The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications

Abstract Diabetic cardiomyopathy (DbCM), a significant chronic complication of diabetes, manifests as myocardial hypertrophy, fibrosis, and other pathological alterations that substantially impact cardiac function and elevate the risk of cardiovascular diseases and patient mortality. Myocardial ener...

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Main Authors: Dongze Li, Li Zhang, Qiming Gong, Huilan Deng, Changfang Luo, Tingting Zhou, Wei Huang, Yong Xu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Clinical Epigenetics
Online Access:https://doi.org/10.1186/s13148-025-01814-2
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author Dongze Li
Li Zhang
Qiming Gong
Huilan Deng
Changfang Luo
Tingting Zhou
Wei Huang
Yong Xu
author_facet Dongze Li
Li Zhang
Qiming Gong
Huilan Deng
Changfang Luo
Tingting Zhou
Wei Huang
Yong Xu
author_sort Dongze Li
collection DOAJ
description Abstract Diabetic cardiomyopathy (DbCM), a significant chronic complication of diabetes, manifests as myocardial hypertrophy, fibrosis, and other pathological alterations that substantially impact cardiac function and elevate the risk of cardiovascular diseases and patient mortality. Myocardial energy metabolism disturbances in DbCM, encompassing glucose, fatty acid, ketone body and lactate metabolism, are crucial factors that contribute to the progression of DbCM. In recent years, novel protein post-translational modifications (PTMs) such as lactylation, β-hydroxybutyrylation, and succinylation have been demonstrated to be intimately associated with the myocardial energy metabolism process, and in conjunction with acetylation, they participate in the regulation of protein activity and gene expression activity in cardiomyocytes. This review examines the epigenetic pathogenesis of DbCM, primarily focusing on myocardial energy metabolism perturbations and novel PTMs associated with them. It provides a detailed analysis of the mechanisms of these novel PTMs in DbCM to enhance the understanding of DbCM pathophysiology and establish a theoretical foundation for the development of new treatment strategies for DbCM.
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institution Kabale University
issn 1868-7083
language English
publishDate 2025-01-01
publisher BMC
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series Clinical Epigenetics
spelling doaj-art-566a2f88504e4f41ba338c3eba3682a22025-01-26T12:39:11ZengBMCClinical Epigenetics1868-70832025-01-0117111410.1186/s13148-025-01814-2The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modificationsDongze Li0Li Zhang1Qiming Gong2Huilan Deng3Changfang Luo4Tingting Zhou5Wei Huang6Yong Xu7Department of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversitySichuan Clinical Research Center for Diabetes and Metabolic DiseasesDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversityDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversityDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversityDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversityDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversityDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical UniversityAbstract Diabetic cardiomyopathy (DbCM), a significant chronic complication of diabetes, manifests as myocardial hypertrophy, fibrosis, and other pathological alterations that substantially impact cardiac function and elevate the risk of cardiovascular diseases and patient mortality. Myocardial energy metabolism disturbances in DbCM, encompassing glucose, fatty acid, ketone body and lactate metabolism, are crucial factors that contribute to the progression of DbCM. In recent years, novel protein post-translational modifications (PTMs) such as lactylation, β-hydroxybutyrylation, and succinylation have been demonstrated to be intimately associated with the myocardial energy metabolism process, and in conjunction with acetylation, they participate in the regulation of protein activity and gene expression activity in cardiomyocytes. This review examines the epigenetic pathogenesis of DbCM, primarily focusing on myocardial energy metabolism perturbations and novel PTMs associated with them. It provides a detailed analysis of the mechanisms of these novel PTMs in DbCM to enhance the understanding of DbCM pathophysiology and establish a theoretical foundation for the development of new treatment strategies for DbCM.https://doi.org/10.1186/s13148-025-01814-2
spellingShingle Dongze Li
Li Zhang
Qiming Gong
Huilan Deng
Changfang Luo
Tingting Zhou
Wei Huang
Yong Xu
The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications
Clinical Epigenetics
title The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications
title_full The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications
title_fullStr The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications
title_full_unstemmed The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications
title_short The role of myocardial energy metabolism perturbations in diabetic cardiomyopathy: from the perspective of novel protein post-translational modifications
title_sort role of myocardial energy metabolism perturbations in diabetic cardiomyopathy from the perspective of novel protein post translational modifications
url https://doi.org/10.1186/s13148-025-01814-2
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