Class IIa HDACs inhibit cell death pathways and protect muscle integrity in response to lipotoxicity
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Abstract
Lipotoxicity, the accumulation of lipids in non-adipose tissues, alters the metabolic transcriptome and mitochondrial metabolism in skeletal muscle. The mechanisms involved remain poorly understood. Here we show that lipotoxicity increased histone deacetylase 4 (HDAC4) and histone deacetylase 5 (HDAC5), which reduced the expression of metabolic genes and oxidative metabolism in skeletal muscle, resulting in increased non-oxidative glucose metabolism. This metabolic reprogramming was also associated with impaired apoptosis and ferroptosis responses, and preserved muscle cell viability in response to lipotoxicity. Mechanistically, increased HDAC4 and 5 decreased acetylation of p53 at K120, a modification required for transcriptional activation of apoptosis. Redox drivers of ferroptosis derived from oxidative metabolism were also reduced. The relevance of this pathway was demonstrated by overexpression of loss-of-function HDAC4 and HDAC5 mutants in skeletal muscle of obese db/db mice, which enhanced oxidative metabolic capacity, increased apoptosis and ferroptosis and reduced muscle mass. This study identifies HDAC4 and HDAC5 as repressors of skeletal muscle oxidative metabolism, which is linked to inhibition of cell death pathways and preservation of muscle integrity in response to lipotoxicity.
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The contribution of HDAC4 to ferroptosis in different diseases seems to be context-dependent.
“which indicates that the contribution of HDAC4 to ferroptosis in different diseases seems to be context-dependent.”
From An HDAC4-specific PROTAC degrader achieves radiation sensitization by enhancing ferroptosis in lung cancer (2026) · cites this paper as [52]
The Results section reports that HDAC4 and HDAC5 suppress ferroptosis-related processes in myoblasts and skeletal muscle under lipotoxic conditions. The paper does not compare HDAC4’s effects across different diseases, and its experiments assess HDAC4 together with HDAC5, so it does not establish the claimed cross-disease context dependence. (LLM, conf=0.83)
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Cites
Acetylation of the p53 DNA-binding domain regulates apoptosis induction.
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Lipid-Induced Mitochondrial Stress and Insulin Action in Muscle
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Cited by
Sorted by citations
Cheng, C., Sun, L., Yang, J., Liu, Z., Zhang, F., Qiu, L., Yu, M., Wang, T., Huang, J., Wang, L., et al. (2026) · Nature Communications · doi:10.1038/s41467-026-73682-0
- Authors
- Martin, S. D., Connor, T., Sanigorski, A., McEwen, K. A., Henstridge, D. C., Nijagal, B., De Souza, D., Tull, D. L., Meikle, P. J., Kowalski, G. M., Bruce, C. R., Gregorevic, P., Febbraio, M. A., Collier, F. M., Walder, K. R., & McGee, S. L.
- Affiliations
- Deakin University (AU)
- University of Tasmania (AU)
- The University of Melbourne (AU)
- Baker Heart and Diabetes Institute (AU)
- Monash University (AU)
- Barwon Health (AU)
- Corresponding author
- McGee, Sean L.
- ORCID
- Venue
- Cell Death & Disease
- Published
- 2023-12-01
- Volume
- 14
- Issue
- 12
- Pages
- 787-787
- ISSN
- 2041-4889 (ISSN-L)
- PMC
- PMC10692215
- OpenAlex
- W4389245202
- Cited by
- 16
- References
- 5
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 2
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cell Death and Disease (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- Department of Health | National Health and Medical Research Council (APP1027227, APP1030474, APP1127059)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Histone Deacetylase Inhibitors Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- lipotoxicity, HDAC4, HDAC5, class IIa histone deacetylases, skeletal muscle, oxidative metabolism, p53 acetylation, apoptosis, ferroptosis, muscle integrity, metabolic reprogramming, mitochondrial metabolism, db/db mice, obesity
- MeSH terms
- Animals, Histone Deacetylases, Protein Processing, Post-Translational, Cell Death, Muscle, Skeletal, Muscle Cells, Mice
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