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

**Authors:** Tong Pan, Zhenlong Liu

PMC · DOI: 10.3389/fmed.2026.1797466 · 2026-03-17

## TL;DR

This study explores lactylation in rabbit rotator cuff tears, identifying modified proteins and potential therapeutic targets for musculoskeletal diseases.

## Contribution

The study introduces the 'lysine co-lactylation modification effect' and provides the first lactylation omics analysis of rotator cuff tears.

## Key findings

- 2,624 lactylation sites were identified on 851 proteins in rabbit rotator cuff tear samples.
- Lactylation was found to be enriched in RNA processing, DNA processing, and cellular metabolism pathways.
- Lactylation primarily localized in the cytoplasm, mitochondria, and nucleus.

## 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 2,624 modification sites on 851 proteins. We obtained results on subcellular localization, differentially modified proteins and functional pathway enrichment. Basing on motif, 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.

Diagram illustrating a lactylation omics workflow beginning with a rabbit model, followed by steps labeled samples, proteins, peptides, spectrums, sites, and analysis, leading to outputs such as repeatability, modification intensity, peptide length and charge, protein annotation, modification sites, subcellular localization, and pathway enrichment. A structural formula for lactylation is shown at the top.

## Linked entities

- **Diseases:** Alzheimer’s disease (MONDO:0004975), heart failure (MONDO:0005252), myocardial infarction (MONDO:0005068)

## Full-text entities

- **Diseases:** tumors (MESH:D009369), myocardial infarction (MESH:D009203), Alzheimer's disease (MESH:D000544), rotator cuff tear (MESH:D000070636), heart failure (MESH:D006333)
- **Chemicals:** lysine (MESH:D008239)
- **Species:** Oryctolagus cuniculus (domestic rabbit, species) [taxon 9986]

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13037487/full.md

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Source: https://tomesphere.com/paper/PMC13037487