Biology subjects

Jun, S.

Publications and source records attributed to Jun, S..

At least 19 recordsLinked to original sources

bioRxiv2026

Fluorescent proteins misreport ribosome abundance under translation inhibition

Fluorescent proteins are widely used as quantitative reporters of protein abundance in living cells. Here we show that this relationship can break down under translation inhibition: the cellular ribosomal abundance can increase while fluorescence intensity remains unchanged or even decreases. Using fluorescent reporters of ribosome abundance in Escherichia coli and Bacillus subtilis, we find that cellular fluorescence intensity quantitatively tracks ribosome abundance, inferred by RNA-to-protein ratio, under nutrient-limited growth but that is no longer true during chloramphenicol treatment. In E. coli, the discrepancy occurs with transcriptional and translational reporters and with both ribosomal protein and ribosomal RNA promoters. To distinguish changes in fluorescence output per reporter from changes in reporter abundance, we constructed a fluorescent protein-LacZ dual reporter in which fluorescence and an independent enzymatic estimate of reporter abundance are obtained from the same protein. Under translation inhibition, LacZ-derived reporter abundance increases whereas fluorescence intensity remains approximately constant, showing that fluorescence output per unit reporter abundance decreases. In a companion study, Bakshi and colleagues demonstrate that the effect extends to other fluorescent proteins and other translation inhibitors, indicating that it is not specific to a particular fluorescent protein or translation inhibitor. Our results show that fluorescent-protein calibration can be condition-dependent and cannot be assumed to transfer across physiological perturbations.

biophysics↗

bioRxiv2026

Generalized Normative Modeling: A One-Step Hierarchical Kernel Framework for Multi-Site Brain Charts with Self-Correcting Z-Scores

Normative modeling expresses individual brain phenotypes as z-scores relative to a population norm, but in multi-site studies batch effects contaminate these z-scores and undermine their biomarker value. Existing approaches either harmonize data before fitting a normative model (ComBat+Normative), letting residual site effects leak into z-scores, or use parametric one-step methods (GAMLSS, HBR) that cannot flexibly model multivariate covariate interactions. We propose Generalized Normative Modeling (GNM), a onestep hierarchical framework that jointly estimates the global trajectory and site-specific effects via NUFFT-accelerated kernel regression with GCV bandwidth selection. Because the z-score is the ratio of batch-corrected residual to batch-corrected scale, residual site variance cancels algebraically -- a property we term self-correction. On ABIDE I cortical thickness (387 HC, 11 sites, 68 ROIs) and HarMNqEEG log-power spectra (1,564 subjects, 14 sites, 18 channels x 235 frequency bins), GNM produced the most site-invariant z-scores and best age-signal preservation among four methods. This work provides an open-source MATLAB toolbox with a declarative formula interface (https://github.com/LMNonlinear/Generalized-Normative-Modeling), enabling reliable individual-level inference in pooled multi-site cohorts and advancing the use of normative deviations as clinical biomarkers in precision psychiatry and neurology.

bioengineering↗

bioRxiv2026

Spatiotemporal Transcriptomic Dissection Uncovers Age-Dependent Deceleration of Esophageal Cell Differentiation

Precise orchestration of stem and progenitor cells is essential for tissue homeostasis and regeneration but becomes dysregulated during aging. Despite the known markers, the age-related dynamics of esophageal epithelial cell lineages remain unclear. Using single-cell single cell transcriptomics, we analyzed human esophageal epithelia across different age groups. We identified two stem cell populations: quiescent (qeSCs) and proliferative (peSCs) esophageal stem cells. qeSCs from young donors showed higher WNT10A expression and Wnt signaling activity. Analysis of cell lineage trajectories combined with cell plastic potentials showed stronger connectivity between peSCs and differentiated cells in younger tissues, indicating more efficient and rapid epithelial turnover and homeostatic maintenance. Cell-cell interaction analysis further demonstrated that NOTCH signaling is more prominent within peSCs and qeSCs in younger esophagi, whereas in older tissues, NOTCH activity is preferentially retained in differentiated cells. Additionally, the inflammatory signaling, Interleukin-1 pathway, is more active in younger esophagi but is largely restricted to differentiated cells. Our findings suggest that age-related decline in esophageal homeostasis is primarily driven by impaired differentiation dynamics rather than by alterations in stem cell self-renewal capacity.

cell biology↗

bioRxiv2026

NFATc3 enhances DREAM complex-driven tumorigenesis

The nuclear factor of activated T cells (NFAT) transcription factors, activated by calcium-calcineurin signaling, regulate various cellular processes, including cell differentiation, angiogenesis, and immune cell activation. Nonetheless, their roles in tumor cells remain largely undefined. The dimerization partner, RB-like, E2F, and multi-vulval class B (DREAM) complex orchestrates cell quiescence and proliferation. Pharmacological mimicry of DREAM-activated transcriptional signatures identified two calcium signaling inhibitors that suppressed lung adenocarcinoma (LUAD) cell proliferation. Among the five NFAT members, NFATc3/NFAT4 was predominantly expressed in LUAD cells and required for both LUAD cell proliferation and DREAM target gene transactivation. NFATc3 was enriched at DREAM target promoters and associated with the DREAM complex, possibly via LIN9, a scaffolding protein of the Multi-Vulva class B (MuvB) core proteins. These findings reveal an unexpected role for NFATc3 in promoting DREAM target gene transactivation and suggest the calcium-NFATc3 axis as a molecular target in LUAD, enriched by DREAM complex activation.

molecular biology↗

bioRxiv2025

Injury-induced CTE-like pathology emerges in a human multicellular in vitro brain model and reveals mitochondrial and neurovascular regulation.

Chronic traumatic encephalopathy (CTE) is a progressive neurodegenerative disease linked to repetitive mild head impacts, but no human-based experimental system exists to study injury-induced CTE-like pathology. Here, we establish a long-lived, human multicellular in vitro brain platform in which controlled mechanical injury induces key cellular features of CTE-like pathology. Injured cultures developed persistent tau phosphorylation, axonal degeneration, chronic inflammation, and metabolic dysfunction without widespread neuronal loss, consistent with progressive pathology rather than acute toxicity. To assess physiological relevance, we integrated transcriptomic profiles from the model with postmortem human CTE brain datasets. This analysis revealed striking convergence at the level of disease-associated modules and pathways, with endothelial cells emerging as critical contributors to CTE-like transcriptional programs. Using this human-based system, we further identified delayed mitochondrial dysfunction as a prominent and sustained feature of injury-induced pathology. Together, these findings establish the first human in vitro platform for studying injury-induced CTE-like pathology and identify neurovascular and mitochondrial regulation as central components of chronic neurodegeneration following repetitive mild brain injury.

neuroscience↗

bioRxiv2025

Fronto-Hippocampal Synchronization in Rapid Spatial Learning in Humans

Achieving goals in real-life situations--from fetching a glass of water to landing a dream job--often requires planning based on experience and executing a sequence of actions. Neurophysiological research in animal models has indicated that the orbitofrontal cortex (OFC) mediates relationships between memory, actions, and outcomes and the hippocampus and other medial temporal lobe (MTL) regions are known to be critical for rapid learning, but little is known about how these areas interact to support rapid learning and retrieval of goal-directed action sequences in humans. Here, we leverage a rare opportunity to investigate human OFC gamma oscillations and examine the coordination between the OFC and MTL during a continuous multi-step task that requires applying recently acquired experience to guide behavior. We used multisite intracranial electroencephalography (iEEG) recordings while participants searched for a hidden goal in an animated game to study neural activity in both brain areas during goal-directed behavior. Hippocampal ripples--brief high-frequency oscillations reflecting synchronized neuronal firing--are known to support memory consolidation during sleep, but their role during active memory retrieval and updating remains unclear. We found that OFC gamma activity was modulated by both memory demands and ripples in the hippocampus and adjacent structures. Notably, ripple-coupled OFC gamma during exploration was associated with subsequent task performance. We propose that hippocampal ripples mark a narrow window, supporting hippocampal-cortical communication required for successful goal encoding for future behaviors.

neuroscience↗

bioRxiv2025

Single-cell lineage trajectory defines CDK inhibitor-sensitive cells-of-origin in esophageal squamous cell cancer

Understanding the cells of origin is essential for overcoming therapy resistance in esophageal squamous cell carcinoma (ESCC). We utilized machine learning-based single-cell trajectory analysis on 4NQO-induced murine models and genetically engineered organoids to identify multiple distinct cell clusters that serve as cellular origins of ESCC. Gene regulatory network analysis of these populations indicated activation of stem/progenitor cell regulators, including PRRX2 and CEBP{beta}. Translating these findings, a transcriptome-based drug repurposing screen identified five chemical candidates, four of which are potent Cyclin-Dependent Kinase (CDK) inhibitors, aligning with the frequent loss-of-function mutations in TP53 and CDKN2A observed in ESCC. Notably, CDK inhibitors markedly inhibit ESCC cell proliferation. This research delineates the potential cellular origins of ESCC and their key regulons, thereby pioneering a single-cell-derived therapeutic strategy that exposes vulnerabilities in tumor-initiating cells.

cancer biology↗

bioRxiv2025

Comparative single-cell transcriptomics of orthotopic and subcutaneous gastric tumors reveal immune and stromal heterogeneity

Preclinical cancer models often use subcutaneous (SC) implantation, which fails to recapitulate the native tumor microenvironment (TME) of orthotopic (ORT) sites. To resolve these differences, we used single-cell RNA sequencing (scRNA-seq) on paired SC and ORT implants of the CKP syngeneic gastric cancer model. Histopathological differences were minimal, but scRNA-seq revealed profound TME divergence. ORT tumors displayed robust stromal activation, coordinated fibroblast and endothelial signaling, and an immune compartment marked by higher T/NK cell activation and IgA-biased B cell plasma programs, reflecting a physiological mucosal environment. In contrast, SC tumors had higher overall T cell infiltration but showed markedly increased CD8+ T cell exhaustion and an enriched oxidative tumor program. Our findings provide critical guidance: SC models are optimal for high-throughput and exhaustion-focused assays, whereas ORT models are indispensable for studying organ-specific immune and stromal biology with translational fidelity.

cancer biology↗

bioRxiv2025

A long-lived Human Neurovascular PENTA Culture Model Reveals Incomplete Vascular Repair and Glial-Mediated Signaling After Traumatic Brain Injury.

Traumatic brain injury (TBI) frequently leads to chronic neurovascular dysfunction, yet mechanistic insights into human-specific responses have been limited by the absence of long-term, multicellular in vitro models. Here, we report a five-cell-type human neurovascular culture system, comprising endothelial cells, astrocytes, pericytes, microglia, and neurons, engineered within a 3D scaffold to study injury-induced remodeling over multiple weeks. This PENTA-culture platform recapitulates hallmark features of the neurovascular unit and enables dissection of cell-specific contributions to vascular repair and degeneration. Upon mechanical trauma, cultures exhibit a biphasic response marked by acute endothelial disintegration, mitochondrial stress, and glial activation, followed by a delayed and incomplete repair. Confocal and proteomic analyses reveal persistent disruptions in tight junction organization, elevated TDP-43 and APP expression, and altered angiogenic and immunomodulatory signaling involving Tie2 and JAK/STAT pathways. Compared to simpler culture systems, the inclusion of microglia and neurons enhances post-injury cytokine resolution and junctional recovery, underscoring the importance of neuroimmune crosstalk. This system offers a mechanistically rich, human-relevant model for studying chronic neurovascular dysfunction and therapeutic revascularization.

neuroscience↗

bioRxiv2025

Population genomics of the endangered scaly-foot snail defines conservation units amid deep-sea mining threats in Indian Ocean vents

Hydrothermal vents in the Indian Ocean face imminent deep-sea mining, yet lack baseline high-resolution connectivity data for their endemic fauna. We present the first population genomic study of the endangered scaly-foot snail (Chrysomallon squamiferum), an iconic species distributed across three vent biogeographic provinces. Analysing 125 individuals from eight vent fields using 14 million single-nucleotide polymorphisms, we identify five genetic groups that warrant recognition as evolutionarily significant units. Demographic modelling reveals critical contributions from extinct or unsampled phantom populations to the contemporary genetic structure. Together with physical ocean modelling, we show that the deep currents drive asymmetric south-to-north gene flows, while transform faults act as dispersal barriers. We propose Longqi-Duanqiao fields on the Southwest Indian Ridge and Wocan field on the Carlsberg Ridge as two isolated populations prioritised for protection. Given its exceptional adaptations, wide distribution, and public recognition, the scaly-foot snail is well-positioned to serve as both a flagship and umbrella species to ensure the survival of a broader suite of vent biodiversity. As the International Seabed Authority finalises its Mining Code in 2025, our findings provide essential genomic evidence to mitigate the impacts of mining on genetic diversity and inform transboundary conservation strategies for this vulnerable ecosystem.

ecology↗

bioRxiv2025

PIP2-Tmie Interactions Drive Mammalian Hair Cell Slow Adaptation Independently of Myosin Motors

Sensory hair cells detect sound and balance through their apically located stereocilia bundles, converting mechanical stimuli into electrical signals via mechano-electrical transduction (MET) channels. These channels at the lower end of extracellular tip links connecting adjacent stereocilia are gated by tension. A key regulatory process of MET is slow adaptation, thought to enhance the auditory systems dynamic range. Traditionally, this process has been attributed to myosin motor activity. Here, we challenge this prevailing model and provide evidence for an alternative mechanism in which phosphatidylinositol 4,5-bisphosphate (PIP2) modulates slow adaptation via interactions with the MET complex protein TMIE. Remarkably, adaptation was rescued by exogenous PIP2 even when myosin motors were inhibited, highlighting PIP2s central role. Disruption of TMIE, a PIP2-binding protein, also impaired adaptation, and we implicate a PIP2 binding site between the channel candidate TMC1 and TMIE to mediate slow adaptation. These findings support a revised model in which PIP2-TMIE/TMC1 interactions mediate slow adaptation in hair cells.

biophysics↗

bioRxiv2025

A Tonotopic Regulatory Axis Governing Isoform-Specific MYO7A Expression in Cochlear Hair Cells

Myo7a, a gene mutated in Usher syndrome and non-syndromic deafness, encodes an unconventional myosin essential for hair cell function. Our previous work revealed that cochlear hair cells express distinct Myo7a isoforms with unique spatial and cell type-specific patterns. The canonical isoform (Myo7a-C) and a novel isoform (Myo7a-N) are co-expressed in outer hair cells (OHCs) but exhibit opposing tonotopic gradients, while inner hair cells (IHCs) primarily express Myo7a-C. These isoforms arise from distinct transcriptional start sites, indicating separate regulatory inputs. Here, we identify an intronic cis-regulatory element, EnhancerA, essential for tonotopically graded Myo7a expression. EnhancerA deletion reduces MYO7A protein levels in a tonotopically varied manner, disrupts hair bundle morphogenesis, alters OHC mechanotransduction, and leads to hair cell degeneration and hearing loss. We further identify SIX2, a tonotopically expressed transcription factor that may interact with EnhancerA to regulate Myo7a-N in OHCs. These findings define a cis-trans regulatory axis critical for isoform-specific Myo7a expression and cochlear function. SignificanceCochlear hair cells rely on the molecular motor MYO7A for mechanosensory function. Our previous study revealed that Myo7a isoforms are differentially expressed in auditory hair cells, however, the mechanisms regulating this isoform-specific expression remain unclear. In this study, we identify a cis-regulatory element, EnhancerA, that governs MYO7A expression in a tonotopically graded manner. Furthermore, we demonstrate that the transcription factor SIX2 plays a role in regulation of MYO7A, and is essential for hair cell maintenance. These findings establish a mechanistic link between cochlear position and protein isoform diversity, highlighting how hair cells adapt to frequency-specific mechanical demands. Importantly, the tonotopic regulatory function of EnhancerA also offers new avenues for targeted gene therapy in auditory disorders.

neuroscience↗

bioRxiv2025

Disrupted white matter microstructure in chronic Zika virus-infected adults

Systemic viral infections with neurotropic potential pose significant global health challenges. The Zika virus (ZIKV) is known for its pronounced neurotropism, with recent infectious clusters raising renewed public health concerns. While research has predominantly focused on congenital populations, growing evidence suggests that the mature central nervous system (CNS) is also vulnerable. However, no study has examined the long-term impact of ZIKV infection on the adult human brain. To address this gap, we studied a rare group of adult ZIKV patients presenting with both peripheral (Guillain-Barre Syndrome; GBS) and CNS-related neurological symptoms. We compared these patients at the chronic stage (5 to 12 months post-infection) to healthy controls and to patients with GBS of non-ZIKV etiology (total N=43). Structural and functional measures included cortical thickness, white matter hyperintensities, diffusion metrics, and resting-state functional connectivity. Despite the rarity of both patient populations, power analyses indicated that our sample size could detect large group differences--effect sizes deemed reasonable given the severity of neurological symptoms in the ZIKV group. Nonetheless, our multimodal analyses yielded null results, with Bayesian statistics (where applicable) providing evidence for a lack of effects. The null findings suggest that chronic ZIKV infection in adults is not associated with brain changes of large magnitude. Importantly, this study offers detailed clinical characterization of a heavily understudied group. In light of recent ZIKV outbreaks, this characterization underscores the need to monitor, study, and provide longitudinal care to adult survivors of severe ZIKV infections.

neuroscience↗

bioRxiv2025

Deciphering precursor cell dynamics in esophageal preneoplasia via genetic barcoding and single-cell transcriptomics

Although histologically normal, esophageal preneoplastic cells harbor early genetic alterations and likely exhibit lineage plasticity. However, their origins and trajectories remain unclear. To address this, we combined genetic barcoding with single-cell RNA sequencing to trace the lineage of esophageal preneoplastic cells. We identified a distinct progenitor-like cell population with high plasticity. Through a newly developed scoring system, these high-plasticity cells are mapped, revealing their contributions to proliferative and basal cell populations. This approach uncovers molecular markers, including Nfib and Qk, that define these precursor cells, validated by spatial transcriptomics and a Trp53 Cdkn2a Notch1 mouse model. These findings provide critical insights into early tumorigenesis, highlighting the potential of precursor cells as biomarkers for early detection and therapeutic targets of esophageal squamous cell cancer. By elucidating the cellular dynamics underlying esophageal preneoplasia, this research lays the foundation for strategies to prevent malignant progression, offering broader implications for improving cancer diagnostics and treatment approaches. Significance StatementPreneoplastic cells often appear histologically normal yet carry early genetic and transcriptional changes that predispose them to malignant transformation. In this study, we combine genetic barcoding with single-cell transcriptomics to uncover the lineage dynamics of esophageal preneoplastic cells. We identify a distinct progenitor population, preneoplastic cells of esophageal squamous cell carcinoma (pESCC), characterized by high plasticity and a unique trajectory that gives rise to proliferating and basal cell populations. By developing a new computational scoring method to integrate lineage topology with differentiation state, we provide a framework for tracing cellular origins beyond conventional inference-based models. Our findings shed light on the earliest events in tumor initiation and offer a new paradigm for identifying biomarkers and intervention targets in the precancerous stages of esophageal cancer.

cancer biology↗

bioRxiv2024

Actin dysregulation induces immune evasion via oxidative stress-activated PD-L1 in gastric cancer

Diffuse gastric adenocarcinoma (DGAC) is an aggressive malignancy with limited therapeutic options, poor prognosis, and poorly understood biology. CRACD, an actin polymerization regulator, is often inactivated in gastric cancer, including DGAC. We found that genetic engineering of murine gastric organoids with Cracd ablation combined with Kras mutation and Trp53 loss induced aberrant cell plasticity, hyperproliferation, and hypermucinosis, the features that recapitulate DGAC transcriptional signatures. Notably, CRACD inactivation remodeled the immune landscape for immune evasion through PD-L1 enrichment in tumor cells. Mechanistically, CRACD loss disrupted actin dynamics, generating reactive oxygen species that activated HIF1, which transactivated PD-L1. Pharmacologic inhibition of HIF1 or PD-L1 restored immune surveillance and suppressed tumorigenesis. These findings reveal a novel role of actin homeostasis in limiting cell plasticity and immune evasion, position CRACD as a potential biomarker for stratifying patients with DGAC, and highlight HIF1 and PD-L1 as actionable therapeutic targets.

cancer biology↗

bioRxiv2024

Correcting errors in PCR-derived libraries for rare allele detection by reconstructing parental and daughter strand information

Molecular barcoding methods enable high-sensitivity detection of circulating tumor DNA that is rarely present in liquid biopsy samples. Many methods involve ligation of molecular barcodes to DNA prior to hybridization capture, enabling recovery of starting molecules. Development of polymerase chain reaction (PCR)-based methods could facilitate more cost- and labor- effective detection; however, tracking molecular identity can be difficult, as new barcodes overwrite old barcodes in each cycle. We developed a sensitive genotyping method based on a peer-to-peer network-derived identifier for error reduction in amplicon sequencing (SPIDER-seq) and enable molecular identity tracking with PCR-derived libraries using overwritten barcodes. SPIDER-seq detected mutations at frequences as low as 0.125% after only two consecutive general PCR cycles and systematically analyzed the error pattern in the peer-to-peer network. Our method could facilitate the rapid detection of mutations associated with various cancers.

bioinformatics↗

bioRxiv2024

Decorin promotes cardiac organoid maturation by activating AMPK-PGC1A pathway to enhance cardiac metabolism and mitophagy

RationaleCardiac organoids (COs) are advanced models for investigating heart development and disease, while require maturation to resemble the structural and functional characteristics of the human heart. ObjectiveThis study reveals the role of Decorin (DCN) contributes to the mature and vascularized COs and assesses the biological mechanism responsible for CO maturation. Methods and ResultsDCN-treated COs exhibit structural maturation involving aligned sarcomere, mitochondria, and t-tubule structures, and vessel formations, as well as functional maturation involving synchronized contraction-relaxation, Ca2+ transient, and increases ion channel expressions. DCN-treated COs also show metabolic maturation, including enhanced fatty acid oxidation and increased mitophagy. Transcriptional profiling results indicate that DCN-treated COs have increased levels of AMPK signaling and mitophagy. In DCN-treated COs, AMPK knockdown affects mitochondrial biogenesis, cardiac metabolism, ion channels, and mitophagy. ConclusionsThese findings indicate that DCN is crucial for development of mature, vascularized COs and that CO maturation is primarily regulated through AMPK signaling, which is triggered by DCN. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=175 SRC="FIGDIR/small/599970v1_ufig1.gif" ALT="Figure 1"> View larger version (47K): org.highwire.dtl.DTLVardef@1333cfaorg.highwire.dtl.DTLVardef@e842baorg.highwire.dtl.DTLVardef@74ce1corg.highwire.dtl.DTLVardef@87ad38_HPS_FORMAT_FIGEXP M_FIG O_FLOATNOGRAPHIC ABSTRACTC_FLOATNO A graphic abstract is available for this article. DCN enhances metabolic maturation in COs by AMPK-triggered regulation of the glycolysis, fatty acid oxidation, and mitophagy. C_FIG

developmental biology↗

bioRxiv2024

ATP Citrate Lyase Supports Cardiac Function and NAD+/NADH Balance And Is Depressed in Human Heart Failure

BackgroundATP-citrate lyase (ACLY) converts citrate into acetyl-CoA and oxaloacetate in the cytosol. It plays a prominent role in lipogenesis and fat accumulation coupled to excess glucose, and its inhibition is approved for treating hyperlipidemia. In RNAseq analysis of human failing myocardium, we found ACLY gene expression is reduced; however the impact this might have on cardiac function and/or metabolism has not been previously studied. As new ACLY inhibitors are in development for cancer and other disorders, such understanding has added importance. MethodsCardiomyocytes, ex-vivo beating hearts, and in vivo hearts with ACLY inhibited by selective pharmacologic (BMS303141, ACLYi) or genetic suppression, were studied. Regulation of ACLY gene/protein expression, and effects of ACLYi on function, cytotoxicity, tricarboxylic acid (TCA)-cycle metabolism, and redox and NAD+/NADH balance were assessed. Mice with cardiac ACLY knockdown induced by AAV9-acly-shRNA or cardiomyocyte tamoxifen-inducible Acly knockdown were studied. ResultsAcly gene expression was reduced more in obese patients with heart failure and preserved EF (HFpEF) than HF with reduced EF. In vivo pressure-overload and in vitro hormonal stress increased ACLY protein expression, whereas it declined upon fatty-acid exposure. Acute ACLYi (1-hr) dose-dependently induced cytotoxicity in adult and neonatal cardiomyocytes, and caused substantial reduction of systolic and diastolic function in myocytes and ex-vivo beating hearts. In the latter, ATP/ADP ratio also fell and lactate increased. U13C-glucose tracing revealed an ACLY-dependent TCA-bypass circuit in myocytes, where citrate generated in mitochondria is transported to the cytosol, metabolized by ACLY and then converted to malate to re-enter mitochondria, bypassing several NADH-generating steps. ACLYi lowered NAD+/NADH ratio and restoring this balance ameliorated cardiomyocyte toxicity. Oxidative stress was undetected with ACLYi. Adult hearts following 8-weeks of reduced cardiac and/or cardiomyocyte ACLY downregulation exhibited ventricular dilation and reduced function that was prevented by NAD augmentation. Cardiac dysfunction from ACLY knockdown was worse in hearts subjected to sustained pressure-overload, supporting a role in stress responses. ConclusionsACLY supports normal cardiac function through maintenance of the NAD+/NADH balance and is upregulated by hemodynamic and hormonal stress, but depressed by lipid excess. ACLY levels are most reduced in human HFpEF with obesity potentially worsening cardio-metabolic reserve.

molecular biology↗