Evidence map›Paper›PMID 41270209›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Acetylation Regulates ACSL4 Degradation Through Chaperone-Mediated Autophagy to Alleviate Intervertebral Disc Degeneration.

Zhouwei Wu, Zhichen Jiang, Chenglong Hong, Shu Yang, Shuqing Jin, Chenyu Wu, Kaijie Guo, Jiang Liu, Shaobo Xu, Chenggui Wang and 1 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. ACSL4-Dependent Lysosomal Lipid Peroxidation Links WTAP-Mediated mAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Review
  3. Article
  4. Review
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

11 authors.

Zhouwei WuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Zhichen JiangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Chenglong HongDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Shu YangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Shuqing JinDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Chenyu WuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Kaijie GuoDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Jiang LiuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Shaobo XuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Chenggui WangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Xiangyang WangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.ORCID https://orcid.org/0000-0003-3435-2277

Funding

High-level Innovation Team of Wenzhou's "Ouyue Talent Plan 2024R3003National Natural Science Foundation of China 82172494National Natural Science Foundation of China 82202721National Natural Science Foundation of China 82372461Natural Science Foundation of Zhejiang Province LY23H060006Zhejiang Province Science and Technology Plan Research and Xinmiao Talent Program 2025R413C090
6 · The paper itself

Abstract

Chaperone-mediated autophagy (CMA) represents a critical lysosomal degradation pathway in the context of intervertebral disc degeneration (IVDD) associated with senescence. This study revealed a novel mechanism of CMA regulation involving targeted degradation of acyl-CoA synthetase long-chain family member 4 (ACSL4), which can delay nucleus pulposus cell (NPC) senescence and inhibit IVDD progression. Mechanistic investigations demonstrated that the acetyltransferase KAT2B can facilitate the acetylation of ACSL4 at lysine residues K500, K571, and K692. This post-translational modification served as a molecular switch, significantly enhancing the affinity between ACSL4 and the CMA recognition chaperone HSPA8, thereby promoting the efficient targeting and degradation of ACSL4 via the CMA pathway. Besides, engineered exosomes are harnessed to deliver the key CMA receptor LAMP2A in an in vivo model, effectively delaying cellular senescence and significantly attenuating IVDD progression. Overall, these findings establish the crucial protective role of CMA in preventing IVDD through the degradation of ACSL4, providing novel insights for developing therapeutic strategies targeting CMA activation to alleviate disc degeneration and associated chronic pain.

Indexed as

Chaperone-Mediated AutophagyCoenzyme A LigasesIntervertebral Disc DegenerationAcetylationAnimalsAutophagyCellular SenescenceDisease Models, AnimalHumansLong-Chain-Fatty-Acid-CoA LigaseMaleNucleus PulposusCoenzyme A LigasesLong-Chain-Fatty-Acid-CoA Ligaseacetylationchaperone‐mediated autophagyferroptosisintervertebral disc degenerationsenescence

Identifiers

PMID41270209
PMCPMC12884747

What OpenQuestion holds

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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.