Lysine lactylation regulates ATF4-mediated stress responses under glucose starvation in canine hemangiosarcoma

Keisuke Aoshima^1*Tamami Suzuki¹Kazuki Heishima²Jumpei Yamazaki¹Masaya Yamazaki³Ryohei Kinoshita¹Sangho Kim¹Kenji Hosoya¹Yuko Okamatsu-Ogura¹Michihito Sasaki¹Peng Xu⁴Qin Yan⁴Takashi Kimura¹

• ¹Hokkaido University, Sapporo, Japan
• ²Gifu Daigaku, Gifu, Japan
• ³Koeki Zaidan Hojin Gan Kenkyukai, Koto, Japan
• ⁴Yale School of Medicine, New Haven, United States

Excess lactate is produced in tumor cells by aerobic glycolysis and regulates gene expressions by histone lactylation. However, how histone lactylation functions under glucose-limited conditions remains unknown. Here, we show that lysine lactylation redistributes to transcription start sites (TSSs) during glucose deprivation, thereby altering biological behaviors in canine hemangiosarcoma (HSA) cells. Glucose deprivation significantly decreased global histone lactylation levels, while lactylation peaks were enriched at TSSs of ATF4‑regulated stress‑response, asparagine-synthesis and immune‑related genes. Stress-response gene expressions were upregulated, and ATF4 polyclonal knockout abrogated this activation. [U-13C]glutamine tracing demonstrated that HSA cells synthesized asparagine from glutamine when glucose was scarce, and asparagine supplementation modestly activated cell proliferation. In HSA patient tissues, H3K18la levels were heterogeneous, and M2-like macrophages preferentially infiltrated tumor regions showing low histone lactylation levels. These findings demonstrate that lysine lactylation regulates transcription that supports tumor cell survival and fosters a pro-tumor microenvironment even under glucose-limited conditions.