Evidence map›Paper›PMID 41826295›Full record

ArticleNature communications2026

Pyruvate metabolism enzyme Dlat induces mitochondria protein hyperacetylation to limit fatty acid oxidation in the HFpEF heart.

Ying Wang, Dong Guo, Jin'ao Zhu, Xue Yang, Chan Wu, Jing Geng, Qi Liang, Nan Sun, Xiaona Niu, Yue Liu and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

14 authors.

Ying Wang *Department of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Dong Guo *Department of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Jin'ao Zhu *The Second Clinical Medical College of Shaanxi University of Chinese Medicine, Xianyang, China.
Xue YangDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Chan WuDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Jing GengDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Qi LiangDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Nan SunDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Xiaona NiuDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Yue LiuDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Yanjie GuoDepartment of Cardiology, Xi'an International Medical Center Hospital, Xi'an, China.
Pan ChangDepartment of Cardiology, The Second Affiliated Hospital of Xi'an Medical College, Xi'an, China.
Yan LiDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. profleeyan@163.com.ORCID http://orcid.org/0000-0003-0096-0813
Lang HuDepartment of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. medhulang@163.com.ORCID http://orcid.org/0009-0000-1806-4908

Funding

National Natural Science Foundation of China (National Science Foundation of China) No. 82300443National Natural Science Foundation of China (National Science Foundation of China) No. 82400450National Natural Science Foundation of China (National Science Foundation of China) No. 82470388
6 · The paper itself

Abstract

Increased protein acetylation is frequently observed in the failing heart, including in hearts with heart failure with preserved ejection fraction (HFpEF). However, its role in the pathogenesis of HFpEF remains insufficiently investigated. Here, we found that HFpEF hearts displayed significantly protein hyperacetylation, which were predominantly localized to mitochondria and particularly enriched in fatty acid oxidation (FAO) pathway. Notably, Dlat, a pyruvate metabolism enzyme, was identified as the key transacetylase for mitochondrial protein hyperacetylation. Dlat overexpression enhanced FAO-related protein acetylation and exacerbated cardiac lipid metabolism disturbances, whereas Dlat knockdown effectively mitigated FAO inhibition and HFpEF phenotypes. Moreover, we demonstrated that Dlat directly triggers the acetylation of alpha subunit of mitochondrial trifunctional protein (HADHA) at the K728 site, thereby inactivating HADHA enzymatic activity. Our study provides a mechanistic basis linking protein hyperacetylation, FAO inhibition, and HFpEF development. Manipulating mitochondrial protein acetylation may offer potential strategies for therapeutic intervention of HFpEF.

Indexed as

Fatty AcidsHeart FailureMitochondria, HeartMitochondrial ProteinsPyruvic AcidAcetylationAnimalsHumansMaleMitochondriaMitochondrial Trifunctional Protein, alpha SubunitMyocardiumMyocytes, CardiacOxidation-ReductionStroke VolumeFatty AcidsHADHA protein, humanMitochondrial ProteinsMitochondrial Trifunctional Protein, alpha SubunitPyruvic Acid

Identifiers

PMID41826295
PMCPMC13128832

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.