Itaconate impacted substrate utilization for central carbon metabolism and promoted glutamine metabolism in cultured brain cells. A) Relative intracellular metabolite abundances in primary cortical neurons exposed to exogenous itaconate for 48 h. B) Primary cortical neurons did not metabolize 13C itaconate into pyruvate or TCA cycle intermediates in a detectable amount. Cells were exposed to 2 mM [U–13C]itaconate for 48 h and fractional enrichment from 13C itaconate is depicted in dark gray. C) Schematic depicting substrate utilization for TCA cycle metabolism using [U–13C]glucose (red), [U–13C]β-hydroxybutyrate (blue), [U–13C]leucine (green), and [U–13C]glutamine (brown). Open circles depict 12C, and closed circles represent 13C. D) Itaconate decreased 13C incorporation into citrate from 13C substrates [U–13C]leucine (green), [U–13C]β-hydroxybutyrate (blue, bHb), and [U–13C]glucose (red) in primary cortical neurons, while incorporation from [U–13C]glutamine (brown) increased. E) Itaconate increased glutamine metabolism in primary cortical neurons cultured in medium containing [U–13C]glutamine. Graph depicts M4 or M5 labeling on metabolite from 13C glutamine. F) Intracellular metabolite abundances in primary astrocytes exposed to 2 mM exogenous itaconate relative to control condition without itaconate. G) Itaconate increased glutamine metabolism in primary astrocytes cultured in medium containing [U–13C]glutamine. Graph depicts M4 or M5 labeling on metabolite from 13C glutamine. Cells were cultured for 48 h in 13C medium supplemented with 0 mM or 2 mM itaconate. Data are represented as box (25th to 75th percentile with median line) and whiskers (min. to max. values) with six (A) or three (F) biological replicates, or means ± s.e.m. with three biological replicates (B, D, E, and G). All of the experiments were repeated three independent times with the exception of D. Leucine and bHb trace were performed once. Student's t-test with *P < 0.05, **P < 0.01, and ***P < 0.001.