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Updated: Sep 8, 2025

08:05
Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice
Published on: June 29, 2022
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PFKM-Driven Lactate Overproduction Promotes Atrial Fibrillation via Triggering Cardiac Fibroblasts Histone
Ning Fang1, Ning Zhang1, Xiaohui Jiang1
1Department of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
|June 26, 2025
Summary
Enhanced glycolysis promotes atrial fibrillation (AF) by increasing lactate, leading to atrial fibrosis through histone lactylation. Targeting this metabolic-epigenetic axis may offer new AF therapies.
Area of Science:
- Biochemistry
- Epigenetics
- Cardiology
Background:
- Atrial fibrillation (AF) is linked to increased glycolysis and lactate.
- The role of glycolysis and histone lactylation in AF pathogenesis is unclear.
Purpose of the Study:
- To investigate if glycolysis promotes AF development.
- To explore the role of histone lactylation in AF pathogenesis.
- To elucidate the metabolic-epigenetic mechanisms underlying AF.
Main Methods:
- Established spontaneous atrial fibrillation (AF) mouse models.
- Utilized glycolysis inhibitor (2-deoxyglucose) and PFKM gene expression.
- Analyzed cardiac fibroblast activation and histone lactylation (H3K18 lactylation).
Main Results:
- Enhanced glycolysis promotes AF development and atrial fibrosis in mice.
- Lactate stimulates cardiac fibroblast activation and H3K18 lactylation.
- P300-mediated H3K18 lactylation up-regulates TGF-β1, causing fibrosis.
Conclusions:
- Glycolysis promotes AF through a metabolic-epigenetic axis involving histone lactylation.
- Histone lactylation of H3K18 in fibroblasts contributes to AF-associated fibrosis.
- Targeting the metabolic-epigenetic pathway presents potential therapeutic strategies for AF.
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