ArticleJACC. Basic to translational science2025
β-Hydroxybutyrate Facilitates Homeostasis of Hypoxic Endothelial Cells After Myocardial Infarction via Histone Lysine β-Hydroxybutyrylation of CPT1A.
Article in JACC. Basic to translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- Review
- The gut-heart dialogue: an epigenetic perspective on myocardial infarction.NPJ biofilms and microbiomes · 2026Review
- Review
- Integrative Lifestyle Intervention for Obesity-Related Diastolic Dysfunction: A Novel Program for Cardiac Risk Reduction.JACC. Case reports · 2025Article
- Unraveling the Translational Relevance of β-Hydroxybutyrate as an Intermediate Metabolite and Signaling Molecule.International journal of molecular sciences · 2025Review
- From Fuel to Code: How Ketones Drive Coronary Revascularization.JACC. Basic to translational science · 2025Article
- From ketogenic metabolism to targeted therapeutics: current advances in β-hydroxybutyrylation.Frontiers in immunology · 2025Review
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Myocardial infarction (MI) initiates a robust angiogenic response crucial for tissue repair. β-hydroxybutyrate (BHB) is an essential circulating metabolite, and its role in angiogenesis under pathological conditions remains unclear. We evaluated the coronary collateral circulation in 114 patients with MI and investigated its correlation with serum BHB levels. High BHB levels were found to correlate with better collateral circulation. Moreover, BHB promotes angiogenesis post-MI in vivo and in vitro. Mechanistically, BHB modulates the epigenetic landscape in hypoxic endothelial cells by increasing H3K9bhb levels associated with the transcriptional activation of angiogenesis-related genes and enhancing chromatin accessibility at loci associated with these genes. The integrated analysis of RNA sequencing, cleavage under targets and tagmentation, and assay for transposase-accessible chromatin with sequencing identified carnitine palmitoyltransferase 1a as a key proangiogenic target. Thus, BHB nutritional supplementation may represent a promising therapeutic strategy for ischemic heart disease, with high potential for clinical translation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.