Macrophages with a deletion of the phosphoenolpyruvate carboxykinase 1 (Pck1) gene have a more proinflammatory phenotype

Phosphoenolpyruvate carboxykinase (Pck1) is a metabolic enzyme that is integral to the gluconeogenic and glyceroneogenic pathways. However, Pck1's role in macrophage metabolism and function is unknown. Using stable isotopomer MS analysis in a mouse model with a myeloid cell–specific Pck1 deletion, we show here that this deletion increases the proinflammatory phenotype in macrophages. Incubation of LPS-stimulated bone marrow–derived macrophages (BMDM) with [U-13C]glucose revealed reduced 13C labeling of citrate and malate and increased 13C labeling of lactate in Pck1-deleted bone marrow–derived macrophages. We also found that the Pck1 deletion in the myeloid cells increases reactive oxygen species (ROS). Of note, this altered macrophage metabolism increased expression of the M1 cytokines TNFα, IL-1β, and IL-6. We therefore conclude that Pck1 contributes to M1 polarization in macrophages. Our findings provide important insights into the factors determining the macrophage inflammatory response and indicate that Pck1 activity contributes to metabolic reprogramming and polarization in macrophages.

Macrophages are versatile cells that adapt themselves to the microenvironment in tissues. Stimulation of macrophage with either Th1 cytokines, with interferon-␥ (IFN-␥), or lipopolysaccharide (LPS) promotes the inflammatory phenotype with increased secretion of tumor necrosis factor ␣ (TNF␣), interleukin-1␤ (IL-1␤), interleukin-6 (IL-6) and increased production of reactive oxygen species (ROS) 2 and nitric oxides (NOs). To meet energetic and biosynthetic demands, inflammatory macrophages are subjected to metabolic reprogramming (1,2). This reprogramming increases glycolytic rates and lactate pro-duction. The mechanism is thought to occur through repression of pyruvate dehydrogenase (PDH) by activating pyruvate dehydrogenase kinase (PDHK), thus limiting carbon flux into the citric acid cycle (CAC). However, some pyruvate is still oxidized through PDH, which is essential for full LPS activation in the macrophage (3).
The CAC is central to carbon metabolism coordinating the metabolism of glucose, glutamine, and other biosynthetic pathways such as lipogenesis and nucleic acid synthesis. Upon activation, macrophages increase their uptake of glutamine to sustain these cataplerotic reactions (4). Glutamate generated from glutamine is converted to ␣-ketoglutarate via glutamate dehydrogenase and replenishes the CAC. It has been suggested that metabolites from CAC impact macrophage inflammatory phenotypes. For example, increased succinate stabilizes hypoxiainducible factor 1␣ (HIF-1␣). The increased HIF-1␣ positively regulates proinflammatory cytokine IL-1␤ expression and other HIF-dependent genes, including some of the glycolytic enzymes (5). Another CAC metabolite, citrate, also modulates macrophage function. Citrate exported by citrate carrier (CIC) from mitochondria to the cytosol is cleaved by ATP-citrate lyase (ACLY) into acetyl-CoA and oxaloacetate (OAA). Acetyl-CoA provides carbons for fatty acid synthesis to meet the demand for lipids in the proinflammatory state (6). The second product of citrate metabolism, OAA, is reduced by NADH to form malate, and malate is decarboxylated and oxidized to form pyruvate by the malic enzyme. This produces NADPH, which is used to generate reactive oxygen species by NADPH oxidase (7,8).
Pck1 is an integral metabolic enzyme for gluconeogenic and glyceroneogenic pathways (9,10). It catalyzes the conversion of OAA into phosphoenolpyruvate (PEP). Although the production of PEP from OAA is a cataplerotic reaction during gluconeogenesis, Pck1 has also been found to play an important role in anaplerosis of the CAC. First when Pck1 is deleted in the liver, it results in ϳ90% decreased CAC flux, which in turn impairs fatty acid oxidation and ultimately contributes to the development of hepatic steatosis (11). In the small intestine, it has been proposed that PEP produced from Pck1 can be converted into pyruvate and can re-enter the mitochondria through PDH (12). Recently, in tumor cells that exhibit the Warburg effect, Pck1 was discovered to play a key role for promoting anabolic metabolism, including synthesis of fatty acids and nucleic acids (13).
In this study, we found Pck1 expression is induced in LPSactivated macrophages. We determined the metabolic role of Pck1 in the macrophage and show that Pck1 has regulatory effects that promote the proinflammatory phenotype. Using Pck1-deleted macrophage we show that upon LPS stimulation, the macrophages exhibited less carbon entry into the CAC and had reduced lipid synthesis. We provide important insights into the macrophage inflammatory response and show that Pck1 contributes to metabolic reprogramming in the macrophage.

Pck1 regulates inflammatory phenotype and redox state of macrophages
To establish whether Pck1 expression and activity in the macrophage have biological significance, we generated myeloid-specific deletion of Pck1 (Pck1 MC-KO ) (Fig. 1A). To confirm that Pck1 was successfully deleted, differentiated thioglycollate elicited peritoneal macrophages and bone marrowderived macrophages (BMDM) were isolated and treated with vehicle or LPS for 4 h. The expression of the Pck1 mRNA in macrophages isolated from Pck1 MC-KO mice was greatly reduced (Fig. 1B). To determine whether Pck1 expression in other tissues was altered, we isolated skeletal muscle, kidney, brown adipose tissue, white adipose tissue, and muscle from fasted Pck1 flox/flox and Pck1 MC-KO mice. Protein was isolated and analyzed by Western blotting (Fig. S1). There were no differences in Pck1 protein expression between Pck1 flox/flox and Pck1 MC-KO mice for the tissues analyzed except for skeletal muscle which showed a reduction of Pck1 in both parental strains (Pck1 flox/flox and Pck1 MC-KO ) compared with C57BL/6J (B6) muscle.

Role of Pck1 in the macrophage
To investigate the role of Pck1 in the macrophage, we performed stable isotope analysis of BMDM isolated and differentiated from Pck1 MC-KO and control Pck1 flox/flox mice. Glucose uptake in BMDM was measured by administration of 2-[ 14 C] deoxyglucose (2-DG) to these cells with or without LPS stimulation. No differences for glucose uptake were found between Pck1 flox/fox and Pck1 MC-KO BMDMs in the basal or stimulated states ( Fig. 2A). To determine the impact of Pck1 on glucose metabolism, we first measured expression of glycolysis-related genes in macrophages after LPS treatment. Only lactate dehydrogenase (LDH) expression was altered with 23% less expression in Pck1 MC-KO cells compared with Pck1 flox/flox (Fig. 2B). As lactate is the major end product of the glycolytic pathway, we measured lactate concentration in cells by GC-MS. The lactate concentration in Pck1 MC-KO cell was 2.5-fold higher than Pck1 flox/flox cells (Fig. 2C).

Utilization of glucose and glutamine in the macrophage for CAC
To monitor intracellular glucose utilization in macrophages under LPS stimulation, we incubated BMDMs for 16 h in the presence of uniformly 13 C-labeled glucose, [U-13 C]glucose. Cells were collected and analyzed for the total concentrations of intermediates (unlabeled plus 13 C-labeled) and 13 C labeling patterns (isotopomers) using gas chromatography mass spectrometry methods (14). The abundances (mole percent enrichments (MPE%)) from [ 13 C]glucose incorporation into the intermediates included the measurements of the isotopomers as calculated by MPE% ϭ [( 13 C-labeled M1 thru M ϩ for each of the CAC intermediates) ϫ ( 13 C-labeled ϩ unlabeled) Ϫ1 ] ϫ 100.
The conversion of [ 13 C]glucose toward lactate was measured by the MPE% of M3 lactate. M3 is a mass isotopomer with a mass shift of 3 m/z from 12 C (unlabeled). Pck1 MC-KO cells had 1.8-fold more M3 lactate measured compared with Pck1 flox/flox (Fig. 3A). Pyruvate generated in the glycolytic pathway can also enter into CAC. Therefore, we investigated the first turn of the CAC by measuring the total concentrations and abundances of 13 C-isotopomers of the CAC intermediates. No differences were found between Pck1 flox/flox and Pck1 MC-KO cells in total concentrations of citrate, succinate, and malate (Fig. 3B). However the abundances of M2 citrate and M2 malate were 5 and 40% less in Pck1 MC-KO cells ( Fig. 3C and Fig. S2), respectively. M2 is a mass isotopomer with a mass shift of 2 m/z from 12 C (unlabeled). The data suggest decreased pyruvate flux through PDH in Pck1 MC-KO cells.
Upon LPS stimulation, glutamine serves as the main substrate for anaplerosis of CAC intermediates (5). To determine whether the contribution of glutamine to CAC intermediates was altered in Pck1 MC-KO macrophages, [U-13 C]glutamine was incubated with LPS-activated BMDMs for 16 h. The total concentrations and abundances of 13 C-isotopomers of the CAC intermediates (citrate, succinate, and malate) were measured and were not different between Pck1 flox/flox and Pck1 MC-KO cells (Fig. 3, D and E, and Fig. S3). Glutamine enters the TCA cycle as ␣-ketoglutarate, which is further converted to succinate and releases CO 2 . Therefore, M4 CAC intermediates were examined and similar abundance was found in both Pck1 flox/flox and Pck1 MC-KO cells. M4 is a mass isotopomer with a mass shift of 4 m/z from 12 C (unlabeled). These data suggest that anaplerosis of the CAC by glutamine was not affected in Pck1 MC-KO cells.

Pck1 MC-KO macrophages have increased glutamine concentration
Because glutamine is an important amino acid in growing active cells (4), we measured the concentration of glutamine and glutamate as well as the production of glutamine and glutamate from 13 C-labeled precursors. Using [U-13 C]glucose administration to cells, the total concentrations of glutamine and the 13 C label incorporation to glutamine were measured (Fig. 4, A and B). The concentration of glutamine was 1.5-fold greater in Pck1 MC-KO cells. However the incorporation of labeled glucose to glutamine was not different between genotypes. To measure glutamine uptake in the cells, we used uniformly [U-13 C]glutamine administrated to LPS-activated BMDMs for 16 h. The abundance of total glutamine in the cells was measured. There was a 1.7-fold increase in glutamine concentration in Pck1 MC-KO cells compared with Pck1 flox/flox cells (Fig. 4C). There were no differences in M2 or M4 13 C-labeled glutamine (Fig. 4D). We also measured total glutamate concentration (Fig. 4E) and the incorporation of [ 13 C]glutamine into glutamate (Fig. 4F). There were no differences found between Pck1 MC-KO and Pck1 flox/flox cells. These data suggest that the Pck1 MC-KO cells have increased glutamine concentration that may reflect increased uptake but the synthesis of glutamate from glutamine was the same.

Pck1 needed for palmitate synthesis
Upon activation by LPS, macrophages have increased demand of lipids for membrane formation. To meet this demand, acetyl-CoA in activated macrophages is utilized for the synthesis of large amounts of fatty acids (15). To determine whether decreased PDH flux in Pck1 MC-KO cells impacts fatty acid synthesis, we measured de novo lipogenesis using deuterium-labeled water method (16). Deuterium incorporation into triacylglycerol (TG) and TG-palmitate is used for the quantification of newly synthesized glycerol and palmitate in macrophages. We found similar synthesis of new glycerol in  To further determine whether the decrease of fatty acid synthesis is directly impacted by deletion of Pck1 in myeloid cells, we analyzed the synthesis of lipids using a known substrate of    13 C labeling into TG-glycerol and TGpalmitate was calculated. Consistent with our de novo lipogenesis study using deuterium-labeled water, we found that the Pck1 MC-KO cells synthesized less palmitate than Pck1 flox/flox cells, and very little glycerol was synthesized from the lactate precursor (Fig. 5, D and E). The glycerol-3-phosphate would be generated from glucose in the media. This suggests that Pck1 in the macrophage is not required for glycerol-3-phosphate synthesis or glyceroneogenesis. In addition, expression of genes associated with lipid metabolism was measured in macrophages. We found no differences in acetyl-CoA carboxylase and CD36 mRNA expression, but fatty acid synthase expression was reduced in Pck1 MC-KO cells (Fig. 5C). The total concentration of triglyceride in the BMDM was not different between genotypes (Fig. 5F). As Pck1 is known for its gluconeogenic role, the abundance of 13 C-labeled glucose from [ 13 C]lactate and [ 13 C]glutamine were also measured in these cells. However, we did not detect 13 C-labeled glucose in either Pck1 flox/flox or Pck1 MC-KO cells for either substrate, suggesting Pck1 does not participate in gluconeogenesis in macrophages (data not shown).

Lack of Pck1 in macrophages results in increased M1 cytokines
We investigated the impact of the deletion of Pck1 in macrophages on macrophage polarization using quantitative RT-PCR analysis. We measured expression of macrophage phenotype markers and cytokines, iNOS, ARG1, TNF␣, IL-1␤, IL-6, and IL-10. We found significantly increased expression of TNF␣, IL-1␤, and IL-6 in the Pck1 MC-KO cells, suggesting the cells have more of an M1 proinflammatory phenotype (Fig. 6A). To investigate the importance of Pck1 on expression of M1 markers, we overexpressed Pck1 in RAW 264.7 cells and analyzed proinflammatory markers upon LPS stimulation (Fig. 6B). We found that overexpression of Pck1 dramatically reduced TNF␣, IL-1␤, IL-6, and IL-10, suggesting that Pck1 may be a key regulator of macrophage metabolism and thus macrophage polarity.
To determine whether the altered cytokine mRNA expression in Pck1 MC-KO cells influences inflammatory response, we measured ROS production in BMDMs isolated and differentiated from Pck1 flox/flox and Pck1 MC-KO mice. To examine ROS production directly, Pck1 flox/flox and Pck1 MC-KO BMDMs were incubated with cell-permeant reagent 2Ј,7Ј-dichlorofluorescin diacetate (DCFDA), a fluorogenic dye that measures hydroxyl, peroxyl, and other ROS activity within the cell in the presence of LPS for 4 h. The fluorescent intensity measured in Pck1 MC-KO cells was significantly higher than Pck1 flox/flox cells (Fig. 6D).
Because the glycolytic metabolite PEP has been shown to play a role in sustaining T cell receptor-mediated Ca ϩ2 -NFAT signaling and effector functions by repressing sarco/endoplasmic reticulum Ca 2ϩ -ATPase (SERCA) activity (17), we measured the PEP concentration in our BMDM (Fig. 6C). We found that the Pck1 MC-KO cells had 37% more PEP than Pck1 flox/flox BMDM after 4 h of incubation with LPS (100 ng/ml). The Pck1 MC-KO cells also have increased ROS (Fig. 6D), which suggests that these cells may have endoplasmic reticulum (ER) stress. Therefore, we analyzed total PK RNA-like ER kinase (PERK) protein concentrations in BMDM from Pck1 MC-KO and Pck1 flox/flox cells with LPS for 4 h (Fig. 7). The Pck1 MC-KO cells    (Fig. S4). However the protein levels of ATF4 were not increased. We also measured BiP protein levels but they were not increased in the Pck1 MC-KO cells (Fig. S4) either. These data suggest that even though there are low levels of PERK in Pck1 MC-KO cells, the Pck1 MC-KO cells do not have increased ER stress.

Discussion
Using stable isotope techniques we have investigated the role of Pck1 in macrophages. The data from the [U-13 C]glucose tracer studies indicated that glucose uptake was not altered in Pck1 MC-KO mice but the flux of glucose to acetyl-CoA and citrate was reduced. The consequences were increased lactate concentration and reduced palmitate synthesis. We also found reduced M2 labeling from glucose. This suggests an anaplerotic role for Pck1 in the macrophage. When Pck1 is deleted, the conversion of PEP to OAA to malate to CAC would be inhibited. It is possible that unlabeled aspartate could be converted to OAA to malate to CAC. This would reduce labeling of M2 by glucose and support an important role for Pck1 in the macro-

The role of Pck1 in the macrophage
phage. From our studies it is evident that Pck1 did not participate in gluconeogenesis or glyceroneogenesis because these pathways were not detectable or not altered, respectively, in the Pck1 MC-KO cells. More importantly Pck1 is required for a balance of the M1/M2 macrophage phenotype. When Pck1 was overexpressed it reduced the M1 phenotype, whereas deletion of Pck1 promoted the proinflammatory phenotype. Our data also suggested that Pck1 was required for lipid metabolism in the macrophage because of reduced palmitate synthesis in the Pck1 MC-KO macrophages. In response to infection or during states of chronic stress, macrophages require extensive reprogramming metabolically and phenotypically to amplify proinflammatory responses. The macrophages develop a Warburg-like phenotype, similar to tumor cells, by increasing glycolysis generation of lactate. However, little is known about how macrophage metabolism regulates its polarization. It has been demonstrated that Pck1 in tumor cells promotes the utilization of glucose and glutamine for anabolic metabolism, including synthesis of fatty acids and nucleic acids (18). In the current study, we demonstrate that deletion of Pck1 in the myeloid cells impacts CAC concentrations, and increased cytokine expression of TNF␣, IL-1␤, and IL-6.
When Pck1 was knocked down in macrophages, we found the same level of glucose uptake into the cells, yet we found elevated lactate production. Concurrently, carbon flux through PDH reaction was reduced when Pck1 was knocked down, especially impacting on citrate and malate generation. These data suggest that the role of Pck1 may be to promote carbon flux from pyruvate toward CAC instead of lactate production. CAC in activated macrophage is important to provide the substrates for the biosynthesis of ribose, fatty acids, and nonessential amino acids (19). To sustain the central pathways, increased uptake of glucose and glutamine promotes anaplerotic reactions. Recently it has been demonstrated that PDH flux is essential to sustain LPS activation (3). This reaction provides carbons for citrate synthesis, which are then transported out of mitochondrion into the cytosol for lipogenesis (3). Our study supports this because Pck1-deleted macrophages have less palmitate synthesized. This may be because of the limited acetyl-CoA derived from pyruvate. When PDH flux is repressed, evidence shows that citrate is increasingly generated by reductive carboxylation of ␣-ketoglutarate, which is mostly originated from glutamine (20). Although total glutamine concentrations were elevated in Pck1 MC-KO cells, the first-phase contribution of glutamine to citrate was not significantly different compared with Pck1 flox/flox cells, as indicated by the abundance of 13 C-labeled M5 (data not shown). This suggests the high demand of citrate in LPS-stimulated macrophages is mostly supplied from glucose via PDH.
Elevated glutamine concentration in Pck1 MC-KO cells may promote a proinflammatory state with increased production of proinflammatory cytokines and mediators. We observed that deletion of Pck1 in macrophages with enhanced lactate production resulted in promoting the proinflammatory phenotypes. Tannahill et al. (5) have demonstrated that LPS-induced IL-1␤ release is dependent on glycolytic pathways with increased succinate level for the stabilization of HIF-1␣ signaling . Specifi-cally, they showed that chronic LPS activation in macrophages causes an increase in intracellular succinate via glutamine-dependent anaplerosis. Succinate stabilizes HIF-␣ by inhibiting prolyl hydroxylase domain (PHD) enzyme activity. Stabilized HIF-␣ binds to HIF response elements (HREs) in target genes, including those encoding glycolytic enzymes and IL-1␤ (21). However, alteration in succinate abundance was not detected in our cell system, suggesting a novel and alternate mechanism linking reduced malate and citrate to inflammation.
When Pck1 was knocked down, the levels of TNF␣, IL-1␤, and IL-6 were increased whereas the overexpression of Pck1 in RAW 264.7 cells reduced the levels of TNF␣, IL-1␤, and IL-6. These data suggest that Pck1 plays an integral role in the macrophage polarization.
Previous studies have shown that PEP inhibits SERCA activity in T cells and reduces ER Ca ϩ2 concentrations (17). When calcium concentration in the ER is chronically decreased, the function of the chaperones becomes disturbed and unfolded proteins accumulate, resulting in ER stress. As a consequence, ER-stress sensors become devoid of GRP78/BiP and become activated causing an early adaptive response or late responses promoting apoptosis (22). Ca ϩ2 has also been shown to impact IL-1␤ cytokine expression. Reduced ER Ca ϩ2 stores can activate the NLRP3 inflammasome and increase IL-1␤ (23). In our study we have a modest increase of PEP which did not increase ER stress in our Pck1 MC-KO cells, but did alter the total concentration of PERK. The reason we find reduced total PERK protein in our Pck1 MC-KO macrophages is not fully understood. However, other studies have shown that a deficiency of PERK in cancer cells have blunted Ca ϩ2 signaling, increased eIF2␣ phosphorylation, and improved cell viability (24).
In our study we find elevated ROS production in the Pck1 MC-KO cells. We hypothesize that deletion of Pck1 may enhance the malic enzyme activity. Thus when malate is decarboxylated and oxidized to form pyruvate by the malic enzyme, there would be an increased production of NADPH by NADPH oxidase resulting in increased proinflammatory cytokines.
ROS production from the glycolytic pathway has been exhibited to enhance inflammation and production of cytokines because of mitochondrial ROS generation (25). Upon LPS stimulation, NADPH oxidase activity is significantly enhanced and generates large amounts of ROS to destroy pathogens (26). ROS production has been implicated in regulating proinflammatory cytokines IL-1␤ and IL-18 production (27). The activation by a second stimulus such as ATP will trigger ROS generation, followed by caspase-1 and inflammasome activation and cytokine production.
In conclusion, in this study we show that deletion of Pck1 in macrophages promotes a more M1-like phenotype with increased expression of proinflammatory cytokines. In our model, we found that loss of Pck1 represses the anaplerotic pathway and enhances lactate production. This is accomplished by 1) the decreased flux through PDH and 2) the increased production of ROS in the Pck1 MC-KO cells (Fig. 8). It is now recognized that chronic inflammation has a crucial role in the pathogenesis of obesity-related diseases (28). Elevated levels of proinflammatory markers including TNF␣, IL-1␤, and IL-6 are predictive of type 2 diabetes (28 -30). Thus by under-

The role of Pck1 in the macrophage
standing the regulation of macrophage polarization we may identify novel therapeutic approaches for type 2 diabetes or other inflammatory diseases.

Chemicals
For the Pck1 construct, mouse Pck1 cDNA cloned into the pCMV6 -entry vector was purchased (OriGene Technologies). RAW 264.7 cells were transfected with either the control pCMV6-entry vector or pCMV6-entry vector containing the mouse Pck1 cDNA using FuGENE 6 transfection agent (Roche). Lipopolysaccharide (Sigma-Aldrich) or recombinant murine interleukin-4 (Peprotech, Rocky Hill, NJ) was prepared as a working stock of 25 g/ml in sterile 1ϫ phosphate buffered saline (PBS) and added into the wells of the culture dish for a final concentration of 100 ng/ml (LPS) or 20 ng/ml (IL-4).

Cell culture
RAW 264.7 cells from ATCC (ATCC* TIB-71, Manassas, VA) were cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 100 units/ml penicillin, 100 g/ml streptomycin, and 6 mM glutamine in a humidified atmosphere of 5% CO 2 and 95% air at 37°C. For experimental incubations, cells in log-phase growth were plated at a density of 1-5 ϫ 10 5 cells/ml and allowed to attach overnight. Cells at 80% confluency were then treated with 100 ng/ml LPS or 20 ng/ml IL-4 for 4 h. The media were removed and the cells were collected for analysis. Experimental incubations were terminated by directly lysing cells in the appropriate lysis buffer.

Animals and bone marrow-derived macrophages
All animals were housed in a temperature-controlled facility with a 12-h light/dark cycle in compliance with the Institutional Animal Care and Use Committee (IACUC) of Case Western Reserve University. LysM-specific Pck1 knock-out mice (Pck1 MC-KO mice) were generated by crossing Pck1 flox/flox mice with LysM-Cre ϩ/Ϫ transgenic mice expressing Cre-recombinase under control of the LysM promoter. These mice display no alterations in immune cell frequencies. Pck1 flox/flox mice (designated as controls) were used as control animals, and LysM-Pck1 mice (designated as Pck1 MC-KO ) were used as experimental animals. Pck1 foxl/flox mice were generated as described previously and maintained in C57BL/6J background (31). LysM-Cre transgenic mice were obtained from The Jackson Laboratory (Bar Harbor, ME).
BMDMs were generated as described previously (32,33). Briefly, mononuclear phagocyte progenitor cells derived from femur and tibia bones of male Pck1 flox/flox and Pck1 MC-KO mice were cultured in cell-culture medium supplemented with mouse recombinant macrophage-colony stimulating factor (M-CSF) (Peprotech, Rocky Hill, NJ) for 7 days. Peritoneal macrophages were elicited and cultured 3 days after the induction of peritonitis by 4% thioglycollate broth administered to male Pck1 flox/flox and Pck1 MC-KO mice as described previously (34). Peritoneal macrophages and BMDMs were left untreated or polarized using 100 ng/ml LPS or 20 ng/ml IL-4 for 4 h. Lysates were centrifuged at 20,000 ϫ g for 5 min at 4°C, and the protein concentrations were determined with a protein quantification kit (Bradford Assay, Abcam, Cambridge, MA) according to manufacturer's directions. Remaining lysates were counted using a scintillation counter. The data are expressed as disintegrations per minute per milligram of protein (35).

Mass spectrometric measurement of 13 C incorporation into central metabolism
Cells were incubated in DMEM with 10% FBS and 1% penicillin/streptomycin that contained U-13 C-labeled substrates and LPS (100 ng/ml): Condition 1, 10 mM [U-13 C]glucose (99 atom %) with 5 mM glutamine; condition 2, 10 mM glucose with 5 mM [U-13 C]glutamine (99 atom %); and condition 3, 10 mM glucose, 5 mM glutamine, and 1 mM [3-13 C]lactate (99 atom %). 13 C label incorporation into cells was at 80 -90% confluence. 13 C label incorporation into cells at 80 -90% confluence was measured in medium containing 100% of one of the 13 C-labeled substrates outlined in the above conditions, and cultured at 37°C for 16 h. The media were then removed and saved for measurements of concentrations and MPE of the 13 C-labeled precursors and 13 C-labeled respective products. The isolated cells were stored at Ϫ80°C and then analyzed for total concentrations and MPEs ( 13 C-labeled isotopomers).
The fractional contribution of the precursor to the product was based on the MPE-derived from the 13 Figure 8. Deletion of Pck1 in macrophage cells. The deletion of Pck1 results in increased lactate concentrations in the cell. The flux through pyruvate dihydrogen complex is reduced resulting in decreased citrate levels and reduced fatty acid synthesis. The deletion of Pck1 prevents the decarboxylation of OAA to PEP. Thus, OAA would be reduced by NADH to form malate; malate would be decarboxylated and oxidized to form pyruvate by the malic enzyme. This produces NADPH, which is used to generate ROS by NADPH oxidase. Generation of ROS serves as defense against invading microbes and is viewed as the assurance of monocyte/macrophage activation to M1-like phenotype.

The role of Pck1 in the macrophage
into the total pool of each of the products. Mass isotopomer analysis enables the measurements of unlabeled analyte (MO) to the labeled analyte (Mϩ1, 2, or 3, etc.). The measured mass isotopomer distribution was corrected for natural enrichment of each mass. All stable isotopomer analysis was completed at the Case Mouse Metabolic Phenotyping Center. The 13 Clabeled CAC intermediates were determined by using gas chromatography-mass spectrometry (14,36).

Mass spectrometric measurement of deuterium incorporation into palmitate and triglyceride
To measure stable isotope incorporation, cells at 80 -90% confluence were switched into fresh medium containing 10% 2 H 2 O and cultured at 37°C for 16 h. Medium was removed and saved for percent enrichment measurements and the cells were isolated and stored at Ϫ80°C until analysis. Triglyceride concentrations and de novo lipogenesis were measured by mass spectrometry by the Case Mouse Metabolic Phenotyping Center. The [ 2 H] label on triglyceride-derived glycerol and palmitate was measured as the amount of newly synthesized triglyceride and palmitate and calculated as described by Bederman et al. (16).

Extraction of intracellular metabolites and gas chromatography-mass spectrometry
Cells homogenized with reference compounds were extracted with 1 ml of chloroform-methanol 2:1. The slurry was centrifuged at 11,000 ϫ g for 20 min at 4°C. The upper methanolwater phase was collected and evaporated in a Savant vacuum centrifuge. To determine glucose and triglyceride-bound glycerol, the residue was reacted with 50 l of acetic anhydride solvent at 70°C for 1 h. To determine CAC intermediates, the residue was reacted with 70 l bis(trimethylsilyl)trifluroacetamide with 10% trimethylchlorosilane at 70°C for 1 h. The chloroform phase was evaporated and used to determine triglyceride-bound palmitate (14,36). The trimethylsilyl-derivatized samples were injected into an SSL injector at 270°C in splitless mode. GC-MS analysis was performed using an Agilent 5973N-MSD equipped with an Agilent 6890 GC system and a DB-17 MS capillary column; helium was used as carrier gas. For each analyte the signals at the nominal m/z were monitored. All analytes were corrected for natural abundances (above background) and the MPEs were calculated.

Real-time RT-PCR analysis
Total RNA was isolated with an NucleoSpin® RNA kit (Macherey-Nagel Inc., Bethlehem, PA) and synthesized to single-strand cDNA from 500 ng of total RNA using random hexamer primers and murine mammary tumor virus (MMTV) reverse transcriptase (Applied Biosystems, Foster City, CA). Real-time qRT-PCR analysis was performed using Bullseye EvaGreen SYBR qPCR reagent (MidSci, St. Louis, MO) on a Chromo4 Cycler (MJ Research/Bio-Rad, Hercules, CA) with specific primer sequences (see Table S1). Data were normalized using the comparative threshold cycle (Ct) method with load variations normalized to 18S rRNA as described (37).

Intracellular reactive oxygen species production
The 5-(and-6)-chloromethyl-2Ј,7Ј-dichlorodihydro-fluorescein diacetate, acetyl ester (CM-H 2 DCFDA) were obtained from Life Technologies. BMDM cells were seeded on the 6-well plates at a confluence of 70%. After full attachment, cells were loaded with 5 M CM-H 2 DCFDA dye following the protocol provided by Life Technologies and incubated at 37°C for 30 min. The intensity of fluorescence was determined by flow cytometry.

Measurement of PEP in BMDM
BMDM cells were isolated from femur and tibia bones of male Pck1 flox/flox and Pck1 Ϫ/Ϫ mice were cultured in cellculture medium supplemented with mouse recombinant M-CSF (Peprotech) for 7 days. Cells at 80% confluency were then treated as with 100 ng/ml LPS for 4 h. The medium was removed and the cells were collected for analysis. We used the PEP Assay Kit (BioVision, Milpitas, CA) to measure PEP concentrations in the cells according to manufacturer's directions. In the assay, PEP is converted to ATP and pyruvate. The generated pyruvate is quantified by colorimetric ( max ϭ 570 nm) or fluorometric methods (Ex/Em 535/587 nm). The concentrations were normalized by total protein.
The immunoreactive proteins were detected using the SuperSignal West Pico Chemiluminescent Substrate Kit (Thermo Scientific) and the density of the immunoreactive bands was measured by scanning densitometry (UN-SCAN-IT, Silk Scientific, Orem, UT). The membranes were normalized for loading differences using heat shock cognate-70 (HSC70) protein (HSC 70 Antibody (1B5), sc-59560 rat mAb, Santa Cruz Biotechnology, Santa Cruz, CA) as previously described (38).