YY1 lactylation in microglia promotes angiogenesis through transcription activation-mediated upregulation of FGF2

Background Ocular neovascularization is a leading cause of blindness. Retinal microglia have been implicated in hypoxia-induced angiogenesis and vasculopathy, but the underlying mechanisms are not entirely clear. Lactylation is a novel lactate-derived posttranslational modification that plays key roles in multiple cellular processes. Since hypoxia in ischemic retinopathy is a precipitating factor for retinal neovascularization, lactylation is very likely to be involved in this process. The present study aimed to explore the role of lactylation in retinal neovascularization and identify new therapeutic targets for retinal neovascular diseases. Results Microglial depletion by the colony-stimulating factor 1 receptor (CSF1R) inhibitor PLX3397 suppresses retinal neovascularization in oxygen-induced retinopathy. Hypoxia increased lactylation in microglia and accelerates FGF2 expression, promoting retinal neovascularization. We identify 77 sites of 67 proteins with increased lactylation in the context of increased lactate under hypoxia. Our results show that the nonhistone protein Yin Yang-1 (YY1), a transcription factor, is lactylated at lysine 183 (K183), which is regulated by p300. Hyperlactylated YY1 directly enhances FGF2 transcription and promotes angiogenesis. YY1 mutation at K183 eliminates these effects. Overexpression of p300 increases YY1 lactylation and enhances angiogenesis in vitro and administration of the p300 inhibitor A485 greatly suppresses vascularization in vivo and in vitro. Conclusions Our results suggest that YY1 lactylation in microglia plays an important role in retinal neovascularization by upregulating FGF2 expression. Targeting the lactate/p300/YY1 lactylation/FGF2 axis may provide new therapeutic targets for proliferative retinopathies. Supplementary Information The online version contains supplementary material available at 10.1186/s13059-023-02931-y


Background
Retinopathy of prematurity (ROP) is a major cause of infantile visual impairments and blindness [1,2]. High oxygen therapy for preterm infants leads to the interruption of normal vessel development and even the loss of well-developed vessels in the retina since preterm infants have incompletely vascularized retinas. After returning to a typical room air environment, which is relatively hypoxic, the incomplete retinal vascular network cannot meet the increasing metabolic demand. The release of multiple angiogenic factors increases in the hypoxic retina and stimulates pathological vessel formation at the junction between the vascular and avascular areas [1][2][3]. In addition, the newly formed vessels are involved in complex retinal pathological changes, including vascular leakage, inflammation, and blood-retina barrier (BRB) damage, causing the formation of hemorrhages and detachment of the retina, ultimately leading to visual impairments and even permanent blindness [2,4]. Anti-VEGF agents are widely used in clinical practice, but their efficacy is sometimes limited [5,6]. Repeated intraocular injections may lead to various adverse effects [7]. Laser photocoagulation is applied in some cases, but it is a destructive method that carries significant risk [6,8]. It is important to further elucidate the mechanisms of retinal neovascularization and discover new therapeutic targets.
Microglia, the resident immune cells in the central nervous system (CNS) and retina, have been reported to play crucial roles in angiogenesis and vasculopathy [9][10][11]. Microglia maintain bidirectional communication with endothelial cells (ECs) and are the first immune cells to be activated during hypoxia [12]. Retinal hypoxia leads to pathological angiogenesis and microglia are attracted to the site, localize closely with newly formed vessels, and act as important regulators [10,13]. Activated microglia actively participate in the development of OIR, and exert different functions at different stages [10]. Previous evidence indicates the pivotal proangiogenic role of microglia, but the molecular mechanism remains obscure.
Lactate, a compound produced during the Warburg effect, was previously defined as an energy source and metabolic byproduct that can be generated under hypoxic conditions. Recently, some new functions of lactate have been continuously discovered [14][15][16][17]. Lactylation is a novel lactate-derived posttranslational modification (PTM) of histone proteins originally identified by Zhang et al. [18]. It functions as a vital epigenetic regulator in many cellular processes. For example, evidence has shown that lactylation can regulate macrophage polarization during bacterial infection, accelerate ocular melanoma tumorigenesis, and facilitate cellular reprogramming [18][19][20][21]. However, the role of lactylation in angiogenesis has not been clarified. Since most retinal vasculopathies are induced by hypoxia, including OIR, lactylation may be involved in retinal neovascularization and exploring the mechanism is interesting.
In the current study, we demonstrate that hypoxia-induced hyperlactylation in microglia plays pivotal roles in retinal neovascularization. We performed lactylome and proteomic analyses and found 67 hyperlactylated proteins in microglia under hypoxia. Further mechanistic studies showed that the lactylation of nonhistone YY1 is increased in response to hypoxia and is regulated by p300. YY1 directly binds to the promoter of FGF2 and promotes FGF2 transcription with hyperlactylation and then contributes to neovascularization. Inhibiting the Kla writer p300 reduces the lactylation of YY1 and suppresses angiogenesis in vivo and in vitro. Collectively, we evaluated the mechanistic linkage between hypoxia, lactylation, and microglia-mediated neovascularization and provide potential therapeutic targets for retinal neovascular diseases.

Retinal microglia are essential for retinal neovascularization
To evaluate the role of microglia in the vascular pathogenesis of retinopathy, a widely used OIR mouse model that recapitulates human proliferative retinopathies such as ROP was developed as shown in the flow chart (Fig. 1a). After modeling, retinal microglia proliferated substantially and gathered around the site of neovascularization in the OIR retina (Fig. 1b). To assess whether microglial depletion could affect OIR progression, we utilized a CSF1R inhibitor (PLX3397), which was shown to induce significant microglial ablation [22,23]. The dosing flow chart is shown in Fig. 1c (injection from P10 until P17). After administration, we observed that pathological angiogenesis was greatly suppressed along with the depletion of microglia (Fig. 1d). These results demonstrate the important role of microglia in retinal neovascularization.

Elevated lactate and lactylation levels are associated with retinal neovascularization
Lactylation is derived from lactate and participates in multiple cellular processes [18,19]. First, to confirm whether lactate and lactylation are involved in proliferative retinopathies induced by hypoxia, we examined the lactate content and pan lysine lactylation (Pan-Kla) levels in OIR mice. The lactate levels were upregulated in the retina of OIR mouse on P17 (the peak of neovascularization in OIR) compared with the age-matched control group (Fig. 2a), in line with the clinical data that the lactate content in the blood of ROP infants was significantly increased compared with that in non-ROP infants (Fig. 2b). Meanwhile, Pan-Kla levels were upregulated in the OIR group compared with the control group (Fig. 2c). We then wondered whether the lactylation of microglia plays an important role in retinal vascular disease. Lactylation was upregulated in retinal microglia of the OIR mice (Fig. 2d). Notably, the level of Pan-Kla in the retina was relatively downregulated with the depletion of microglia (Fig. 2e).
To examine whether lactylation contributes to the vascular pathogenesis of retinopathy, we applied two compounds for in vivo verification experiments, sodium dichloroacetate (DCA) and rotenone, which have been shown to regulate lactylation by regulating lactate production [18]. DCA can reduce the production of lactate by inhibiting the activity of pyruvate dehydrogenase kinase, and rotenone is an inhibitor of the mitochondrial respiratory chain complex that causes cells to tend to undergo glycolysis and increases the content of lactate [24,25]. After compound treatment, we observed that lactate and lactylation levels were decreased in the DCA group and increased in the rotenone group ( Fig. 2f, g), which was accompanied with alleviated retinal neovascularization in the DCA group and aggravated neovascularization in the rotenone group (Fig. 2h). These results indicate the important role of lactylation in retinal neovascularization.

Hyperlactylation of microglia promotes angiogenesis in vitro
Since hypoxia is important in the process of angiogenesis, we exposed human microglial clone 3 (HMC3) cells to hypoxia to explore the role of lactylation in microglia. As the degree of hypoxia increased, the lactate content of HMC3 microglia increased, and the level of lactylation was also elevated, especially for proteins in the range of 55-70 kD (Fig. 3a, b). The proliferation and migration of endothelial cells are vital for the formation of vascular networks. We wondered whether microglia with increased lactylation could influence the angiogenic abilities of endothelial cells. We cocultured HMC3 microglia from normoxic or hypoxic groups with human retinal microvascular endothelial cells (HRMECs) (Additional file 1: Fig.  S1a). As the hypoxic time of HMC3 cells increased, the capabilities of tube formation, spheroid sprouting, migration, and proliferation of HRMECs were enhanced ( Fig. 3c-f ). To further confirm the significant role of the lactate/lactylation levels of microglia in the pathogenesis of angiogenesis, HMC3 microglia were treated with DCA and rotenone and then the levels of lactate/lactylation were measured. The lactate/lactylation levels of HMC3 microglia were decreased in the DCA group and increased in the rotenone group (Fig. 3g, h). We then cocultured HMC3 microglia The relative proportion of neovascularization in the retina was calculated and measured by ImageJ; scale bar, 1000 μm (n = 5 mice per group). *p < 0.05; **p < 0.01; ***p < 0.001 from the DCA/DMSO/rotenone groups with HRMECs to explore the influence on HRMECs. The tube formation, spheroid sprouting, migration, and proliferation abilities of HRMECs cocultured with HMC3 cells in the DCA group were weakened, while they were enhanced in the rotenone group ( Fig. 3i-l). These results show that elevated lactylation in microglia is responsible for promoting the angiogenic abilities of endothelial cells. . c Tube formation analysis. HMC3 cells were pretreated with 1% O 2 or normoxia for 24 h and then cocultured with HRMECs; tube formation was assayed 12 h and 20 h after cell seeding (n = 3 independent experiments, 3 images for each group); scale bar, 50 µm. d HRMECs angiogenic capacity was evaluated by spheroid-sprouting assay. Representative images of spheroid sprouting were analyzed (n = 3 independent experiments, 3 images for each group); scale bar, 50 µm. e HRMECs migration was evaluated by Transwell assay (n = 3 independent experiments, 3 images for each group); scale bar, 25 µm. f HRMEC proliferation was evaluated by Ki67 staining (n = 3 independent experiments, 3 images for each group); scale bar, 100 µm. g, h Quantification of lactate and Pan-Kla in HMC3 cells in the three groups treated with DCA (20 mM), DMSO, and rotenone (50 nM) under hypoxia for 24 h (n = 3 per group). i-l HMC3 cells were pretreated with 1% O 2 for 24 h with DCA, DMSO, or rotenone. Then HRMECs were cocultured with the pretreated microglia. The tube formation, spheroid sprouting, migration, and proliferation assays were performed as shown in the "Methods" (n = 3 independent experiments, 3 images for each group); scale bars, 100 μm (k) or 50 μm (i, j, and l). *p < 0.05; **p < 0.01; ***p < 0.001

The lactylation of YY1 in microglia plays an important role in regulating angiogenesis
To characterize the landscape of lactylation in microglia under hypoxia, we treated HMC3 cells with normoxia or hypoxia for 24 h and then applied lactylome analysis by the 4D label-free platform method to identify the differentially lactylated proteins. For the details of the lactylome data, a total of 6021 peptides and 3071 lactylated peptides were identified. In total, 3093 lactylated sites in 751 proteins were identified in HMC3 cells, with a localization probability > 0.75 and a 1% FDR (Additional file 1: Fig. S2a). Quality control revealed that the distribution of peptides was in a reasonable range (Additional file 1: Fig. S2b). We identified 77 sites of 67 proteins with increased lactylation and 190 sites of 162 proteins with decreased lactylation under hypoxic conditions as differentially expressed lactylated proteins (DELPs) (Additional file 1: Fig. S2c). The relative quantification of the top 20 proteins with increased or decreased lactylation is shown in Fig. 4a. Cluster analysis of the identified DELPs was performed to characterize the function of these lactylated proteins. The classification analysis indicated that most of the DELPs exert functions in the nucleus (Additional file 1: Fig. S2d) and have a potential role in regulating DNA transcription (Fig. 4b). Using the Search Tool for the Retrieval of Interacting Genes/Proteins (STRING) database, the protein interaction networks of DELPs suggested that DELPs mainly function in the binding process, which corresponds with enriched pathways (Fig. 4c).
Among these DELPs, YY1 immediately caught our attention since its lactylation level was largely upregulated (fold-change 3.56) and YY1 is a multifunctional transcription factor that has a certain regulatory effect on angiogenesis [26]. In addition, the observed band size of YY1 is 68 kD, which is consistent with the range 55-70 kD that is mainly regulated by hypoxia or treatment with DCA and rotenone according to our previous results (Figs. 2c, g and 3b, h). We observed colocalization of YY1 and Pan-Kla with double-labeled immunofluorescence in hypoxic HMC3 microglia (Additional file 1: Fig. S2e). The proteomic analysis identified only one lactylated lysine residue in YY1 (K183), showing a characteristic tandem mass spectrometry (MS/MS) spectrum including C-terminal y-ions and amino-terminal b-ions ( Fig. 4d). To verify whether YY1 lactylation was regulated under hypoxia, we used specialized YY1-K183la antibody to detect the level of YY1 lactylation. Consistent with the sequencing results, YY1 lactylation was largely increased under hypoxia, and we observed no difference in YY1 expression levels (Fig. 4e). These results were verified by IB after IP assays (Additional file 1: Fig. S2f ).
We next mutated lysine (K)183 of YY1 to arginine (R), which mimics the delactylated state of the protein, by transfecting HMC3 microglia with lentivirus containing cDNA of the Flag-tagged YY1 WT or YY1 K183R mutant. Flag-YY1 was overexpressed in both the WT and K183R mutant groups (Additional file 1: Fig. S2gh). YY1 lactylation levels were decreased in K183R mutant hypoxia treated HMC3 microglia (Additional file 1: Fig. S2h). Compared with the WT group, HRMECs cocultured with K183R mutant HMC3 microglia showed weakened tube formation, spheroid sprouting, migration, and proliferation capabilities ( Fig. 4f-i). Taken together, these data indicate that lactylation of YY1 in microglia functions as a regulator of angiogenesis.

YY1 lactylation contributes to angiogenesis by regulating FGF2 expression
To identify the potential angiogenic factors that are involved in microglia-mediated angiogenesis, we reverse-transcribed mRNA isolated from normoxic, hypoxic, and microglia-depleted retinas in vivo and HMC3 microglia in vitro and compared the expression levels of some classic angiogenic-related genes (VEGFA/FGF2/MMP9/ The enrichment analysis of DELPs. c Using the STRING database, DELPs specifically target the binding process. The node size corresponds to the relative fold-change of lactylation. d Collision-induced dissociation (CID) analysis was used to determine the modification sites. The MS/MS spectrum of modified "(Kla)SYLSGGA GAA GGGGADPGNK" is shown. e Hypoxia increases YY1 lactylation. Lactylation of YY1 in HMC3 cells under normoxia or hypoxia for 24 h was detected by YY1-Kla antibody (n = 3 per group). f-i HMC3 cells overexpressing WT or K183R YY1 were pretreated with 1% O 2 for 24 h. Then HRMECs were cocultured with the pretreated HMC3 cells. The tube formation, spheroid sprouting, migration, and proliferation assays were performed as shown in the "Methods" (n = 3 independent experiments, 3 images for each group); scale bars, 50 μm (f, g, and i) or 100 μm (h). *p < 0.05; **p < 0.01; ***p < 0.001 MMP2/ANGPTL6) [27][28][29][30][31][32]. The FGF2 and VEGFA mRNA expression levels were significantly elevated in OIR mice compared with the control group, while only FGF2 levels decreased notably at both the mRNA and protein levels after microglial depletion (Fig. 5a, c). Similarly, hypoxia increased FGF2 mRNA expression within 12 h of hypoxia exposure, and the levels remained elevated until 24 h in HMC3 microglia (Fig. 5b, d). FGF2 expression was upregulated in OIR retinal microglia (Fig. 5e). Consistent with previous studies, these results indicate that FGF2 is important in in HMC3 cells in the three groups subjected to hypoxia for 0, 12, and 24 h (n = 3 per group). c The protein expression of FGF2 in the retinas of normal control (Normal), OIR (DMSO), and OIR (PLX3397) mice (n = 3 per group). d The protein expression of FGF2 in the HMC3 cells subjected to hypoxia for 0 and 24 h (n = 3 per group). e Representative images of FGF2 co-stained with microglia (Iba1) in retina of OIR mice (OIR P17) and control mice (Normal P17), with quantification of FGF2 intensity (n = the number of Iba1 + cells); scale bar, 20 μm. f The protein expression of FGF2 in HMC3 cells exposed to hypoxia 24 h (Hypoxia Control), hypoxia for 24 h + YY1 WT transfection (Hypoxia + WT), and hypoxia for 24 h + YY1 K183R transfection (Hypoxia + K183R) (n = 3 per group). g ChIP-qPCR analysis of the indicated promoters was performed by using of YY1 antibody in HMC3 cells treated with normoxia and hypoxia (n = 3 per group). h ChIP-qPCR analysis of the indicated promoters was performed by using of YY1 antibody in HMC3 cells overexpressing WT and K183R YY1 (n = 3 per group). i The luciferase activity of the FGF2 promoter driven reporter vector was measured in response to YY1 WT or K183R cotransfection under hypoxia (n = 6 per group). NS, non-significance; *p <0.05; **p < 0.01; ***p < 0.001 microglia-mediated neovascularization [9]. DCA and rotenone were used in vivo and in vitro to explore whether lactate/lactylation affects angiogenesis by regulating the expression of angiogenic factors. In the OIR model treated with DCA and rotenone, the expression of FGF2 was decreased in the DCA group but increased in the rotenone group at P17 (Additional file 1: Fig. S3a). Similar results were found in HMC3 microglia exposed to hypoxia with DCA or rotenone (Additional file 1: Fig. S3b).
YY1 contains four C2H2 zinc fingers that are used to bind a specific DNA sequence located in many promoters and enhancers, promoting or repressing transcription [33,34]. We detected lower expression of FGF2 at both the mRNA and protein levels in the YY1 K183R mutant group, while there was no difference in other angiogenic factors ( Fig. 5f and Additional file 1: Fig. S3c). To explore the mechanism between YY1 lactylation and FGF2 expression, we searched the Cistrome Data Browser database and found that YY1 may directly promote the transcription of FGF2 (Additional file 1: Fig.  S3d) [35]. We found three predicted YY1 binding sites in the FGF2 promoter from the JASPAR website, and ChIP-qPCR showed that YY1 can bind to the region of − 1336 to − 1172 bp upstream of the transcription start site of FGF2 (Additional file 1: Fig. S3eg). To further explore the target of YY1 under hypoxia, we performed ChIP-qPCR with YY1 on the promoters of these angiogenic factors. Notably, ChIP-qPCR analysis showed that hypoxia promoted YY1 binding to the promoters of FGF2, rather than other angiogenic factors, including VEGFA, which may be because retinal microglia are not the major cells secreting such angiogenic factors according to previous studies [9,[36][37][38] (Fig. 5g). Meanwhile, K183R mutation resulted in impaired YY1 binding to FGF2 promoters, indicating that it is regulated by the lactylation level of YY1 (Fig. 5h). A dualluciferase reporter system was applied to verify the result that YY1 directly promotes the transcription of FGF2 under hypoxia and that mutation at the lactylation site of YY1 resulted in lower transcription ability (Fig. 5i). Meanwhile, we found that intravitreal injection of recombinant FGF2 reversed retinal neovascularization inhibited by microglial depletion (Additional file 1: Fig. S3h). Collectively, our findings suggest that FGF2 released from hypoxic microglia is regulated by the lactylation of YY1 and plays an important role in hypoxia-induced angiogenesis.

p300 affects the lactylation of YY1 and then regulates angiogenesis in vitro
Lysine acylation is a series of universal and evolutionarily conserved PTMs [39]. Lactylation is a new form and may share similar writers and erasers with other lysine acylation types. To identify the regulators responsible for modulating lactylation levels, we detected the expression patterns of known acylation modification writers (Tip60, p300, and PCAF) and erasers (HDAC6 and SIRT1) under normoxic and hypoxic conditions [40,41]. The results showed that p300, HDAC6, and SIRT1 levels were significantly upregulated and Tip60 levels were slightly upregulated in HMC3 microglia under hypoxia ( Fig. 6a and Additional file 1: Fig. S4a). It is worth noting that only p300 bound to the target protein YY1 according to the Co-IP data, and the interaction between p300-YY1 was increased along with hypoxia ( Fig. 6b and Additional file 1: Fig. S4b-c). Additionally, we also found that p300 colocalized with YY1 by double-label immunofluorescence (Fig. 6c).
To further explore the role of p300 in regulating lactylation levels, we overexpressed p300 in HMC3 microglia and found that the lactylation level was significantly increased (Fig. 6d). Interestingly, the overexpression of p300 increased the lactylation level of YY1, which was accompanied by the upregulation of FGF2 (Fig. 6e, f ). To fully confirm the role of p300, the p300 inhibitor A-485 was used in subsequent experiments. A-485 was proven to be a CoA competitive catalytic inhibitor of p300 and L-lactyl-CoA is indispensable for lactylation [42]. Follow-up studies showed that the lactylation of YY1 was significantly reduced, and the expression level of FGF2, the hypothetical target of transcriptional regulation of YY1, was also downregulated after A-485 treatment (Fig. 6g, h). The lactylation levels of YY1 were verified by IB after IP assays (Additional file 1: Fig. S4d-e). The tube formation, spheroid sprouting, migration, and proliferation abilities of HRMECs cocultured with p300-overexpressing HMC3 microglia were enhanced (Additional file 1: Fig.  S4f-i) but weakened in the A-485 group compared with the respective control (Additional file 1: Fig. S4j-m).

Inhibiting p300 reduces YY1 lactylation of retinal microglia and suppresses angiogenesis in OIR
Knowing the essential proangiogenic role of the p300/YY1 lactylation/FGF2 axis in microglia, we further evaluated the efficacy of antiangiogenic therapy by targeting p300 with A485 in vivo. We found that YY1 lactylation and the expression of p300 were upregulated in the OIR retina (Fig. 7a). Double immunofluorescence staining of Iba1 and YY1-K183la showed upregulated YY1 lactylation in retinal microglia of OIR mice (Fig. 7b). Intravitreal administration of A485 was applied at P14. The Pan-Kla levels were reduced after administration of A485 (Additional file 1: Fig. S5a). Interestingly, A485 treatment decreased YY1 lactylation in retinal microglia (Fig. 7c, d), which was accompanied by the decreased FGF2 expression and alleviated retinal neovascularization (Fig. 7e, f ). And the reduced lactylation in microglia may be associated with decreased microglial activation (Fig. 7g). Overall, these results demonstrated that upregulated YY1 lactylation in retinal microglia was associated with retinal neovascularization, indicating that blocking p300-YY1 lactylation-FGF2 signaling may provide a therapeutic paradigm for treating retinal neovascular diseases.
Since murine was born without complete retinal vascular network and the retina is in a relatively hypoxia condition, we wondered whether YY1 lactylation also function in retina developmental angiogenesis. We found hyperlactylation of YY1 in the early stage of retinal development (post-natal day 5). The level of YY1 lactylation decreased at later stage, which indicates that YY1 may also play roles in the physiological angiogenesis (Additional file 1: Fig. S5b). Further study is needed to explore it deeply.

Discussion
The functional vascular network in the retina is essential for normal vision. Many visionthreatening diseases are caused by proliferative vasculopathies, including ROP, proliferative diabetic retinopathy (PDR), and wet age-related macular degeneration (wAMD) [43,44]. However, the current therapies are quite limited, indicating the urgent need to elucidate the mechanisms and discover additional or alternative treatments. Anti-VEGF therapy has been established for many years, but many patients are resistant to this treatment, which may be partly because angiogenesis is triggered by multiple angiogenic factors [5]. In this study, we identified the lactate/p300/YY1 lactylation/FGF2 transcription axis as part of an important mechanism underlying microglia-promoted neoangiogenesis. Our findings present a previously undefined regulatory mechanism in which the expression of FGF2 is modulated by YY1(K183) lactylation. Upregulation of YY1 lactylation enhances FGF2 expression and promotes angiogenesis, while mutation at the YY1 lactylation site or reducing YY1 lactylation by A485 reversed this effect (Fig. 8).
Numerous studies have shown that microglial cells contribute to angiogenesis in the brain and retina [45][46][47]. In pathological angiogenesis, microglial cells that are highly glycolytic are spatially adjacent to endothelial cells (ECs) [46]. Although the important roles of microglia/macrophages in neovascularization have been established for many years, the mechanisms by which they associate directly with nascent vessels and participate in microenvironment interactions remain elusive. Microglia can sense physiological and pathological cues, scan the surrounding microenvironment, and secrete various cytokines and neurotrophic factors when activated [48,49]. Our data demonstrated that highly glycolytic microglia are regulated by lactylation and induce FGF2 expression, thereby promoting angiogenesis.
YY1 is a multifunctional transcription factor that is able to repress, activate, and initiate transcription relying upon promoter architecture and cellular status. For example, YY1-mediated ZNF322A transcription regulation was eliminated when two YY1 binding sites were depleted at − 462 ~ − 363 in the Del-ZNF322A-pGL4 promoter used for the promoter activity assay [50]. Previous studies have reported that the amino acids between 170 and 200 of YY1 constitute a repressor domain [34,51,52]. When the structure of the repressor domain changes, its repression activity is lost. In the cell, YY1 can be transformed into an activating factor only after the N-terminal activation domain is unmasked and exposed under certain conditions [52][53][54][55]. Consistent with our conjecture, the lactylation of the lysine at position 183 of YY1 may cause the inhibition mechanism to fail and activate the transcriptional activity of YY1.
The emergence of lactylation has improved our understanding of the function of lactate and its role in a variety of pathophysiological conditions [19,56]. For example, histone lactylation can directly promote gene transcription and induce the polarization of macrophages from M1 to M2 [18]. Lung myofibroblasts promote the profibrotic activity of macrophages by inducing histone lactylation in the promoters of the profibrotic genes Fig. 8 Schematic diagram illustrates the molecular mechanism how YY1 lactylation in microglia contributes to angiogenesis. YY1 lactylation in microglia is upregulated in response to hypoxia. Hyperlactylation of YY1 promotes FGF2 transcription and then contributes to neovascularization in macrophages [57]. A recent study proposed that Kla in histones is a consequence rather than a cause of macrophage activation, which further proves the multifaceted nature of lactylation [58]. Although some studies have shown that lactylation of histones plays an important role in transcription-related functional regulation, we need to further explore whether lactylation of nonhistone proteins matters and how it works. Our data showed that lactylation at lysine 183 of the nonhistone protein YY1 leads to an increase in the transcriptional ability of YY1, directly upregulates the expression of FGF2, and promotes angiogenesis, supporting the idea that the lactylation of nonhistone proteins can also exert important functions and influence cellular processes.
We speculated that lactylation is similar to the acylation modification that can be directly regulated by some writers and erasers. Our results showed the potential activity of p300 as a Kla writer in cells. Overexpressing p300 resulted in upregulated YY1 lactylation. We inhibited p300 with A485 and observed decreased lactylation levels of YY1 both in vivo and in vitro. Our data suggest that p300 can regulate the lactylation level of YY1 and then affect the development of retinal angiogenesis.
Finally, there are still some limitations in our study. First, although we proved that the YY1 K183R mutation in vitro was responsible for a decreased FGF2 expression in microglia, whether in vivo mutation of the YY1 lactylation site could prevent overvascularization remains unknown and is worthy of investigation. The studies of knock-in or overexpression of WT/delactylated YY1 forms in retinal microglia are needed to better elucidate the role of YY1 lactylation in retinal neovascularization. Second, the clinical data suggested that the lactate content was upregulated in ROP infants, but whether it works by upregulating lactylation in retinal microglia needs further investigation.

Conclusions
In conclusion, this study revealed that the lactylation level of YY1 in microglia is increased in response to hypoxia. Hyperlactylation of YY1 promotes FGF2 expression through transcriptional activation and further contributes to neovascularization. Furthermore, p300 affects angiogenesis by regulating YY1 lactylation and can be a potential target. These findings expand the field of protein epigenetic regulation and provide potential targets for pathological angiogenesis therapy.

Animals
Male and female C57BL/6 J mice obtained from the Experimental Animal Center of Chongqing Medical University (Chongqing, China) were housed in a specific pathogenfree facility. All protocols were approved by the Ethics Committee of the First Affiliated Hospital of Chongqing Medical University (Number: 2019-101) and conformed to the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research.

Induction of OIR
OIR is a model of ROP that is characterized by the late stage of destructive pathological angiogenesis. Male and female C57BL/6 J pups were defined as P0 when they were born. The pups and suckling mice received food and water freely with a 12/12 h-day/night cycle in normal air for 7 days (P0-P7). On day P7, healthy pups and suckling mice were placed into a glass oxygen chamber together (Chenxi dianzi; Zhejiang; China), with the oxygen flow controlled to 0.50-0.75 L/min and the oxygen concentration maintained at 75 ± 2%. The animals were kept in a glass oxygen chamber for five consecutive days. At P12, the pups were returned to a normal air environment and continually co-bred with the suckling mice for 5 days. The pups were sacrificed at the age of P17, and the retinas were removed for subsequent experiments.

Animal treatment
Male and female C57BL/6 J pups were randomly assigned to the control (0.1% DMSO), rotenone, and DCA groups (n = 3 ~ 5 in each group). Rotenone and DCA were freshly prepared every day in a solution of 0.1% DMSO (diluted with PBS) and were administered daily (i.p., rotenone (Rhawn, R006873), 1.5 mg/(kg day); sodium dichloroacetate (i.p., DCA, Rhawn, R052025), 200 mg/(kg day)) from P13 to P16 as previously described [59,60]. Pups in the control group were administered an equal amount of 0.1% DMSO. One microliter of recombinant murine FGF2 protein (100 ng/ ml, R&D Systems, 3139-FB) was administered by intravitreal injection to the eyes at P14. A485 was diluted in 0.1% DMSO to 200 μM. One microliter of A485 was administered by intravitreal injection to the left eye at P14, and the same amount of 0.1% DMSO was administered to the right eye. All pups were housed under standard laboratory conditions (a 12-h light/dark cycle with an average room temperature of 25 °C).

Cell lines and cell cultures
HMC3 cells (ATCC; Manassas, VA, USA) were cultured in EMEM containing 10% fetal bovine serum (FBS; Gibco) and 1% penicillin/streptomycin with 5% CO 2 at 37 °C. HRMECs (Cell Systems; Seattle, America) were cultured in Complete Classic Medium with Serum & CultureBoost (Cell Systems) at 37 °C in 5% CO 2 . All cell lines were authenticated and confirmed to be mycoplasma free using a PCR Mycoplasma Test Kit (Applied Biosystems, 4460623). For coculture experiments, HMC3s were precultured under the corresponding conditions for 24 h (DCA was added at a concentration of 20 mM; rotenone was added at a concentration of 50 nM; A-485 was added at concentrations of 5, 10, and 20 μM according to previous studies) and then cocultured with HRMECs.

Quantification of lactate levels
The LA Assay Kit (Solarbio, BC2230) was used to determine the content of lactate in retinal tissues and cell lysates. According to the manufacturer's instructions, the reducing agent solution and reduction reaction color developing solution were reacted for 20 min at 37 °C, then lactate extracted from different treatment groups was transferred into 96-well plates. The lactate content was determined by detecting the absorbance at 570 nm. Each experiment was repeated three times.

Immunofluorescence
Eyes obtained on day P17 were placed into 4% paraformaldehyde for 2 h. Then the retinas were sheared into flat mounts and blocked with 5% goat serum and 0.4% Triton X-100 for 1 h, followed by incubation with primary antibodies at 4 °C overnight. Then the retinas were washed carefully and incubated with secondary antibody combinations for 1 h. Images were taken by confocal microscopy (Zeiss, Germany). CellSens Dimension software was used to determine the number of microglia (Iba1 + ). Relative fluorescence intensity was measured by ImageJ. The following primary antibodies

Quantitative real-time PCR
RNA was isolated using TRIzol reagent from HMC3 cells (1 × 10 6 cells) or retinal tissue. cDNA was generated by the RT Master Mix for qPCR (MCE, HY-K0510). Real-time qPCR was performed using SYBR Green qPCR Master Mix (MCE, HY-K0501) with the ABI Prism 7500 system (Applied Biosystems, CA, USA). The specific primers were synthesized by Shanghai Sangon Co. Ltd (Shanghai, China), and the PCR primers employed are listed in Table S2 (Additional file 3: Table S2). All of the reactions were performed at least in triplicate with β-actin as the control.

In vitro lentivirus infection and plasmid transfection
HMC3 cells were seeded in 6-well plates at over 60% confluence and used for lentivirus infection. Synergistic activation mediator (including dCAS9-vp64-Puro and sgRNA-p300 lentivirus) and lentiviruses subcloned with cDNA of Flag-tagged YY1 WT or Flag-tagged YY1 K183R mutant were constructed and purchased from Shanghai Genechem Co, Ltd. According to the manufacturer's instructions, the lentivirus was added at an MOI of 30, and the medium was replaced 8 h later. After puromycin was added for 3 days, the cells were used for further experiments. The plasmids used for luciferase activity assays were constructed and purchased from Shanghai Genechem Co., Ltd. and transfected into HMC3 cells by Lipofectamine ™ 2000 (Invitrogen, 11,668,019).

Pan antibody-based PTM enrichment
HMC3 cells were treated with hypoxia or normoxia for 24 h. To enrich Kla modified peptides, the tryptic peptides were dissolved in NETN buffer (1 mM EDTA, 50 mM Tris-HCl, 100 mM NaCl, 0.5% NP-40, pH 8.0), followed by incubation with prewashed beads (PTM Bio) at 4 °C for 12 h. Trifluoroacetic acid (0.1%) was used to elute the bound peptides. The eluted peptides were vacuum-dried and desalted with C18 ZipTips (Millipore) for LC-MS/MS analysis.

LC-MS/MS analysis and database search
LC-MS/MS analysis was supported by Jingjie PTM BioLabs (Hangzhou, China). In brief, the tryptic peptides were dissolved in solvent A (0.1% formic acid, 2% acetonitrile/in water) and separated by a homemade reversed-phase analytical column (25 cm length, 100 μm i.d.) on a nanoElute UHPLC system (Bruker Daltonics). After being subjected to a capillary source, the peptides were subjected to timsTOF Pro (Bruker Daltonics) mass spectrometry for further analysis in parallel accumulation serial fragmentation (PASEF) mode. The MS/MS data were processed by the Max-Quant search engine (v.1.6.6.0). Tandem mass spectra were searched using the human SwissProt database (20,366 entries) and reverse decoy database. FDR < 1%. The relative quantitative values of modified peptides in different samples were obtained by centralizing the signal intensity values in different samples. After filtering lysine lactylation sites (localization probability > 0.75), the relative quantitative values of each sample were obtained by two experiments. All the ratios of quantified lysine lactylation peptides were normalized according to their corresponding protein expression levels. The protein pathways were annotated using the KEGG database. The STRING database was used to identify protein-protein interactions of the DELPs.

Coimmunoprecipitation (Co-IP)
An immunoprecipitation kit (Abcam, ab206996) was used for immunoprecipitation of the corresponding proteins. Following the manufacturer's instructions, the cell lysates were incubated with antibodies for 12 h at 4 °C. Forty microliters of protein A/G beads was prewashed and then incubated with beads for another 2 h. After extensive washing, bound proteins were processed by Western blotting using the corresponding antibodies.

ChIP assay
The ChIP assay was performed using a SimpleChIP Plus Enzymatic Chromatin IP Kit (CST, 9004S). Briefly, 1 × 10 7 HMC3 cells after fixation were resuspended in ChIP buffer containing 1 × Protease Inhibitor Cocktail (CST). Then, micrococcal nuclease was used to shear chromatin DNA into fragments ranging between 150 and 900 bp. The DNA fragments were immunoprecipitated with 10 µl precleared protein A/G agarose beads overnight at 4 °C with anti-YY1 (CST, 46395S) or anti-IgG (CST, 3900) antibodies. YY1 occupancy on the FGF2 promoter was examined using RT-quantitative PCR analysis. The ChIP-qPCR primers employed are listed in Supplementary Table 2 (Additional file 3: Table S2).

Luciferase activity assays
The FGF2 promoter region was cloned into the luciferase reporter vector. YY1 WT and K183R HMC3 cells and control HMC3 cells were seeded in 96-well plates and cotransfected with the constructed plasmids. After 24 h in normoxia, the cells were transferred to hypoxia for another 24 h. A dual-luciferase reporter gene assay kit (Promega, E2920) was used to detect the luciferase activities. Renilla luciferase activity was used to normalize reporter gene activities.

HRMECs tube formation assay
Endothelial cell tube formation ability was evaluated by Matrigel purchased from Corning. Briefly, 50 µl of Matrigel was placed into each well of 96-well plates and incubated at 37 °C for 40 min in a 5% CO 2 incubator. Microglia were exposed to different treatments for 24 h. A total of 2.0 × 10 4 HRMECs were seeded per well on Matrigel and cocultured with pretreated microglia. Tube formation at the indicated times of 12 and 20 h was assessed by microscopy. We captured 3 random images per well and Image-Pro Plus software was used to measure the length of the tubes. Each experiment was repeated three times.

Spheroid-based sprouting angiogenesis assay
The HRMEC capillary sprouting assay was performed following established protocols [61]. HRMECs were added to the fresh conical tube and treated with methocel stock solution improving spheroid formation then incubated in a humidified cell culture incubator set at 37 °C and 5% CO 2 for 24 h. Spheroids were embedded in the 24-well plate, cultured with collagen medium containing 20% FBS in a humidified cell culture and incubated at 37 °C for 24 h. Photographs of spheroids were taken with a microscope (Olympus IX73, OLYMPUS, Tokyo, Japan). Photographs were used to quantify the total sprout length with FIJI by measuring the cumulative sprout length of all sprouts per spheroid.

HRMEC migration assay
The migration of HRMECs was assayed using 24-well Transwell chambers with 8-μm pore size filters (Corning, 3422). Briefly, microglia were seeded in the bottom chamber and pretreated for 24 h. Then 1.5 × 10 4 /ml HRMECs were placed into the upper chamber and cocultured at 37 °C under 5% CO 2 for 24 h. After fixation with 4% paraformaldehyde for 30 min, HRMECs were stained with 1% crystal violet. The number of the cells migrating to the bottom side of the filter was counted after wiping away the cells on the upper surface. Three images were captured per well under a microscope screening station (scanR, OLYMPUS, Tokyo, Japan). Each experiment was repeated three times.

HRMEC proliferation assay
The proliferation of HMRECs was assayed using 24-well Transwell chambers with 0.3μm pore size filters (Corning, 3413). Briefly, microglia were exposed to different treatments for 24 h. Then 2.0 × 10 4 /ml HRMECs were placed in the bottom chamber and cocultured with the pretreated microglia for 24 h at 37 °C under 5% CO 2 . After fixation with 4% paraformaldehyde for 30 min, the proliferating cells were stained with Ki67. Three images were captured per well, and each experiment was repeated three times.

Clinical retrospective study
The clinical retrospective study included 121 preterm infants (28 ~ 33 weeks of gestational age) who were admitted to the Children's Hospital of Chongqing Medical University between June 2019 and July 2021 (matching criteria: sex, age, weight, gestational age, birth weight, multiple birth, ethnic group, and multiple regression analysis was used to exclude the impact of these criteria) (Additional file 2: Table S1). We excluded preterm infants who were suffering extremely serious diseases, such as multiple organ failure, cardiac arrest, septicemia, and respiratory diseases that may directly influence the concentration of lactate in blood, including acute respiratory distress syndrome, respiratory failure, and severe pneumonia. ROP diagnostic examinations were performed using indirect ophthalmoscopy. The levels of blood lactate were measured by arterial blood gas analysis prior to commencing artificial ventilation treatment. All protocols were approved by the Ethics Committee of the Children's Hospital of Chongqing Medical University (Number: 2020-289).

Statistical analysis
All data are presented as the mean ± SD and were analyzed by SPSS 20.0 software (IBM, Chicago, IL, USA). The normal distribution of the data was confirmed by the