Abstract
During antiviral immune responses, activated immune cells remodel metabolic pathways
towards uptake and utilization of biosynthetic and bioenergetic metabolites. Concurrently, viral
infections alter metabolic environments, impacting metabolite availability for the establishment
of an effective immune response. Here, we integrated in vivo metabolomics data from murine
and human viral infections with in vitro metabolite screens, identifying purine nucleobases as
novel immunometabolites that enhance CD8+ T cell effector function. We found that CD8+ T
cells can switch from resource-intensive purine de novo synthesis to purine salvage pathway,
to produce nucleotides from purine nucleobases. This strategy of metabolic adaptation allows
diversion of biosynthetic and bioenergetic resources towards enhancing effector molecule
production. Our findings unveil an adaptation strategy by CD8+ T cells to manage metabolic
challenges in dynamic organismal environments and suggest pharmacological targets in
purine metabolism as potential targets for immunotherapy.
Keywords
Viral infection, immunology, metabolism, immunometabolism, cytotoxic T cells, CD8+ T cells,
antiviral immunity, purine metabolism, purine nucleobases
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Graphical Abstract: Instead of producing nucleotides via purine de novo synthesis,
CD8+ T cells can import and utilize purine nucleobases via the purine salvage pathway
to divert bioenergetic and biosynthetic resources towards effector function. By shifting
from purine de novo synthesis to the purine salvage pathway, cells save significant resources:
5 moles of the key bioenergetic metabolite ATP, and biosynthetic metabolites including 2
moles of glutamine, 1 mole each of serine or glycine, and 1 mole of aspartate.
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Introduction
Upon activation, immune cells typically undergo enhanced proliferation, migration, and
secretion of effector molecules. However, clonal expansion and effector molecule production
are metabolically demanding1–6. Metabolites play a pivotal role in modulating immunity through
various mechanisms: Firstly, as bioenergetic fuels that meet cellular energy requirements;
secondly, as biosynthetic substrates essential for generating effector molecules and
maintaining cell physiology, including organelle remodeling ; and thirdly, as molecules
facilitating both intra- and intercellular signaling3,5,7. These metabolites build a bridge between
metabolism and immunity and were termed immunometabolites8.
An increasing number of publications elucidated the metabolic requirements for the
establishment of effective T cell responses. Metabolites, including glucose and several amino
acids, are indispensable as bioenergetic and biosynthetic substrates for T cell activation and
effector function 3,5,9–13. Beyond their role as metabolic fuel, specific metabolites such as
kynurenine and short -chain fatty acids exert regulatory effects on T cell s as signaling
molecules or substrates for epigenetic modification reactions 3,5,14,15. Therefore, the availability
of these immunometabolites modulates T cell responses3,5,16.
Changes in local and systemic metabolic environments have been described in various
settings of inflammation, such as the tumor microenvironment and infection3. These metabolic
changes result from a variety of processes induced by immune mechanisms or the invading
pathogen3,17. Viruses, characterized by diverse tissue tropisms, virulence, and varying
infection kinetics, are metabolic engineers that reprogram their host’s metabolism to facilitate
their replication17. CD8+ T cells are a central component of the defense against intracellular
pathogens, such as bacteria and viruses , and tumor cells 18. However, how infection-
associated changes in metabolic environments affect t he establishment of CD8+ T cell
responses remains understudied.
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Here, we explore d the biological mechanisms of metabolic modulation of antiviral immunity
and utilized different viral infections as tools to identify novel immunometabolites that shape
CD8+ T cell response s. First, we generated an in vivo infection metabolomics dataset to
systematically investigate the metabolic alterations associated with various viral infections.
Then, w e designed a metabolite screening approach to identify altered metabolites that
modulate CD8+ T cell proliferation, activation, and effector function in vitro . Our results
revealed purine nucleobases as immunometabolites that are recycled through the purine
salvage pathway for the biosynthesis of nucleotides. This mechanism spares bioenergetic and
biosynthetic resources of CD8+ T cell, resulting in enhanced effector function (see Graphical
Abstract). Thus, this study shines new light on the role of purine metabolism as central
immunometabolic hub for the establishment of effective CD8+ T cell responses.
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Results
Serum metabolomics analysis reveals dynamic patterns in serum metabolite
composition during viral infections.
To unravel how the systemic availability of metabolites changes during viral infections, w e
tailored a targeted metabolomics panel for the quantification of 201 metabolites. This targeted
panel comprised key positions in major metabolic pathways ranging from glycolysis, TCA cycle
and purine metabolism to biogenic amines and amino acids . We employed this analytical
panel to assess serum samples from a range of experimental murine viral infection models
comprising the orthomyxovirus Influenza A Virus strain Puerto Rico 8 (IAV PR8 ), the
arenavirus lymphocytic choriomeningitis virus (LCMV) strains Clone 13 (Cl13) and Armstrong
(ARM), and the coronavirus Murine Hepatitis Virus A59 (MHV). These models were selected
to encompass both , acute and chronic infection s, as well as viruses with systemic and
localized pathology. The LCMV models, pivotal in viral immunology and T cell biology, offer
essential tools and resources to study various aspects of antiviral T cell responses, making
the two strains invaluable for investigating distinct facets of these immune responses 19–23.
LCMV ARM causes an acute infection which is cleared by a vigorous CD8+ T cell response
within 8 -10 days 23. LCMV Cl13 establishes a chronic infection accompanied by
immunopathological manifes tations such as T cell -mediated hepatitis and subverts the
immune response via induction of T cell exhaustion24–27. IAV PR8 causes an acute respiratory
infection restricted to the lungs 28. We also included the coronavirus MHV A59, a cytopathic,
neuro- and hepatotropic coronavirus model that induces acute hepatitis29. Upon infection, we
collected sera from mice at 2 and 8 days post infection (dpi), approximating the peak of the
innate and adaptive immune responses, respectively.
We noted the significant differential abundance of 151 detectable serum metabolites across
multiple major metabolic pathways at 8 dpi (Fig. 1a, Extended Data Fig. 1a-b and Extended
Data Table 1). The most pronounced alterations were observed in TCA cycle metabolites and
purine metabolism, specifically hypoxanthine, xanthine, inosine and adenosine (Fig. 1a and
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Extended Data Fig. 1a). LCMV Cl13 exhibited strong metabolic correlation with LCMV ARM
at both 2 and 8 dpi with purine metabolites among the most downregulated metabolites during
the peak of the adaptive immune response (Fig. 1 a-b and Extended Data Fig. 1c).
Interestingly, the two infection models LCMV Cl13 and MHV showed correlated metabolic
alterations only during the peak of the innate immune response 2 dpi but diverged by 8 dpi
(Fig. 1 c and Extended Data Fig. 1c). Principal component analysis (PCA) further
substantiated that the different courses of infection are distinguishable by their metabolic
trajectories ( Fig. 1c). Moreover, the results highlighted a substantial influence of the
progression of the infections and their corresponding immune responses on host systemic
metabolism (Fig. 1c). This implies that metabolic changes are stronger during the peak of the
adaptive immune response than during the peak of the innate immune response across virus
models, possibly also reflective of ongoing tissue pathology and organismal metabolic
changes. Metabolite set enrichment analysis ranked purine metabolism and related metabolic
pathways, such as the pentose phosphate pathway, among the top 10 most infection-
associated enriched KEGG metabolite sets 8 dpi (Fig. 1 d and Extended Data Fig. 1d).
Together, these results suggest temporal and pathogen-specific nodes of systemic metabolic
changes during infection.
We aimed to validate our findings on infection-associated metabolic changes in different
murine models by clinical metabolomics data obtained from patients with hepatotropic and
respiratory viral infections. To this end, we analyzed serum samples from a defined patient
cohort with hepatitis C virus (HCV) infection at timepoints pre- and post-curative treatment30.
In line with our observations in the murine infection models, purine metabolism ranked among
the most significantly enriched metabolite sets during HCV infection with xanthine and inosine
among the most differentially regulated metabolites (Extended Data Fig. 1e-f). Moreover, we
examined available datasets from COVID -19 patients across different severity stages 30.
Interestingly, we observed that the serum of COVID-19 patients with varying disease severity,
from mild to fatal outcomes, displayed comparable increases in purine met abolites such as
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xanthine and hypoxanthine, analogous to what we observed during IAV PR8 infection in mice
(Fig. 1e)30.
We observed that metabolic changes were more pronounced during the peak of the adaptive
than the innate immune response. Antiviral CD8 + T cells are a central part of the adaptive
immune response against viruses. These rapidly proliferating effector CD8+ T cells have a
high demand for bioenergetic and biosynthetic metabolites5. We, thus, wanted to investigate
how the activity of metabolically demanding CD8+ T cells is affected by the drastically changing
metabolic environments in an infected host. Upon reanalysis of available transcriptomics data
from LCMV-specific CD8+ T cells , we consistently identified purine metabolism as top hit
among the most prominent differentially regulated metabolic pathways during the
establishment of adaptive antiviral CD8+ T cell response (Extended Data Fig. 1g)31.
In summary, our metabolomics serum analyses across different viral infections revealed a
plethora of infection-associated metabolic changes that may be indicative of the individual viral
pathogenic mechanisms , host responses , and/or stages of the immune responses .
Concurrently, CD8+ T cells undergo vast metabolic remodeling during the establishment of an
antiviral adaptive immune response.
Purine metabolism is a key metabolic node of CD8+ T cell effector function
Next, we set out to assess which of the infection-associated differentially regulated serum
metabolites could play a role in modulating the establishment of antiviral CD8 + T cell
responses. We established a high-throughput image-based screening approach to elucidate
the effects of target immunometabolites on CD8 + effector function in vitro (Fig. 2a).
Specifically, we interrogated the effect of 58 differentially regulated metabolites on
proliferation, activation and effector function by quantifying cell counts, expression of CD44
and interferon-g (IFNg) respectively (Fig. 2b, Extended Data Fig. 2a and Extended Data
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Table 2). Using this workflow, we identified the purine nucleobases hypoxanthine and adenine
as enhancers of CD8+ T cell effector function in a dose-dependent fashion, while proliferation
remained unaffected (Fig. 2c-d and Extended Data Fig. 2b-d). We corroborated these results
through quantification of IFNg concentrations in cell supernatants by ELISA (Extended Data
Fig. 2e). Further, our transcriptional analysis of CD8+ T cells treated with hypoxanthine or
adenine confirmed the upregulation of several immune pathways related to cytoki ne
production and inflammation by gene set enrichment analysis (Fig. 2e).
As control, we also tested the corresponding nucleosides, inosine, and adenosine as well as
the downstream products of purine nucleobases in purine metabolism, xanthine and uric acid
in the same concentration range (Extended Data Fig. 2f-g). These experiments found no
discernible effect on the effector function of CD8+ T cells, suggesting that observed effects on
CD8+ T cells are specific to purine nucleobases.
Salvaging purine nucleobases spares biosynthetic and bioenergetic resources in CD8+
T cells for enhanced effector function
To further elucidate the role of purine metabolism during CD8+ T cell activation, we quantified
the intracellular concentrations of metabolites by targeted metabolomics . Among the
intracellular metabolites that were elevated during T cell activation , 24 out of 30 purine
metabolites in our assay panel exhibited significant upregulation 48 hours post -stimulation,
and 9 remained significantly elevated 72 hours post-stimulation (Fig. 3a and Extended Data
Table 3). Overall, p urine metabolites were among the most prominently upregulated
intracellular compounds, which supports the notion that the management of cellular purine
metabolite pool is important to CD8+ T cell activation.
Cellular purine metabolism consists of two consecutive pathways: purine de novo synthesis
and purine salvage (Fig. 3b)32,33. The resource-intensive purine de novo synthesis pathway
synthesizes new purines from glutamine, serine or glycine, and aspartate, utilizing 5 ATP
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molecules to produce each molecule of the end product, inosine monophosphate (IMP). It has
been demonstrated to play a critical role for satisfying the metabolic demand for nucleotides
to drive prolif eration during T cell act ivation9. The purine salvage pathway maintains and
balances intracellular purine pools of nucleobases, nucleosides, and nucleotides by facilitating
conversions among hypoxanthine-, guanine-, and adenine-based purines such as IMP. This
resource-efficient pathway enables the synthesis of nucleotides from nucleobases recycled
from DNA and RNA, or from extracellular purine sources, independently of purine de novo
synthesis. This process can conserve cellular biosynthetic and bioenergetic re sources. We
hypothesized that CD8+ T cells are metabolically flexible to feed purine nucleobases into the
purine pool via the purine salvage pathway, thereby remodeling their purine metabolism
towards optimized resource efficiency and enhancing effector function33.
We tested the ability of CD8+ T cells to actively import and utilize extracellular purine
nucleobases via the purine salvage pathway by supplementing with 100 µM adenine during
activation. This supplementation resulted in elevated concentratio ns of related purines and
IMP, suggesting the capability of CD8+ T cells to effectively utilize these resources (Fig. 3c).
To provide further evidence for the metabolic flexibility of CD8 + T cells to import and utilize
extracellular purine nucleobases via the purine salvage pathway, we employed a metabolite
tracing experiment using 100 µM of heavy-isotope-labeled 8-13C-adenine. As anticipated, the
labeled 13C atom from adenine was incorporated in all measured purine metabolites. This
includes nucleobases, nucleosides, nucleotides, and specialized purine metabolites such as
the universal bioenergetic metabolite ATP, and S-adenosyl-homocysteine, the precursor of S-
adenosyl-methionine, a donor of transmethylation reactions (Fig. 3d). As expected , the
labelled 13C atom could not be found in metabolites upstream of or unrelated to purine
metabolism such as cytidine, AICAR and serine (Extended Data Fig. 3a). Moreover,
supplementation of adenine or hypoxanthine effectively increased ATP concentrations within
CD8+ T cells, suggesting increased availability of bioenergetic resources (Fig. 3e). Using the
Single Cell Energetic Metabolism by Profiling Translation Inhibition (SCENITH™) method, we
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also found that purine nucleobase supplementation increased the translation rate of CD8 + T
cells (Fig. 3 f)34. Taken together, these results demonstrate that the availability of purine
nucleobases creates a metabolic environment where CD8+ T cells can switch from resource-
intensive purine de novo synthesis to resource-efficient purine salvage which spares
bioenergetic and biosynthetic resources to support translation and likely other cellular
processes for enhanced effector function.
Pharmacological perturbation of purine salvage pathway enhances CD8+ T cell effector
function
To explore strategies to leverage intracellular purine metabolism for the modulation of CD8+ T
cell effector function, we employed 6-mercaptopurine (6-MP), a purine analog that suppresses
T cell proliferation via inhibition of synthesis and conversion of purine metabolites via the
purine salvage pathway 33. When we administered low doses of 6-MP (50 nM), which only
modestly reduced the proliferative capacity of CD8+ T cells, we observed a significant
increase in the production of the effector molecules IFNg and perforin (Fig. 4a,b and
Extended Data Fig. 4a). Quantification of IFNg and TNFa concentrations in cell supernatants
by ELISA further validated these observations (Extended Data Fig. 4b ). Intracellular
metabolite enrichment and transcriptional signatures were comparable to the supplementation
of CD8+ T cells with 100 µM purine nucleobases (Fig. 4c-d). To further investigate whether
analogs of 6-MP exhibit similar effects, we probed the purine metabolic network with additional
compounds such as thioguanine and azathioprine. We found that these compounds showed
the same effect on effector function to an extent comparable to that of 6 -MP (Fig. 4e-f and
Extended Data Fig. 4c-d).
We then assessed the specificity of 6-MP-mediated blockade of nucleotide synthesis on
effector function by using mycophenolic acid and pentostatin, inhibitors targeting the enzymes
inosine monophosphate dehydrogenase (IMPDH) and adenosine deaminase (ADA) . These
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two compounds did not enhance CD8+ T cell effector function as determined by IFNg and
perforin expression (Fig. 4e-f and Extended Data Fig. 4c-d). Therefore, we concluded that
the inhibition of nucleotide synthesis enhances the production of effector molecules in CD8 +
T cells by reducing the metabolic demand for new purines produced via the resource-intensive
purine de novo synthesis pathway. This reduction, in turn, spares biosynthetic and
bioenergetic resources for effector function in a manner similar to that observ ed with purine
supplementation.
To provide further evidence that the observed effects are not attributable to purinergic
signaling, we employed inhibitors targeting cGAS-STING and purinergic signaling pathways.
Contrary to the modulating effects observed with nucleosides such as adenosine and inosine,
the purinergic signaling inhibitor ZM241385 failed to reverse the enhancement of CD8+ T cell
effector function induced by 100 µM adenine ( Extended Data Fig. 4e)35. Additionally, the
cGAS-STING signaling inhibitors RU.521 and C -176 were also ineffective in reverting the
enhanced effector function mediated by 6-mercaptopurine (Extended Data Fig. 4f-g). These
findings further support the conclusion that the enhancement of CD8+ T cell effector function
do not base on signaling activity.
Slc43a3 facilitates transport of purine nucleobases during CD8+ T cell activation.
To further delineate the mechanism of purine nucleobase uptake during the initiation and
development of the antiviral CD8 + T cell response, we performed additional transcriptome
analysis of LCMV -specific CD8+ T cells obtained from Doering et al. 31. Interestingly, we
unveiled a dynamic regulation of transporters facilitating transmembrane transport of
metabolites in CD8 + T cells during viral infections including purine transporters ( Fig. 5a).
Notably, Slc43a3, which was recently identified as a purine nucleobase transporter , was
upregulated in virus-specific CD8+ T cells d uring both infections, while expression levels of
other transporters remained unchanged or decreased (Fig. 5a)36. Slc43a3 was found to
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selectively transport purine nucleobases across the membrane, but not nucleosides like
adenosine which aligned with our observations on the effect of purine nucleobases and
nucleosides on CD8 + T cells 36. Based on these findings, we hypothesized that Slc43a3
mediates the uptake of purine nucleobases from the environment . To test this, we treated
CD8+ T cells with the Slc43a3 inhibitor Decynium -22 (DC -22) and found that increasing
concentrations reverted the effect of 100 µM adenine on enhanced effector function (Fig. 5b
and Extended Data Fig. 5a)36. Moreover, metabolomics analysis of cells treated with 100 µM
adenine, 10 nM DC -22 or a combination of both showed that 10 nM DC -22 successfully
reverted the metabolic changes induced by the exogenous supplementation of adenine (Fig.
5c). Together, these findings led us to the conclusion that Slc43a3 facilitates the uptake of
extracellular purine nucleobases in CD8+ T cells.
Endogenous e levation of serum hypoxanthine levels via allopurinol treatment
enhances antiviral T cell responses.
Based on our discovery of purine nucleobases as novel immunometabolites for the modulation
of CD8+ T cell responses in vivo, we aimed to elucidate the effect of increased systemic levels
of purine nucleobases by administering a purine-rich diet of 0.1% and 0.2% adenine to mice
as reported previously 37. However, even moderate adenine -enriched diets were not well
tolerated in mice and side effects from the dietary treatment diminished potential positive
effects from elevated serum purine levels (data not shown).
Hence, we resorted to elevate serum purine nucleobase levels via the endogenous route using
allopurinol, an inhibitor of xanthine dehydrogenase (XDH) widely used in the clinics to prevent
the conversion of purine nucleobases into xanthine and uric acid (Fig. 3c)38. First, we
assessed the direct impact of allopurinol on CD8+ T cell effector function and proliferation in
vitro. Our findings indicate that allopurinol does not affect these parameters across a broad
dosage spectrum, up to 10 µM. (Extended Data Fig. 6a,b). Second, we verified that inhibition
of XDH increases serum purine nucleobase levels (Fig. 6a). Leveraging this metabolic shift,
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we treated LCMV Cl13-infected mice with allopurinol at 4 dpi to augment their antiviral CD8 +
T cell responses. The populations of GP33 + tetramer and NP396 + tetramer v irus-specific
antiviral CD8+ T cells were unaffected based on comparing percentages of epitope -specific
CD8+ T cells (Fig. 6b,c). However, s ubsequent analysis of restimulated splenocytes and
peripheral blood T cells revealed an enhancement in effector molecule production among
CD8+ T cells (Fig. 6d and Extended Data Fig. 6c), accompanied by reduced viral loads in
spleens and livers ( Fig. 6e). Notably, serum levels of ALT (a liver -specific tissue damage
marker) showed a slight decline ( Fig. 6f). The cellular composition in terms of CD3 +, CD4+,
and CD8+ T cells, as well as T cell subsets, remained largely unaltered (Extended Data Fig.
6d,e). However, there was a significant increase in the central memory compartment among
CD8+ T cells in both blood and spleen in the allopurinol -treated group (Extended Data Fig.
6d,e). In summary, these in vivo findings corroborate our observations from ex vivo
experiments by demonstrating that elevation of purine nucleobase levels increase s the
effector function of antiviral CD8+ T cells without affecting proliferation.
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Discussion
In this study, we investigated the interplay between metabolism and immunity in the context
of viral infections and elucidated infection-associated modulation of systemic metabolism .
Simultaneously, we harnessed viral infection models to identify novel immunometabolites and
investigated the corresponding metabolic pathways that significantly shape CD8+ T cell
responses. Our findings establish purine nucleobases as novel immunometabolites that are
differentially regulated during viral infection and can be leveraged directly as metabolic fuels
for CD8+ T cells or via pharmacological modulation of purine metabolism to enhance cytotoxic
effector functions.
We provide a comprehensive metabolomics resource to explor e the extensive spectrum of
metabolic alterations associated with viral infections and their counteracting immune
responses. Our repository encompasses a variety of murine and human viral infections,
covering multiple RNA virus families including orthomyxov iruses, arenaviruses, and
coronaviruses with different tissue tropisms and infection kinetics. Metabolomics analysis
uncovered unique serum metabolic profiles associated with different stages and types of viral
infections and their counteracting immune res ponses, demonstrating convergence or
divergence in characteristic metabolic pathways as the infection progresses. These insights
not only deepen our understanding of host-pathogen interactions but also provide a foundation
for targeted interventions.
Two of the main findings emerging from our metabolomics data from various viral infection
were that metabolic changes are more pronounced during the peak of the adaptive rather than
the innate immune response and that purine metabolism consistently emerged as one of the
most differentially regulated metabolic pathways in the analyzed murine infection models as
well as in clinical data of human infections . These results highlight purine metabolism as a
central immunometabolic hub during antiviral responses across species and types of viruses.
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We further established a metabolite screen setup to identify novel immunometabolites among
the differentially regulated serum metabolites observed. This targeted metabolite screening
successfully yielded key metabolites known to be essential for T cell function, such as arginine
and glutamine, thus validating the robustness of our findings 10,39. We also identified purine
nucleobases as new immunometabolites through this screen. Intriguingly, these compounds
enhanced the effector function of CD8+ T cells without affecting their proliferative capacity.
Previous research has demonstrated the critical role of purine de novo synthesis in
maintaining nucleotide pools in prolif erating T cells9. Here, we demonstrate that T cells can
adapt metabolically by shifting from the resource -intensive purine de novo synthesis to the
more efficient purine salvage pathway via uptake of purine nucleobases. This switch saves
biosynthetic and bioenergetic metabolites, which may be reallocated to enhance the
translation of effector molecules. We speculate that this metabolic flexibility not only allows
CD8+ T cells to manage energy resources in varying metabolic environments but also enables
them to overcome limiting conditions that may lack the biosynthetic substrates necessary for
purine de novo synthesis, such as serine during LCMV Cl13 and MHV infections (Fig. 1a).
We conducted a set of control experiments to carefully validate metabolic utilization of purine
nucleobases and to distinguish our findings from the domain of purinergic signaling. 15,40
Purinergic signaling plays an important role in the regulation of immune cell activity within the
microenvironment of inflamed tissues . It is facilitated by the release of nucleosides and
nucleotides at very high concentrations, in the range of 10 mM, from necrotic cells.15,40. Hence,
purine nucleotides and nucleosides , not nucleobases, have been extensively characterized
as signaling molecules exerting immunomodulatory function15,40. Recent studies also showed
that T cells could utilize the purine nucleoside inosine as an alternative carbon source to
maintain proliferative capacity and that microbiome -derived inosine enhanced the eff ect of
pro-inflammatory stimuli and immunotherapy41,42. However, the effects we described here are
limited to purine nucleobases that were not reported before to have any purinergic signaling
activity in immune cells . Our control experiments, including the use of inhibitors for classic
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purinergic signaling receptors like the A2A receptor and even the inhibition of the cGAS-
STING pathway, suggested no signaling function underlying the effects of purine nucleobases
that we observed. Instead, metabolite tracing data demonstrated the conversion of imported
purine nucleobases to nucleotides via the purine salvage pathway. We, thus, conclude that
purine nucleobase uptake substitutes purine de novo synthesis and thereby frees up cellular
biosynthetic and bioenergetic resources which contributes to enhanced effector function. This
mechanism offers new insights into the complex and multifaceted role of purine m etabolism
as an immunometabolic pathway.
The application of purine analogs unveiled further critical insights into th is immunometabolic
hub for the allocation of biosynthetic and bioenergetic resources within T cells, particularly
between proliferation and the production of effector molecules. Drugs targeting nucleotide
synthesis are commonly used in the clinics to block the establishment of T cell responses via
suppression of proliferation. Surprisingly, our study found that compounds like 6 -
mercaptopurine and azathioprine , specifically at lower doses, boost ed CD8+ T cell effector
function with minor inhibition of cell proliferation. Hence, our results showed that these
compounds can effectively redirect cellular resources from proliferation to effector function.
Together, the experiments with purine nucleobases and purine analogs demonstrated not only
the stringent regulation of cellular bioenergetic and biosynthetic resource allocation but also
the remarkable adaptability of CD8 + T cells in managing these metabolic resources for
proliferation and effector function.
Purine nucleobases are abundant in various foods like meat, and the consumption of external
purines depends largely on individual dietary lifestyle. As purine nucleobases appear to act as
biosynthetic fuel for T cell responses, further research could expl ore how different diets –
specifically purine-rich omnivorous versus low -purine plant -based diets – might influence
antiviral immunity. In conclusion, our study demonstrates a novel regulatory role of purine
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19
metabolism in supporting CD8+ T cell responses and could open new avenues for
immunometabolic targets for immunotherapy.
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20
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Data availability
The data that support the findings of this study are available from the corresponding author
(A.B.) upon request. This study did not generate new unique reagents. Metabolomics source
data used to generate Fig. 1a-d, Extended Data Fig. 1a-e, Fig. 3a,c and Fig. 4c are provided
with this paper in the Extended Data Tables 1 and 3. Metabolite screen source data used to
generate Fig. 2b and Extended Data Fig. 2a are provided with this paper in Extended Data
Table 2. RNAseq source data used for GSEA in Fig. 2E and Fig. 3D are available at the
European Nucleotide Archive under the accession number PRJEB70319.
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26
Material and methods
Mice
C57BL/6J mice, initially sourced from The Jackson Laboratory, were bred and housed under
specific pathogen-free (SPF) conditions at the Institute for Molecular Biotechnology of the
Austrian Academy of Sciences and the Animal Facility of the Medical University of Vienna in
Vienna, Austria or directly purchased from Charles River. All animal experiments, conducted
in individually ventilated cages, adhered to the approved license (BMWFW -2020-0.406.011)
and ethical guidelines set by the institutional committees at the Medical University of Vienna’s
Department for Biomedical Research. The mice, aged between 8 and 12 weeks old, were age-
and sex-matched for each experiment. For studies involving murine hepatitis virus (MHV), the
mice were kept under SPF conditions at the Kantonsspital St. Gallen Medical Research Center
in Switzerland , with MHV experiments performed in compliance with the license
(SG/14/18.30861) approved by the relevant federal and cantonal ethical committees.
Viruses and cell lines
BHK-21 cells, derived from the kidneys of five newborn hamsters (ATCC CCL-10), were used
to culture Lymphocytic choriomeningitis virus (LCMV). The virus ’s concentration was
determined through an adapted focus -forming assay utilizing Vero cells (ATCC CCL -81),
which originate from the kidneys of female African green monkeys 43. For the infection
experiments, mice received an intravenous injection of 2x10 focus -forming units (FFU) of
LCMV ARM or LCMV Cl13.
Murine hepatitis virus strain A59 (MHV) was propagated in 17CL1 cells, a spontaneously
transformed cell line from BALB/c mouse embryos44. The viral titer for MHV was determined
using a standard plaque assay on L929 cells, which are male mouse fibroblasts (ATCC CCL-
1)45. Mice were administered an intraperitoneal injection of 10^3 plaque -forming units (PFU)
of MHV.
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Infection and sample processing
Mice were euthanized at specified time points noted in the figure legend s using cervical
dislocation. Immediately after, their tissue samples were flash-frozen using liquid nitrogen and
then preserved at -80°C for subsequent analysis. To obtain serum for metabolomics and blood
chemistry analyses, blood samples were collected from the tail vein in tubes covered with clot
activator (Microvette® 100 Z, Sarstedt AG, 20.1280.100) at the designated times prior to
euthanasia, followed by centrifugation at 10,000 rpm for 5 minutes at 4°C. The collected serum
was then placed in fresh tubes and kept at -80°C for future examinations.
Serum metabolomics of hepatitis C virus (HCV) patients
Serum samples were obtained from 16 patients (males; mean age: 41.1± 7.5 years) with HCV
infection prior to antiviral HCV treatment and after sustained virologic response (i.e., assessed
3-6 months after treatment ). HCV-RNA levels (viral loads ) and serum ALT levels were
determined to confirm acute infection or virus clearance, respectively. The clinical trial adhered
to the Declaration of Helsinki and was approved by the local ethics committee of the Medical
University of Vienna (MUV-EC Nr: 1527/2017)46.
Pharmacological perturbation
Allopurinol (Sigma Aldrich) was administered to mice via intraperitoneal injection at a dosage
of 50 and 400 mg/kg in 10% Tween -80/PBS as described elsewhere 47. Mice were closely
monitored for any indications of distress or adverse effects throughout the study. Treatment
was started four days after LCMV infection. Control mice received the same volume of vehicle
(10% Tween-80/PBS).
T Cell isolation
Murine CD8+ T cells were isolated from splenocytes using the MojoSort Mouse CD8 T Cell
isolation kit (480035, BioLegend) according to the manufacturer’s protocol in combination with
magnetic columns for column-based negative selection.
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In vitro CD8+ T cell stimulation and metabolite screen
Murine splenic CD8+ T cells were seeded in 384-well plates at a density of 15,000 cells per
well. For metabolic and substrate utilization studies, cells were cultivated in RPMI enriched
with metabolites of interest and supplemented with 10% dialysed FBS (F0392, Sigma Aldrich),
1% Penicilli n/Streptomycin, 55 µM β-Mercaptoethanol, 50 U/mL recombinant murine IL -2
(212-12, Peprotech) and Dynabeads Mouse T-Activator CD3/CD28 (11456D, Thermo Fischer
Scientific) at a 1:1 bead to cell ratio. For studying amino acid utilization, synthetic amino acid-
free RPMI was selectively enriched or depleted of specific amino acids. After 72 hours
incubation at 37 °C and 5 % CO2, cells were restimulated with PMA/Ionomycin and brefeldin
A and monensin (00-4975, Thermo Fisher Scientific). After 6 hours restimulation, cells were
fixated with 0.5 % PFA and 0.15% Triton X100 and stained with DAPI, a nti-IFNg-PE (1:250
dilution) and anti-CD44-AF488 (1:400 dilution) over night at 4 °C and 6 hours at room
temperature before washing and imaged immediately afterwards. Imaging readouts were
conducted with the PerkinElmer Opera Phenix High -Content High -Throughput Imaging
System at 20x resolution acquiring nine fields per well for all three channels with the following
emission filters (DAPI : 435-480nm, PE: 570-630 nm, AF488: 500-550 nm).
In vitro CD8+ T cell stimulation and flow cytometry
Plates for CD8+ T cell stimulatio n were treated with antibody solutions of murine aCD3 (1
µg/mL, 553238, BD Biosciences) and murine aCD28 (2.5 µg/mL, 553295, BD Biosciences)
antibodies in PBS over night at 4 °C. 96 -well plates were treated with 100 µL, 48-well plates
were treated with 250 µL per well. Murine splenic CD8+ T cells were seeded in 48-well plates
at a density of 400,000 cells per well or in 96-well plates at a density of 50,000 cells per well.
For metabolic and substrate utilization studies, cells were cultivated for 72 hours at 37 °C and
5% CO2 in RPMI supplemented with metabolites of interest and 10% dialyzed FBS (F0392,
Sigma Aldrich), 1% Penicillin/Streptomycin, 55 µM β-Mercaptoethanol (BME, Sigma Aldrich)
and 50 U/mL recombinant murine IL-2 (212-12, Peprotech).
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29
For proliferation studies, naïve cells were stained before plating using Cell Proliferation Dye
eFluor 450 (ThermoFisher Scientific, 65 -0842-85) according to the manufacturer’s protocol.
Proliferation readouts are reported as a division index of viable cells, describing the average
number of cell divisions per cell including undivided cells.
For tetramer staining, cells were first suspended in a 25 μL solution of PBS with GP33 (dilution
1:500) and NP396 (dilution 1:250) tetramers from the NIH Tetramer Core Facility, followed by
a 15 -minute incubation at 37°C. Subsequently, 25 μL of PBS mixed with anti -CD16/32
(Biolegend; dilution 1:200) was added, and the mixture was incubated at room temperature
for 10 minutes. Then, a 25 μL master mix containing a selection of surface marker antibodies
(including anti-CD8.2b, anti-CD3 and others, all from Biolegend at a 1:200 dilution in PBS)
along with Fixable Viability Dye eFluor 780 (eBioscience; 1:2000 in PBS) was added for a 20-
minute incubation at 4°C. After washing with FACS buffer (PBS with 2% FCS), cells were fixed
in 4% Paraformaldehyde (Sigma) in PBS for 10 minutes, washed twice more with FACS buffer,
resuspended in 100 μL, and analyzed via flow cytometry.
For intracellular cytokine staining (ICS), cell pellets were reconstituted in 50 μL of RPMI 1640
medium (GIBCO) enriched with 10% FCS (PAA) and 1% Penicillin -Streptomycin-Glutamine
(Thermo Fisher Scientific), plus 55 μM β-mercaptoethanol (Sigma). This medium also included
LCMV peptides (1:1000, Peptide 2.0 Inc.) and a Protein Transport Inhibitor Cocktail
(eBioscience, #00-4980-03; 1:500, Thermo Fisher Scientific). Cells were treated with a Cell
Stimulation Cocktail (eBioscience, #00 -4970-93) as a positive control and incubated for 4
hours at 37°C. Surface antigens were stained as previously described. Following this, a 25 μL
master mix of selected antibodies in FACS buffer with 0.05% saponin (Sigma, 47036) f or
intracellular targets (including anti-IFNγ, anti-Perforin, anti-Gzmb; all from Biolegend, all at
1:200 dilution) was added and incubated for 90 minutes at 4°C. Finally, the cells were washed
twice with FACS buffer, resuspended in 100 μL, and subjected to flow cytometric analysis.
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ELISA for effector molecule quantification
IFNg and TNFa were quantified in 100 µL cell media supernatants a fter 72 hours incubation
of in vitro-stimulated murine splenic CD8+ T cells according to the manufacturer ’s protocols
(IFNg: Thermo Fisher Scientific, #88-7314-88; TNFa: Thermo Fisher Scientific, #88-7324-76).
Signals were recorded in the wavelength substraction mode (570 nm signal substracted from
450 nm) with a SpectraMax i3x Multi-Mode Microplate Reader in 96-well plate format. Effector
molecule concentrations were determined by comparing signals from samples and provided
standards and normalization by cell count.
Metabolomics analysis
Mouse serum, obtained as previously described, was extracted by adding ice-cold methanol
and cleared extracts were dried under nitrogen. Samples were taken up in MS -grade water
and mixed with the heavy isotope labelled internal standard mix. A 1290 Infinit y II UHPLC
system (Agilent Technologies) coupled with a 6470 triple quadrupole mass spectrometer
(Agilent Technologies) was used for the LC-MS/MS analysis. The chromatographic separation
for samples was carried out on a ZORBAX RRHD Extend -C18, 2.1 x 150 mm , 1.8 um
analytical column (Agilent Technologies). The column was maintained at a temperature of
40°C and 4 µL of sample was injected per run. The mobile phase A was 3% methanol (v/v),
10 mM tributylamine, 15 mM acetic acid in water and mobile phase B was 10 mM tributylamine,
15 mM acetic acid in methanol. The gradient elution with a flow rate of 0.25 mL/min was
performed for a total time of 24 min. Afterwards back -flushing of the column using a 6port/2-
position divert valve was carried out for 8 min using acetonitrile, followed by 8 min of column
equilibration with 100% mobile phase A. The triple quadrupole mass spectrometer was
operated in negative electrospray ionization mode, spray voltage 2 kV, gas temperature 150
°C, gas flow 1.3 L/min, nebulizer 45 psi, sheath gas temperature 325 °C, sheath gas flow 12
L/min. The metabolites of interest were detected using a dynamic MRM mode. The
MassHunter 10.0 software (Agilent Technologies) was used for data processing. Seven-point
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31
calibration curves with internal s tandardization was constructed for the quantification of
metabolites. The log2 fold -changes for differential metabolite modulation were determined
based on pairwise comparisons of metabolite concentrations between the replicates of
uninfected control samples versus the replicates of infected samples.
Metabolite tracing
CD8+ T cells were stimulated in vitro in cell culture media with dialyzed FBS (F0392, Sigma
Aldrich) for 72 hours at 37°C with supplements of 8-13C heavy-isotope labelled adenine before
measurement. To elucidate the metabolic utilization of 13C-labelled adenine (8 -13C, 95% ,
Cambridge Isotope Labs ) the same extraction and LC -MS set -up as for the targeted
metabolomics was used, except no heavy isotope-labelled internal standards were added, an
adapted dynamic MRM list focused on purines, pyrimidines, and related control metabolites
were constructed monitoring both light and heavy metabolites, and signals were quantified as
area under the curve (AUC) without absolute quantification. Ratios of AUC between heavy
and light metabolites were compared for normalization.
Measurement of intracellular ATP levels using CellTiter-Glo®
Intracellular ATP content in CD8+ T cells was assessed with CellTiter-Glo® Luminescent Cell
Viability Assay (Promega) after 72 h incubation at 37 °C with or without purine nucleobase
supplements. Briefly, CD8+ T cells were resuspended in RPMI 1640 and seeded at a density
of 200,000 cells per well in 96 -well plates (Corning 3764) and measurements co nducted
according to the manufacturer’s instructions.
Measurement of translation rates using SCENITH™
Translation rates were determined using the SCENITH ™ method using the SCENITH kit
reagents (www.scenith.com) by detecting puromycin incorporation into proteins in CD8 + T
cells for 30 minutes after 72 h incubation at 37 °C with or without additional treatments as
described before 34. For the measurement, c ells wer e resuspended in RPMI 1640
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32
supplemented with 10% dialysed FBS and 10 µg/mL Puromycin dihydrochloride (HY-B1743A,
MedChemExpress) and incubated for 30 minutes at 37 °C. Cells were then stained for flow
cytometry-based analysis as previously described, and s tained with AF647-conjugated anti-
puromycin antibody supplied by Dr. Argüello to assess puromycin incorporation.
Sample collection for RNA sequencing
48-well plates for the creation of RNA sequencing samples were treated with antibody
solutions of murine aCD3 and murine aCD28 as described for the Flow cytometry setup
before. Murine splenic CD8+ T cells were seeded in 48-well plates at a density of 400,000 cells
per well and harvested after 72 hours.
NGS Library Preparation for RNA sequencing
The amount of total RNA was quantified using the Qubit 2.0 Fluorometric Quantitation system
(Thermo Fisher Scientific, Waltham, MA, USA) and the RNA integrity number (RIN) was
determined using the Experion Automated Electrophoresis System (Bio -Rad, Hercules, CA,
USA). RNA -seq libraries were prepared with the TruSeq Stranded mRNA LT sample
preparation kit (Illumina, San Diego, CA, USA) using Sciclone and Zephyr liquid handling
workstations (PerkinElmer, Waltham, MA, USA) for pre - and post-PCR steps, respectively .
Library concentrations were quantified with the Qubit 2.0 Fluorometric Quantitation system
(Life Technologies, Carlsbad, CA, USA) and the size distribution was assessed using the
Experion Automated Electrophoresis System (Bio-Rad, Hercules, CA, USA). For sequencing,
samples were diluted and pooled into NGS libraries in equimolar amounts.
Next-Generation Sequencing and Raw Data Acquisition for RNA sequencing
Expression profiling libraries were sequenced on HiSeq 3000/4000 instruments (Illumina, San
Diego, CA, USA) following a 50-base-pair, single-end recipe. Raw data acquisition (HiSeq
Control Software, HCS, HD 3.4.0.38) and base calling (Real -Time Analysis Software, RTA,
2.7.7) was performed on -instrument, while the subsequent raw data processing off the
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instruments involved two custom programs based on Picard tools (2.19.2). In a first step, base
calls were converted into lane-specific, multiplexed, unaligned BAM files suitable for long-term
archival (IlluminaBasecallsToMultiplexSam, 2.19.2 -CeMM). In a se cond step, archive BAM
files were demultiplexed into sample -specific, unaligned BAM files (IlluminaSamDemux,
2.19.2-CeMM).
Blood chemistry analysis
Blood for the assessment of alanine aminotransferase (ALT) and aspartate aminotransferase
(AST) levels was collected in MiniCollect EDTA tubes (Greiner Bio -One). Serum was
separated by spinning at 4,000 rpm for 10 minutes at 4°C. Serum was diluted in a 1:8 ratio
with PBS. Samples were kept chilled, shielded from light, and sealed until they were analyzed.
ALT and AST levels were measured using a spectrophotometric method on a Roche Cobas
C311 Analyzer.
Serum xanthine/hypoxanthine measurements
Xanthine/hypoxanthine concentrations in mouse serum were determined using the
Xanthine/hypoxanthine assay kit (Sigma-Aldrich, #MAK186) according to the manufactuerer’s
protocol. Proteins were removed from serum samples using 3 kDa Amicon ultracentrifugation
filters (Merck, UFC5003). Samples were prepared for fluorimetric assay measurement, signals
recorded with SpectraMax i3x Multi -Mode Microplate Reader and concentrations of
xanthine/hypoxanthine determined by comparine signals of samples to the standard curve.
Data Processing and Statistical Analysis
Metabolite set enrichment analysis
Metabolite set enrichment was conducted using metabolite concentration tables and the
Quantitative Enrichment Analysis tool of MetaboAnalyst 5.048. Metabolite concentration data
were log -transformed and enriched metabolite sets were assessed based on the KEGG
pathways. Only metabolite sets with q value of enrichment < 0.05 were considered.
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34
RNAseq data processing and gene set enrichment analysis
Sequencing data were converted to fastq files using bedtools49. Adaptor sequences and low-
quality bases were r emoved using trimmomatic (0.38), with parameters set to 2:30:10
LEADING:3 TRAILING:3 SLIDINGWINDOW:4:15 MINLEN:30 50. Transcript and gene
abundance was deduced with Salmon (1.4.0) with correction for sequence and GC content
bias51. Reference mouse trans criptome mm10 was deduced from refgenie (0.12.0) with
refgenconf (0.12.2)52. Obtained reads per gene counts were imported into R and pairwise
differential gene expression analysis was performed using the DESeq2 package 53. The
EnrichmentBrowser (2.20.7) package was used to examine the resulting gene list and the set
of differentially expressed genes, defined by adjusted p-value <0.05, for overrepresented gene
sets as as annotated by Molecular Signatures Database (msigdbr 7.4.1), using the
overrepresentation analysis methods (ORA) implemented in the EnrichmentBrowser
package54.
Principal component analysis
Principal component analysis (PCA) was performed using Scikit-learn and standard -scaled
metabolite concentration tables 55. Ellipses around data points for each condition represent
covariance confidence intervals with a radius of two standard deviations.
Statistical information
Data are presented as arithmetic mean ± SD. Sample sizes are indicated in the figure legends.
Longitudinal metabolomics measurements in mice during viral infections were analyzed with
two-sided paired t-test (naïve vs 2 dpi or 8 dpi, respectively) with two-stage step-up Benjamini-
Hochberg procedure to control the false discovery rate ( FDR) (alpha = 0.1) . Statistical
significance in screens was evaluated using two-sided independent t -test with Benjamini-
Hochberg procedure to control the FDR (alpha = 0.1) . If not indicated differently, s tatistical
significances in other experiments were calculated with one-way analysis of variance
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35
(ANOVA). Stars indicate significance levels based on p values as follows: ns = not significant,
* - p < 0.05, ** - p < 0.01, *** - p < 0.001, **** - p < 0.0001.
Acknowledgements
We want to thank Sarah Niggemeyer, Jenny Riede and Nicole Fleischmann for animal
caretaking; Burkhard Ludewig for providing samples from infection experiments with MHV;
Iciar Serrano Sanchez and Juan Sanchez Avila from the Molecular Discovery Platform at
CeMM for metabolomics analysis and data process ing; Thomas Penz, Michael Schuster,
Martin Senekowitsch, Daniele Barreca, and Christoph Bock from the Biomedical Sequencing
Facility at CeMM for RNA sequencing and initial data analysis; Clarissa Campbell for support
and feedback. The following reagents were obtained through the NIH Tetramer Core Facility:
LCMV MHCI tetramers GP33 ( conjugated to Phycoerythrin [PE]) and NP396 (conjugated to
Allophycocyanin [APC]). This project was funded with support of the European Research
Council (ERC) under the European Union’s Horizon 2020 research and innovation program
(grant agreement no. 677006, “CMIL” to A. Bergthaler). A DOC Fellowship from the Austrian
Academy of Sciences supported J.-W. G. and A. L. RJA was supported by the grant ANR PRC
MetaNiche Nº ANR-22-CE15-0015-02.
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Figure 1: Comprehensive analysis of systemic metabolism reveals dynamic patterns in
serum metabolite concentrations during viral infections. a) Longitudinal profiling of serum
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37
metabolite changes 8 dpi in five age- and sex-matched mice per group infected with LCMV
Armstrong (LCMV ARM), LCMV Cl13, Influenza A virus Puerto Rico 8 (IAV PR8) or murine
hepatitis virus (MHV). Statistical analysis: Longitudinal metabolomics measurements were
analyzed with paired t -tests (naïve vs 8 dpi) with two-stage step -up Benjamini -Hochberg
procedure to control the FDR (alpha = 0.1). b) Correlation matrix of serum metabolite changes
8 dpi with linear regression line. c) Principal component analysis (PCA) visualizing the
divergence and convergence of metabolic trajectories among LCMV ARM, LCMV Cl13, and
IAV PR8-infected mice. d) Metabolite set enrichment analysis indicating perturbed metabolic
pathways during infection with LCMV ARM, LCMV Cl13, IAV PR8, and MHV at 8 dpi. Purine
metabolism is emphasized in red, with associated metabolic pathways marked in yellow. e)
Serum metabolomic profiling across different clinical severity stages of COVID -19, based on
data adapted from Valdés et al.30
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38
Figure 2: Purine metabolism is a key metabolic node for CD8 + T cell effector function.
a) Representative immunofluorescence images for the metabolite screen setup. b) Results of
Interferon-g (IFNg) expression readout in high-throughput metabolite screen setup.
Unstimulated and staining controls were removed from the visualization for enhanced clarity.
Statistical analysis: Independent t-test with Benjamini-Hochberg procedure to control the FDR
(alpha = 0.1) with sample size n = 6. c-d) Flow cytometry-based validation of metabolite screen
outcomes examining the impact of purine nucleobases on c) cellular proliferation and d)
effector function. The graph is a representative example of three independent experiments.
Data are represented as mean ± SD with sample size n = 3. e) Gene set enrichment analysis
of genes differentially regulated with supplementation of 100 µM hypoxanthine or 100 µM
adenine compared to untreated control. The sample size is n = 3.
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39
Figure 3: Salvaging purine nucleobases spares biosynthetic and bioenergetic
resources in CD8 + T cells for enhanced effector function. a) Changes in intracellular
metabolite concentrations in CD8+ T cells after 72h in vitro stimulation with plate-bound anti-
CD3/anti-CD28 antibodies. Statistical analysis: Independent t -test with two-stage step -up
Benjamini-Hochberg procedure to control the FDR (alpha = 0.1) with sample size n = 3. Data
are represented as percentage of total with standard deviation. b) Schematic overview of the
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40
metabolic pathways in purine metabolism. c) Intracellular metabolite concentrations in CD8+
T Cells treated with 100 µM adenine versus untreated controls 72 hours post-stimulation.
Statistical analysis: Independent t -test. d) Mass spectrometry -based analysis of the
distribution of heavy isotope-labelled C atoms in cellular purine metabolites. CD8+ T cells were
stimulated in vitro in cell culture media with dialyzed FBS for 72 hours with supplements of 8-
13C heavy-isotope labelled adenine before measurement. e) Measurement of intracellular ATP
levels using the CellTiter-Glo® method in in vitro stimulated CD8+ T cells normalized by cell
viability. Statistical analysis: Independent t-test. f) Translation rate in in vitro stimulated CD8+
T cells determined via puromycin incorporation using the SCENITH method. Statistical
analysis: Independent t -test. a,c,d) The sample size is n=3. e-f) Data are represented as
means ± SD with sample size e) n = 3 or f) n = 4, respectively.
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41
Figure 4: Pharmacological perturbation of the purine salvage pathway enhances CD8+
T cell effector function. a-b) Flow cytometry-based analysis of the effect of 6-mercaptopurine
(abbreviation: 6 -MP) on a) proliferative capacity and b) different parameters of effector
function of CD8+ T cells stimulated in vitro. Statistical analysis: Independent t-test. The graph
is a representative example of three independent experiments. c) Metabolomics analysis of
the intracellular metabolite concentrations in CD8 + T cells after 6-mercaptopurine treatment
compared to untreated control, evaluated 72 hours post stimulation in vitro . d) Gene set
enrichment analysis of CD8+ T cells after 6-mercaptopurine treatment compared to untreated
control, evaluated 72 hours post stimulation in vitro. e-f) FACS-based analysis of the effect of
different inhibitors of purine metabolism on e) IFNg expression and f) perforin expression in in
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42
vitro-stimulated CD8+ T cells. Data in all subfigures are presented as means ± SD. a-f) The
sample size is n = 3.
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43
Figure 5: SLC43A3 facilitates transport of purine nucleobases during T cell activation.
a) Differential gene expression analysis for purine transmembrane transporters in virus
specific CD8+ T cells during LCMV ARM and LCMV Cl13 infection. Data obtained from Doering
et al.31. b) Flow cytometry-based analysis of the effector function of in vitro-stimulated CD8+ T
cells at different concentrations of decynium -22 (DC -22) with or without 100 µM adenine
supplement. The graph is a representative example of two independent experiments. The data
are represented as means ± SD with sample size n= 3 . c) Metabolomic profiling of in vitro-
stimulated CD8 + T cells treated with 10 nM DC -22, 100 µM Adenine or both compared to
untreated control. The sample size is n= 3. Abbreviations: Ade – 100 µM adenine, DC-22 –
Decynium-22.
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44
Figure 6: Elevation of serum purine nucleobase concentrations improves antiviral
immune responses. a) Time-course analysis (longitudinal measurements) of serum
hypoxanthine/xanthine concentration upon intraperitoneal administration of different doses of
allopurinol. Statistical analysis: One-way ANOVA on longitudinal measurements with sample
size is n=4 in 50 mg/kg treatment group and n=5 in 400 mg/kg treatment group. b-c) Flow
cytometric analysis of GP33- and NP396-specific CD8+ T cells in b) blood and c) spleen. d)
Flow cytometric analysis of peptide restimulated CD8 + T cells at 8 days post LCMV Cl13
infection. e) Viral loads in spleen and liver at 8 days post LCMV Cl13 infection. f) Serum ALT
levels measured 8 days post LCMV Cl13 infection with and without allopurinol treatment.
Statistical analysis: Independent t -test. The graph is a representative example of two
independent experiment s. b-f) Statistical analysis: Independent t -test. The graph is a
representative example of two independent experiment s. Sample size in the shown
experiment n=5 in naïve and control or n=4 in treatment group, respectively . Data in all
subfigures are presented as means ± SD
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Extended Data Figure 1: Comprehensive analysis of systemic metaboli sm reveals
dynamic patterns in serum metabolite concentrations during viral infections . a)
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46
Longitudinal profiling of serum metabolite changes in five age- and sex-matched mice per
group infected with LCMV Armstrong (LCMV ARM), LCMV Cl13, Influenza A virus Puerto Rico
8 (IAV PR8) or murine hepatitis virus (MHV). Longitudinal metabolomics measurements were
analyzed with paired t -tests (naïve vs 2 dpi or 8 dpi, respectively) with two-stage step-up
Benjamini-Hochberg procedure to control the FDR (alpha = 0.1). b) Number of metabolites of
the panel detected in at least 10 samples. c) Correlation matrix of serum metabolite changes
2 dpi. d) Metabolite set enrichment analysis indicating perturbed metabolic pathways during
infection with LCMV ARM, LCMV Cl13, IAV PR8, and MHV at 2 dpi. Purine metabolism is
emphasized in red, with associated metabolic pathways marked in yellow. e) Metabolic
changes in serum during acute HCV infection compared to cured patients post treatment.
Statistical Analysis: Wilcoxon Rank-sum Test. f) Metabolite set enrichment analysis indicating
perturbed metabolic pathways during acute HCV infection. f) Gene set enrichment analysis of
metabolic pathway genes (according to KEGG annotation) in virus -specific T cells during
LCMV Cl13 and LCMV Armstrong infection at 8 dpi. Data obtained from Doering et al.31
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Extended Data Figure 2: a) Results of proliferation readout and CD44 expression readout in
high-throughput metabolite screen setup with sample size n = 6 . b) Flow cytometry-based
validation of metabolite screen outcomes examining the impact of purine nucleobases on
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48
mean fluorescence intensity (MFI) of IFNg- and Perforin-producing CD8+ T cells. The graph is
a representative example of two independent experiments. c-d) Proportion and MFI intensity
of c) IFNg-producing and d) perforin-producing CD8 + T cells upon treatment with purine
nucleobase supplements and restimulation with phorbol myristic acetate and ionomycin
(PMAi) in vitro. The graph is a representative example of two independent experiments. e)
ELISA-based v alidation of metabolite screen outcomes examining the impact of purine
nucleobases on effector function. The graph is a representative example of two independent
experiments f) High-throughput image-based analysis of the effect of xanthine and uric acid
on proliferation and effector function of CD8+ T cells in vitro. g) Flow cytometry-based analysis
of the effect of the nucleosides adenosine and inosine on the effector function of CD8+ T cells
in vitro. The graph is a representative example of three independent experiments. Data in all
subfigures are presented as mean ± SD. c-f) Sample size in flow cytometry readout is n = 3.
g) Sample size in image -based screen is n = 5 in control group and n = 6 in treatment and
unstimulated groups. Abbreviations: Ade - 100 µM adenine; Hyp – 100 µM hypoxanthine
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49
Extended Data Figure 3: Salvaging purine nucleobases spares biosynthetic and
bioenergetic resources in CD8 + T cells for enhanced effector function. a) Mass
spectrometry-based analysis of the distribution of heavy isotope -labelled C atoms in cellular
metabolites. CD8+ T cells were stimulated in vitro in cell culture media with dialyzed FBS and
supplemented with 100 µM 8-13C heavy -isotope labelled adenine for 72 hours before
measurement. Sample size is n = 3. Data are represented as percentage of total with standard
deviation.
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Extended Data Figure 4: Pharmacological perturbation of purine salvage pathway
enhances CD8+ T cell effector function . a) Flow cytometry-based validation of metabolite
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51
screen outcomes examining the impact of purine nucleobases on effector function. b) ELISA-
based analysis of the effect of 6 -mercaptopurine on effector function . The graph is a
representative example of three independent experiments. c-d) FACS-based analysis of the
effect of different inhibitors of purine metabolism o n c) IFNg expression and d) perforin
expression in in vitro-stimulated CD8+ T cells. The graph is a representative example of tree
independent experiment s. e) Flow cytometry -based assessment of the efficacy of the
purinergic signaling inhibitor ZM241385 to revert the effects of 100 µM adenine treatment. f-
g) Flow cytometry -based analysis of the efficacy of cGAS -STING signaling inhibitors in
inhibiting the effect of 6-mercaptopurine on f) proportion and g) mean fluorescence intensity
(MFI) of IFNg-producing CD8+ T cells in vitro 72 hours post stimulation. Data in all subfigures
are presented as mean ± SD with sample size a -d,f-g) n = 3 or e) n = 5 in control and Ade
treatment and n = 3 in inhibitor treatments. Abbreviations: Ade - 100 µM adenine; 6-MP – 50
nM 6-mercaptopurine
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Extended Data Figure 5: SLC43A3 facilitates purine nucleobases transport during T cell
activation. a) Flow cytometry-based analysis of different parameters of the effector function
of in vitro-stimulated CD8+ T cells at different concentrations of decynium-22 (DC-22) with or
without 100 µM adenine suppleme nt. The graph is a representative example of two
independent experiments. Data in all subfigures are presented as mean ± SD with sample
size n = 3. Abbreviations: Ade - 100 µM Adenine, DC-22 – Decynium-22.
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1
Extended Data Figure 6: Elevation of serum purine nucleobase concentrations
improves antiviral immune responses. a-b) High-throughput imaging-based analysis of the
effect of different concentrations of allopurinol on a) effector function and b) proliferation of
CD8+ T cells in vitro. Sample size is n = 5. c) Flow cytometric analysis of peptide restimulated
CD8+ T cells at 8 days post LCMV Cl13 infection. Statistical analysis: Independent t-test. The
graph represents a composite of two independent experimental replica tes. d-e) Flow
cytometry-based analysis of T cell subsets in d) blood and e) splenocytes. Statistical analysis:
Independent t-test. The graph is a representative example of two independent experiments.
Data in all subfigures are presented as mean ± SD with sample size n=5 in naïve and control
or n=4 in treatment group, respectively.
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Extended Data Table 1: Viral infection metabolomics analysis.
Extended Data Table 2: Results of targeted metabolite screen.
Extended Data Table 3: Metabolomics analysis of metabolic treatments of CD8+ T cells.
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