TY - JOUR TI - Tissue-infiltrating macrophages mediate an exosome-based metabolic reprogramming upon DNA damage AU - Goulielmaki, Evi AU - Ioannidou, Anna AU - Tsekrekou, Maria AU - Stratigi, AU - Kalliopi AU - Poutakidou, Ioanna K. AU - Gkirtzimanaki, Katerina and AU - Aivaliotis, Michalis AU - Evangelou, Konstantinos AU - Topalis, Pantelis AU - and Altmueller, Janine AU - Gorgoulis, Vassilis G. AU - Chatzinikolaou, AU - Georgia AU - Garinis, George A. JO - Nature Communications PY - 2020 VL - 11 TODO - 1 SP - null PB - Nature Publishing Group SN - 2041-1723 TODO - 10.1038/s41467-019-13894-9 TODO - null TODO - DNA damage and metabolic disorders are intimately linked with premature disease onset but the underlying mechanisms remain poorly understood. Here, we show that persistent DNA damage accumulation in tissue-infiltrating macrophages carrying an ERCC1-XPF DNA repair defect (Er1(F/-)) triggers Golgi dispersal, dilation of endoplasmic reticulum, autophagy and exosome biogenesis leading to the secretion of extracellular vesicles (EVs) in vivo and ex vivo. Macrophage-derived EVs accumulate in Er1(F/-) animal sera and are secreted in macrophage media after DNA damage. The Er1(F/-) EV cargo is taken up by recipient cells leading to an increase in insulin-independent glucose transporter levels, enhanced cellular glucose uptake, higher cellular oxygen consumption rate and greater tolerance to glucose challenge in mice. We find that high glucose in EV-targeted cells triggers pro-inflammatory stimuli via mTOR activation. This, in turn, establishes chronic inflammation and tissue pathology in mice with important ramifications for DNA repair-deficient, progeroid syndromes and aging. ER -