D-mannose induces regulatory T cells and suppresses immunopathology. - GreenMedInfo Summary
D-mannose induces regulatory T cells and suppresses immunopathology.
Nat Med. 2017 Sep ;23(9):1036-1045. Epub 2017 Jul 24. PMID: 28759052
D-mannose, a C-2 epimer of glucose, exists naturally in many plants and fruits, and is found in human blood at concentrations less than one-fiftieth of that of glucose. However, although the roles of glucose in T cell metabolism, diabetes and obesity are well characterized, the function of D-mannose in T cell immune responses remains unknown. Here we show that supraphysiological levels of D-mannose safely achievable by drinking-water supplementation suppressed immunopathology in mouse models of autoimmune diabetes and airway inflammation, and increased the proportion of Foxp3regulatory T cells (Tcells) in mice. In vitro, D-mannose stimulated Tcell differentiation in human and mouse cells by promoting TGF-β activation, which in turn was mediated by upregulation of integrin αβand reactive oxygen species generated by increased fatty acid oxidation. This previously unrecognized immunoregulatory function of D-mannose may have clinical applications for immunopathology.