ClearMed
EndocrinologyClinical Practice3 min read

Histone lactylation scarring transmits metabolic and epigenetic memory across the gut-liver axis

We establish gut-liver axis memory transduction as an epigenetic-cellular-organ cascade in which inflammatory history is molecularly encoded and redeployed across organs.

Published in Cell MetabolismClinical evidence review
3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

Source

Real-World Observation

3/5

Together, our findings define H3K9la-centered macrophage memory as a mobile pathogenic imprint that links prior colitis to increased susceptibility to metabolic liver disease.

What Changes?

Endocrinology · Clinical Practice

Current Standard

These macrophages maintain a permissive memory state during remission and traffic to the liver, where they amplify steatosis under subsequent HFD challenge.

New Finding

Myeloid-specific Smarca4 deletion or pharmacological interruption of macrophage trafficking attenuates macrophage memory and protects against MASLD.

3 Key Takeaways

Plain English Summary
  1. 01Core Finding

    LCN2 + colonic macrophages persist after colitis resolution and retain heightened glycolysis together with durable histone H3K9 L-lactylation (H3K9la).

  2. 02Study Evidence

    Tested in a standard-of-care clinical practice · clinical evidence review at the clinical practice stage.

  3. 03Practical Meaning

    Benefits and risks vary by individual health history — discuss with a healthcare professional.

What This Means for You

Myeloid-specific Smarca4 deletion or pharmacological interruption of macrophage trafficking attenuates macrophage memory and protects against MASLD. Together, our findings define H3K9la-centered macrophage memory as a mobile pathogenic imprint that links prior colitis to increased susceptibility to metabolic liver disease.

The Discovery

Ulcerative colitis (UC) remission does not abolish susceptibility to metabolic dysfunction-associated steatotic liver disease (MASLD), but the mechanism linking prior intestinal inflammation to delayed liver injury remains unclear. We establish gut-liver axis memory transduction as an epigenetic-cellular-organ cascade in which inflammatory history is molecularly encoded and redeployed across organs. LCN2 + colonic macrophages persist after colitis resolution and retain heightened glycolysis together with durable histone H3K9 L-lactylation (H3K9la). These macrophages maintain a permissive memory state during remission and traffic to the liver, where they amplify steatosis under subsequent HFD challenge. Mechanistically, BRG1 cooperates with CEBPB at H3K9la-marked chromatin to sustain Lcn2 and Pkm transcription in a feed-forward circuit.

How It Works, Simply

This endocrinology research focuses on inflammation. Researchers evaluated it using a standard-of-care clinical practice · Clinical evidence review at the clinical practice stage of medical research.

3 Key Takeaways

Clinical Takeaways
  1. 01Core Finding

    LCN2 + colonic macrophages persist after colitis resolution and retain heightened glycolysis together with durable histone H3K9 L-lactylation (H3K9la).

  2. 02Study Evidence

    Tested in a standard-of-care clinical practice · clinical evidence review at the clinical practice stage.

  3. 03Practical Meaning

    Benefits and risks vary by individual health history — discuss with a healthcare professional.

01

Biological Mechanism & Study Design

Study Design & Cohort

Clinical evidence review

Standard-of-care clinical practice · Clinical evidence review · Clinical Practice

Biological Pathway & Modality

Inflammation

Intervention: Histone lactylation scarring transmits metabolic and epigenetic memory across the

02

Experimental Findings & Endpoints

Ulcerative colitis (UC) remission does not abolish susceptibility to metabolic dysfunction-associated steatotic liver disease (MASLD), but the mechanism linking prior intestinal inflammation to delayed liver injury remains unclear.

We establish gut-liver axis memory transduction as an epigenetic-cellular-organ cascade in which inflammatory history is molecularly encoded and redeployed across organs. LCN2 + colonic macrophages persist after colitis resolution and retain heightened glycolysis together with durable histone H3K9 L-lactylation (H3K9la).

These macrophages maintain a permissive memory state during remission and traffic to the liver, where they amplify steatosis under subsequent HFD challenge. Mechanistically, BRG1 cooperates with CEBPB at H3K9la-marked chromatin to sustain Lcn2 and Pkm transcription in a feed-forward circuit.

03

Clinical Translation & Practice Context

Myeloid-specific Smarca4 deletion or pharmacological interruption of macrophage trafficking attenuates macrophage memory and protects against MASLD.

Together, our findings define H3K9la-centered macrophage memory as a mobile pathogenic imprint that links prior colitis to increased susceptibility to metabolic liver disease.

03

The Bottom Line · Clinical Pearl

“Together, our findings define H3K9la-centered macrophage memory as a mobile pathogenic imprint that links prior colitis to increased susceptibility to metabolic liver disease.”

Published in Cell Metabolism · Current Stage: Clinical Practice

Endocrinology · Clinical Practice
Study Type
Clinical evidence review

Standard-of-care clinical practice · Clinical evidence review

Evidence Score
3/5 · Real-World Observation
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

Who It Applies To
Standard-of-care clinical practice · Clinical evidence review in endocrinology care
Intervention & Mechanism
Histone lactylation scarring transmits metabolic and epigenetic memory across the

Inflammation

Key Limitation
Benefits and risks vary by individual health history — discuss with a healthcare professional.

Translational Stage

LEVEL 1 · Clinical Practice

Classified as Clinical evidence review along the clinical evidence continuum

  1. Lab & Discovery
  2. Early Trials
  3. Human Evidence
  4. 4Clinical PracticeActive

Original Publication & AMA Citation

Histone lactylation scarring transmits metabolic and epigenetic memory across the gut-liver axis. Cell Metabolism. Published 2026;Nov 3. Accessed November 15, 2026. https://pubmed.ncbi.nlm.nih.gov/42843338/

Cell Metabolism

https://pubmed.ncbi.nlm.nih.gov/42843338/

Read Original Paper

Continue Reading

Related in Endocrinology

View all Endocrinology briefings →
ENDOCRINOLOGY · CLINICAL PRACTICE

Ozempic in Pregnancy: Diabetes, Not Drug, Linked to Early Births?

The reason you're taking Ozempic or Wegovy matters during pregnancy, with underlying diabetes potentially posing a greater risk than the medication itself. This study challenges the previously held, often generalized, assumption that GLP-1 medications alone are responsible for pregnancy complications.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readScienceDaily
ENDOCRINOLOGY · REAL-WORLD COHORT

Clinical Guidance for Disease-Modifying Immunotherapy in Children and Adolescents With New-Onset (Stage 3) Type 1 Diabetes

Teplizumab-specific recommendations are identified, with broader principles framed for adaptation across health systems. This article addresses who should lead care, how to approach eligibility and timing, how to assess β-cell reserve and infection risk, how to sequence treatment with diabetic ketoacidosis recovery and early education, and how to monitor treatment safely.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readDiabetes Care
ENDOCRINOLOGY · REAL-WORLD COHORT

Transient Cognitive Vulnerability After Hypoglycemia in Adults With Type 1 Diabetes: Evidence From Continuous Glucose Monitoring and Cognitive Ecologic Momentary Assessment

Hypoglycemia was associated with a transient period of cognitive vulnerability largely confined to the hour after an event, with little evidence of delayed effects. Findings support avoiding or exercising caution during cognitively demanding tasks for up to an hour after a hypoglycemic event.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readDiabetes Care