已发表论文

巨噬细胞抗结核分枝杆菌感染的葡萄糖代谢重编程

 

Authors Liu T, Yang Z, Tong J, Gao M, Pang Y 

Received 10 July 2025

Accepted for publication 16 October 2025

Published 31 October 2025 Volume 2025:14 Pages 1209—1221

DOI https://doi.org/10.2147/ITT.S552746

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Sarah Wheeler

Tianhui Liu,1,* Zeliang Yang,2,* Jing Tong,1 Mengqiu Gao,1 Yu Pang2 

1Department of Tuberculosis II, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, People’s Republic of China; 2Department of Bacteriology and Immunology, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Mengqiu Gao, Department of Tuberculosis II, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, People’s Republic of China, Email gaomqwdm@aliyun.com Yu Pang, Department of Bacteriology and Immunology, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, People’s Republic of China, Email pangyupound@163.com

Abstract: Tuberculosis (TB) is a global infectious disease caused by Mycobacterium tuberculosis (Mtb). Serving as the primary effector cells, macrophages play a crucial role in host immune responses against Mtb. During Mtb infection, macrophages undergo extensive metabolic reprogramming, notably glycolysis, the pentose phosphate pathway (PPP) and the tricarboxylic acid (TCA) cycle, to adapt to the challenges posed by the pathogen, with glucose metabolic rewiring being particularly critical. This review focuses on the dynamic reprogramming of glucose metabolism in macrophages during Mtb infection, highlighting how metabolic adjustments influence the activation state, polarization, and functional capacity of macrophages. Furthermore, we explore the role of glucose metabolic reprogramming in shaping the immune responses against Mtb, particularly its contribution to granuloma formation and maintenance. By understanding the intricate interplay between metabolic rewiring and immune function, we discuss the therapeutic potential of targeting glucose metabolic pathways in macrophages as a novel strategy for TB treatment. Overall, this review emphasizes the need for a deeper understanding of the relationship between glucose metabolism reprogramming and the biological function of Mtb-infected macrophages and the development of novel immunometabolic therapies—such as metformin (AMPK activator) or PKM2 modulators already used in oncology— to improve the outcomes of TB patients.

Keywords: glucose metabolic reprogramming, macrophages, Mycobacterium tuberculosis