Evidence map›Paper›PMID 29328908›Full record

ArticleCell2018

Metabolic Induction of Trained Immunity through the Mevalonate Pathway.

Siroon Bekkering, Rob J W Arts, Boris Novakovic, Ioannis Kourtzelis, Charlotte D C C van der Heijden, Yang Li, Calin D Popa, Rob Ter Horst, Julia van Tuijl, Romana T Netea-Maier and 7 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 466 papers.

0numbers the graph read from it
0cells of the map it votes in
466citing papers in PubMed
30.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

466 citing papers in PubMed, 714 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trained Immunity in Childhood Vaccination.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Regulation of immune signal integration and memory by inflammation-induced chromosome conformation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Innate immunity: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
  18. mBio · 2026
    Article
  19. Review
  20. Review

406 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 4 countries.

Siroon BekkeringDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands; Department of Experimental Vascular Medicine, Academic Medical Centre, Amsterdam, the Netherlands.
Rob J W ArtsDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Boris NovakovicFaculty of Science, Department of Molecular Biology, Radboud University, 6525GA Nijmegen, the Netherlands.
Ioannis KourtzelisInstitute for Clinical Chemistry and Laboratory Medicine, Medical Faculty, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany.
Charlotte D C C van der HeijdenDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Yang LiDepartment of Genetics, University Medical Center Groningen, Nijmegen, the Netherlands.
Calin D PopaDepartment of Rheumatology, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Rob Ter HorstDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Julia van TuijlDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Romana T Netea-MaierDepartment of Medicine, Division of Endocrinology, Radboud University Nijmegen, Geert Grooteplein 8, Nijmegen, the Netherlands.
Frank L van de VeerdonkDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Triantafyllos ChavakisInstitute for Clinical Chemistry and Laboratory Medicine, Medical Faculty, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany.
Leo A B JoostenDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands; Department of Medical Genetics, University of Medicine and Pharmacy "Iuliu Hatieganu," Cluj-Napoca, Romania.
Jos W M van der MeerDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.
Henk StunnenbergFaculty of Science, Department of Molecular Biology, Radboud University, 6525GA Nijmegen, the Netherlands.
Niels P RiksenDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands. Electronic address: niels.riksen@radboudumc.nl.
Mihai G NeteaDepartment of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands; Department for Genomics & Immunoregulation, Life and Medical Sciences Institute (LIMES), University of Bonn, 53115 Bonn, Germany. Electronic address: mihai.netea@radboudumc.nl.
Radboud University Nijmegen · NLRadboud University Medical Center · NLUniversity Medical Center · USTU Dresden · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Innate immune cells can develop long-term memory after stimulation by microbial products during infections or vaccinations. Here, we report that metabolic signals can induce trained immunity. Pharmacological and genetic experiments reveal that activation of the cholesterol synthesis pathway, but not the synthesis of cholesterol itself, is essential for training of myeloid cells. Rather, the metabolite mevalonate is the mediator of training via activation of IGF1-R and mTOR and subsequent histone modifications in inflammatory pathways. Statins, which block mevalonate generation, prevent trained immunity induction. Furthermore, monocytes of patients with hyper immunoglobulin D syndrome (HIDS), who are mevalonate kinase deficient and accumulate mevalonate, have a constitutive trained immunity phenotype at both immunological and epigenetic levels, which could explain the attacks of sterile inflammation that these patients experience. Unraveling the role of mevalonate in trained immunity contributes to our understanding of the pathophysiology of HIDS and identifies novel therapeutic targets for clinical conditions with excessive activation of trained immunity.

Indexed as

Immunity, InnateImmunologic MemoryAnimalsCells, CulturedHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMevalonate Kinase DeficiencyMevalonic AcidMiceMice, Inbred C57BLMonocytesReceptor, IGF Type 1Hydroxymethylglutaryl-CoA Reductase InhibitorsMevalonic AcidReceptor, IGF Type 1epigeneticsHIDShyper IgD syndromeimmunometabolisminnate immune memorymacrophagesmetabolismmevalonate kinase deficiencymonocytestrained immunity

Identifiers

PMID29328908
OpenAlexW2782649526

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.