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ENO1 lactylation drives bevacizumab resistance through metabolic reprogramming and angiogenesis in ovarian cancer - PubMed

3 hours ago
  • #Ovarian Cancer
  • #Bevacizumab Resistance
  • #Metabolic Reprogramming
  • ENO1 lactylation at lysine 71 (K71), mediated by AARS1, is identified as a key driver of bevacizumab resistance in ovarian cancer.
  • Elevated pan-lactylation in bevacizumab-resistant tissues correlates with enhanced angiogenesis and poor prognosis.
  • ENO1 lactylation increases lactate synthesis and promotes histone lactylation marks (H3K9la, H3K14la), upregulating transcription of the angiogenic factor ESM1.
  • ESM1 stabilizes YY1 in endothelial cells by inhibiting Smurf2-mediated ubiquitination, enhancing YY1-dependent EP300 recruitment and H3K27 acetylation at the BCL2A1 promoter.
  • This cascade promotes endothelial cell survival and angiogenesis, establishing a positive feedback loop that fosters bevacizumab resistance, highlighting ENO1 lactylation as a potential therapeutic target.