Extracellular histone H3 induces macrophage inflammation in acute liver failure via HDAC2 activation and PKM2

Danmei Zhang1, Jin Guo1, Yukun Wang1

  • 1Department of Infectious Diseases, Renmin Hospital of Wuhan University, 430060 Wuhan, China.

Cellular Signalling
|July 19, 2025
PubMed

Insights

Extracellular histone H3 promotes inflammation in acute liver failure (ALF) by altering macrophage function. Targeting HDAC2 and PKM2 interactions may offer new therapeutic strategies for ALF.

Area of Science:

  • Immunology
  • Cell Biology
  • Hepatology

Background:

  • Acute liver failure (ALF) is a severe condition with limited treatments, often requiring liver transplantation.
  • Extracellular histones act as damage-associated molecular patterns (DAMPs), contributing to cellular damage and immune activation.
  • The specific role of extracellular histone H3 in macrophage dysfunction during ALF requires further elucidation.

Purpose of the Study:

  • To investigate the impact of extracellular histone H3 on macrophage function in acute liver failure.
  • To explore the molecular mechanisms underlying histone H3-induced macrophage activation and inflammation.
  • To assess the therapeutic potential of targeting histone H3-mediated pathways in ALF.

Main Methods:

  • In vivo and in vitro models of acute liver failure.
  • Macrophage treatment with extracellular histone H3.
  • Analysis of macrophage phenotype, phagocytic capacity, and inflammatory markers.
  • Investigation of PKM2 nuclear translocation, glycolytic activity, and HDAC2 expression.
  • Pharmacological inhibition of HDAC2 and molecular docking studies.

Main Results:

  • Extracellular histone H3 stimulation significantly increased inflammation in vivo.
  • In vitro, histone H3 induced a proinflammatory macrophage phenotype with impaired phagocytosis.
  • Histone H3 promoted PKM2 nuclear translocation, enhanced glycolysis, and upregulated HDAC2 in macrophages.
  • HDAC2 inhibition partially reversed PKM2 nuclear localization and reduced inflammation.
  • Direct interaction between HDAC2 and PKM2 was confirmed.

Conclusions:

  • Extracellular histone H3 drives a proinflammatory macrophage phenotype in ALF.
  • This phenotype is mediated by modulation of HDAC2 expression and PKM2 subcellular localization.
  • Targeting the HDAC2-PKM2 interaction may represent a novel therapeutic approach for ALF.