Mechanistic insights into acacetin-mediated atherosclerosis suppression: targeting HDAC4/p53-regulated ferroptosis

Ruiqi Zhao1, Qingqing Sun1, Shiqi Shan1

  • 1Department of Pharmacology, College of Pharmacy, Dalian Medical University, Dalian, 116044, China.

Biochemical Pharmacology
|December 25, 2025
PubMed

Insights

Acacetin, a natural compound, combats atherosclerosis by targeting the HDAC4-p53 pathway, reducing lipid buildup and preventing cell death. This research supports its potential use in treating cardiovascular diseases.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Cardiovascular Research

Background:

  • Cardiovascular diseases (CVD), particularly atherosclerosis (AS), pose significant health challenges.
  • Acacetin, a natural flavonoid, shows potential for CVD prevention and treatment due to its anti-inflammatory, antioxidant, and lipid-lowering effects.
  • The precise molecular mechanisms of Acacetin's therapeutic action in AS are not fully understood.

Purpose of the Study:

  • To systematically investigate the role and molecular mechanisms of Acacetin in the pathological progression of atherosclerosis.
  • To predict and validate therapeutic targets of Acacetin for AS using network pharmacology and experimental approaches.

Main Methods:

  • Network pharmacology to predict Acacetin's targets in AS.
  • In vivo studies using apolipoprotein E knockout (ApoE-/-) mice on a high-fat diet (HFD).
  • In vitro studies using human umbilical vein endothelial cells (HUVECs) stimulated with Human Angiotensin II (AngII).
  • Molecular assays including p53 protein expression analysis, co-immunoprecipitation (CO-IP), and small interfering RNA (si-HDAC4) intervention.

Main Results:

  • Acacetin treatment improved lipid metabolism and reduced oxidative stress in AS mice.
  • Acacetin significantly decreased aortic lipid accumulation and plaque formation, downregulating p53 expression.
  • Acacetin targets the HDAC4-p53 pathway, modulating p53 acetylation to inhibit ferroptosis and apoptosis, thereby exerting anti-atherosclerotic effects.
  • Direct interaction between HDAC4 and p53 was confirmed.

Conclusions:

  • Acacetin demonstrates significant anti-atherosclerotic effects by modulating the HDAC4-p53 signaling pathway.
  • This mechanism involves regulating p53 acetylation, inhibiting ferroptosis and apoptosis.
  • The findings provide a strong theoretical and experimental basis for Acacetin's potential clinical application in treating AS and related cardiovascular diseases.