Protein lactylation in myocardial ischemia-reperfusion injury: mechanisms and therapeutic potential - Report - MDSpire

Protein lactylation in myocardial ischemia-reperfusion injury: mechanisms and therapeutic potential

  • By

  • Hang Zhan

  • Die Li

  • Jiayao He

  • Yuzhuang Hu

  • Wei Jiang

  • Jiayu Zhang

  • Wei Chen

  • Weize Xu

  • July 16, 2026

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Clinical Report: Lactylation of Proteins in Myocardial Ischemia-Reperfusion Injury

Overview

This review examines the role of protein lactylation (Kla) in myocardial ischemia-reperfusion injury (MIRI), highlighting its involvement in various cellular processes that may influence cardiomyocyte survival and injury repair during MIRI.

Background

Myocardial ischemia-reperfusion injury (MIRI) is a significant complication in cardiovascular therapy, particularly following reperfusion in coronary heart disease patients. Reperfusion can paradoxically exacerbate myocardial injury, leading to a critical need for effective therapeutic strategies. Understanding the mechanisms underlying MIRI, including the role of protein lactylation, is essential.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • Protein lactylation (Kla) is a post-translational modification linked to lactate metabolism.
  • Kla plays a role in regulating metabolic adaptation, injury repair, and stress responses in cardiomyocytes.
  • Reperfusion injury may account for up to 50% of total myocardial damage in acute myocardial infarction patients.
  • Kla is involved in regulating major death-related pathways, including apoptosis and inflammation, during MIRI.
  • The modification of proteins through Kla represents an adaptive mechanism in response to ischemic stress.

Clinical Implications

Further research is needed to explore the mechanistic pathways and potential interventions related to protein lactylation in clinical settings.

Conclusion

This review highlights the role of protein lactylation in myocardial ischemia-reperfusion injury.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Lactylation of Proteins in Myocardial Ischemia-Reperfusion Injury: Insights into Mechanisms and Therapeutic Opportunities
  2. Basic Research in Cardiology (Springer) — Exploring Ischemia/Reperfusion Injury and Cardioprotection: Overlooked and Novel Pathways and Therapeutic Avenues for Tailored Treatment
  3. Frontiers in Immunology — The immune-cardiovascular metabolic circuitry in myocardial ischemia-reperfusion injury: from metabolic signal release to spatiotemporal reprogramming
  4. Frontiers in Cardiovascular Medicine — Lactylation: a metabolic–epigenetic driver in atherosclerosis pathogenesis and therapeutic targeting
  5. Basic Research in Cardiology — Summary of the 2nd International Symposium on Innovations in Cardiovascular Research: Strategies for Shielding the Heart from Ischemia
  6. ACC, AHA Issue New Acute Coronary Syndromes Guideline
  7. Exploring Ischemia/Reperfusion Injury and Cardioprotection: Overlooked and Novel Pathways and Therapeutic Avenues for Tailored Treatment
  8. The immune-cardiovascular metabolic circuitry in myocardial ischemia-reperfusion injury: from metabolic signal release to spatiotemporal reprogramming
  9. Lactylation: a metabolic–epigenetic driver in atherosclerosis pathogenesis and therapeutic targeting
  10. Lactylation in cardiovascular disease: mechanisms and therapeutic potential | Cell Death & Disease

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