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Peer-reviewedCC BY-NC-NDFunctional & integrative genomics

Multi-cohort and single-nucleus transcriptomics identify a five-gene lactylation-related panel and a disease-dependent hepatocyte glycolysis-lactylation-related expression program in metabolic dysfunction-associated steatohepatitis.

4 affiliations
  1. 1Shanxi Bethune Hospital, Third Hospital of Shanxi Medical University, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, 030032, China.
  2. 2Department of Pharmacology, Shanxi Medical University, Taiyuan, 030600, China.
  3. 3Shanxi University of Medicine, Fenyang, 032200, China.
  4. 4Shanxi Bethune Hospital, Third Hospital of Shanxi Medical University, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, 030032, China. [email protected].

Abstract

Lysine lactylation couples glycolytic flux to protein and chromatin regulation, but the expression landscape of lactylation-related genes (LRGs) in metabolic dysfunction-associated steatohepatitis (MASH) has not been mapped. We analysed 320 LRGs across eight bulk, single-nucleus and spatial transcriptomic datasets. Sixty-six LRGs were differentially expressed in a merged training cohort (51 controls, 49 MASH). A severity-anchored funnel and four machine-learning algorithms then converged on a five-gene panel (SIRT1, CEBPZ, TKT, RPL14, CD2BP2). A neural network on the panel reached a nested cross-validated AUC of 0.89 and detected MASH against histologically normal liver in a classifier-external cohort (AUC 0.90-0.97). The panel did not separate MASH from simple steatosis (NAFL), a boundary shared by all four benchmarked signatures (AUC 0.50-0.70). In 265,271 nuclei from 48 livers, the LRG expression program localised to hepatocytes and rose most significantly in Hep3, a sterol- and lipid-biosynthetic state that expanded 7.2-fold in MASH. Hepatocyte transcriptomic LRG scores tracked glycolysis across MASH patients (rho = 0.93, n = 19) but not across controls (rho = 0.01, n = 23; P = 1.3 × 10⁻⁶ for the difference). This disease dependence exceeded that of 1,000 expression-matched random gene sets. Hep3 and glycolysis signals were oriented centrilobularly in Visium sections from four donors. The panel offers a transcriptomic MASH detection axis, and the Hep3-centred program a hypothesis for hepatic lactylation that lactylomic profiling can now test.

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BibTeX
@article{mi2026multicohort,
  title = {{Multi-cohort and single-nucleus transcriptomics identify a five-gene lactylation-related panel and a disease-dependent hepatocyte glycolysis-lactylation-related expression program in metabolic dysfunction-associated steatohepatitis.}},
  author = {Yang Mi and Ziang Liu and Xiaolong Li and Xuchen Zhao and Wei Xue and Zongyuan Che and Yulin Feng and Ruijun Ru and Rongjia Zhang and Yanzhang Tian},
  journal = {Functional \& integrative genomics},
  year = {2026},
  month = oct,
  doi = {10.1007/s10142-026-02079-5},
  url = {https://europepmc.org/article/MED/42955459},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Multi-cohort and single-nucleus transcriptomics identify a five-gene lactylation-related panel and a disease-dependent hepatocyte glycolysis-lactylation-related expression program in metabolic dysfunction-associated steatohepatitis.
AU  - Yang Mi
AU  - Ziang Liu
AU  - Xiaolong Li
AU  - Xuchen Zhao
AU  - Wei Xue
AU  - Zongyuan Che
AU  - Yulin Feng
AU  - Ruijun Ru
AU  - Rongjia Zhang
AU  - Yanzhang Tian
PY  - 2026
DA  - 2026/10/29
JO  - Functional & integrative genomics
DO  - 10.1007/s10142-026-02079-5
UR  - https://europepmc.org/article/MED/42955459
AB  - Lysine lactylation couples glycolytic flux to protein and chromatin regulation, but the expression landscape of lactylation-related genes (LRGs) in metabolic dysfunction-associated steatohepatitis (MASH) has not been mapped. We analysed 320 LRGs across eight bulk, single-nucleus and spatial transcriptomic datasets. Sixty-six LRGs were differentially expressed in a merged training cohort (51 controls, 49 MASH). A severity-anchored funnel and four machine-learning algorithms then converged on a five-gene panel (SIRT1, CEBPZ, TKT, RPL14, CD2BP2). A neural network on the panel reached a nested cross-validated AUC of 0.89 and detected MASH against histologically normal liver in a classifier-external cohort (AUC 0.90-0.97). The panel did not separate MASH from simple steatosis (NAFL), a boundary shared by all four benchmarked signatures (AUC 0.50-0.70). In 265,271 nuclei from 48 livers, the LRG expression program localised to hepatocytes and rose most significantly in Hep3, a sterol- and lipid-biosynthetic state that expanded 7.2-fold in MASH. Hepatocyte transcriptomic LRG scores tracked glycolysis across MASH patients (rho = 0.93, n = 19) but not across controls (rho = 0.01, n = 23; P = 1.3 × 10⁻⁶ for the difference). This disease dependence exceeded that of 1,000 expression-matched random gene sets. Hep3 and glycolysis signals were oriented centrilobularly in Visium sections from four donors. The panel offers a transcriptomic MASH detection axis, and the Hep3-centred program a hypothesis for hepatic lactylation that lactylomic profiling can now test.
SN  - 1438-793X
SN  - 1438-7948
ER  -