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Peer-reviewedCC BYAmerican Journal of Physiology-Cell Physiology

The role of glycolysis in inflammation

  1. 1University College Dublin

Abstract

A characteristic feature of inflamed tissue is hypoxia, which arises from elevated oxygen consumption and impaired perfusion. Inflammation is accompanied by metabolic reprogramming enabling immune and nonimmune cells to meet increased bioenergetic and biosynthetic demands. Glycolysis is among the most ancient and fundamental metabolic pathways in biology. Hypoxia reduces mitochondrial oxidative phosphorylation, driving cells toward a reliance on glycolysis to sustain ATP production. This requires an increase in flux through the glycolytic pathway, which is mediated through rapid allosteric regulation of glycolytic enzymes, transcriptional upregulation of glucose transporters and glycolytic enzymes, and the formation of glycolytic enzyme complexes. In immune cells such as macrophages, neutrophils, and lymphocytes, enhanced glycolytic flux determines effector functions, including, but not limited to, cytokine production, phagocytosis, migration, and antimicrobial activity, as well as maintaining bioenergetic homeostasis. Similarly, nonimmune cells within inflamed tissues, including epithelial cells and stromal cells, utilize glycolysis to influence barrier function, tissue remodeling, and inflammation. In this review, we summarize our current understanding of how hypoxia drives glycolytic reprogramming during inflammation, examine the cell-type-specific impact of this, and discuss the therapeutic potential of targeting glycolytic pathways for inflammatory diseases.

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BibTeX
@article{dehantschutter2026role,
  title = {{The role of glycolysis in inflammation}},
  author = {Ethan T Dehantschutter and Cormac T. Taylor},
  journal = {American Journal of Physiology-Cell Physiology},
  year = {2026},
  month = may,
  doi = {10.1152/ajpcell.00113.2026},
  url = {https://doi.org/10.1152/ajpcell.00113.2026},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - The role of glycolysis in inflammation
AU  - Ethan T Dehantschutter
AU  - Cormac T. Taylor
PY  - 2026
DA  - 2026/05/08
JO  - American Journal of Physiology-Cell Physiology
DO  - 10.1152/ajpcell.00113.2026
UR  - https://doi.org/10.1152/ajpcell.00113.2026
AB  - A characteristic feature of inflamed tissue is hypoxia, which arises from elevated oxygen consumption and impaired perfusion. Inflammation is accompanied by metabolic reprogramming enabling immune and nonimmune cells to meet increased bioenergetic and biosynthetic demands. Glycolysis is among the most ancient and fundamental metabolic pathways in biology. Hypoxia reduces mitochondrial oxidative phosphorylation, driving cells toward a reliance on glycolysis to sustain ATP production. This requires an increase in flux through the glycolytic pathway, which is mediated through rapid allosteric regulation of glycolytic enzymes, transcriptional upregulation of glucose transporters and glycolytic enzymes, and the formation of glycolytic enzyme complexes. In immune cells such as macrophages, neutrophils, and lymphocytes, enhanced glycolytic flux determines effector functions, including, but not limited to, cytokine production, phagocytosis, migration, and antimicrobial activity, as well as maintaining bioenergetic homeostasis. Similarly, nonimmune cells within inflamed tissues, including epithelial cells and stromal cells, utilize glycolysis to influence barrier function, tissue remodeling, and inflammation. In this review, we summarize our current understanding of how hypoxia drives glycolytic reprogramming during inflammation, examine the cell-type-specific impact of this, and discuss the therapeutic potential of targeting glycolytic pathways for inflammatory diseases.
SN  - 0363-6143
SN  - 1522-1563
ER  -