ORIGINAL RESEARCH article

Front. Med.

Sec. Precision Medicine

Lactylation omics of rabbit rotator cuff tear reveals differentially modified proteins and metabolic relating therapy targets

  • Institute of Sports Medicine, Peking University Third Hospital, Beijing, China

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Abstract

Proteins exert biological functions not only depending on abundance but also on regulation. Lactylation, a novel post-translational modification, can mediate metabolic reprogramming and epigenetic regulation, playing a crucial role in signal transduction, gene expression and cellular metabolism. Lactylation is also involved in various diseases, such as tumors, Alzheimer's disease, heart failure and myocardial infarction. However, there is little research in musculoskeletal system. In this study, we conducted lactylation omics on rabbit rotator cuff tear samples and identified 2624 modification sites on 851 proteins. We obtained results on subcellular localization, differentially modified proteins and sites, functional pathway enrichment. Basing on MOTIFs, we proposed the "lysine co-lactylation modification effect" concept. Overall, lactylation mainly localized in cytoplasm, mitochondria and nucleus, with its functions enriching in RNA processing, DNA processing and cellular metabolism. Considering that lactylation is widely present and significantly occurs in rotator cuff tears, we aim to identify the key targets through which lactylation exerts its effects and to intervene it, ultimately providing new insights and therapeutic approaches for clinic therapy.

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Keywords

Functional enrichment, Lactate, lactylation, Modification sites, motif, omics

Received

27 January 2026

Accepted

13 February 2026

Copyright

© 2026 Pan and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Zhenlong Liu

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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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