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Study 22 of 27L-Carnitine (Levocarnitine) literaturebiorxiv-preprint · Observational2026

TIGAR coordinates polyol and glutamine metabolism to regulate CD4+ T cells

TIGAR is identified as a key regulator of CD4⁺ T-cell differentiation, linking metabolic pathways to immune responses, but findings are based on rodent models and require further validation in humans.

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Where it sits

this study against the rest of the l-carnitine (levocarnitine) corpus
5
Preclinical
18
Observational · this one
0
Open-label
2
Randomised
2
Reviews

Summary and findings

This study investigates the role of the metabolic enzyme TIGAR in regulating CD4⁺ T-cell differentiation and metabolism. The findings indicate that TIGAR deficiency affects glutamine utilization and alters T-cell differentiation pathways. The study also identifies a link between TIGAR and polyol metabolism in the context of immune responses.

How much of this paper we could read: full text read (0.70). We had a clear abstract, so the summary below closely tracks the paper. What this means →
Not reported in abstract.2026

Abstract

The authors’ words, as biorxiv-preprint supplied them

Abstract CD4⁺ T cells undergo extensive metabolic reprogramming during activation and differentiation, yet how metabolic enzymes coordinate metabolite utilisation with lineage commitment remains poorly understood. Here, we identify the metabolic enzyme TP53-induced glycolysis and apoptosis regulator (TIGAR) as a critical regulator of CD4⁺ T-cell fate. Although classically linked to glycolysis, TIGAR unexpectedly regulated CD4⁺ T-cell differentiation independently of these canonical functions. We found that TIGAR deficiency impaired glutamine utilisation, enhanced Th1 differentiation, and suppressed Th17 and regulatory T-cell generation in CD4⁺ T cells. Mechanistically, TIGAR deficiency upregulated aldose reductase, a key enzyme of polyol metabolism, and both pharmacological inhibition of aldose reductase and sorbitol supplementation recapitulated key aspects of the TIGAR-deficient phenotype, establishing the polyol pathway as a metabolic regulator of CD4⁺ T-cell differentiation and migration. In vivo, T cell-specific TIGAR ablation enhanced inflammatory IFNγ-producing CD4⁺ T-cell responses during Citrobacter rodentium infection and exacerbated T cell-mediated colitis. Consistent with these findings, Mendelian randomisation identified genetically predicted aldose reductase expression as a causal risk factor for inflammatory bowel disease in humans. Together, our findings uncover a TIGAR–polyol metabolic axis linking mitochondrial metabolism to CD4⁺ T-cell fate and intestinal inflammation, establishing polyol metabolism as a previously unrecognised metabolic checkpoint and potential therapeutic target in immune-mediated disease.

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