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Publication : Acetate controls endothelial-to-mesenchymal transition.

First Author  Zhu X Year  2023
Journal  Cell Metab Volume  35
Issue  7 Pages  1163-1178.e10
PubMed ID  37327791 Mgi Jnum  J:338352
Mgi Id  MGI:7511285 Doi  10.1016/j.cmet.2023.05.010
Citation  Zhu X, et al. (2023) Acetate controls endothelial-to-mesenchymal transition. Cell Metab 35(7):1163-1178.e10
abstractText  Endothelial-to-mesenchymal transition (EndMT), a process initiated by activation of endothelial TGF-beta signaling, underlies numerous chronic vascular diseases and fibrotic states. Once induced, EndMT leads to a further increase in TGF-beta signaling, thus establishing a positive-feedback loop with EndMT leading to more EndMT. Although EndMT is understood at the cellular level, the molecular basis of TGF-beta-driven EndMT induction and persistence remains largely unknown. Here, we show that metabolic modulation of the endothelium, triggered by atypical production of acetate from glucose, underlies TGF-beta-driven EndMT. Induction of EndMT suppresses the expression of the enzyme PDK4, which leads to an increase in ACSS2-dependent Ac-CoA synthesis from pyruvate-derived acetate. This increased Ac-CoA production results in acetylation of the TGF-beta receptor ALK5 and SMADs 2 and 4 leading to activation and long-term stabilization of TGF-beta signaling. Our results establish the metabolic basis of EndMT persistence and unveil novel targets, such as ACSS2, for the potential treatment of chronic vascular diseases.
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