Author ORCID Identifier

https://orcid.org/0000-0002-7030-171X

Defense Date

2026

Document Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Clinical and Translational Sciences

First Advisor

Rebecca K Martin

Second Advisor

Jinze Liu

Third Advisor

Patricia Sime

Fourth Advisor

John Ryan

Fifth Advisor

Michael Lacy

Abstract

Initiation of allergic responses requires activation of specialized subsets of T follicular helper (Tfh) cells called Tfh13 cells. Differentiation of these cells from naïve CD4+ T cells is induced by antigen presenting cells, such as type 2 conventional dendritic cells (cDC2s), following allergen exposure. Here we show that allergen stimulation induces a distinct metabolic program in cDC2s characterized by increased glutaminolysis which results in intracellular accumulation of α-­ ketoglutarate. Inhibition of glutaminolysis suppresses Tfh13 cell differentiation and promotes inhibitory T follicular regulatory (Tfr) cell activation in vivo. Further, glutamine-­derived α-­ ketoglutarate in cDC2s regulates Tfh13 polarization by modulation of JmjD3 mediated histone demethylation and modulation of HIF-­ 1α activity. JmjD3 or HIF-­ prolyl hydroxylase (HIF-­ PH) blockade reduced Tfh13 and germinal center IgE production. Genetic deletion of HIF-­ 1α in cDCs, in contrast, enhanced Tfh13 polarization and IgE synthesis. Finally, we demonstrate that α-­ ketoglutarate production regulates epigenetic and gene expression changes critical for allergic sensitization by cDC2s following allergen exposure. We characterize a novel transcriptomic and metabolic framework that dictates the balance between allergic sensitization and immune tolerance. Integrating gene expression findings with established metabolic models, this study demonstrates that Alternaria induces a glutaminase 1-JmjD3/HIF-PH axis, leading to α-ketoglutarate accumulation, HIF-1α degradation, and subsequent Tfh13-mediated IgE production.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

9-15-2026

Available for download on Sunday, July 29, 2046

Share

COinS