Key result
Knockout of LDHA attenuated infarct size and myocardial damage in ischemia-reperfusion mice by reducing NLRP3 lactylation and cardiomyocyte pyroptosis.
Why the study?
Pyroptosis plays a crucial role in myocardial I/R injury and lactylation participates in modulating pyroptosis, but the potential and mechanism of lactylation in myocardial I/R damage remained unelaborated.
LDHA exacerbates myocardial ischemia-reperfusion injury by enhancing NLRP3 lactylation and inducing cardiomyocyte pyroptosis, identifying a potential therapeutic target.
Answers are grounded in this paper and cite their sources.
LDHA inhibition may limit I/R injury in mice; leaves open clinical translation and requires human studies.
Myocardial ischemia-reperfusion (I/R) injury caused by revascularization treatment is the leading cause of cardiac damage aggravation in ischemic heart disease. Increasing evidence has unraveled the crucial role of pyroptosis in myocardial I/R injury. Of note, lactylation has been validated to be participated in modulating pyroptosis. Hence, this study was aimed to elaborate the potential and mechanism of lactylation in myocardial I/R damage. We established the cell model of I/R through inducing hypoxia/reoxygenation (H/R) of H9c2 cells. It was uncovered that H/R stimulation drove cardiomyocyte pyroptosis and upregulated total lactylation level. Further, we demonstrated that promoting lactylation contributed to H/R-evoked pyroptosis, whereas silencing LDHA led to the opposite results. More than that, LDHA was confirmed to facilitate lactylation of NLRP3 at K245 site and increase its protein stability. Our findings indicated that activation of NLRP3 abolished the function of LDHA deficiency in H/R-treated H9c2 cells. In concert with the aforementioned outcomes, knockout of LDHA attenuated the infarct size and myocardial damage in I/R mice and upregulation of NLRP3 counteracted the effects of LDHA knockout on I/R-evoked injury in vivo. To summarize, the current research provided persuasive evidence that LDHA promoted myocardial I/R damage via enhancing NLRP3 lactylation to induce cardiomyocyte pyroptosis.
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Li et al. (2024) studied Myocardial ischemia-reperfusion injury (n=24). LDHA knockout vs. Wild-type/Negative control was evaluated on Myocardial infarct size and cardiomyocyte pyroptosis. Knockout of LDHA attenuated infarct size and myocardial damage in ischemia-reperfusion mice by reducing NLRP3 lactylation and cardiomyocyte pyroptosis.
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