucose, generally propitious to glycolysis, promotes the expression of an essential ISG for the control of Zika virus infection, namely viperin [
157]. These results contrast with our own. However, in this work, the expression of other ISG was not explored [
157]. We reconciled these data with our work, showing that cells cultured without L-glutamine, and therefore whose metabolism relies on glycolysis, expressed viperin and OAS1 to a greater extent in response to poly:IC. This observation was indeed related to the glycolytic metabolism of these cells, since the expression of viperin and OAS1 was reduced in the presence of 2-deoxyglucose, an inhibitor of glycolysis (
Figure 8) [
156]. Therefore, these two ISGs appear to be apart when compared with the other effectors we have studied. This reveals the possibility of a dichotomy in ISGs expression based on cellular metabolism, with some ISGs having greater expression in glycolytic context, while others are favored by oxidative phosphorylation and TCA. In addition, the extent to which a virus or a host relies on L-glutamine during infection remains an open and unresolved question in the literature [
158]. Is L-glutamine indispensable to the virus during replication, or does the host need it to produce an effective antiviral response [
158]? Our work has shown that even without a productive viral infection, L-glutamine is essential for mounting an antiviral response. However, some antiviral effectors do not require L-glutamine to be produced (such as viperin and OAS1). From a dependency point of view, it seems that viruses may have a greater requirement of L-glutamine for their progeny. It is also possible that this bivalence of the antiviral response is an evolutionary adaptation that enables a response to infection regardless of the metabolic context of the infected cell, particularly in the case of virus-induced metabolic reprogramming.
c. Viral-induced metabolic reprogramming and associated immune evasion
During infection, a virus uses all the cellular machinery and components at its disposal to replicate actively. Among the mechanisms employed by most viruses is the hijacking of the host's cellular metabolism. This enables the rapid production of large quantities of biomass (nucleotides, lipids, amino acids) and energy in the form of ATP. This ability to take control of host metabolism has recently been the focus of several in-depth reviews in the literature. Briefly, to meet their need for resources and energy, viruses induce in the infected cell an effect similar to that already identified by Warburg for cancer cells [
5]. Namely, the promotion of glycolysis and the diverting of pyruvate towards lactate production, rather than into the TCA, despite the aerobic context – the so-called aerobic glycolysis or Warburg effect. This results in the rapid production of energy, but also of intermediates that may be involved in other metabolic pathways essential for biomass formation, such as the PPP for nucleic acids [
4]. Alongside this Warburg-like effect, there is often an increase in glutaminolysis, with glutamine then anaplerotically feeding the TCA, and its intermediates also enabling biomass production [
6]. A noteworthy example is the Dengue virus, which, through its NS1 and NS3 nonstructural proteins, can increase glycolytic activity and cellular lipogenesis [
159,
160,
161]. ZIKV could also disrupt mitochondrial activity by redirecting the use of glycolysis intermediates towards the PPP. This results in mitochondrial dysfunction that may contributes to pathophysiological processes leading to the congenital defects observed in newborns born to infected mothers [
162,
163]. The significance of this impact on mitochondrial activity needs to be considered in relation to the cellular model [
164]. Additionally, there is a viral-induced action on nutrient receptors, influencing the availability of these nutrients and, necessarily, the metabolic pathways associated with them. The expression of transporters such as GLUT1 can thus be upregulated in various cell types (e.g., epithelial and immune cells), as seen in infections by HIV and the Epstein-Barr virus [
165,
166,
167].
Moreover, since the antiviral response seems to rely on appropriate metabolism to be more effective, targeting metabolism becomes an attractive strategy for immune evasion. Therefore, Poxviruses have been shown to produce the F17 protein that has the ability to interact with the Rictor and Raptor subunits of the mTORC1 and mTORC2 complexes, leading to their sequestration and thus dysregulation of mTOR [
168]. As mentioned previously, mTOR is also involved in the regulation of the cGAS / STING-dependent antiviral response via S6K [
127]. Sequestration of Rictor and Raptor by F17 thus ultimately leads to a decrease in ISG secretion [
168]. Similarly, ZIKV NS4A and NS4B proteins inhibit the AKT-mTOR signaling pathway, even if no exploration of this effect on antiviral gene expression was achived [
169]. Another study showed that the human immunodeficiency virus (HIV) replication relies on metabolic reprogramming of the host cells. In contrast, cells of individuals known as "controllers" were refractory to this reprogramming, which could explain the low virus replication in these individuals [
170]. Despite antiretroviral treatment, the metabolism of non-controller LTs is glucose-dependent, whereas controllers LTs have a variety of metabolic sources to ensure their survival and function [
170]. The controllers’ cells also showed a better effector profile, with higher expression of IFNB1 and TNF, strengthening the hypothesis of HIV's ability to hijack the antiviral response by monitoring cell metabolism [
170]. Interestingly, the deleterious effect of metabolic reprogramming on the control of viral replication was overcome by treating cells from non-controllers with interleukin 15. This treatment diversified their cellular metabolism, leading to a significant increase in cellular respiration through enhanced lipolysis [
170]. Furthermore, supporting the role of mitochondria in the establishment of the innate immune response, it has been established that mitochondrial elongation associated with inhibition of dynamin-related protein 1 (DRP1)-mediated fission, via the NS4B protein of the Dengue virus, limits the development of the RIG-I-dependent antiviral response in favor of viral replication. While mitochondrial elongation is commonly linked to increased OXPHOS and ROS production, in this context, the alteration of the mitochondria–ER platform appears to be the cause of the inhibition of the antiviral response [
171].