Rheumatoid arthritis

SIRT3 inhibits fibroblast-like synoviocytes activation in rheumatoid arthritis through delactylation of H3K18

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

SIRT3 suppresses RA progression by delactylating H3K18.

Study context

Population
RA patients' synovial tissue and peripheral blood mononuclear cells (PBMCs); CIA models; Fibroblast-like synoviocytes (FLS)
Methodological detailsH3K18la assessed by western blot and immunohistochemistry; CUT&Tag and RNA-sequencing; si-SIRT3 and SIRT3 agonist honokiol in FLS; macrophage-FLS co-culture
  • H3K18la assessed by western blot and immunohistochemistry; CUT&Tag and RNA-sequencing; si-SIRT3 and SIRT3 agonist honokiol in FLS; macrophage-FLS co-culture

Main finding

As reported in the abstract

  • Lactylation, particularly H3K18la, significantly elevated in RA synovial tissue
  • Reducing H3K18la alleviated CIA model-associated symptoms and mitigated pathogenic effects of TNF-α on FLS; increasing H3K18la exacerbated TNF-α-induced pathology
  • H3K18la and lactate co-regulated pathways included chemokine signalling and the inflammatory mediator of transient receptor potential channels
  • SIRT3, a key regulator of H3K18la, downregulated in PBMCs from RA patients
  • Reduced SIRT3 increased H3K18la in FLS and macrophages, which activated FLS

Original publication

SIRT3 inhibits fibroblast-like synoviocytes activation in rheumatoid arthritis through delactylation of H3K18. Rheumatology (Oxford). Published 17 September 2025. doi:10.1093/rheumatology/keaf497

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