%0 Journal Article %T Itaconic acid mediates crosstalk between macrophage metabolism and peritoneal tumors %A Christina M. Annunziata %A Daniel W. McVicar %A David A. Wink %A Jonathan M. Weiss %A Lilia Ileva %A Lisa A. Ridnour %A Luke C. Davies %A Megan Karwan %A Michelle K. Ozaki %A Robert Y.S. Cheng %J The Journal of Clinical Investigation %D 2018 %R 10.1172/JCI99169 %X Control of cellular metabolism is critical for efficient cell function, although little is known about the interplay between cell subset¨Cspecific metabolites in situ, especially in the tumor setting. Here, we determined how a macrophage-specific (M£¿-specific) metabolite, itaconic acid, can regulate tumor progression in the peritoneum. We show that peritoneal tumors (B16 melanoma or ID8 ovarian carcinoma) elicited a fatty acid oxidation¨Cmediated increase in oxidative phosphorylation (OXPHOS) and glycolysis in peritoneal tissue¨Cresident macrophages (pResM£¿). Unbiased metabolomics identified itaconic acid, the product of immune-responsive gene 1¨Cmediated (Irg1-mediated) catabolism of mitochondrial cis-aconitate, among the most highly upregulated metabolites in pResM£¿ of tumor-bearing mice. Administration of lentivirally encoded Irg1 shRNA significantly reduced peritoneal tumors. This resulted in reductions in OXPHOS and OXPHOS-driven production of ROS in pResM£¿ and ROS-mediated MAPK activation in tumor cells. Our findings demonstrate that tumors profoundly alter pResM£¿ metabolism, leading to the production of itaconic acid, which potentiates tumor growth. Monocytes isolated from ovarian carcinoma patients¡¯ ascites fluid expressed significantly elevated levels of IRG1. Therefore, IRG1 in pResM£¿ represents a potential therapeutic target for peritoneal tumors %U https://www.jci.org/articles/view/99169