Ailanthone alleviates septic cardiomyopathy by attenuating MYST histone acetyltransferase 1 (MOF)-mediated H4K16

Yu Zhou1, Meican Ma2, Chong Xu3

  • 1Clinical Research Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China.

Insights

Lactate exacerbates septic cardiomyopathy by increasing histone lactylation (H4K16la), which activates inflammatory genes. Targeting this pathway with inhibitors like ailanthone may treat cardiac dysfunction in sepsis.

Area of Science:

  • Biochemistry
  • Epigenetics
  • Cardiovascular Biology

Background:

  • Elevated lactate is a biomarker for septic cardiomyopathy (SCM).
  • Mechanisms linking lactate to SCM pathology are unclear.
  • Histone lactylation is a potential epigenetic link.

Purpose of the Study:

  • Investigate histone lactylation in sepsis-induced myocardial dysfunction.
  • Identify epigenetic mechanisms of lactate's cardiac effects.
  • Evaluate therapeutic potential of targeting lactate metabolism.

Main Methods:

  • Assessed lactate effects on LPS-induced cardiomyocyte inflammation and apoptosis in vitro.
  • Used CUT&Tag to study epigenetic mechanisms.
  • Identified MOF as a lactyltransferase.
  • Tested ailanthone (HK2 inhibitor) in a murine sepsis model.

Main Results:

  • Lactate increased cardiomyocyte inflammation and apoptosis.
  • Lactate upregulated histone H4 lysine 16 lactylation (H4K16la).
  • H4K16la activated CXCL8 and CCL2 gene expression.
  • MOF was identified as the lactyltransferase for H4K16la.
  • Ailanthone treatment improved cardiac function in septic mice.

Conclusions:

  • Lactate-driven H4K16la, via MOF, promotes inflammatory gene expression in SCM.
  • The lactate-H4K16la pathway is a novel therapeutic target for SCM.
  • HK2 inhibition shows therapeutic potential in sepsis-induced cardiac injury.
Abstract

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