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Copyright: ©Author(s) 2026.
World J Cardiol. Oct 26, 2026; 18(10): 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.
AcetylationMiceH3K4ac, H3K9ac, H3K27acH3K4ac, H3K9ac, and H3K27ac mediated by p300 are increased in cardiac hypertrophy and HF[24,25]
AcetylationMiceH3K27acH3K27ac mediated by p300 exacerbates cardiac dysfunction[26]
AcetylationMiceH3K9ac; H3K23acH3K23ac and H3K9ac are elevated in hearts of mice with diabetic cardiomyopathy[27]
AcetylationMiceK3K14acH3K14ac is increased in mice induced by prenatal alcohol exposure, which contributed to abnormal fetal heart development[28]
AcetylationRatsH3K122acH3K122ac is increased during the stages of HF[29]
AcetylationMice, humanSERCA2a K492acIncreased SERCA2a K492ac is associated with systolic dysfunction in HF[30]
AcetylationMiceTFAM (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]
AcetylationMiceP53 4KR (k98ac, K117ac, K161ac, K162ac)Increased P53 4KR acetylation leads to coronary capillary sparsity, cardiac remodeling, and cardiac dysfunction[32]
AcetylationMiceP53 K381acLipopolysaccharide increases p53 K381ac and promotes the nuclear translocation of p53, contributing to cardiac dysfunction[33]
AcetylationMiceDrp1 K642acHigh-fat diet leads to DRP1 K642ac increase, which activates DRP1 and results in cardiomyocyte dysfunction and death[34]
AcetylationMiceSF3A2 K10acGinsenoside 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.
CrotonylationMiceTMP1 K28/29cr; IDH3α K199crTMP1 K28/29 and IDH3α K199cr are decreased in a model of cardiac dysfunction induced by ischemia-reperfusion[53]
CrotonylationHuman; miceH3K18cr, H2BK12crH3K18cr and H2BK12cr are elevated in hypertrophic cardiomyopathy[54]
CrotonylationMiceNAE1 K238crNAE1 K238cr increases in the cardiac hypertrophy model[55]
CrotonylationMiceSERCA2a K120crSERCA2a 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]
LactylationMiceα-MHC K1897 Laα-MHC K1897 La reduction in heart failure weakens its interaction with titin, ultimately resulting in severe HF[48]
LactylationMiceH3K18 LaThe elevation of H3K18 La is associated with pathological myocardial hypertrophy and cardiac dysfunction[59]
LactylationMiceH3K56 LaH3K56 La is reduced in the Mi/R model, and the inhibition of H3K56 La negated the cardioprotective effects of HSPA12A[60]
LactylationMiceH3K18 LaExercise training enhances cardiac function by inhibiting YTHDF2, which reduces H3K18 lactylation and mitigates myocardial ischemia-reperfusion injury[61]
LactylationMiceSnail1The lactylation of Snail1 was elevated following myocardial infarction, which contributed to myocardial fibrosis and worsened cardiac dysfunction[62]
SuccinylationMiceECHA K351succSIRT5 mediates the desuccinylation of ECHA K351, thereby improving cardiac metabolism and function and reducing myocardial hypertrophy[71]
SuccinylationMiceIDH2The inhibition of SIRT5 expression results in increased succinylation of IDH2, which disrupts mitochondrial homeostasis and contributes to myocardial fibrosis and HF[72]
SuccinylationHuman; miceCPT2 K424succSIRT5 mediates the desuccinylation of CPT2 K424 in diabetic cardiomyopathy, thereby ameliorating lipid deposition, myocardial hypertrophy, and diastolic dysfunction[73]
SuccinylationMiceTxnrd1 K534succTxnrd1 K534succ increase in mice with a knockout of LDHA, leading to severe cardiac dysfunction in a pressure overload mouse model[74]
β-hydroxybutyr-ylationMiceCS K395bhbβ-hydroxybutyrate mitigates heart failure with preserved ejection fraction by activating CS through the enhancement of CS K395bhb[82]
PropionylationMiceH3K23prH3K23pr increase in cardiac hypertrophy and HF[86]
ButyrylationMiceH3K9buH3K9bu is diminished due to the downregulation of β-oxidase in the heart following TAC surgery[90]
MalonylationRatVDAC2 K46malVDAC2 K46mal was elevated in mice with sepsis-induced cardiac dysfunction[97]
MalonylationMiceGSTP1 K121malThe abnormal decrease of SIRT5 increase of GSTP1 K121mal in DCM leads to oxidative stress and mitochondrial dysfunction[98]
MalonylationMiceAgo2 K440malThe increase of AGO2 K440mal enhances the production of ROS in mitochondria, subsequently impairing cardiac function in DCM[99]
2-hydroxyisobu-tyrylationMiceDLD K440hibDLD K440hib increase in the TAC-induced cardiac hypertrophy model[105]


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