Evidence map›Paper›PMID 37443257›Full record

ArticleCell research2023

α-myosin heavy chain lactylation maintains sarcomeric structure and function and alleviates the development of heart failure.

Naijin Zhang, Ying Zhang, Jiaqi Xu, Pengbo Wang, Boquan Wu, Saien Lu, Xinxin Lu, Shilong You, Xinyue Huang, Mohan Li and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Cell research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 208 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
208citing papers in PubMed, 1 pooled it
50.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

208 citing papers in PubMed, 1 synthesis or guideline pooled it, 223 citations in OpenAlex.

  1. Pooled it
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  5. Lactate Signal: Modulator of Cellular Energy Production and Anabolism.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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148 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Naijin Zhang *Department of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Ying Zhang *Department of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Jiaqi XuDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Pengbo WangDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Boquan WuDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Saien LuDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Xinxin LuDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Shilong YouDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Xinyue HuangDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Mohan LiDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Yuanming ZouDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Mengke LiuDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Yuanhui ZhaoDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Guozhe SunDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Wenbin WangDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Danxi GengDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China.
Jingwei LiuKey Laboratory of Medical Cell Biology, Ministry of Education, Shenyang, Liaoning, China.
Liu CaoKey Laboratory of Medical Cell Biology, Ministry of Education, Shenyang, Liaoning, China.
Yingxian SunDepartment of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China. yxsun@cmu.edu.cn.
China Medical University · CNFirst Hospital of China Medical University · CNNational Health and Family Planning Commission · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The sarcomeric interaction of α-myosin heavy chain (α-MHC) with Titin is vital for cardiac structure and contraction. However, the mechanism regulating this interaction in normal and failing hearts remains unknown. Lactate is a crucial energy substrate of the heart. Here, we identify that α-MHC undergoes lactylation on lysine 1897 to regulate the interaction of α-MHC with Titin. We observed a reduction of α-MHC K1897 lactylation in mice and patients with heart failure. Loss of K1897 lactylation in α-MHC K1897R knock-in mice reduces α-MHC-Titin interaction and leads to impaired cardiac structure and function. Furthermore, we identified that p300 and Sirtuin 1 act as the acyltransferase and delactylase of α-MHC, respectively. Decreasing lactate production by chemical or genetic manipulation reduces α-MHC lactylation, impairs α-MHC-Titin interaction and worsens heart failure. By contrast, upregulation of the lactate concentration by administering sodium lactate or inhibiting the pivotal lactate transporter in cardiomyocytes can promote α-MHC K1897 lactylation and α-MHC-Titin interaction, thereby alleviating heart failure. In conclusion, α-MHC lactylation is dynamically regulated and an important determinant of overall cardiac structure and function. Excessive lactate efflux and consumption by cardiomyocytes may decrease the intracellular lactate level, which is the main cause of reduced α-MHC K1897 lactylation during myocardial injury. Our study reveals that cardiac metabolism directly modulates the sarcomeric structure and function through lactate-dependent modification of α-MHC.

Indexed as

Heart FailureMyosin Heavy ChainsAnimalsConnectinLactatesMiceMyocytes, CardiacConnectinLactatesMyosin Heavy Chains

Identifiers

PMID37443257
PMCPMC10474270
OpenAlexW4384204069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.