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Ganeshan, K., Nikkanen, J., & Man, K. (2019). Energetic Trade-Offs and Hypometabolic States Promote Disease Tolerance. Cell, 177(2), 399–413 E12. 
Added by: Dr. Enrique Feoli (03/08/2025, 20:57)   Last edited by: Dr. Enrique Feoli (03/08/2025, 21:03)
Resource type: Journal Article
ID no. (ISBN etc.): 928674
BibTeX citation key: Ganeshan2019
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Categories: BioAcyl Corp
Subcategories: Peer review
Keywords: caloric restriction, dormancy, Hibernation, Innate immunity, ketones, Metabolism, resistance, thermoneutrality, torpor, triglycerides
Creators: Ganeshan, Man, Nikkanen
Publisher: Cell Press
Collection: Cell
Views: 2/18
Abstract

Highlights

Activated immunity engages in an energetic trade-off with homeothermy
Immunity reprograms hepatic metabolism to meet host energetic priorities
Energetic trade-off between immunity and homeothermy promotes disease tolerance
Hypometabolic states promote disease tolerance during bacterial infections

Summary

Host defenses against pathogens are energetically expensive, leading ecological immunologists to postulate that they might participate in energetic trade-offs with other maintenance programs. However, the metabolic costs of immunity and the nature of physiologic trade-offs it engages are largely unknown. We report here that activation of immunity causes an energetic trade-off with the homeothermy (the stable maintenance of core temperature), resulting in hypometabolism and hypothermia. This immunity-induced physiologic trade-off was independent of sickness behaviors but required hematopoietic sensing of lipopolysaccharide (LPS) via the toll-like receptor 4 (TLR4). Metabolomics and genome-wide expression profiling revealed that distinct metabolic programs supported entry and recovery from the energy-conserving hypometabolic state. During bacterial infections, hypometabolic states, which could be elicited by competition for energy between maintenance programs or energy restriction, promoted disease tolerance. Together, our findings suggest that energy-conserving hypometabolic states, such as dormancy, might have evolved as a mechanism of tissue tolerance.


  
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