Copyright: ©Author(s) 2026.
World J Cardiol. Oct 26, 2026; 18(10): 124339
Published online Oct 26, 2026. doi: 10.4330/wjc.124339
Published online Oct 26, 2026. doi: 10.4330/wjc.124339
Table 1 Summary of classical lysine acetylation in pathological cardiac hypertrophy and heart failure
| Typical lysine acylation | Models | Sites | Specific functions | Refs. |
| Acetylation | Mice | H3K4ac, H3K9ac, H3K27ac | H3K4ac, H3K9ac, and H3K27ac mediated by p300 are increased in cardiac hypertrophy and HF | [24,25] |
| Acetylation | Mice | H3K27ac | H3K27ac mediated by p300 exacerbates cardiac dysfunction | [26] |
| Acetylation | Mice | H3K9ac; H3K23ac | H3K23ac and H3K9ac are elevated in hearts of mice with diabetic cardiomyopathy | [27] |
| Acetylation | Mice | K3K14ac | H3K14ac is increased in mice induced by prenatal alcohol exposure, which contributed to abnormal fetal heart development | [28] |
| Acetylation | Rats | H3K122ac | H3K122ac is increased during the stages of HF | [29] |
| Acetylation | Mice, human | SERCA2a K492ac | Increased SERCA2a K492ac is associated with systolic dysfunction in HF | [30] |
| Acetylation | Mice | TFAM (K62ac, K76ac, K111ac, K118ac) | Acetylation of TFAM 4KR is diminished in response to low expression of GCN 5 L 1 in HF, which results in a reduction in mitochondrial DNA abundance and impaired cardiac energetics | [31] |
| Acetylation | Mice | P53 4KR (k98ac, K117ac, K161ac, K162ac) | Increased P53 4KR acetylation leads to coronary capillary sparsity, cardiac remodeling, and cardiac dysfunction | [32] |
| Acetylation | Mice | P53 K381ac | Lipopolysaccharide increases p53 K381ac and promotes the nuclear translocation of p53, contributing to cardiac dysfunction | [33] |
| Acetylation | Mice | Drp1 K642ac | High-fat diet leads to DRP1 K642ac increase, which activates DRP1 and results in cardiomyocyte dysfunction and death | [34] |
| Acetylation | Mice | SF3A2 K10ac | Ginsenoside Rb2 directly interacts with P300 to reduce SF3A2 K10ac, enhance mitochondrial respiration, and mitigate cardiac dysfunction | [35] |
Table 2 Summary of novel lysine acylations and pathological cardiac hypertrophy and heart failure
| Novel lysine acylations | Models | Sites | Specific functions | Refs. |
| Crotonylation | Mice | TMP1 K28/29cr; IDH3α K199cr | TMP1 K28/29 and IDH3α K199cr are decreased in a model of cardiac dysfunction induced by ischemia-reperfusion | [53] |
| Crotonylation | Human; mice | H3K18cr, H2BK12cr | H3K18cr and H2BK12cr are elevated in hypertrophic cardiomyopathy | [54] |
| Crotonylation | Mice | NAE1 K238cr | NAE1 K238cr increases in the cardiac hypertrophy model | [55] |
| Crotonylation | Mice | SERCA2a K120cr | SERCA2a K120cr is significantly elevated in SIRT1 knockout mice, which impairs SERCA2a activity and leads to alterations in energy metabolism that precipitate cardiac hypertrophy and dysfunction | [56] |
| Lactylation | Mice | α-MHC K1897 La | α-MHC K1897 La reduction in heart failure weakens its interaction with titin, ultimately resulting in severe HF | [48] |
| Lactylation | Mice | H3K18 La | The elevation of H3K18 La is associated with pathological myocardial hypertrophy and cardiac dysfunction | [59] |
| Lactylation | Mice | H3K56 La | H3K56 La is reduced in the Mi/R model, and the inhibition of H3K56 La negated the cardioprotective effects of HSPA12A | [60] |
| Lactylation | Mice | H3K18 La | Exercise training enhances cardiac function by inhibiting YTHDF2, which reduces H3K18 lactylation and mitigates myocardial ischemia-reperfusion injury | [61] |
| Lactylation | Mice | Snail1 | The lactylation of Snail1 was elevated following myocardial infarction, which contributed to myocardial fibrosis and worsened cardiac dysfunction | [62] |
| Succinylation | Mice | ECHA K351succ | SIRT5 mediates the desuccinylation of ECHA K351, thereby improving cardiac metabolism and function and reducing myocardial hypertrophy | [71] |
| Succinylation | Mice | IDH2 | The inhibition of SIRT5 expression results in increased succinylation of IDH2, which disrupts mitochondrial homeostasis and contributes to myocardial fibrosis and HF | [72] |
| Succinylation | Human; mice | CPT2 K424succ | SIRT5 mediates the desuccinylation of CPT2 K424 in diabetic cardiomyopathy, thereby ameliorating lipid deposition, myocardial hypertrophy, and diastolic dysfunction | [73] |
| Succinylation | Mice | Txnrd1 K534succ | Txnrd1 K534succ increase in mice with a knockout of LDHA, leading to severe cardiac dysfunction in a pressure overload mouse model | [74] |
| β-hydroxybutyr-ylation | Mice | CS K395bhb | β-hydroxybutyrate mitigates heart failure with preserved ejection fraction by activating CS through the enhancement of CS K395bhb | [82] |
| Propionylation | Mice | H3K23pr | H3K23pr increase in cardiac hypertrophy and HF | [86] |
| Butyrylation | Mice | H3K9bu | H3K9bu is diminished due to the downregulation of β-oxidase in the heart following TAC surgery | [90] |
| Malonylation | Rat | VDAC2 K46mal | VDAC2 K46mal was elevated in mice with sepsis-induced cardiac dysfunction | [97] |
| Malonylation | Mice | GSTP1 K121mal | The abnormal decrease of SIRT5 increase of GSTP1 K121mal in DCM leads to oxidative stress and mitochondrial dysfunction | [98] |
| Malonylation | Mice | Ago2 K440mal | The increase of AGO2 K440mal enhances the production of ROS in mitochondria, subsequently impairing cardiac function in DCM | [99] |
| 2-hydroxyisobu-tyrylation | Mice | DLD K440hib | DLD K440hib increase in the TAC-induced cardiac hypertrophy model | [105] |
- Citation: Kang JH, Liu JJ, Liang PP, Liu HL, Qu FY, Nie PF, Long WJ. Protein acylation and heart failure: A review of novel lysine modifications in cardiac pathology. World J Cardiol 2026; 18(10): 124339
- URL: https://www.wjgnet.com/1949-8462/full/v18/i10/124339.htm
- DOI: https://dx.doi.org/10.4330/wjc.124339