Evidence map›Paper›PMID 40569576›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

PFKM-Driven Lactate Overproduction Promotes Atrial Fibrillation via Triggering Cardiac Fibroblasts Histone Lactylation.

Ning Fang, Ning Zhang, Xiaohui Jiang, Sen Yan, Zhiqi Wang, Qianhui Gao, Mingcheng Xu, Lin Mu, Xiaoming Li, Jiuling Chen and 6 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Lactylation in cardiac repair: Nexus and therapeutic opportunity.Journal of molecular and cellular cardiology plus · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Ning FangDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Ning ZhangDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Xiaohui JiangDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Sen YanDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Zhiqi WangDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Qianhui GaoDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Mingcheng XuDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Lin MuDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Xiaoming LiDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Jiuling ChenDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Song ZhangDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Yu DuanDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Fengxiang YunDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Luyifei LiDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Yun ZhangDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
Yongtai GongDepartment of Cardiology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.ORCID https://orcid.org/0000-0002-0910-6763

Funding

HMU Marshal Initiative Funding HMUMIF-22001National Natural Science Foundation of China 81974024National Natural Science Foundation of China 82200413National Natural Science Foundation of China 82370314Outstanding Young Medical Talents of the First Affiliated Hospital of Harbin Medical University HYD2020J00001
6 · The paper itself

Abstract

Increasing evidence has clarified that atrial fibrillation (AF) is associated with enhanced glycolysis, leading to lactate accumulation. However, whether glycolysis promotes AF remains unknown, as does whether histone lactylation plays a role in its pathogenesis. In the study, spontaneous AF mice are established to monitor AF susceptibility and atrial substrates at different ages (3, 5, 7 months), indicating that enhanced glycolysis acts as a promoter during AF development by inducing atrial fibrosis. The promoting effect of glycolysis on AF and the pivotal enzyme in driving glycolysis are confirmed by treatment with glycolysis inhibitor 2-deoxyglucose (2-DG) and adeno-associated virus-mediated atrial PFKM expression. Furthermore, lactate stimulates primary mouse cardiac fibroblast (CF) activation. Mechanistically, the observations indicated that atrial lactate accumulation promotes global lactylation and H3K18 lactylation in atrial fibroblasts. P300-mediated H3K18 lactylation up-regulates TGF-β1 transcription, leading to activation of CF, and thereby contributing to atrial fibrosis. The results reveal a novel role of the metabolic-epigenetic axis in AF pathogenesis, which raises the possibility of potential therapeutic strategies targeting AF.

Indexed as

Atrial FibrillationFibroblastsHistonesLactic AcidAnimalsDisease Models, AnimalFibrosisGlycolysisHeart AtriaMaleMiceMice, Inbred C57BLHistonesLactic Acidatrial fibrillationglycolysisH3K18lahistone lactylationPFKM

Identifiers

PMID40569576
PMCPMC12442653

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Registered trials

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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.