Histone lactylation-induced GLI3 activation drives macrophage M1 polarization and exosomal SERPINE1 release in

Kai Yuan1, Junjian Liu1, Guanghui Chen2

  • 1Department of Vascular Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Cell Death Discovery
|November 10, 2025
PubMed

Insights

Histone lactylation drives M1 macrophage polarization and abdominal aortic aneurysm (AAA) progression by activating GLI3 and promoting exosomal SERPINE1 secretion, leading to endothelial dysfunction.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Epigenetics

Background:

  • Abdominal aortic aneurysm (AAA) progression is linked to M1 macrophages.
  • Lactate-mediated histone lactylation influences M1 macrophage polarization, but its role in AAA is unclear.

Purpose of the Study:

  • To investigate the role and molecular mechanisms of lactylation-mediated macrophage M1 polarization in AAA.
  • To identify key lactylated genes involved in AAA pathogenesis.

Main Methods:

  • Analysis of clinical AAA specimens and animal models.
  • RNA-sequencing and CUT&Tag assays to identify lactylated genes.
  • Cellular validation of gene function and macrophage polarization markers.

Main Results:

  • Elevated serum lactate and H3K18 lactylation (H3K18la) in AAA patients and mice.
  • Lactate upregulated M1 markers (CD80, MCP-1, iNOS) and H3K18la in macrophages.
  • GLI3 identified as a key lactylated gene promoting M1 polarization.
  • Lactate-polarized M1 macrophages secreted exosomal SERPINE1, causing endothelial dysfunction.

Conclusions:

  • Histone lactylation-mediated GLI3 activation drives M1 macrophage polarization in AAA.
  • Exosomal SERPINE1 secreted by M1 macrophages contributes to endothelial dysfunction and AAA progression.
  • This study elucidates a novel epigenetic mechanism in AAA pathogenesis.

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