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Research Article | Open Access

H3K56 lactylation promotes collagen Ⅱ synthesis to modulate chondrocyte metabolism in posttraumatic osteoarthritis

Zicai Dong1,Di Liu2,Guangyun Hu3Zeyu Yang4Qin Shu3Qijie Dai5Hao Tang1Chuan Yang1Chunrong Zhao1Xiaoshan Gong1Rujie Wang6Weikai Kong7Shiwu Dong1,8 ( )
Department of Biomedical Materials Science, Third Military Medical University (Army Medical University), Gaotanyan Street no. 30, Shapingba District, Chongqing 400038, China
Department of Trauma Medical Center, State Key Laboratory of Trauma and Chemical Poisoning, Daping Hospital, Third Military Medical University (Army Medical University), Changjiang Road no. 10, Yuzhong District, Chongqing 400042, China
Department of Field Nursing, School of Nursing, Third Military Medical University (Army Medical University), Gaotanyan Street no. 30, Shapingba District, Chongqing 400038, China
Department of Breast and Thyroid Surgical Department, Chongqing General Hospital, Xingguang Avenue no. 118, Liangjiang District, Chongqing 400013, China
Department of Orthopedics, Southwest Hospital, Third Military Medical University (Army Medical University), Gaotanyan Street no. 30, Shapingba District, Chongqing 400038, China
Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Xinqiao Street no. 83, Shapingba District, Chongqing 400030, China
Department of Pathology, Southwest Hospital, Third Military Medical University (Army Medical University), Gaotanyan Street no. 30, Shapingba District, Chongqing 400038, China
State Key Laboratory of Trauma and Chemical Poisoning, Third Military Medical University (Army Medical University), Changjiang Road no. 10, Yuzhong District, Chongqing 400038, China

These authors contributed equally to this work.

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Highlights

• This study reveals lactate-dependent histone H3K56 lactylation as a key upstream regulator activating HIF 1α to drive Col2a1 synthesis in chondrocytes.

• HIF 1α binds the Col2a1 gene promoter, forming a positive regulating axis where increased H3K56la/HIF 1α expression directly enhances collagen production.

• Modulating chondrocyte redox state with α-ketoglutarate boosts H3K56la and Col2a1 expression, suggesting a novel metabolic approach for post-traumatic osteoarthritis therapy.

Abstract

Background

The accumulation of intracellular glycolytic lactate is a hallmark characteristic of chondrocytes. Histone lactylation, a post-translational modification mediated by lactate, plays a pivotal role in regulating the physiological functions of chondrocytes and contributes to the pathogenesis of posttraumatic osteoarthritis. This study was designed to investigate the role of glycolytic lactate-dependent histone H3 lysine 56 lactylation (H3K56la) in modulating the synthesis of type Ⅱ collagen in chondrocytes. Furthermore, through a combination of laboratory-based and animal experimental approaches, the study sought to uncover new insights into potential therapeutic strategies for the management of posttraumatic osteoarthritis.

Methods

In in vitro experiments, the researchers first conducted assays to inhibit and induce histone lactylation in chondrocytes, subsequently measuring changes in the expression levels of hypoxia-inducible factor 1 alpha (HIF 1α) and the type Ⅱ collagen alpha 1 chain gene (Col2a1). Next, we assessed alterations in intracellular lactylation levels and Col2a1 expression following either knockdown or overexpression of HIF 1α in chondrocytes. To further elucidate the regulatory relationship between HIF 1α and Col2a1, chromatin immunoprecipitation assays were performed to investigate the transcriptional control exerted by HIF 1α on the Col2a1 gene promoter. In addition, murine models of posttraumatic osteoarthritis were developed using anterior cruciate ligament transection surgery. Both in vivo and in vitro experiments were then carried out to explore the chondroprotective mechanisms and therapeutic potential associated with modulation of histone lactylation in chondrocytes.

Results

Induction of histone lactylation in chondrocytes led to a significant upregulation of HIF 1α expression. Conversely, knockdown of HIF 1α resulted in a marked reduction in both H3K56 lactylation and Col2a1 expression. It was found that H3K56la and HIF 1α functioned synergistically to positively regulate collagen synthesis, with HIF 1α directly binding to the promoter region of the Col2a1 gene to enhance its transcription. Treatment with α-ketoglutarate modified the cellular redox state and contributed to increased expression of both H3K56la and Col2a1.

Conclusions

The glycolytic lactate/H3K56la/HIF 1α regulatory axis plays a positive regulatory role in the synthesis of type Ⅱ collagen in chondrocytes by facilitating the binding of HIF 1α to the Col2a1 gene promoter. Activation of this molecular pathway holds promise as a novel therapeutic strategy for the treatment of posttraumatic osteoarthritis.

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Burns & Trauma

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Cite this article:
Dong Z, Liu D, Hu G, et al. H3K56 lactylation promotes collagen Ⅱ synthesis to modulate chondrocyte metabolism in posttraumatic osteoarthritis. Burns & Trauma, 2026, 14(2). https://doi.org/10.1093/burnst/tkaf073

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Received: 17 July 2025
Revised: 02 November 2025
Accepted: 05 November 2025
Published: 06 November 2025
© The Author(s) 2025. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.