Using macrophage activation with either Th2 cytokines IL4 + IL13, bacterial lipopolysaccharide (LPS), the pro-inflammatory cytokine TNF or a combination of IL4 + IL13 + TNF activation (modelling chronic or a non-resolving inflammatory macrophage state), this project identified high expression of the cystine transporter SLC7A11 in chronic inflammatory macrophages, as opposed to induction of the heme degradation pathway (heme oxygenase, HMOX). Furthermore, we identified that IL4 + IL13 + TNF activated macrophages are protected from redox stress (via inhibition of glutathione peroxidase, GPX4) and ferroptosis. Expression of the L-amino acid oxidase IL4i1 and the Krebs cycle associated enzyme aconitase decarboxylase (ACOD1) was highly increased in macrophages activated with IL4 + IL13 + TNF. IL4i1 has previously been shown by this laboratory to generate metabolites (from the oxidation of tryptophan and tyrosine) that suppress ferroptosis. Importantly, we showed using macrophages derived from Il4i1-/- or Acod1-/- that ferroptosis protection was not dependent on these key redox nodes. However, since we detected tryptophan metabolites produced by IL4i1 in the macrophage supernatant following specific activation cues, I next developed an innovative supernatant transfer assay system to assess metabolite communication between macrophages and bystander cancer cells, which I term paracrine metabolite signaling. Indeed, this system showed that chronic inflammatory macrophages (IL4-IL13-TNF activated) could confer ferroptosis protection to bystander cancer cells in a paracrine manner, and this was dependent on the expression of IL4i1.
Furthermore, metabolic profiling showed that the immune modulatory metabolite itaconate was highly increased in macrophages activated with IL4 + IL13 + TNF (as well as upon activation with TNF or LPS). However, intrinsic ferroptosis protection was independent of itaconate (identified using Acod1-/- mice) and its effect on extrinsic ferroptosis protection is currently being followed up.