Persistent Zn 2+ Influx‐Mediated Deacetylation of ANXA2 Regulates the “Zn 2+ ‐Autophagic Flux” and Alleviates Intervertebral Disc Degeneration
Year: 2026
Type: article
Abstract: ABSTRACT Intervertebral disc degeneration (IVDD) is an age‐related disease accompanied by disrupted mitochondrial homeostasis and defective autophagy. Cellular senescence induces ion imbalance, which leads to mitochondrial damage and suppressed autophagic flux; nevertheless, the molecular mechanism underlying this process remains poorly understood. Here, by integrating single‐cell RNA sequencing (single‐cell RNA‐seq), messenger RNA sequencing (mRNA‐seq), and liquid chromatography‐mass spectrometry (LC‐MS), we identified zinc transporter ZIP14 (SLC39A14) as a critical regulatory factor. Further investigations revealed that deacetylation at lysine 302 (K302) of annexin A2 (ANXA2) serves as a core intracellular zinc‐dependent regulatory node controlling mitophagy. In vitro site‐directed mutagenesis combined with molecular dynamics simulations demonstrated that acetylation at the ANXA2 K302 residue alters the conformation and function of the ANXA2‐mTOR complex. Specifically, K302 acetylation enhances the interaction between ANXA2 and mTOR, consequently restraining cellular mitophagy. Mechanistically, zinc‐dependent modification of ANXA2 governs mTOR activity, bridging disturbed ion homeostasis and autophagy machinery. We also characterized the intracellular degradation pattern of ANXA2 and clarified its abnormal accumulation during IVDD development. In vivo experiments verified that ZIP14 (SLC39A14) is required to maintain intracellular Zn 2 + levels and sustain ANXA2‐mTOR signaling. Consistently, dietary zinc supplementation effectively slows IVDD progression, highlighting a potential therapeutic strategy.
Source: Advanced Science
DOI: 10.1002/advs.77870
Authors: Yuxin Jin, Yongcheng Chen, Yihao Xie, Dongyang Hu, Longhui Gong, Zhihua Chen, Linjie Chen, Minhao Gao, Qizhu Chen, Morgan Jones, Hui Wang, Xiuling You, Kenny Yat Hong Kwan, Shoutao Weng, Taidong Lyu, Xiang Chen, Yuxiao Zhu, Yusheng Wang, Bin Li, Xiangyang Wang, Xiaofeng Jia, Kailiang Zhou, Ouqiang Wu, Aimin Wu
Institutions: Wenzhou Medical University, Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, XinHua Hospital, Royal Orthopaedic Hospital, University of Hong Kong, Soochow University, First Affiliated Hospital of Soochow University, University of Maryland, Baltimore, Sir Run Run Shaw Hospital, Zhejiang University
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $6,730
Award: G5411852182
OpenAlex ID: W7214523739
