Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Succinate drives gut inflammation by promoting FOXP3 degradation through a molecular switch

Abstract

Succinate levels are increased in inflammatory bowel disease (IBD), but its role in disease pathogenicity remains unknown. Here we showed that succinate promoted colitis in mice by reducing the expression of FOXP3 and increasing the expression of interleukin-17 in regulatory T (Treg) cells. Succinate selectively reduced the expression of 2-oxoglutarate dehydrogenase complex (OGDHc), the enzyme for succinyl-CoA synthesis, which in turn reduced FOXP3 succinylation and made FOXP3 lysine residues available for ubiquitination and FOXP3 protein degradation. Genetic deletion of Dlst, a member of OGDHc, in Treg cells led to reduced expression of FOXP3, impaired Treg cells function and severe gut inflammation. Restoring FOXP3 expression fully rescued the immune suppressive functions of Dlst-deficient Treg cells. In individuals with IBD, FOXP3 and OGDHc levels were reduced in Treg cells and negatively correlated with succinate levels and inflammation severity. This study identifies succinate as a pathogenic factor in IBD, uncovering a succinate-driven molecular switch that regulates FOXP3 stability and Treg cells function during inflammation.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Succinate downregulates FOXP3 and OGDH expression in Treg cells.
Fig. 2: DLST is required for Treg cell restriction of lethal inflammation.
Fig. 3: DLST is required for the suppressive function of Treg cells.
Fig. 4: Succinate promotes Treg cell production of IL-17 independent of FOXP3.
Fig. 5: Succinate inhibits succinyl-CoA levels in Treg cells.
Fig. 6: Succinate promotes the ubiquitination and degradation of FOXP3.
Fig. 7: Succinylation protects FOXP3 from proteasomal degradation.
Fig. 8: Increased succinate is associated with Treg cell dysfunction in individuals with IBD.

Similar content being viewed by others

Data availability

Bulk RNA sequencing data are deposited in the Gene Expression Omnibus (GEO) under accession no. GSE277632. All other data are included in the supplementary information or available from the authors upon reasonable request. Source data are provided with this paper.

Code availability

There are no custom codes and mathematical algorithms in this study.

References

  1. Muzammil, M. A. et al. Advancements in inflammatory bowel disease: a narrative review of diagnostics, management, epidemiology, prevalence, patient outcomes, quality of life, and clinical presentation. Cureus. 15, e41120 (2023).

    PubMed  PubMed Central  Google Scholar 

  2. Glassner, K. L., Abraham, B. P. & Quigley, E. M. M. The microbiome and inflammatory bowel disease. J. Allergy Clin. Immunol. 145, 16–27 (2020).

    Article  CAS  PubMed  Google Scholar 

  3. Ooi, M. et al. GC/MS-based profiling of amino acids and TCA cycle-related molecules in ulcerative colitis. Inflamm. Res 60, 831–840 (2011).

    Article  CAS  PubMed  Google Scholar 

  4. Wei, Y. H., Ma, X., Zhao, J. C., Wang, X. Q. & Gao, C. Q. Succinate metabolism and its regulation of host-microbe interactions. Gut Microbes 15, 2190300 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Osaka, T. et al. Meta-analysis of fecal microbiota and metabolites in experimental colitic mice during the inflammatory and healing phases. Nutrients 9, 1329 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Fremder, M. et al. A transepithelial pathway delivers succinate to macrophages, thus perpetuating their pro-inflammatory metabolic state. Cell Rep. 36, 109521 (2021).

    Article  CAS  PubMed  Google Scholar 

  7. Fujiwara, H. et al. Mitochondrial complex II in intestinal epithelial cells regulates T cell-mediated immunopathology. Nat. Immunol. 22, 1440–1451 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Sakaguchi, S. Naturally arising Foxp3-expressing CD25+CD4+ regulatory T cells in immunological tolerance to self and non-self. Nat. Immunol. 6, 345–352 (2005).

    Article  CAS  PubMed  Google Scholar 

  9. Hovhannisyan, Z., Treatman, J., Littman, D. R. & Mayer, L. Characterization of interleukin-17-producing regulatory T cells in inflamed intestinal mucosa from patients with inflammatory bowel diseases. Gastroenterology 140, 957–965 (2011).

    Article  CAS  PubMed  Google Scholar 

  10. Burzyn, D., Benoist, C. & Mathis, D. Regulatory T cells in nonlymphoid tissues. Nat. Immunol. 14, 1007–1013 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Clough, J. N., Omer, O. S., Tasker, S., Lord, G. M. & Irving, P. M. Regulatory T-cell therapy in Crohn’s disease: challenges and advances. Gut 69, 942–952 (2020).

    Article  CAS  PubMed  Google Scholar 

  12. Laukova, M. & Glatman Zaretsky, A. Regulatory T cells as a therapeutic approach for inflammatory bowel disease. Eur. J. Immunol. 53, e2250007 (2023).

    Article  PubMed  Google Scholar 

  13. Zhou, L. et al. TGF-β-induced Foxp3 inhibits T(H)17 cell differentiation by antagonizing RORγt function. Nature 453, 236–240 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Fallarino, F. et al. The combined effects of tryptophan starvation and tryptophan catabolites down-regulate T cell receptor zeta-chain and induce a regulatory phenotype in naive T cells. J. Immunol. 176, 6752–6761 (2006).

    Article  CAS  PubMed  Google Scholar 

  15. Curti, A. et al. Modulation of tryptophan catabolism by human leukemic cells results in the conversion of CD25 into CD25+ T regulatory cells. Blood 109, 2871–2877 (2007).

    Article  CAS  PubMed  Google Scholar 

  16. Van, N. T. et al. Dietary L-Tryptophan consumption determines the number of colonic regulatory T cells and susceptibility to colitis via GPR15. Nat. Commun. 14, 7363 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Schneider, C. et al. A metabolite-triggered tuft cell-ILC2 circuit drives small intestinal remodeling. Cell 174, 271–284 e214 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Tannahill, G. M. et al. Succinate is an inflammatory signal that induces IL-1β through HIF-1α. Nature 496, 238–242 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Losman, J. A., Koivunen, P. & Kaelin, W. G. Jr. 2-Oxoglutarate-dependent dioxygenases in cancer. Nat. Rev. Cancer 20, 710–726 (2020).

    Article  CAS  PubMed  Google Scholar 

  20. Chaudhuri, S. M. et al. Mediator complex subunit 1 architects a tumorigenic Treg cell program independent of inflammation. Cell Rep. Med. 5, 101441 (2024).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Mellid, S. et al. DLST mutations in pheochromocytoma and paraganglioma cause proteome hyposuccinylation and metabolic remodeling. Cancer Commun. 43, 838–843 (2023).

    Article  Google Scholar 

  22. Shimizu, K. et al. Interplay between protein acetylation and ubiquitination controls MCL1 protein stability. Cell Rep. 37, 109988 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Sakaguchi, S. et al. Regulatory T cells and human disease. Annu. Rev. Immunol. 38, 541–566 (2020).

    Article  CAS  PubMed  Google Scholar 

  24. Chen, Z. et al. The ubiquitin ligase Stub1 negatively modulates regulatory T cell suppressive activity by promoting degradation of the transcription factor Foxp3. Immunity 39, 272–285 (2013).

    Article  CAS  PubMed  Google Scholar 

  25. Cortez, J. T. et al. CRISPR screen in regulatory T cells reveals modulators of Foxp3. Nature 582, 416–420 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Montauti, E. et al. A deubiquitination module essential for Treg fitness in the tumor microenvironment. Sci. Adv. 8, eabo4116 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Li, Y. et al. USP21 prevents the generation of T-helper-1-like Treg cells. Nat. Commun. 7, 13559 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Li, B. et al. FOXP3 interactions with histone acetyltransferase and class II histone deacetylases are required for repression. Proc. Natl Acad. Sci. USA 104, 4571–4576 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Kagoya, Y. et al. Arginine methylation of FOXP3 is crucial for the suppressive function of regulatory T cells. J. Autoimmun. 97, 10–21 (2019).

    Article  CAS  PubMed  Google Scholar 

  30. van Loosdregt, J. et al. Stabilization of the transcription factor Foxp3 by the deubiquitinase USP7 increases Treg-cell-suppressive capacity. Immunity 39, 259–271 (2013).

    Article  PubMed  PubMed Central  Google Scholar 

  31. Yang, J. et al. The deubiquitinase USP44 promotes Treg function during inflammation by preventing FOXP3 degradation. EMBO Rep. 21, e50308 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Burr, S. P. et al. Mitochondrial protein lipoylation and the 2-oxoglutarate dehydrogenase complex controls HIF1α stability in aerobic conditions. Cell Metab. 24, 740–752 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Xu, W. et al. Oncometabolite 2-hydroxyglutarate is a competitive inhibitor of α-ketoglutarate-dependent dioxygenases. Cancer Cell 19, 17–30 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Connors, J., Dawe, N. & Van Limbergen, J. The role of succinate in the regulation of intestinal inflammation. Nutrients 11, 25 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  35. Sugihara, K. & Kamada, N. Metabolic network of the gut microbiota in inflammatory bowel disease. Inflamm. Regen. 44, 11 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  36. Seyedian, S. S., Nokhostin, F. & Malamir, M. D. A review of the diagnosis, prevention, and treatment methods of inflammatory bowel disease. J. Med. Life 12, 113–122 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  37. Laass, M. W., Roggenbuck, D. & Conrad, K. Diagnosis and classification of Crohn’s disease. Autoimmun. Rev. 13, 467–471 (2014).

    Article  PubMed  Google Scholar 

  38. Lee, S. M., Gao, B. & Fang, D. FoxP3 maintains Treg unresponsiveness by selectively inhibiting the promoter DNA-binding activity of AP-1. Blood 111, 3599–3606 (2008).

    Article  CAS  PubMed  Google Scholar 

  39. Weinberg, S. E. et al. Mitochondrial complex III is essential for suppressive function of regulatory T cells. Nature 565, 495–499 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Lancaster, M. S. et al. Loss of succinyl-CoA synthetase in mouse forebrain results in hypersuccinylation with perturbed neuronal transcription and metabolism. Cell Rep. 42, 113241 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Xin, G. et al. A critical role of IL-21-Induced BATF in sustaining CD8-T-cell-mediated chronic viral control. Cell Rep. 13, 1118–1124 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Wang, S. et al. CRISPR screening identifies the deubiquitylase ATXN3 as a PD-L1-positive regulator for tumor immune evasion. J. Clin. Invest. 133, e167728 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Zhang, Y. et al. USP22 controls iNKT immunity through MED1 suppression of histone H2A monoubiquitination. J. Exp. Med. 217, e20182218 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Yu, Y. et al. Glucose promotes regulatory T cell differentiation to maintain intestinal homeostasis. iScience 25, 105004 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Xu, Y. et al. The E3 ligase Hrd1 stabilizes Tregs by antagonizing inflammatory cytokine-induced ER stress response. JCI Insight 4, e121887 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We thank N. Chandel (Department of Medicine, Northwestern University) for critical discussion for the study, and the Northwestern Lurie Cancer Center flow cytometry core for their service support. This work was supported by National Institutes of Health grants R01DK126908, R01DK120330, R01CA257520 and CA232347 (to D.F.), RO1DK135193 and RO1DK124132 (to Y.C.), the Digestive Health Foundation at Northwestern Medicine and RO1DK135620 (P.D.) and T32GM105538 and T32GM149439 (to A.Y.T.).

Author information

Authors and Affiliations

Authors

Contributions

Conceptualization, H.W. and D.F; methodology, H.W., Y.C., K.L., N.L.M. and D.F.; investigation, H.W., D.H., Y.C., Q.G., K.L., N.L.M., A.Y.T., R.I., B.G., L.S. and X.Z.; formal analysis, H.W. and D.F.; writing – original draft, H.W. and D.F.; writing – review and editing, H.W., Q.G., A.Y.T., Q.Z., Q.Y., S.E.W., N.C., X.Z., P.S.D., Y.Z., Z.L. and D.F.; funding acquisition, D.F., Y.C., P.D. and A.Y.T.; supervision, Z.L. and D.F.

Corresponding authors

Correspondence to Yana Zhang, Zheng Liu or Deyu Fang.

Ethics declarations

Competing interests

The authors declare no competing interests.

Peer review

Peer review information

Nature Immunology thanks Bin Li and Ye Zheng for their contribution to the peer review of this work. Primary Handling Editor: Ioana Staicu, in collaboration with the Nature Immunology team. Peer reviewer reports are available.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Extended data

Extended Data Fig. 1 Analysis of succinate on DSS-induced colitis.

a, The absolute number of CD45+ immune cells in the colon at day 7 in C57BL/6 J mice treated with 2.5% DSS (hereafter 2.5% DSS, n = 8) or 3% DSS (3% DSS, n = 5) in drinking water for 7 days, or with 3% succinate in drinking water for 3 days before treatment with 2.5% DSS and 3% succinate for 7 days (2.5% DSS + 3% succinate, n = 8) or none of the above (control, n = 4). b, Representative flow cytometry of CD4+ and CD8+ T cells in CD45+ cells in the inflamed colon at day 7 in mice as in a. c, The percentage and absolute number of CD4+CD45+ T cells in the inflamed colon at day 7 in mice as in a. d, The percentage and absolute number of CD8+CD45+ T cells in the inflamed colon at day 7 in mice as in a. e-f, Representative flow cytometry (e) of and absolute number (f) of CD45+CD4+FoxP3- conventional T cells in the inflamed colon at day 7 in mice as in a. Data are shown as means ± s.d., and analyzed by one-way ANOVA with Tukey’s post hoc test. Numbers in the bars represent exact P values. Data are representative of two independent experiments.

Source data

Extended Data Fig. 2 Analysis of ROR-γt, IL-2, IL-4, and IFN-γ expression in iTreg cells by succinic acid treatment.

a, Representative flow cytometry of the percentage of IL-17+FoxP3+ iTreg cells in C57BL/6 J murine splenic CD4+ T cells cultured under iTreg cell-polarizing conditions (IL-2 + TGF-β) in the presence of 0 mM (control), 1.0 mM, or 5.0 mM SA for 5 days. b-c, Representative flow cytometry (b) and quantification (c) of the percentage of ROR-γt+FoxP3+ iTreg cells in CD4+T cells as in a). d-e, Representative flow cytometry (d) and quantification (e) of the percentage of IL-2+FoxP3+ iTreg cells in CD4+T cells as in a). f-g, Representative flow cytometry (f) and quantification (g) of the percentage of IL-4+FoxP3+ iTreg cells in CD4+T cells as in a). h-i, Representative flow cytometry (h) and quantification (i) of the percentage of IFN-γ+FoxP3+ iTreg cells in CD4+T cells as in a). j-k, Representative flow cytometry (j) and quantification (k) of the percentage of CD25+FoxP3+ iTreg cells and FoxP3 mean fluorescent intensity (MFI) in C57BL/6 J murine splenic CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of 0 mM (control), 0.1 mM, 0.25 mM, 0.5 mM, 1.0 mM, or 5.0 mM succinic acid (SA) for 5 days. l-m, Representative flow cytometry (l) and quantification (m) of FoxP3 MFI CD25+FoxP3+ iTreg cells in C57BL/6 J murine splenic CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of SA (0.1 mM) or IFN-γ (50 ng/mL) or both for 5 days. Data are shown as means ± s.d., and analyzed by one-way ANOVA with Tukey’s post hoc test. Numbers in the bars represent exact P values. Data are representative of at least three independent experiments.

Source data

Extended Data Fig. 3 Analysis of the SUCNR1 signaling and HIF-1α activation on succinate-mediated FoxP3 downregulation.

a-b, Immunoblot (a) and quantification (b) of FoxP3 protein levels in human Treg-like MT-2 cells cultured with succinic acid (SA, 5 mM) or the SUCNR1-specific antagonist NF-56-EJ40 (1 μM) or both, for 2 days. c-d, Representative flow cytometry (c) and quantification (d) of the percentage of CD25+FoxP3+ iTreg cells in human naïve CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of SA (1 mM) and/or NF-56-EJ40 (1 μM) for 5 days. e-f, Representative flow cytometry (e) and quantification (f) of the percentage of CD25+FoxP3+ iTreg cells in C57BL/6 J murine splenic CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of in the presence of SA (1 mM) and/or Bay 87-2243 (20 nM), a HIF-1α inhibitor, for 5 days. g, RT-PCR expression of Suclg1, Suclg2, and Sucla2 in splenic C57BL/6 J murine CD4+ T cells cultivated under TH0 (IL-2), TH1 (IL-2 + IL-12), TH2 (IL-2 + IL-4), TH17 (IL-6 + TGF-β) and iTreg cells (IL-2 + TGF-β) polarization conditions for 3 days. Data are shown as means ± s.d., and analyzed by one-way ANOVA with Tukey’s post hoc test (b,d,f) or two-tailed unpaired Student’s t test (g). Numbers in the bars represent exact P values. Data are representative of at least three independent experiments.

Source data

Extended Data Fig. 4 Immune profiling in DlstTreg-WT and DlstTreg-KO mice.

a-b, Representative images of H&E staining (a) and histopathological scores (b) from the liver, lung, and kidney of 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 5, per group. Scale bar, 100 μm. c-e, Representative flow cytometry (c) and quantification of the percentage (d) and absolute numbers (e) of CD4+CD8-, CD4-CD8+, CD4+CD8+, and CD4-CD8-T cells in the thymus from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 7, per group. f-h, Representative flow cytometry (f) and quantification of the percentage (g) and absolute numbers (h) of CD4+CD8- and CD4-CD8+ T cells in the spleen from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 7, per group. i-k, Representative flow cytometry (i) and quantification of the percentage (j) and absolute numbers (k) of CD4+CD8- and CD4-CD8+ T cells in the lymph nodes from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 7, per group. Data are shown as means ± s.d. (d,e,g,h,j,k) or sem (b), and analyzed by two-tailed unpaired Student’s t test. Numbers in the bars represent exact P values.

Source data

Extended Data Fig. 5 Immune profiling in DlstTreg-WT and DlstTreg-KO mice.

a-c, Representative flow cytometry (a) and quantification of the percentage of CD62LhiCD44low naïve and CD62LlowCD44hi effector CD4+ T cells in the spleen (b) and lymph node (c) from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 7, per group. d-f, Representative flow cytometry (d) and quantification of the percentage of CD62LhiCD44low naïve and CD62LlowCD44hi effector CD8+ T cells in the spleen (e) and lymph nodes (f) from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 7, per group. g-h, Representative flow cytometry (g) and quantification (h) of the percentage of IL-2+CD4+FoxP3-, IL-4+CD4+FoxP3-, IL-17+CD4+FoxP3-, and IFN-γ+CD4+FoxP3- T cells in the spleen from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 6, per group. i–n, Histogram and quantification of specified cell surface proteins in CD4+CD25+FoxP3+ Treg cells in the thymus (i,j), spleen (k,l), and lymph node (m,n) from 3-week-old DlstTreg-WT and DlstTreg-KO mice. n = 6, per group. Numbers in quadrants indicate the value of mean fluorescent intensity (MFI) (i,k,m). Data are shown as means ± s.d. (b,c,e,f,h) or sem (j,l,n), and analyzed by two-tailed unpaired Student’s t test.

Source data

Extended Data Fig. 6 Immune profiling in DlstTreg-iWT and DlstTreg-iKO mice.

6-9-week-old DlstTreg-iWT and DlstTreg-iKO mice were treated with tamoxifen for 6 days, and sacrificed at day 8. a, Spleen weight in DlstTreg-iWT and DlstTreg-iKO mice. n = 5, per group. b, Total cellularity of thymus, spleen, and lymph node in DlstTreg-iWT and DlstTreg-iKO mice. n = 5, per group. c-e, Representative flow cytometry (c) and quantification of the percentage (d) and absolute numbers (e) of CD4+CD8-, CD4-CD8+, CD4+CD8+, and CD4-CD8-T cells in the thymus of DlstTreg-iWT and DlstTreg-iKO mice. n = 5, per group. f-h, Representative flow cytometry (f) and quantification of the percentage (g) and absolute numbers (h) of CD4+CD8-, CD4-CD8+ T cells in the spleen of DlstTreg-iWT and DlstTreg-iKO mice. n = 5, per group. i-k, Representative flow cytometry (i) and quantification of the percentage (j) and absolute numbers (k) of CD4+CD8-, CD4-CD8+ T cells in the lymph node of DlstTreg-iWT and DlstTreg-iKO mice. n = 5, per group. l-q, Histogram and quantification of specified cell surface proteins in CD4+CD25+FoxP3+ Treg cells in the thymus (l,m), spleen (n,o), and lymph node (p,q) from DlstTreg-iWT and DlstTreg-iKO mice. n = 5, per group. Numbers in quadrants indicate the value of mean fluorescent intensity (MFI). (l,n,p) Data are shown as means ± s.d. (a,b,c,d,e,g,h,j,k) or sem (m,o,q), and analyzed by two-tailed unpaired Student’s t test.

Source data

Extended Data Fig. 7 Metabolite alterations in DLST-deficient Treg cells.

a-c, Representative flow cytometry (a) and the quantification of the percentage of CD25+FoxP3+ iTreg cells (b) and FoxP3 MFI in CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of 4-hydroxytamoxifen (1 μM) for 5 days from the spleen of DlstTreg-iWT and DlstTreg-iKO mice. d-g, Heatmap showing the altered metabolites in iTreg cells polarized from DlstTreg-iWT and DlstTreg-iKO mice, quantified by LC–MS (d), the pathway enrichment for the upregulated (e) and downregulated (f) metabolites in iTreg cells polarized from DlstTreg-iKO mice, and TCA cycle-associated metabolites in iTreg cells polarized from DlstTreg-iWT and DlstTreg-iKO mice, quantified by LC–MS (g). Data are shown as means ± s.d., and analyzed by two-tailed unpaired Student’s t test. Data are representative of three independent experiments.

Source data

Extended Data Fig. 8 Analysis of FoxP3 mRNA levels in iTregs and total protein succinylation in MT-2 cells.

a) RT-PCR expression of FoxP3 in splenic C57BL/6J mice CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of 0 mM (control) or 1 mM succinic acid (SA) for 5 days. b) RT-PCR expression of FoxP3 in splenic DlstTreg-iWT and DlstTreg-iKO mice CD4+ T cells cultured under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of SA (1 mM) and 4-hydroxytamoxifen (1 μM) for 5 days. c) Immunoblot of FoxP3, DLST, succinyllysine, and GAPDH in the cell lysates of human Treg-like MT-2 cells after 24-hour-treatment with SA (5 mM) for 24 hours. d) Immunoblot of succinyllysine, FoxP3, and GAPDH in the cell lysates of MT-2 cells after 24-hour-treatment with 0 μM, 1 μM, or 5 μM succinyl-CoA. e) Immunoblot of succinyllysine, FoxP3, and GAPDH in the cell lysates of MT-2 cells after 24-hour-treatment with 0 μM, 1 μM, or 5 μM succinyl-CoA. Data are shown as means ± s.d., and analyzed by two-tailed unpaired Student’s t test. Data are representative of at least two independent experiments.

Source data

Extended Data Fig. 9 Analysis of Succinyl-CoA effects on the suppressive functions of DlstTreg-iKO cells in vitro.

a-b, Histogram (a) and quantification (b) of the in vitro suppressive activity of iTreg cells polarized from splenic CD4+T cells of DlstTreg-iWT and DlstTreg-iKO mice assessed by the division of CD8+ T cells in the presence or absence of succinyl-CoA (5 μM). 1:1, 1:2, and 1:4 indicated the ratio of iTreg cells to CD8+T cells. Splenic CD4+ T cells from DlstTreg-iWT and DlstTreg-iKO mice were cultivated under iTreg cells polarizing conditions (IL-2 + TGF-β) in the presence of 4-hydroxytamoxifen (1 μM) for 5 days, and further treated with IL-2 (5 ng/mL), with/without inflammatory cytokines IFN-γ (100 ng/mL), IL-4 (10 ng/mL), IL-6 (50 ng/mL), and IL-12 (10 ng/mL) for another 3 days. c-d, Representative flow cytometry (c) and quantification of the MFI of FoxP3 (d) in CD4+CD25+FoxP3+ iTreg cells from DlstTreg-iWT and DlstTreg-iKO mice. e, The degradation rate of FoxP3 MFI in CD4+CD25+FoxP3+ iTreg cells in various inflammatory contexts, normalized to no treatment (control). Data are shown as means ± s.d., and analyzed by two-tailed unpaired Student’s t test. Data are representative of three independent experiments.

Source data

Supplementary information

Source data

Source Data Fig. 1 (download XLSX )

Statistical Source Data.

Source Data Fig. 2 (download XLSX )

Statistical Source Data.

Source Data Fig. 3 (download XLSX )

Statistical Source Data.

Source Data Fig. 3 (download PDF )

Unprocessed immunoblots.

Source Data Fig. 4 (download XLSX )

Statistical Source Data.

Source Data Fig. 5 (download XLSX )

Statistical Source Data.

Source Data Fig. 5 (download PDF )

Unprocessed immunoblots.

Source Data Fig. 6 (download XLSX )

Statistical Source Data.

Source Data Fig. 6 (download PDF )

Unprocessed immunoblots.

Source Data Fig. 7 (download XLSX )

Statistical Source Data.

Source Data Fig. 7 (download PDF )

Unprocessed immunoblots.

Source Data Fig. 8 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 1 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 2 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 3 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 3 (download PDF )

Unprocessed immunoblots.

Source Data Extended Data Fig. 4 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 5 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 6 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 7 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 8 (download XLSX )

Statistical Source Data.

Source Data Extended Data Fig. 8 (download PDF )

Unprocessed immunoblots.

Source Data Extended Data Fig. 9 (download XLSX )

Statistical Source Data.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, H., Hu, D., Cheng, Y. et al. Succinate drives gut inflammation by promoting FOXP3 degradation through a molecular switch. Nat Immunol 26, 866–880 (2025). https://doi.org/10.1038/s41590-025-02166-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Version of record:

  • Issue date:

  • DOI: https://doi.org/10.1038/s41590-025-02166-y

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing