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. 2020 Oct 28;162(2):145–159. doi: 10.1111/imm.13276

Table 1.

Select examples of targeting immunometabolism for improved TB host defence

Strategy Metabolite Immune Pathway Outcome Ref
Micronutrient supplementation Vitamin D (AMPS) cathelicidins Promote resistance 163, 164, 165
Vitamin A Autophagy, lipid metabolism
Macronutrients supplementation Glutamine Metabolic reprogramming, Promote resistance 166, 167
Arginine NO production Modulate tolerance
Macronutrient depletion Tryptophan Mycobacterial metabolism, granuloma formation Promote tolerance 168
Microbial metabolites SCFA Anti‐inflammatory Modulate tolerance 173, 174
IPA Promote resistance
Repurposing small molecule Rapamycin analogues (everolimus) mTOR/AKT1 glycolytic reprogramming Modulate tolerance 56, 169
Targeting whole‐body metabolism Metformin Modulate hyperglycaemia, autophagy, cytokine production Modulate tolerance 170, 171, 172
Statins Macrophage foam cells Promote resistance
Promote immune training BCG Promote bone marrow myeloid expansion Increased resistance 153, 154
Beta‐glucans

Abbreviations: AMPK, AMP protein kinase; AMPs, antimicrobial peptides; BCG, bacille Calmette–Guérin vaccine; HMGCR, HMG‐CoA reductase; IPA, indole‐3‐propionic acid; NO, nitric oxide; SCFA, short‐chain fatty acids.