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pmid:41158309
Metabolic-immune crosstalk in myocardial infarction: RLF and SMCHD1 identified as causal therapeutic targets via integrated lactylation-MR analysis.
Juli Tang · Lingyan Yuan · Yong-Li Han
Frontiers in cell and developmental biology · 2025 doi:10.3389/fcell.2025.1653551
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Complete file
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To identify causal MI-associated genes regulated by lactylation modification and elucidate their roles in metabolic-immune dysregulation.\nMethods: This multi-omics study combined bioinformatic analyses of human MI datasets (GSE60993/GSE61144/GSE66360) with experimental validation to investigate lactylation-related genes (LRGs). Differential expression analysis (limma, P < 0.05, |log2FC|>0.585) identified 571 Differentially Expressed Genes (DEGs), which intersected with 2,051 curated lactylation-related genes (LRGs) (PubMed/GeneCards) yielding 56 lactylation-associated DEGs. Mendelian randomization (MR) utilized genetic instruments (P < 5 × 10-6) from Gene eQTL and three MI-GWAS cohorts (43,676 cases/128,199 controls), employing inverse-variance weighted (IVW) regression with sensitivity analyses (MR-Egger/weighted median). Functional enrichment (clusterProfiler) of the 56 DEGs examined GO/KEGG terms (FDR P < 0.05), supplemented by Gene Set Variation Analysis (GSVA) of Rearranged L-myc fusion (RLF) and Structural Maintenance of Chromosomes Hinge Domain Containing 1 (SMCHD1) expression strata and CIBERSORT-based immune infiltration assessment. Experimental validation involved LAD ligation-induced MI modeling in C57BL/6 mice, with RLF/SMCHD1 expression quantified via qPCR and Western blot.\nResults: Integrated transcriptomic analysis of three GEO datasets (73 MI patients, 67 controls) identified 571 DEGs. Cross-referencing these DEGs with 2,051 LRGs yielded 56 Lactylation-associated DEGs. MR analysis using 42,699 instrumental SNPs established RLF (AUC = 0.823) and SMCHD1 (AUC = 0.809) as causal risk genes that were significantly elevated in MI patients. Functional enrichment implicated both genes in metabolic dysregulation (nucleotide metabolism, HIF-1/MAPK signaling) and necroptosis. Immune profiling revealed increased monocytes, neutrophils, and activated CD4+ T cells within MI tissues, all positively correlated with RLF and SMCHD1 expression. Conversely, reduced CD8+ T cell infiltration correlated negatively with RLF expression. Independent validation confirmed significant RLF upregulation in MI. Quantitative analyses revealed significant increases in RLF and SMCHD1 expression-at both transcriptional (mRNA) and translational (protein) levels-in MI-induced mice relative to sham controls.\nConclusion: This study pioneers the integration of lactylation modification with MR analysis for MI, establishing RLF and SMCHD1 as causal diagnostic biomarkers. Their dual roles in promoting metabolic dysregulation and pro-inflammatory immune infiltration position them as promising therapeutic targets for MI intervention.", "claims": [{"id": "claim-method", "statement": "Primary analysis used IVW regression. Sensitivity analyses employed MR-Egger, weighted median, and simple mode methods.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:41158309", "locator": "sections[6] \"2.4 MR analysis\" paragraph 2", "quote": "Primary analysis used IVW regression. Sensitivity analyses employed MR-Egger, weighted median, and simple mode methods."}], "state": "complete"}, {"id": "claim-data-access", "statement": "Data availability statement\nThe original contributions presented in the study are included in the article/Supplementary Material. Further inquiries can be directed to the corresponding author(s). The publicly available datasets analyzed in this study can be found in online repositories. 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The names of the repository/repositories and accession number(s) can be found below: (1) Gene Expression Omnibus (GEO): GSE60993: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE60993 GSE61144: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE61144 GSE66360: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE66360 (2) GWAS summary statistics were obtained from the IEU OpenGWAS and GWAS Catalog platforms:ebi-a-GCST011365: https://opengwas.io/datasets/ebi-a-GCST011365ieu-a-798: https://opengwas.io/datasets/ieu-a-798ebi-a-GCST90018877: https://opengwas.io/datasets/ebi-a-GCST90018877 (3) The list of lactylation-related genes (LRGs) was curated from published literature and the GeneCards database (https://www.genecards.org/)."}], "state": "complete"}, {"id": "claim-target-result", "statement": "MR analysis identified RLF and SMCHD1 as causal MI-risk genes with high diagnostic accuracy, achieving AUCs of 0.823 and 0.809, respectively.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:41158309", "locator": "sections[15] \"3.2 Identification of Lactylation-associated\" paragraph 2", "quote": "Through MR analysis under three predefined screening criteria (Supplementary Table S7), we established RLF and SMCHD1 as causal risk genes significantly elevated in MI patients"}, {"asset": "source:pmid:41158309", "locator": "sections[15] \"3.2 Identification of Lactylation-associated\" paragraph 2", "quote": "Receiver operating characteristic (ROC) curves demonstrated high diagnostic accuracy for both genes (RLF: AUC = 0.823, Figure 2C; SMCHD1: AUC = 0.809; Figure 2F) in discriminating MI patients from controls."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": "MR analysis identified RLF and SMCHD1 as causal MI-risk genes with high diagnostic accuracy, achieving AUCs of 0.823 and 0.809, respectively.", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:41158309"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. 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The names of the repository/repositories and accession number(s) can be found below: (1) Gene Expression Omnibus (GEO): GSE60993: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE60993 GSE61144: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE61144 GSE66360: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE66360 (2) GWAS summary statistics were obtained from the IEU OpenGWAS and GWAS Catalog platforms:ebi-a-GCST011365: https://opengwas.io/datasets/ebi-a-GCST011365ieu-a-798: https://opengwas.io/datasets/ieu-a-798ebi-a-GCST90018877: https://opengwas.io/datasets/ebi-a-GCST90018877 (3) The list of lactylation-related genes (LRGs) was curated from published literature and the GeneCards database (https://www.genecards.org/).", "structure": {"repository": "GEO", "access_route": "GEO accession URL", "access_statement_verbatim": "Data availability statement\nThe original contributions presented in the study are included in the article/Supplementary Material. 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The names of the repository/repositories and accession number(s) can be found below: (1) Gene Expression Omnibus (GEO): GSE60993: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE60993 GSE61144: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE61144 GSE66360: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE66360 (2) GWAS summary statistics were obtained from the IEU OpenGWAS and GWAS Catalog platforms:ebi-a-GCST011365: https://opengwas.io/datasets/ebi-a-GCST011365ieu-a-798: https://opengwas.io/datasets/ieu-a-798ebi-a-GCST90018877: https://opengwas.io/datasets/ebi-a-GCST90018877 (3) The list of lactylation-related genes (LRGs) was curated from published literature and the GeneCards database (https://www.genecards.org/).", "access_statement_kind": "data_availability_statement", "sample_accessions": ["GSM1620819", "GSM1620820", "GSM1620821", "GSM1620822", "GSM1620823", "GSM1620824", "GSM1620825", "GSM1620826", "GSM1620827", "GSM1620828", "GSM1620829", "GSM1620830", "GSM1620831", "GSM1620832", "GSM1620833", "GSM1620834", "GSM1620835", "GSM1620836", "GSM1620837", "GSM1620838", "GSM1620839", "GSM1620840", "GSM1620841", "GSM1620842", "GSM1620843", "GSM1620844", "GSM1620845", "GSM1620846", "GSM1620847", "GSM1620848", "GSM1620849", "GSM1620850", "GSM1620851", "GSM1620852", "GSM1620853", "GSM1620854", "GSM1620855", "GSM1620856", "GSM1620857", "GSM1620858", "GSM1620859", "GSM1620860", "GSM1620861", "GSM1620862", "GSM1620863", "GSM1620864", "GSM1620865", "GSM1620866", "GSM1620867", "GSM1620868", "GSM1620869", "GSM1620870", "GSM1620871", "GSM1620872", "GSM1620873", "GSM1620874", "GSM1620875", "GSM1620876", "GSM1620877", "GSM1620878", "GSM1620879", "GSM1620880", "GSM1620881", "GSM1620882", "GSM1620883", "GSM1620884", "GSM1620885", "GSM1620886", "GSM1620887", "GSM1620888", "GSM1620889", "GSM1620890", "GSM1620891", "GSM1620892", "GSM1620893", "GSM1620894", "GSM1620895", "GSM1620896", "GSM1620897", "GSM1620898", "GSM1620899", "GSM1620900", "GSM1620901", "GSM1620902", "GSM1620903", "GSM1620904", "GSM1620905", "GSM1620906", "GSM1620907", "GSM1620908", "GSM1620909", "GSM1620910", "GSM1620911", "GSM1620912", "GSM1620913", "GSM1620914", "GSM1620915", "GSM1620916", "GSM1620917"], "sample_count": 99, "group_sizes": null, "group_sizes_basis": null, "platform": "570", "taxon": "Homo sapiens", "title": "A Whole Blood Molecular Signature for the Identification of Acute Myocardial Infarction Without Relying Upon Myonecrosis (microarray)", "resolution_checked_at": "2026-11-01T15:39:55Z", "resolution_check": "identifier_resolution_only_no_download_no_licence_read", "downloaded": false, "licence_read": false}}], "gaps": ["asset:data:geo:GSE60993 not downloaded", "asset:data:geo:GSE60993 licence not read", "asset:data:geo:GSE61144 not downloaded", "asset:data:geo:GSE61144 licence not read", "asset:data:geo:GSE61145 not downloaded", "asset:data:geo:GSE61145 licence not read", "asset:data:geo:GSE66360 not downloaded", "asset:data:geo:GSE66360 licence not read"]}, "analysis": {"state": "partial", "methods": [{"id": "method-1", "family": "group_comparison", "specific": "mann_whitney", "label": "Group comparison", "dsl_operations": [], "missing_operations": ["group_comparison_mann_whitney"], "expressible": false, "parameters": {}, "data_shapes": ["two_or_more_groups_continuous"], "evidence": {"score": 0.8, "band": "high", "quote": "Mann-Whitney"}}, {"id": "method-2", "family": "differential_expression", "specific": "limma_voom", "label": "Differential expression analysis", "dsl_operations": ["normalise_counts", "differential_expression_fit", "fdr_bh"], "missing_operations": [], "expressible": true, "parameters": {}, "data_shapes": ["count_matrix_with_condition"], "evidence": {"score": 0.7, "band": "medium", "quote": "limma"}}, {"id": "method-3", "family": "genetic_association", "specific": "gwas", "label": "Genetic association (GWAS / linkage / MR)", "dsl_operations": ["gwas_locus_scan"], "missing_operations": [], "expressible": true, "parameters": {}, "data_shapes": ["genotype_phenotype_table"], "evidence": {"score": 0.7, "band": "medium", "quote": "GWAS"}}, {"id": "method-4", "family": "genetic_association", "specific": "mendelian_randomisation", "label": "Genetic association (GWAS / linkage / MR)", "dsl_operations": ["mr_estimate"], "missing_operations": [], "expressible": true, "parameters": {}, "data_shapes": ["genotype_phenotype_table"], "evidence": {"score": 0.7, "band": "medium", "quote": "Mendelian randomization"}}, {"id": "method-5", "family": null, "specific": null, "label": "Inverse-variance weighted regression, with MR-Egger, weighted median, and simple mode sensitivity analyses", "dsl_operations": [], "missing_operations": [], "expressible": null, "parameters": {}, "data_shapes": [], "evidence": {"score": 1.0, "band": "verbatim", "quote": "Primary analysis used IVW regression. 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