Recently, a investigation squad led by Professor Jian-Xun Wang and Professor Tao Yu from Qingdao University made a important breakthrough successful knowing nan domiciled of lactylation modification successful aortic dissection (AD). Their study revealed that lactylation of nan mitochondrial ATP synthase subunit alpha (ATP5F1A) astatine nan K531 tract promotes nan improvement and progression of AD by impairing mitochondrial usability and inducing a phenotypic move successful vascular soft musculus cells (VSMCs). The related findings person been formally published.
Background
Aortic dissection (AD) is simply a life-threatening cardiovascular emergency characterized by accelerated onset and progression, pinch constricted objective involution options. Lactate, a glycolytic metabolite, has precocious been identified to modulate cistron look and cellular functions via "lactylation" modification successful various diseases specified arsenic crab and inflammation. Lactylation is simply a caller post-translational modification wherever lactate donates a lactyl group to histone and non-histone proteins, influencing their stableness and function. Although lactate levels are importantly elevated successful AD patients and associated pinch mediocre prognosis, nan engagement of lactylation modification successful AD pathogenesis and its circumstantial mechanisms require further investigation.
Results
Using modification omics analysis, this study identified wide lactylation modifications successful AD tissues, pinch important enrichment successful nan ATPase activity pathway. Notably, lactylation levels astatine nan K531 tract of ATP synthase subunit alpha (ATP5F1A) were markedly increased, and this modification was regulated by nan mitochondrial deacetylase Sirtuin 3 (Sirt3).
Functional experiments demonstrated that lactylation of ATP5F1A astatine K531 decreases ATP synthase activity, increases reactive oxygen type (ROS) production, and induces mitochondrial morphological abnormalities. These changes result beforehand nan modulation of quality aortic vascular soft musculus cells (HAVSMCs) towards a synthetic phenotype and heighten nan look and secretion of matrix metalloproteinases (MMP-2 and MMP-9).
In vivo experiments showed that pharmacological inhibition of lactylation (e.g., utilizing nan LDHA inhibitor FX-11) aliases constructing K531R mutant mice importantly reduced nan incidence and mortality of AD, and alleviated elastic fibre degradation and fibrotic deposition successful nan vessel.
Future perspectives
This study reveals nan captious domiciled of lactylation modification successful aortic dissection. Specifically, Sirt3-regulated lactylation of ATP5F1A successful mitochondria impairs ATPase function, starring to mitochondrial damage, rupture, functional abnormalities, reduced ATP production, and accrued ROS generation. Ultimately, this process increases nan proportionality of synthetic VSMCs and nan secretion of MMPs, thereby exacerbating aortic dissection. These findings not only supply a caller position connected nan pathogenesis of AD, but besides connection a theoretical ground for processing targeted therapeutic strategies against lactylation modification.
Source:
Journal reference:
Yu, T., et al. (2025). Lactylation of Mitochondrial ATP Synthase Subunit Alpha Regulates Vascular Remodelling and Progression of Aortic Dissection. Research. doi.org/10.34133/research.0799
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