Lactylation: a metabolic–epigenetic driver in atherosclerosis pathogenesis and therapeutic targeting - Report - MDSpire

Lactylation: a metabolic–epigenetic driver in atherosclerosis pathogenesis and therapeutic targeting

  • By

  • Wenbo Lv

  • Linxi Xie

  • Jintao Tao

  • Qingqi Xu

  • Wenfeng Hu

  • Hao Xie

  • Pin Lu

  • Ying Xu

  • Liang Huang

  • June 26, 2026

  • 0 min

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Clinical Report: Lactylation in Atherosclerosis Development and Treatment

Overview

This review highlights the role of lactylation, a post-translational modification, in the development of atherosclerosis (AS) through its regulation of key pathological processes.

Background

Atherosclerosis is a significant contributor to cardiovascular morbidity and mortality, necessitating a deeper understanding of its underlying mechanisms. Lactylation, involving the addition of lactate-derived lactyl groups to proteins, has emerged as a crucial factor in the pathophysiology of AS.

Data Highlights

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

Key Findings

  • Lactylation is a post-translational modification that affects protein function and stability.
  • It plays a role in vascular inflammation, endothelial-to-mesenchymal transition, and angiogenesis in AS.
  • Histone acetyltransferase p300 and CREB-binding protein (CBP) are identified as lactyltransferases.
  • Delactylases, including class I histone deacetylases, may regulate lactylation by removing lactyl groups.

Clinical Implications

Clinicians should consider the role of lactylation in the pathogenesis of atherosclerosis when evaluating patients.

Conclusion

Lactylation represents a significant epigenetic and metabolic factor in atherosclerosis.

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  4. 2026 Guideline on the Management of Dyslipidemia - Professional Heart Daily | American Heart Association
  5. Frontiers in Immunology — Lactylation-mediated remodelling of the breast cancer microenvironment: single-cell multidimensional analysis and prognostic model construction
  6. 2026 Guideline on the Management of Dyslipidemia - Professional Heart Daily | American Heart Association
  7. Evolocumab in Patients without a Previous Myocardial Infarction or Stroke | New England Journal of Medicine
  8. Frontiers | Protein lactylation influences atherosclerotic plaque stability by regulating macrophage functions

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