# Metabolic checkpoints in the regulation of Th17 cells: implications for uveitis pathogenesis and therapy

**Authors:** YongFei Ma, QiuJin Zhang, ZhiXiang Ding

PMC · DOI: 10.3389/fimmu.2026.1690141 · Frontiers in Immunology · 2026-02-10

## TL;DR

This review explores how metabolic checkpoints in Th17 cells affect uveitis and suggests potential therapeutic strategies based on these findings.

## Contribution

The paper highlights recent advances in understanding metabolic regulation of Th17 cells in uveitis.

## Key findings

- Metabolic pathways influence Th17 cell activation and differentiation.
- Disruption of Th17/Treg balance contributes to autoimmune diseases like uveitis.
- Targeting metabolic checkpoints may offer new treatment options for uveitis.

## Abstract

The disruption of the balance between helper T cells (Th17) and regulatory T cells (Tregs) is associated with various autoimmune diseases. Th17 cells contribute to inflammation, whereas Tregs play a crucial role in suppressing autoimmunity. Th17 cells are central to the pathogenesis of autoimmune diseases, with specific metabolic pathways, enzymes, signaling pathways, and transcription factors acting as key checkpoints that influence T cell differentiation and immune responses. This review aims to summarize recent advances in understanding the role of Th17 cells and the Th17/Treg immune balance in the pathogenesis of uveitis, focusing on the impact of metabolic reprogramming on the activation, differentiation, and effector functions of T cells. Understanding the regulators of key metabolic checkpoints offers promising prospects for the treatment of autoimmune diseases, including Th17-mediated uveitis.

## Linked entities

- **Diseases:** uveitis (MONDO:0020283)

## Full-text entities

- **Genes:** PDK1 (pyruvate dehydrogenase kinase 1) [NCBI Gene 5163], IL10 (interleukin 10) [NCBI Gene 3586] {aka CSIF, GVHDS, IL-10, IL10A, TGIF}, Cd44 (CD44 antigen) [NCBI Gene 12505] {aka HERMES, Ly-24, Pgp-1}, SIRT7 (sirtuin 7) [NCBI Gene 51547] {aka SIR2L7}, Il17a (interleukin 17A) [NCBI Gene 16171] {aka Ctla-8, Ctla8, IL-17, IL-17A, Il17}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, CPT1A (carnitine palmitoyltransferase 1A) [NCBI Gene 1374] {aka CPT I, CPT1, CPT1-L, CPTI-L, L-CPT1}, STAT3 (signal transducer and activator of transcription 3) [NCBI Gene 6774] {aka ADMIO, ADMIO1, APRF, HIES}, AHR (aryl hydrocarbon receptor) [NCBI Gene 196] {aka FVH3, RP85, bHLHe76}, STAT5A (signal transducer and activator of transcription 5A) [NCBI Gene 6776] {aka MGF, STAT5}, PKM (pyruvate kinase M1/2) [NCBI Gene 5315] {aka CTHBP, HEL-S-30, OIP3, PK3, PKM2, TCB}, EP300 (EP300 lysine acetyltransferase) [NCBI Gene 2033] {aka KAT3B, MKHK2, RSTS2, p300}, ID2 (inhibitor of DNA binding 2) [NCBI Gene 3398] {aka GIG8, ID2A, ID2H, bHLHb26}, TAFAZZIN (tafazzin, phospholipid-lysophospholipid transacylase) [NCBI Gene 6901] {aka BTHS, CMD3A, EFE, EFE2, G4.5, LVNCX}, ODC1 (ornithine decarboxylase 1) [NCBI Gene 4953] {aka BABS, NEDBA, NEDBIA, ODC}, MIR155 (microRNA 155) [NCBI Gene 406947] {aka MIRN155, miRNA155, mir-155}, Ifng (interferon gamma) [NCBI Gene 15978] {aka IFN-g, If2f, Ifg}, Il21 (interleukin 21) [NCBI Gene 60505] {aka IL-21}, FOXP3 (forkhead box P3) [NCBI Gene 50943] {aka AIID, DIETER, IPEX, JM2, PIDX, XPID}, Itgam (integrin alpha M) [NCBI Gene 16409] {aka CD11b/CD18, CR3, CR3A, Cd11b, F730045J24Rik, Ly-40}, USP1 (ubiquitin specific peptidase 1) [NCBI Gene 7398] {aka UBP}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, EGR2 (early growth response 2) [NCBI Gene 1959] {aka AT591, CMT1D, CMT4E, KROX20}, Cd4 (CD4 antigen) [NCBI Gene 12504] {aka L3T4, Ly-4}, SIRT1 (sirtuin 1) [NCBI Gene 23411] {aka SIR2, SIR2L1, SIR2alpha}, CDK6 (cyclin dependent kinase 6) [NCBI Gene 1021] {aka MCPH12, PLSTIRE}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, IL2RA (interleukin 2 receptor subunit alpha) [NCBI Gene 3559] {aka CD25, IDDM10, IL2R, IMD41, TCGFR, p55}, WDR48 (WD repeat domain 48) [NCBI Gene 57599] {aka Bun62, P80, SPG60, UAF1}, PIM1 (Pim-1 proto-oncogene, serine/threonine kinase) [NCBI Gene 5292] {aka PIM}, Il27 (interleukin 27) [NCBI Gene 246779] {aka IL-27, IL-27-A, IL-27p28, IL27-A, Il30, p28}, SIRT2 (sirtuin 2) [NCBI Gene 22933] {aka SIR2, SIR2L, SIR2L2}, ADIPOR1 (adiponectin receptor 1) [NCBI Gene 51094] {aka ACDCR1, CGI-45, CGI45, PAQR1, TESBP1A}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, SLC2A3 (solute carrier family 2 member 3) [NCBI Gene 6515] {aka GLUT3}, IL17A (interleukin 17A) [NCBI Gene 3605] {aka CTLA-8, CTLA8, IL-17, IL-17A, IL17, ILA17}, FASN (fatty acid synthase) [NCBI Gene 2194] {aka FAS, OA-519, SDR27X1}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, IL23A (interleukin 23 subunit alpha) [NCBI Gene 51561] {aka IL-23, IL-23A, IL23P19, P19, SGRF}, GFI1 (growth factor independent 1 transcriptional repressor) [NCBI Gene 2672] {aka GFI-1, GFI1A, SCN2, ZNF163}, CSF2 (colony stimulating factor 2) [NCBI Gene 1437] {aka CSF, GMCSF}, GLI3 (GLI family zinc finger 3) [NCBI Gene 2737] {aka ACLS, GCPS, GLI3-190, GLI3FL, PAP-A, PAPA}, SLC7A5 (solute carrier family 7 member 5) [NCBI Gene 8140] {aka 4F2LC, CD98, D16S469E, E16, LAT1, MPE16}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}, CISH (cytokine inducible SH2 containing protein) [NCBI Gene 1154] {aka BACTS2, CIS, CIS-1, G18, SOCS}, Csf2 (colony stimulating factor 2 (granulocyte-macrophage)) [NCBI Gene 12981] {aka CSF, Csfgm, GMCSF, Gm-CSf, MGI-IGM}, FAS (Fas cell surface death receptor) [NCBI Gene 355] {aka ALPS1A, APO-1, APT1, CD95, FAS1, FASTM}, PRKAA1 (protein kinase AMP-activated catalytic subunit alpha 1) [NCBI Gene 5562] {aka AMPK, AMPK alpha 1, AMPKa1}, HDAC9 (histone deacetylase 9) [NCBI Gene 9734] {aka HD7, HD7b, HD9, HDAC, HDAC7B, HDAC9B}, FOXO1 (forkhead box O1) [NCBI Gene 2308] {aka FKH1, FKHR, FOXO1A}, Il22 (interleukin 22) [NCBI Gene 50929] {aka IL-22, IL-22a, ILTIFa, If2b1, Iltif}, RPS6KB1 (ribosomal protein S6 kinase B1) [NCBI Gene 6198] {aka PS6K, S6K, S6K-beta-1, S6K1, STK14A, p70 S6KA}, CD46 (CD46 molecule) [NCBI Gene 4179] {aka AHUS2, MCP, MIC10, TLX, TRA2.10}, IL2 (interleukin 2) [NCBI Gene 3558] {aka IL-2, TCGF, lymphokine}, RPS6 (ribosomal protein S6) [NCBI Gene 6194] {aka S6, eS6}, IL17F (interleukin 17F) [NCBI Gene 112744] {aka CANDF6, IL-17F, ML-1, ML1}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, SLC2A1 (solute carrier family 2 member 1) [NCBI Gene 6513] {aka CSE, DYT17, DYT18, DYT9, EIG12, GLUT}, Rbp3 (retinol binding protein 3, interstitial) [NCBI Gene 19661] {aka Irbp, Rbp-3}
- **Diseases:** inflammation (MESH:D007249), EAU (MESH:D009444), VKH (MESH:D014607), AU (MESH:D014605), autoimmune (MESH:D001327), NETs (MESH:C536657), BD (MESH:D001528), AAU (MESH:D014606), blindness (MESH:D001766), autoimmune uveoretinitis (MESH:D003103), psoriasis (MESH:D011565), metabolic dysregulation (MESH:D021081), rheumatoid arthritis (MESH:D001172), osteoporosis (MESH:D010024), toxicity (MESH:D064420), infection (MESH:D007239), organ toxicity (MESH:D019965), glaucoma (MESH:D005901), cataracts (MESH:D002386)
- **Chemicals:** px-478 (MESH:C492908), pyruvate (MESH:D019289), Succinate (MESH:D019802), carbon (MESH:D002244), Rapamycin (MESH:D020123), etomoxir (MESH:C054207), Lactate (MESH:D019344), acetyl-CoA (MESH:D000105), PEP (MESH:D010728), glycine (MESH:D005998), cholesterol (MESH:D002784), PRG (MESH:D011374), BAY876 (MESH:C000620175), DCA (MESH:D003999), 2,3,7,8-tetrachlorodibenzo-p-dioxin (MESH:D000072317), CQMU151 (-), succinyl-CoA (MESH:C012046), Fatty acid (MESH:D005227), Serine (MESH:D012694), Amino acid (MESH:D000596), AICAR (MESH:C031143), lipid (MESH:D008055), butyric acid (MESH:D020148), Glutamine (MESH:D005973), steroids (MESH:D013256), ATP (MESH:D000255), SCFAs (MESH:D005232), calcium (MESH:D002118), Glucose (MESH:D005947), AOA (MESH:D000625), MAT (MESH:C068935), PF-4708671 (MESH:C552719), NAD+ (MESH:D009243)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

115 references — full list in the complete paper: https://tomesphere.com/paper/PMC12929381/full.md

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Source: https://tomesphere.com/paper/PMC12929381