Whereas resting T cells, which have low metabolic requirements, use oxidative phosphorylation (OXPHOS) to maximize their generation of
ATP, activated T cells, similar to
tumor cells, shift metabolic activity to aerobic glycolysis, which also fuels
mevalonate metabolism. Both
sterol and nonsterol derivatives of
mevalonate affect T cell function. The intracellular availability of
sterols, which is dynamically regulated by different classes of
transcription factors, represents a metabolic checkpoint that modulates T cell responses. The electron carrier
ubiquinone, which is modified with an
isoprenoid membrane anchor, plays a pivotal role in OXPHOS, which supports the proliferation of T cells. Isoprenylation also mediates the plasma membrane attachment of the Ras, Rho, and Rab
guanosine triphosphatases, which are involved in T cell immunological synapse formation, migration, proliferation, and cytotoxic effector responses. Finally, multiple phosphorylated
mevalonate derivatives can act as danger signals for innate-like γδ T cells, thus contributing to the immune surveillance of stress, pathogens, and
tumors. We highlight the importance of the
mevalonate pathway in the metabolic reprogramming of effector and regulatory T cells.