Table 4 Pharmacological treatment of autoimmune diseases

From: Energy metabolism in health and diseases

Drug

Mechanism

Results

Action

CG-5

Inhibit glucose transport

Inhibit Th1 and Th17 differentiation

Alleviate RA

2-DG

Competitive binding HK2

Inhibit immune cell activation

Alleviate arthritis.

Metformin

Activate AMPK, Akt/mTOR

Inhibit FLSs

Alleviate arthritis, SLE

Lonidamine

Inhibit HK1 and HK2

Restore anti-inflammatory macrophage phenotype

Alleviate joint damage

3-Br-PA

Inhibit HK1 and SDH

/

Alleviate arthritis

Repaglinide

Activate mTOR

Promote Treg differentiation and function, inhibit Th17 cells

Alleviate RA

Iguratimod

Inhibit HIF-1α-HK2 axis

Inhibit Tfh cell function

Alleviate RA

MitoTempo

Improve mitochondrial oxidative stress

Reduce neutrophil NETosis

Alleviate SLE

NAC

Boost mitochondrial membrane potential in T cells

Reduce T cell proliferation

Alleviate SLE

BZ-423

Increase ROS and promote apoptosis

Inhibit overactive autoreactive T cells

Alleviate SLE

Tofacitinib

Inhibit JAK-STAT pathway

Inhibit FLSs

Alleviate RA

Cyclosporine

Target MAPK pathway mediated OXPHOS and FAO

Inhibit Th17 cell response, promote Treg cell proliferation

Alleviate RA, SLE

Tacrolimus

Impact ETC complexes II and III to inhibit mitochondrial function

Promote T cell senescence

SLE

Mycophenolate

Promote mitochondrial ROS production

Enhance Treg cell activity

Alleviate SLE

Celastrol

Enhance FAO

Promote Treg cell differentiation

Alleviate RA

Abacavir

Enhance FAO and Foxp3 acetylation

Promote Treg cell differentiation

Alleviate RA