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Chapter 7  Signaling Transduction and Metabolomics  77


                Glutamine                  Glucose                synthesis  is  necessary  for  differentiation  of T  helper  17.  Bioactive
                                                                  lipids have also been profiled in different types of blood cells. For
                                                                  example, sphingosine-1-phosphate is stored in erythrocytes, and is
                           Plasma membrane                        found highly elevated in the blood of sickle cell disease patients owing
                                                                  to increased erythrocyte sphingosine kinase 1.

                                           Glucose
                Glutamine                                         Metabolomics of Nucleotide Metabolism
                               Polyamines            Pentose
                                                     Phosphate    Measurements  of  the  different  polar  metabolites  in  nucleotide
                                                     Pathway
                                                                  metabolism are linked to particular stages of cell growth. For example,
                                                                  unbiased metabolomics has identified that pyrimidine starvation is a
                                                                  mechanism for specific types of cell death in multiple myeloma cells.
                               Amino Acids
                               Nucleotides
                Glutamate      Lipids
                                                                  Metabolomics of Amino Acid Metabolism
                                                                  Metabolomic studies have revealed that activated T cells reprogram
                                                                  their  metabolism  from  fatty  acid  and  pyruvate  oxidation,  and  the
                                                                  TCA cycle, to aerobic glycolysis, the PPP, and glutaminolysis, and
                                 Citrate   Pyruvate    Lactate    metabolic fingerprint similar to tumor cells. In particular, glutamine
                                                                  is used to increase polyamine biosynthesis, which is essential for T-cell
               α-ketoglutarate                                    proliferation, a process controlled by the transcription factor Myc.


                                  TCA                             SUMMARY AND PERSPECTIVES
                                  Cycle
                                                                  This  short  review  summarizes  the  central  signaling  and  metabolic
                                                                  pathways  that  play  a  pivotal  role  in  all  the  processes  executed  by
            Fig.  7.4  METABOLITE  PROFILING  UPON  T-CELL  ACTIVATION.   hematopoietic  cellular  systems.  In  normal  physiologic  conditions
            Metabolomic analysis has revealed that glycolytic fluxes and glutaminolysis   these pathways are regulated and operating to achieve homeostatic
            are increased during activation of T cells. Polyamines that are required for   cellular  functions  in  healthy individuals.  In  pathologic conditions,
            T-cell  proliferation  are  synthesized  from  glutamine.  See  text  for  further   however, dysregulation or failure of these pathways leads to diseases of
            details. TCA, Tricarboxylic acid.                     lymphohematopoietic tissues. To a large extent, the main components
                                                                  and regulatory circuitries of these pathways have been elucidated, but
                                                                  the challenge for the future is to fully integrate them and identify
            known  and  specific  metabolites;  and  nontargeted,  which  includes   therapeutic  targets  that  will  enable  the  development  of  effective
            analytical measurements of unknown metabolites.       treatments for these diseases. New technologies in metabolomics are
                                                                  promising for the identification of biomarkers that can be used in
                                                                  personalized medicine, as well as new therapeutic targets including
            Metabolomics of Glucose Metabolism                    metabolic enzymes.

            Systematic and simultaneous quantitative targeted polar metabolite
            analysis of glucose metabolic pathways using metabolomic and flux   SUGGESTED READINGS
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