<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2026.1734339</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Lysine lactylation regulates ATF4-mediated stress responses under glucose starvation in canine hemangiosarcoma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Suzuki</surname>
<given-names>Tamami</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/3259609"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="investigation" vocab-term-identifier="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="validation" vocab-term-identifier="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Heishima</surname>
<given-names>Kazuki</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/3263805"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="validation" vocab-term-identifier="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yamazaki</surname>
<given-names>Jumpei</given-names>
</name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yamazaki</surname>
<given-names>Masaya</given-names>
</name>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/3331223"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kinoshita</surname>
<given-names>Ryohei</given-names>
</name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="resources" vocab-term-identifier="https://credit.niso.org/contributor-roles/resources/">Resources</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Sangho</given-names>
</name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/696063"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="resources" vocab-term-identifier="https://credit.niso.org/contributor-roles/resources/">Resources</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hosoya</surname>
<given-names>Kenji</given-names>
</name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="resources" vocab-term-identifier="https://credit.niso.org/contributor-roles/resources/">Resources</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Okamatsu-Ogura</surname>
<given-names>Yuko</given-names>
</name>
<xref ref-type="aff" rid="aff10"><sup>10</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/681689"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sasaki</surname>
<given-names>Michihito</given-names>
</name>
<xref ref-type="aff" rid="aff11"><sup>11</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/3266080"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Peng</given-names>
</name>
<xref ref-type="aff" rid="aff12"><sup>12</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1598271"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yan</surname>
<given-names>Qin</given-names>
</name>
<xref ref-type="aff" rid="aff12"><sup>12</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/44414"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kimura</surname>
<given-names>Takashi</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Aoshima</surname>
<given-names>Keisuke</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1603754"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Project administration" vocab-term-identifier="https://credit.niso.org/contributor-roles/project-administration/">Project administration</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="validation" vocab-term-identifier="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="investigation" vocab-term-identifier="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="visualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/visualization/">Visualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label><institution>Laboratory of Comparative Pathology, Department of Clinical Sciences, Faculty of Veterinary Medicine, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff2"><label>2</label><institution>The United Graduate School of Drug Discovery and Medical Information Sciences, School of Medicine, Gifu University</institution>, <city>Gifu</city>, <country country="jp">Japan</country></aff>
<aff id="aff3"><label>3</label><institution>Institute for Advanced Study, Gifu University</institution>, <city>Gifu</city>, <country country="jp">Japan</country></aff>
<aff id="aff4"><label>4</label><institution>Center for One Medicine Innovative Translational Research (COMIT), Gifu University</institution>, <city>Gifu</city>, <country country="jp">Japan</country></aff>
<aff id="aff5"><label>5</label><institution>Translational Research Unit, Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff6"><label>6</label><institution>Cancer Research Unit, One Health Research Center, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff7"><label>7</label><institution>Division of Carcinogenesis, The Cancer Institute, Japanese Foundation for Cancer Research</institution>, <city>Tokyo</city>, <country country="jp">Japan</country></aff>
<aff id="aff8"><label>8</label><institution>Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff9"><label>9</label><institution>Laboratory of Advanced Veterinary Medicine, Department of Clinical Sciences, Faculty of Veterinary Medicine, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff10"><label>10</label><institution>Laboratory of Biochemistry, Department of Basic Veterinary Sciences, Faculty of Veterinary Medicine, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff11"><label>11</label><institution>Division of Molecular Pathobiology, International Institute for Zoonosis Control, Hokkaido University</institution>, <city>Sapporo</city>, <state>Hokkaido</state>, <country country="jp">Japan</country></aff>
<aff id="aff12"><label>12</label><institution>Department of Pathology, Yale School of Medicine</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<author-notes>
<corresp id="c001"><label>&#x002A;</label>Correspondence: Keisuke Aoshima, <email xlink:href="mailto:k-aoshima@vetmed.hokudai.ac.jp">k-aoshima@vetmed.hokudai.ac.jp</email></corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-12">
<day>12</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>13</volume>
<elocation-id>1734339</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>10</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>01</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2026 Suzuki, Heishima, Yamazaki, Yamazaki, Kinoshita, Kim, Hosoya, Okamatsu-Ogura, Sasaki, Xu, Yan, Kimura and Aoshima.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Suzuki, Heishima, Yamazaki, Yamazaki, Kinoshita, Kim, Hosoya, Okamatsu-Ogura, Sasaki, Xu, Yan, Kimura and Aoshima</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-12">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>Excess lactate is produced in tumor cells by aerobic glycolysis and regulates gene expressions by histone lactylation. However, how histone lactylation functions under glucose-limited conditions remains unknown. Here, we show that lysine lactylation redistributes to transcription start sites (TSSs) during glucose deprivation, thereby altering biological behaviors in canine hemangiosarcoma (HSA) cells. Glucose deprivation significantly decreased global histone lactylation levels, while lactylation peaks were enriched at TSSs of ATF4-regulated stress-response, asparagine-synthesis and immune-related genes. Stress-response gene expressions were upregulated, and ATF4 polyclonal knockout abrogated this activation. [U-<sup>13</sup>C]glutamine tracing demonstrated that HSA cells synthesized asparagine from glutamine when glucose was scarce, and asparagine supplementation modestly activated cell proliferation. In HSA patient tissues, H3K18la levels were heterogeneous, and M2-like macrophages preferentially infiltrated tumor regions showing low histone lactylation levels. These findings demonstrate that lysine lactylation regulates transcription that supports tumor cell survival and fosters a pro-tumor microenvironment even under glucose-limited conditions.</p>
</abstract>
<kwd-group>
<kwd>dog</kwd>
<kwd>glucose</kwd>
<kwd>hemangiosarcoma</kwd>
<kwd>histone lactylation</kwd>
<kwd>stress response</kwd>
<kwd>tumor metabolism</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This study was supported by the Japan Society for the Promotion of Science (JSPS) KAKENHI Grant-in-Aid for Scientific Research (C) 22K06020 (to KA) and Grant-in-Aid for JSPS Research Fellows 23KJ0056 (to TS); the Clinical Research Promotion Research Grant, Faculty of Veterinary Medicine, Hokkaido University (to KA); a crowdfunding project to advance basic research on canine HSA (READYFOR, <ext-link xlink:href="https://readyfor.jp/projects/hsa/announcements/238254" ext-link-type="uri">https://readyfor.jp/projects/hsa/announcements/238254</ext-link>) (to KA); and donations from the general public.</funding-statement>
</funding-group>
<counts>
<fig-count count="6"/>
<table-count count="6"/>
<equation-count count="0"/>
<ref-count count="70"/>
<page-count count="25"/>
<word-count count="16134"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Oncology in Veterinary Medicine</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Tumor cells exhibit metabolic profiles distinct from those of normal cells, through which they can generate sufficient ATP and nucleotide building blocks to survive in harsh environments such as hypoxia and nutrient-poor conditions (<xref ref-type="bibr" rid="ref1">1</xref>, <xref ref-type="bibr" rid="ref2">2</xref>). Even under aerobic conditions, tumor cells upregulate glycolysis on top of oxidative phosphorylation (OXPHOS), which results in excess lactate production (<xref ref-type="bibr" rid="ref3">3</xref>). Glutamine, a nutrient used to supply nucleotides and intermediate metabolites via anaplerosis, also contributes to lactate production through glutaminolysis (<xref ref-type="bibr" rid="ref4 ref5 ref6">4&#x2013;6</xref>). Recent studies have shown that lactate is not merely a waste product, rather it is an important substrate for an epigenetic mark, histone lysine lactylation (<xref ref-type="bibr" rid="ref7">7</xref>). In macrophages, histone lactylation upregulates reparative genes such as <italic>Arg1</italic>, and its levels are reduced by glycolysis inhibition and rescued by exogenous lactate supplementation (<xref ref-type="bibr" rid="ref8">8</xref>). In tumors, histone lactylation has been implicated in promoting immunosuppression and tumor progression (<xref ref-type="bibr" rid="ref9 ref10 ref11 ref12 ref13">9&#x2013;13</xref>). Despite the increasing number of histone lactylation studies, most have been conducted under high-lactate conditions. Little is known about the roles of histone lactylation under low-lactate conditions.</p>
<p>Hemangiosarcoma (HSA) is a malignant tumor of vascular endothelial cells. In dogs, HSA accounts for 1.3&#x2013;2.8% of all canine tumors and often arises in the spleen, liver and right atrium of the heart (<xref ref-type="bibr" rid="ref14 ref15 ref16 ref17">14&#x2013;17</xref>). One study reported 4,997 HSA cases among 2.2 million dogs (2,271 per million) (<xref ref-type="bibr" rid="ref18">18</xref>). Given that HSA is highly invasive, rapid metastasis and tumor rupture occur frequently and contribute to the poor prognosis (<xref ref-type="bibr" rid="ref19">19</xref>). While surgery and doxorubicin-based chemotherapy remain the standard of care, median survival times are only about five to six months and the one-year survival rate for dogs is less than 16% (<xref ref-type="bibr" rid="ref20">20</xref>). HSA shares notable similarities with human angiosarcoma in morphological features, genetic mutations (e.g., <italic>TP53</italic>, <italic>PIK3CA</italic>, <italic>ATRX</italic>), and aggressive clinical behavior (<xref ref-type="bibr" rid="ref21 ref22 ref23">21&#x2013;23</xref>). However, human angiosarcoma is extremely rare. Several studies have estimated an incidence of ~ 3 cases and ~1.5&#x2013;2.6 cases per million people in the United States and Europe, respectively (<xref ref-type="bibr" rid="ref24">24</xref>, <xref ref-type="bibr" rid="ref25">25</xref>). Due to this rarity, canine HSA is recognized as a valuable spontaneous model for studying angiosarcoma biology and evaluating novel therapeutics (<xref ref-type="bibr" rid="ref22">22</xref>, <xref ref-type="bibr" rid="ref26">26</xref>). Normal endothelial cells rely almost exclusively on aerobic glycolysis to generate ATP and therefore produce substantial lactate. Recent studies show that histone lactylation in endothelial cells promotes angiogenesis and endothelial-to-mesenchymal transition (<xref ref-type="bibr" rid="ref27 ref28 ref29">27&#x2013;29</xref>). Given that HSA cells are neoplastic endothelial cells, we hypothesized that histone lactylation modulates gene expression in HSA and may contribute to its pathogenesis.</p>
<p>In this study, we established canine HSA cell lines and patient-derived xenograft (PDX) models from dog patients and examined the role of histone lactylation under glucose-deprived conditions. Glucose restriction reduced global histone lactylation levels, while lactylation peaks were redistributed to the transcription-start sites (TSSs) of ATF4-regulated stress-response genes, asparagine synthesis genes, and immune-related genes. TSSs of stress-response genes were co-occupied by RNA polymerase II phosphorylated at serine 5 (RNAPII-Ser5P), and the associated genes showed increased transcription, suggesting that these lactylation marks activated transcription. [U-<sup>13</sup>C]glutamine tracing in HU-HSA-3 cells revealed <italic>de novo</italic> asparagine synthesis from glutamine under glucose-deprived conditions, and asparagine supplementation modestly activated cell proliferation <italic>in vitro</italic>. In clinical HSA tissues, H3K18la signals were heterogeneous, but tumor regions with low H3K18la signals accumulated M2-like macrophages. Consistently, HSA cells attracted macrophages and promoted their differentiation toward the M2-like state, suggesting that HSA tumor cells establish a pro-tumor microenvironment in low-lactylation regions. Together, our data show that lysine lactylation, possibly histone lactylation, persists even under glucose-deprived conditions, suggesting that tumor cells use lactate to regulate transcription under nutrient-poor conditions.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<title>Materials and methods</title>
<sec id="sec3">
<title>Reagents, kits, and instruments</title>
<p>All reagents, kits, and instruments used in this study are summarized in <xref ref-type="table" rid="tab1">Tables 1</xref>, <xref ref-type="table" rid="tab2">2</xref> along with their manufacturer information and catalog numbers.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Antibodies for Immunohistochemistry (IHC), western blotting (WB), and CUT&#x0026;Tag (C&#x0026;T).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Antibody</th>
<th align="left" valign="middle">Supplier</th>
<th align="center" valign="middle">Catalog number</th>
<th align="center" valign="middle">Clone name</th>
<th align="center" valign="middle">Dilution</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">anti-CD31</td>
<td align="left" valign="middle">Abcam</td>
<td align="center" valign="middle">ab134168</td>
<td align="center" valign="middle">EP3095</td>
<td align="center" valign="middle">IHC 1:200<break/>WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Von Willebrand Factor</td>
<td align="left" valign="middle">Agilent</td>
<td align="center" valign="middle">A0082</td>
<td/>
<td align="center" valign="middle">IHC 1:500<break/>WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-VEGF Receptor 2 (KDR)</td>
<td align="left" valign="middle">Abcam</td>
<td align="center" valign="middle">ab2349</td>
<td/>
<td align="center" valign="middle">WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-L-Lactyl-Histone H3 Lys18 rabbit monoclonal antibody</td>
<td align="left" valign="middle">PTM Biolabs</td>
<td align="center" valign="middle">PTM-1406RM</td>
<td/>
<td align="center" valign="middle">IHC 1:250<break/>WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Iba1</td>
<td align="left" valign="middle">Fujifilm wako</td>
<td align="center" valign="middle">019&#x2013;19,741</td>
<td/>
<td align="center" valign="middle">IHC 1:500</td>
</tr>
<tr>
<td align="left" valign="middle">anti-CD3</td>
<td align="left" valign="middle">Agilent technologies</td>
<td align="center" valign="middle">IR503</td>
<td/>
<td align="center" valign="middle">IHC ready to use</td>
</tr>
<tr>
<td align="left" valign="middle">anti-CD204</td>
<td align="left" valign="middle">Medicinal Chemistry Pharmaceutical Co., Ltd.</td>
<td align="center" valign="middle">KT022</td>
<td align="center" valign="middle">SRA-E5</td>
<td align="center" valign="middle">IHC 1:200</td>
</tr>
<tr>
<td align="left" valign="middle">anti-L-Lactyllysine</td>
<td align="left" valign="middle">PTM Biolabs</td>
<td align="center" valign="middle">PTM-1401RM</td>
<td align="center" valign="middle">9H1L6</td>
<td align="center" valign="middle">C&#x0026;T 1:50<break/>IHC 1:200</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Tri-Methyl-Histone H3 (Lys4)</td>
<td align="left" valign="middle">Cell signaling technology</td>
<td align="center" valign="middle">9,751</td>
<td align="center" valign="middle">C42D8</td>
<td align="center" valign="middle">C&#x0026;T 1:50</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Acetyl-Histone H3 (Lys27)</td>
<td align="left" valign="middle">Cell signaling technology</td>
<td align="center" valign="middle">8,173</td>
<td align="center" valign="middle">D5E4</td>
<td align="center" valign="middle">C&#x0026;T 1:100</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Phospho-Rpb1 CTD (Ser5)</td>
<td align="left" valign="middle">Cell signaling technology</td>
<td align="center" valign="middle">13,523</td>
<td align="center" valign="middle">D9N5I</td>
<td align="center" valign="middle">C&#x0026;T 1:50</td>
</tr>
<tr>
<td align="left" valign="middle">anti-L-Lactyl-Histone H4 (Lys5) Rabbit mAb</td>
<td align="left" valign="middle">PTM biolabs</td>
<td align="center" valign="middle">PTM-1407RM</td>
<td/>
<td align="center" valign="middle">WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Acetylated Histone H3</td>
<td align="left" valign="middle">Active motif</td>
<td align="center" valign="middle">39,040</td>
<td/>
<td align="center" valign="middle">WB 1:5000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Acetylated Histone H4</td>
<td align="left" valign="middle">Santa Cruz Biotechnology, Inc.</td>
<td align="center" valign="middle">sc-377520</td>
<td align="center" valign="middle">E-5</td>
<td align="center" valign="middle">WB 1:500</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Actin</td>
<td align="left" valign="middle">Sigma-Aldrich</td>
<td align="center" valign="middle">MAB1501</td>
<td align="center" valign="middle">C4</td>
<td align="center" valign="middle">WB 1:10000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Histone H3</td>
<td align="left" valign="middle">MAB institute</td>
<td align="center" valign="middle">MABI0001-20</td>
<td align="center" valign="middle">CMA301</td>
<td align="center" valign="middle">WB 1:25000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-ATF-4</td>
<td align="left" valign="middle">Santa Cruz Biotechnology, Inc.</td>
<td align="center" valign="middle">sc-390063</td>
<td align="center" valign="middle">B-3</td>
<td align="center" valign="middle">WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Asparagine synthethase</td>
<td align="left" valign="middle">Santa Cruz Biotechnology, Inc.</td>
<td align="center" valign="middle">sc-365809</td>
<td align="center" valign="middle">G-10</td>
<td align="center" valign="middle">WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">anti-Glut1</td>
<td align="left" valign="middle">Santa Cruz Biotechnology, Inc.</td>
<td align="center" valign="middle">sc-377228</td>
<td align="center" valign="middle">A-4</td>
<td align="center" valign="middle">WB 1:1000</td>
</tr>
<tr>
<td align="left" valign="middle">Goat anti-Mouse IgG (H&#x202F;+&#x202F;L)</td>
<td align="left" valign="middle">Thermo Fisher Scientific</td>
<td align="center" valign="middle">G21040</td>
<td/>
<td align="center" valign="middle">WB 1:10000</td>
</tr>
<tr>
<td align="left" valign="middle">Goat anti-Rabbit IgG (H&#x202F;+&#x202F;L)</td>
<td align="left" valign="middle">Thermo Fisher Scientific</td>
<td align="center" valign="middle">G21234</td>
<td/>
<td align="center" valign="middle">WB 1:10000</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Reagents and instruments.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" colspan="3">Reagent</th>
</tr>
<tr>
<th align="left" valign="middle">Product name</th>
<th align="left" valign="middle">Supplier</th>
<th align="center" valign="middle">Catalog number</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Canine genotypes panel 2.1</td>
<td align="left" valign="middle">Thermo Fisher Scientific, MA, USA</td>
<td align="center" valign="middle">F864S</td>
</tr>
<tr>
<td align="left" valign="top">Dulbecco&#x2019;s Modified Eagle Medium with High Glucose</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries, Osaka, Japan</td>
<td align="center" valign="middle">044-29765</td>
</tr>
<tr>
<td align="left" valign="top">Dulbecco&#x2019;s Modified Eagle Medium with no Glucose</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries</td>
<td align="center" valign="middle">042-32255</td>
</tr>
<tr>
<td align="left" valign="top">Dulbecco&#x2019;s Modified Eagle Medium with no glutamine</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries</td>
<td align="center" valign="middle">045-30285</td>
</tr>
<tr>
<td align="left" valign="top">Fetal bovine serum</td>
<td align="left" valign="middle">Gibco, NY, USA</td>
<td align="center" valign="middle">10270-106</td>
</tr>
<tr>
<td align="left" valign="top">penicillin&#x2013;streptomycin solution</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries</td>
<td align="center" valign="middle">168-23191</td>
</tr>
<tr>
<td align="left" valign="top">EASYstrainer (70&#x202F;&#x03BC;m)</td>
<td align="left" valign="middle">Greiner Bio-One, Kremsm&#x00FC;nster, Austria</td>
<td align="center" valign="middle">542070</td>
</tr>
<tr>
<td align="left" valign="top">TaKaRa BCA Protein Assay Kit</td>
<td align="left" valign="middle">Takara Bio, Kusatsu, Japan</td>
<td align="center" valign="middle">T9300A</td>
</tr>
<tr>
<td align="left" valign="top">Immobilon-P transfer membranes</td>
<td align="left" valign="middle">Merck Millipore, MA, USA</td>
<td align="center" valign="middle">IPVH00010</td>
</tr>
<tr>
<td align="left" valign="top">Can Get Signal Solution</td>
<td align="left" valign="middle">TOYOBO, Osaka, Japan</td>
<td align="center" valign="middle">NKB-101</td>
</tr>
<tr>
<td align="left" valign="top">Immobilon Western Chemiluminescent HRP substrate</td>
<td align="left" valign="middle">Merck Millipore</td>
<td align="center" valign="middle">WBKLS0500</td>
</tr>
<tr>
<td align="left" valign="top">10% normal goat serum</td>
<td align="left" valign="middle">Nichirei biosciences, Tokyo, Japan</td>
<td align="center" valign="middle">426042</td>
</tr>
<tr>
<td align="left" valign="top">goat anti-rabbit IgG conjugated peroxidase</td>
<td align="left" valign="middle">Nichirei biosciences</td>
<td align="center" valign="middle">414341</td>
</tr>
<tr>
<td align="left" valign="top">3.3&#x2032;-diaminobenzidine</td>
<td align="left" valign="middle">Dojindo, Kumamoto, Japan</td>
<td align="center" valign="middle">349-00903</td>
</tr>
<tr>
<td align="left" valign="top">goat anti-rabbit IgG conjugated alkaline phosphatase</td>
<td align="left" valign="middle">Nichirei biosciences</td>
<td align="center" valign="middle">414251</td>
</tr>
<tr>
<td align="left" valign="top">goat anti-mouse IgG conjugated alkaline phosphatase</td>
<td align="left" valign="middle">Nichirei biosciences</td>
<td align="center" valign="middle">414241</td>
</tr>
<tr>
<td align="left" valign="top">New Fuchsin solution</td>
<td align="left" valign="middle">Nichirei biosciences</td>
<td align="center" valign="middle">415161F</td>
</tr>
<tr>
<td align="left" valign="top">12-well plate</td>
<td align="left" valign="middle">Greiner Bio-One</td>
<td align="center" valign="middle">665180</td>
</tr>
<tr>
<td align="left" valign="top">Asparagine</td>
<td align="left" valign="middle">MP Biomedicals, CA, USA</td>
<td align="center" valign="middle">590-20432</td>
</tr>
<tr>
<td align="left" valign="top">Proline</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries</td>
<td align="center" valign="middle">163-04601</td>
</tr>
<tr>
<td align="left" valign="top">0.25&#x202F;w/v% Trypsin-1&#x202F;mmol/L EDTA 4Na Solution with Phenol Red</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries</td>
<td align="center" valign="middle">201-16945</td>
</tr>
<tr>
<td align="left" valign="top">Lipofectamine 3,000</td>
<td align="left" valign="middle">Thermo Fisher Scientific</td>
<td align="center" valign="middle">L3000015</td>
</tr>
<tr>
<td align="left" valign="top">0.45&#x202F;&#x03BC;m pore filter</td>
<td align="left" valign="middle">Sartorius, G&#x00F6;ttingen, Germany</td>
<td align="center" valign="middle">S7598FXOSK</td>
</tr>
<tr>
<td align="left" valign="top">Domitor (medetomidine)</td>
<td align="left" valign="middle">ZENOAQ, Tokyo, Japan</td>
<td align="center" valign="middle">N/A</td>
</tr>
<tr>
<td align="left" valign="top">Dormicum (midazolam)</td>
<td align="left" valign="middle">Maruishi Pharmaceutical Co., Ltd. Osaka, Japan</td>
<td align="center" valign="middle">211-762100</td>
</tr>
<tr>
<td align="left" valign="top">Vetorphale (butorphanol)</td>
<td align="left" valign="middle">Meiji Seika Pharma Co., Ltd. Tokyo, Japan</td>
<td align="center" valign="middle">N/A</td>
</tr>
<tr>
<td align="left" valign="top">Atipame (atipamezole)</td>
<td align="left" valign="middle">Kyoritsu Seiyaku Corporation, Tokyo, Japan</td>
<td align="center" valign="middle">N/A</td>
</tr>
<tr>
<td align="left" valign="top">Seahorse XFp Cell Culture Miniplate</td>
<td align="left" valign="middle">Agilent Technology, CA, USA</td>
<td align="center" valign="middle">103025-100</td>
</tr>
<tr>
<td align="left" valign="top">Seahorse XF base medium without phenol red</td>
<td align="left" valign="middle">Agilent Technology</td>
<td align="center" valign="middle">103335-100</td>
</tr>
<tr>
<td align="left" valign="top">L-glutamine</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries</td>
<td align="center" valign="middle">073-05391</td>
</tr>
<tr>
<td align="left" valign="top">D(+)-glucose</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries,</td>
<td align="center" valign="middle">047-31161</td>
</tr>
<tr>
<td align="left" valign="top">ATP rate assay Kit</td>
<td align="left" valign="middle">Agilent Technology</td>
<td align="center" valign="middle">103591-100</td>
</tr>
<tr>
<td align="left" valign="top">mitochondrial oxidation assay Kit</td>
<td align="left" valign="middle">Agilent Technology</td>
<td align="center" valign="middle">103270-100</td>
</tr>
<tr>
<td align="left" valign="top">Hoechst 33342</td>
<td align="left" valign="middle">Dojindo, Kumamoto, Japan</td>
<td align="center" valign="middle">346-07951</td>
</tr>
<tr>
<td align="left" valign="top">CUT&#x0026;Tag Assay Kit</td>
<td align="left" valign="middle">Cell Signaling Technology, MA, USA</td>
<td align="center" valign="middle">77752</td>
</tr>
<tr>
<td align="left" valign="top">PCR Master Mix</td>
<td align="left" valign="middle">New England Biolabs, MA, USA</td>
<td align="center" valign="middle">M0541S</td>
</tr>
<tr>
<td align="left" valign="top">AMpure</td>
<td align="left" valign="middle">Beckman Coulter, CA, USA</td>
<td align="center" valign="middle">BC-A63880</td>
</tr>
<tr>
<td align="left" valign="top">dsDNA high sensitivity kit</td>
<td align="left" valign="middle">Invitrogen, MA, USA</td>
<td align="center" valign="middle">Q33230</td>
</tr>
<tr>
<td align="left" valign="top">D5000 High sensitivity kit</td>
<td align="left" valign="middle">Agilent Technology</td>
<td align="center" valign="middle">5067-5089</td>
</tr>
<tr>
<td align="left" valign="top">NucleoSpin RNA isolation kit</td>
<td align="left" valign="middle">Macherey-Nagel GmbH &#x0026; Co. D&#x00FC;ren, Germany</td>
<td align="center" valign="middle">740955.5</td>
</tr>
<tr>
<td align="left" valign="top">TriPure Isolation Reagent</td>
<td align="left" valign="middle">Roche, Basel, Switzerland</td>
<td align="center" valign="middle">11667157001</td>
</tr>
<tr>
<td align="left" valign="top">Primescript II 1st strand cDNA Synthesis Kit</td>
<td align="left" valign="middle">Takara Bio</td>
<td align="center" valign="middle">6210</td>
</tr>
<tr>
<td align="left" valign="top">KAPA SYBR FAST qPCR Kit Master Mix (2&#x00D7;) ABI Prism</td>
<td align="left" valign="middle">KAPA Biosystems, MA, USA</td>
<td align="center" valign="middle">KK4605</td>
</tr>
<tr>
<td align="left" valign="top">ThinCert Cell Culture Inserts</td>
<td align="left" valign="middle">Greiner Bio-One</td>
<td align="center" valign="middle">657630</td>
</tr>
<tr>
<td align="left" valign="top">0.2&#x202F;&#x03BC;m pore filter</td>
<td align="left" valign="middle">Sartorius</td>
<td align="center" valign="middle">S7597FXOSK</td>
</tr>
<tr>
<td align="left" valign="top">Dead Cell Removal Kit</td>
<td align="left" valign="middle">Miltenyi Biotec, Bergisch Gladbach, Germany</td>
<td align="center" valign="middle">130-090-101</td>
</tr>
<tr>
<td align="left" valign="top">Chromium Next GEM Single Cell 3&#x2032; Kit v3.1, 4 rxns</td>
<td align="left" valign="middle">10x Genomics, CA, USA</td>
<td align="center" valign="middle">PN-1000269</td>
</tr>
<tr>
<td align="left" valign="top">Chromium Next GEM Chip G Single Cell Kit, 16 rxns</td>
<td align="left" valign="middle">10x Genomics</td>
<td align="center" valign="middle">PN-1000127</td>
</tr>
<tr>
<td align="left" valign="top">Dual Index Kit TT Set A, 96 rxns</td>
<td align="left" valign="middle">10x Genomics</td>
<td align="center" valign="middle">PN-1000215</td>
</tr>
<tr>
<td align="left" valign="top">High Sensitivity DNA Kit</td>
<td align="left" valign="middle">Agilent Technology</td>
<td align="center" valign="middle">5067-4727</td>
</tr>
<tr>
<td align="left" valign="top">Tissue-Tek<sup>&#x00AE;</sup> O.C.T. Compound</td>
<td align="left" valign="middle">Sakura Finetek Japan Co., Ltd., Tokyo, Japan</td>
<td align="center" valign="middle">4583</td>
</tr>
<tr>
<td align="left" valign="top">13C5 L-glutamine</td>
<td align="left" valign="middle">Fujifilm Wako Pure Chemical Industries, Osaka, Japan</td>
<td align="center" valign="middle">CLM-1822-H-0.1</td>
</tr>
<tr>
<td align="left" valign="top">erythritol</td>
<td align="left" valign="middle">Tokyo Chemical Industry Co., Ltd., Tokyo, Japan</td>
<td align="center" valign="middle">E0021</td>
</tr>
<tr>
<td align="left" valign="top">Ultracentrifugation for 5&#x202F;kDa cut-off filter</td>
<td align="left" valign="middle">Human Metabolome Technology, Tsuruoka, Japan</td>
<td align="center" valign="middle">UFC3LCCNB_HMT</td>
</tr>
<tr>
<td align="left" valign="top">96 well cell culture plates</td>
<td align="left" valign="middle">Greiner Bio-One</td>
<td align="center" valign="middle">655180</td>
</tr>
<tr>
<td align="left" valign="top">Cell Counting Kit-8</td>
<td align="left" valign="middle">Dojindo</td>
<td align="center" valign="middle">343-07623</td>
</tr>
<tr>
<td align="left" valign="top">Eukitt</td>
<td align="left" valign="middle">ORSAtec, Bobingen, Germany</td>
<td align="center" valign="middle">6.00.01.0001.06.01.EN</td>
</tr>
<tr>
<td align="left" valign="top">BRANSON Sonifier 450</td>
<td align="left" valign="middle">Branson Ultrasonics Corporation, CT, USA</td>
<td/>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" colspan="3">Instruments</th>
</tr>
<tr>
<th align="left" valign="middle">Product name</th>
<th align="left" valign="middle">Supplier</th>
<th align="center" valign="middle">Catalog number</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Image Quant LAS 4000 mini luminescent image analyzer</td>
<td align="left" valign="middle">Cytiva, MA, USA</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">NanoZoomer 2.0-RS</td>
<td align="left" valign="middle">Hamamatsu Photonics, Hamamatsu, Japan</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">CellDrop BF</td>
<td align="left" valign="middle">DeNovix, DE, USA</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">Seahorse XFp Analyzer</td>
<td align="left" valign="middle">Agilent Technology</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">EVOS FL</td>
<td align="left" valign="middle">Thermo Fisher Scientific</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">Qubit</td>
<td align="left" valign="middle">Invitrogen, MA, USA</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">TapeStation</td>
<td align="left" valign="middle">Agilent Technology</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">StepOne Real-time PCR system</td>
<td align="left" valign="middle">Thermo Fisher Scientific</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">BX-41</td>
<td align="left" valign="middle">Olympus, Tokyo, Japan</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">Chromium controller</td>
<td align="left" valign="middle">10x Genomics</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">MTP-320</td>
<td align="left" valign="middle">Corona Electric Co., Ltd., Ibaraki, Japan</td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">Tissue-Tek VIP5 Jr.</td>
<td align="left" valign="middle">Sakura Finetek Japan Co., Ltd</td>
<td/>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec4">
<title>Establishment and characterization of canine HSA cell lines and PDX models</title>
<p>Canine HSA cell lines (HU-HSA-2 and HU-HSA-3) and PDX models (HU-HSAPDX-1, HU-HSAPDX-2, and HU-HSAPDX-3) were established from fresh hemangiosarcoma tissues obtained from canine patients that underwent splenectomy at Hokkaido University Veterinary Teaching Hospital (HUVTH) with written informed consent from the owners and approval from the HUVTH Ethics Screening Committee (2022&#x2013;005). All cases were confirmed as hemangiosarcoma by two board-certified veterinary pathologists. Patient information is provided in <xref ref-type="table" rid="tab3">Table 3</xref>. Tumor tissues were used for cell line establishment and PDX development immediately after surgical resection.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Patient information.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle" colspan="5">For cell lines and PDX model establishment</th>
</tr>
<tr>
<th align="left" valign="middle">Patient ID</th>
<th align="left" valign="middle">Breed</th>
<th align="left" valign="middle">Age</th>
<th align="left" valign="middle">Sex</th>
<th align="left" valign="middle">Location</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">HU-HSA-1</td>
<td align="left" valign="middle">Standard poodle</td>
<td align="left" valign="middle">12y3m</td>
<td align="left" valign="middle">M</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">HU-HSA-2</td>
<td align="left" valign="middle">Toy poodle</td>
<td align="left" valign="middle">11y1m</td>
<td align="left" valign="middle">M Cast</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">HU-HSA-3</td>
<td align="left" valign="middle">Flat coated retriever</td>
<td align="left" valign="middle">8y</td>
<td align="left" valign="middle">F Spay</td>
<td align="left" valign="middle">Spleen</td>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle" colspan="4">For spatial transcriptomics</th>
</tr>
<tr>
<th align="left" valign="middle">Breed</th>
<th align="left" valign="middle">Age</th>
<th align="left" valign="middle">Sex</th>
<th align="left" valign="middle">Location</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Yorkshire terrier</td>
<td align="left" valign="middle">13y3m</td>
<td align="left" valign="middle">M Cast</td>
<td align="left" valign="middle">Spleen</td>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle" colspan="5">For IHC analysis</th>
</tr>
<tr>
<th align="left" valign="middle">Case number</th>
<th align="left" valign="middle">Breed</th>
<th align="left" valign="middle">Age</th>
<th align="left" valign="middle">Sex</th>
<th align="left" valign="middle">Location</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">1</td>
<td align="left" valign="middle">Great Pyrenees</td>
<td align="left" valign="middle">9y11m</td>
<td align="left" valign="middle">M</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">2</td>
<td align="left" valign="middle">Miniature schnauzer</td>
<td align="left" valign="middle">11y</td>
<td align="left" valign="middle">M</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">3</td>
<td align="left" valign="middle">Golden retriever</td>
<td align="left" valign="middle">11y</td>
<td align="left" valign="middle">M</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">4</td>
<td align="left" valign="middle">Dachshund</td>
<td align="left" valign="middle">7y9m</td>
<td align="left" valign="middle">M Cast</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">5</td>
<td align="left" valign="middle">Golden retriever</td>
<td align="left" valign="middle">7y8m</td>
<td align="left" valign="middle">F Spay</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">6</td>
<td align="left" valign="middle">Miniature schnauzer</td>
<td align="left" valign="middle">12y10m</td>
<td align="left" valign="middle">F Spay</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">7</td>
<td align="left" valign="middle">Labrador retriever</td>
<td align="left" valign="middle">8y</td>
<td align="left" valign="middle">M</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">8</td>
<td align="left" valign="middle">Mix</td>
<td align="left" valign="middle">9y3m</td>
<td align="left" valign="middle">F</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">9</td>
<td align="left" valign="middle">French bulldog</td>
<td align="left" valign="middle">13y1m</td>
<td align="left" valign="middle">M</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">10</td>
<td align="left" valign="middle">Beagle</td>
<td align="left" valign="middle">12y6m</td>
<td align="left" valign="middle">F Spay</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">11</td>
<td align="left" valign="middle">Dachshund</td>
<td align="left" valign="middle">14y5m</td>
<td align="left" valign="middle">M Cast</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">12</td>
<td align="left" valign="middle">French bulldog</td>
<td align="left" valign="middle">7y8m</td>
<td align="left" valign="middle">M Cast</td>
<td align="left" valign="middle">Spleen</td>
</tr>
<tr>
<td align="left" valign="middle">13</td>
<td align="left" valign="middle">Jack Russell terrier</td>
<td align="left" valign="middle">9y11m</td>
<td align="left" valign="middle">M Cast</td>
<td align="left" valign="middle">Spleen</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>F: female, M: male, Spay: spayed, Cast: castrated.</p>
</table-wrap-foot>
</table-wrap>
<p>For cell line establishment, tumor tissues were washed with phosphate-buffered saline (PBS) and then mechanically minced into small fragments (~1&#x2013;2&#x202F;mm cubes) with sterile scalpels and scissors. Tissue fragments were washed with PBS and then treated with NH&#x2084;Cl buffer {8.3% NH<sub>4</sub>Cl and 170&#x202F;mM Tris&#x2013;HCl (pH 7.5)} with gentle agitation twice to remove red blood cells (RBC). Following this, tissue fragments were enzymatically digested in Dulbecco&#x2019;s Modified Eagle Medium (DMEM) containing 3&#x202F;mg/mL collagenase I for 50&#x202F;min at 37&#x202F;&#x00B0;C with intermittent mixing. Then, the digested tissues were homogenized by sequential passage through 18G and 23G needles, followed by filtration through 70&#x202F;&#x03BC;m cell strainers to remove remaining tissue fragments. The PBS wash and RBC-lysis steps were repeated, and then the isolated cells were seeded and maintained in 10&#x202F;cm culture dishes with DMEM supplemented with 10% fetal bovine serum (FBS) and penicillin&#x2013;streptomycin (100&#x202F;units/mL penicillin, 100&#x202F;&#x03BC;g/mL streptomycin) (complete DMEM) at 37&#x202F;&#x00B0;C in a humidified 5% CO&#x2082; incubator. Cells were used for this study after 10 passages by which time the cultured cells appeared homogeneous and proliferated stably. Cell lines were successfully established from HU-HSA-2 and HU-HSA-3; however, we were unable to establish a stable cell line from HU-HSA-1. To validate that the established cell lines were hemangiosarcoma cells, endothelial marker gene (<italic>PECAM1</italic>, <italic>VWF</italic>, <italic>KDR</italic>) and protein expressions (CD31, vWF, KDR) were assessed by reverse transcription quantitative polymerase chain reaction (RT-qPCR) and western blotting. Subcutaneous transplantation of HU-HSA-2 and HU-HSA-3 cells into the both flanks of three 6- to 8-week-old female KSN/Slc mice (Japan SLC, Inc. Shizuoka, Japan) was conducted to evaluate their tumorigenicity and the morphological characteristics of cell-derived tumors. Detailed transplantation procedures are described in the Animal studies section below. Tumors were resected once any mouse reached the predefined endpoint (total tumor volume of 1&#x202F;cm<sup>3</sup> per mouse) and were subjected to histopathological analysis. Cell line authentication was performed by short tandem repeat (STR) analysis using the Canine Genotypes Panel 2.1 Kit.</p>
<p>For PDX establishment, splenic tumor tissue fragments (approximately 1&#x202F;cm<sup>3</sup>) from canine patients were kept on ice in DMEM, processed, and transplanted as described below within 24&#x202F;h of resection. The tissues were further cut into approximately 2&#x2013;3&#x202F;mm<sup>3</sup> fragments. Two or three 6- to 8-week-old male or female KSN/Slc mice (Japan SLC, Inc., Shizuoka, Japan) were anesthetized with medetomidine (0.3&#x202F;mg/kg), midazolam (4&#x202F;mg/kg), and butorphanol (5&#x202F;mg/kg). A 7-mm skin incision was made on each flank, and one tumor fragment per flank was implanted subcutaneously. Incisions were closed with surgical clips. For postoperative analgesia, meloxicam (0.2&#x202F;mg/kg) was administered intraperitoneally on the day of surgery and the following day. Surgical clips were removed 1&#x202F;week after transplantation. Tumors were resected when they reached a volume of 1 cm<sup>3</sup>, re-cut into 2&#x2013;3&#x202F;mm<sup>3</sup> fragments, and transplanted into recipient mice using the same procedure. This passaging procedure was repeated three times, after which the tissues were designated canine HSA PDX models (HU-HSAPDX-1, HU-HSAPDX-2, and HU-HSAPDX-3). Histopathological examination and immunohistochemistry for endothelial markers were performed to confirm that HSA PDX models retained patient tumor features. Authentication was done by STR analysis using the Canine Genotypes Panel 2.1 Kit.</p>
</sec>
<sec id="sec5">
<title>Cell line and cell culture</title>
<p>Canine HSA cell lines, HU-HSA-2 and HU-HSA-3, were established as described above. Madin-Darby Canine Kidney cells (MDCK) were obtained from American Type Culture Collection. Human embryonic kidney 293&#x202F;T cells and RAW264 cells were obtained from RIKEN Bioresource Center. Normally, cells were cultured in high-glucose DMEM supplemented with 10% FBS and penicillin&#x2013;streptomycin at 37&#x202F;&#x00B0;C with 5% CO<sub>2</sub>. Glucose-free DMEM was used for glucose-starvation experiments, which include extracellular flux analysis, mRNA-seq, Cleavage Under Targets and Tagmentation (CUT&#x0026;Tag), and isotope-tracing analysis. Glutamine-free DMEM was used for experiments evaluating global histone lactylation levels (western blotting) under glutamine-free conditions. For asparagine or proline supplementation experiments, the FBS concentration was reduced to 1%. Cell culture dishes were coated with 0.1% gelatin when culturing HU-HSA-2 and HU-HSA-3 to improve cell attachment, reduce cell aggregation, and reproducibility. All cell lines used in this study were confirmed to be free of mycoplasma contamination by polymerase chain reaction (PCR) (<xref ref-type="bibr" rid="ref30">30</xref>).</p>
</sec>
<sec id="sec6">
<title>Animal studies</title>
<p>All mouse experiments including PDX model establishment were approved by Hokkaido University Institutional Animal Care and Use Committee (protocol number: 20&#x2013;0083 and 21&#x2013;0062), and conducted in accordance with the Animal Research: Reporting of <italic>In Vivo</italic> Experiments (ARRIVE) guidelines. Three 5-week-old female KSN/Slc mice were used for each cell line transplantation experiment. Three million HU-HSA-2 cells or one million HU-HSA-3 cells in serum-free DMEM were inoculated subcutaneously into both flanks of KSN/Slc mice anesthetized with 0.3&#x202F;mg/kg medetomidine, 4&#x202F;mg/kg midazolam, and 5&#x202F;mg/kg butorphanol. After tumor cell inoculation, mice were recovered by intraperitoneal injection of 3&#x202F;mg/kg atipamezole. Tumor volumes were calculated using the formula: volume&#x202F;=&#x202F;(length &#x00D7; width<sup>2</sup>)/2. Mice were euthanized with CO<sub>2</sub> when tumors reached 1&#x202F;cm<sup>3</sup> in volume.</p>
</sec>
<sec id="sec7">
<title>Western blotting</title>
<p>SDS lysis buffer {2% SDS, 50&#x202F;mM Tris&#x2013;HCl (pH 6.8), and 1&#x202F;mM EDTA (pH 8.0)} was added to cultured cells after washing them twice with ice-cold PBS. Whole cell lysates were then sonicated using Branson Sonifier 450 for 2&#x202F;s at power setting 2. Protein concentrations were measured with TaKaRa BCA Protein Assay Kit before adding 4&#x202F;&#x00D7;&#x202F;sample loading buffer {200&#x202F;mM Tris&#x2013;HCl buffer (pH 6.8), 8% SDS, 40% glycerol, 1% bromophenol blue, and 20% 2-mercaptoethanol} and denaturing the samples at 98&#x202F;&#x00B0;C for 5&#x202F;min. Two to five (2&#x2013;5) &#x03BC;g of protein was separated on gradient SDS-polyacrylamide gels by electrophoresis and transferred to Immobilon-P transfer membranes. Membranes were blocked with 3% skim milk in Tris-buffered saline with 0.05% Tween 20 (TBST) for 1&#x202F;h at room temperature (RT) and incubated with primary antibodies diluted in Can Get Signal Solution 1 overnight at 4&#x202F;&#x00B0;C. Membranes were washed with TBST three times before incubating with the corresponding secondary anti-mouse or anti-rabbit IgG antibodies conjugated with horseradish peroxidase in Can Get Signal Solution 2. Signals were developed with Immobilon Western Chemiluminescent HRP substrate and visualized using an Image Quant LAS 4000 mini luminescent image analyzer. Captured data were processed using ImageJ (v1.54p) (<xref ref-type="bibr" rid="ref31">31</xref>). Antibodies used in this study are listed in <xref ref-type="table" rid="tab1">Table 1</xref>.</p>
</sec>
<sec id="sec8">
<title>Hematoxylin and eosin staining, and immunohistochemistry (IHC)</title>
<p>Tumor samples were obtained from canine patients presented to HUVTH with written informed consent (<xref ref-type="table" rid="tab3">Table 3</xref>). Samples were fixed in 10% neutral-buffered formalin, dehydrated through an ethanol series, cleared with xylene and infiltrated with paraffin wax in Tissue-Tek VIP5 Jr. Then, the samples were embedded in paraffin wax and sliced into 2&#x202F;&#x03BC;m-thick sections. For hematoxylin and eosin staining, tissues were deparaffinized with xylene and placed in 99, 95, 90, 80, and 70% ethanol for 2&#x202F;min each in this order. After washing out the ethanol with tap water and distilled water (DW), the tissues were stained with hematoxylin for 1&#x202F;min and then washed with tap water for 5&#x202F;min. Then, they were stained with eosin for 1.5&#x202F;min after being placed in 95% ethanol for 2&#x202F;min. Remaining eosin was washed with 95% ethanol. Afterwards, the tissues were dehydrated with absolute ethanol and cleared with xylene. Finally, the tissues were mounted with Eukitt and covered with cover glasses for histopathological analysis. For IHC, after deparaffinization, the tissues were washed with PBS three times, and then antigens were retrieved in citrate buffer (pH 6.0) in a pressure cooker for 9&#x202F;min. Endogenous peroxidases were inactivated with 0.3% H<sub>2</sub>O<sub>2</sub> in methanol for 25&#x202F;min at RT before blocking the tissue sections with 10% normal goat serum for single staining and 5% skim milk in PBS for double staining for 30&#x202F;min at RT. For single staining, tissues were stained with anti-L-Lactyl-Histone H3 Lys18 (H3K18la) rabbit monoclonal antibody or anti-pan-lactylated lysine (Kla) rabbit monoclonal antibody overnight at 4&#x202F;&#x00B0;C. Afterwards, the tissues were washed with PBS three times and stained with peroxidase-conjugated goat anti-rabbit IgG antibody for 30&#x202F;min at RT. The slides were washed with PBS three times again, and then signals were developed by reaction with 3,3&#x2032;-diaminobenzidine (DAB). For double staining, sections stained with anti-H3K18la antibody were autoclaved in citrate buffer (pH 6.0) for 2&#x202F;min to deactivate the first antibody. They were washed with PBS three times and stained with anti-Iba1, CD3, and CD204 antibodies overnight at 4&#x202F;&#x00B0;C after blocking with 5% skim milk in PBS for 30&#x202F;min. Subsequently, the tissues were washed with Tris-buffered saline (TBS) three times and stained with alkaline phosphatase (AP)-conjugated goat anti-rabbit IgG or goat anti-mouse IgG antibodies for 30&#x202F;min at RT. The slides were washed with TBS three times again, and then signals were developed with New Fuchsin solution. To quantify IHC results, slides were scanned with NanoZoomer 2.0-RS and analyzed with QuPath ver.0.5.1 (<xref ref-type="bibr" rid="ref32">32</xref>). Areas within 500&#x202F;&#x03BC;m from the tissue edge were not selected to avoid the edge effect. For intensity comparison of endothelial and HSA cells, five tumor areas per slide in each case were randomly selected. Normal endothelial cells were obtained near the tumor areas in the same section. At least a total of 1,000 tumor cells and 100 normal endothelial cells were analyzed for each case. For comparison of H3K18la and Kla intensity in HSA and endothelial cells, raw values of nucleus DAB OD mean were applied. For correlation analysis of tumor-cell H3K18la intensity and the number of immune cells, nucleus DAB OD mean values in tumor cells were normalized against those in normal endothelial cells, and the normalized values were used for quantitative analyses. Then tumor areas within each case (cases #4&#x2013;13) were stratified based on H3K18la staining intensity. The thresholds for low, middle, and high H3K18la intensity were manually established for each case based on the overall staining distribution across the entire tumor area. Subsequently, five distinct regions, each larger than 1&#x202F;mm<sup>2</sup>, were selected per case, ensuring that low, middle, and high H3K18la areas were included in the analysis. A positive staining threshold for the AP signal of each immune marker (Iba-1, CD204, CD3) was then determined manually based on visual inspection of representative positive and negative cells. Cells with a cell AP OD mean exceeding this threshold were classified as positive. QuPath was used to automatically count the number of positive cells within each area, and the results were expressed as the density of positive cells per square millimeter (cells/mm<sup>2</sup>).</p>
</sec>
<sec id="sec9">
<title>Cell growth assay</title>
<p>For cell growth assays, cells were seeded in triplicate onto 12-well plates at a density of 1.0&#x202F;&#x00D7;&#x202F;10<sup>4</sup> cells per well for experiments under 10% FBS conditions, or 1.2&#x202F;&#x00D7;&#x202F;10<sup>4</sup> cells per well for experiments that required FBS restriction. Cells were allowed to attach to dishes overnight in complete DMEM. On the following day (day 0), the medium was replaced with media prepared for each experimental condition, which were DMEM supplemented with or without glucose, asparagine (2&#x202F;mM), and/or proline (5&#x202F;mM) as indicated in each section. At each time point (0, 24, 48, 72, and 96&#x202F;h), cells were washed with PBS and detached using 100&#x202F;&#x03BC;L of 0.25% Trypsin&#x2013;EDTA solution with a 5-min incubation at 37&#x202F;&#x00B0;C. The reaction was neutralized by adding 1&#x202F;mL of complete DMEM. The number of live cells was then determined using CellDrop BF with trypan blue staining.</p>
</sec>
<sec id="sec10">
<title>Plasmid construction and transfection</title>
<p>Single guide RNAs (sgRNAs) targeting genes of interest were designed using publicly available tools, including the CRISPR gRNA design tool from Horizon Discovery,<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> CRISPOR<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref> (<xref ref-type="bibr" rid="ref33">33</xref>), and CRISPR direct<xref ref-type="fn" rid="fn0003"><sup>3</sup></xref> (<xref ref-type="bibr" rid="ref34">34</xref>). To minimize off-target effects, sgRNAs with high specificity and efficiency scores were selected. Oligonucleotides for each selected sgRNA were synthesized, annealed, and cloned into the lentiCRISPRv2 plasmid (a gift from Feng Zhang, Addgene plasmid #52961; RRID: Addgene_52,961) (<xref ref-type="bibr" rid="ref35">35</xref>) according to the provider&#x2019;s protocol. The oligonucleotide sequences used for generating each knockout construct are listed in <xref ref-type="table" rid="tab4">Table 4</xref>.</p>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>sgRNA sequences.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Species</th>
<th align="left" valign="middle">Target</th>
<th align="left" valign="middle">sgRNA sequence</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="5">Canine</td>
<td align="left" valign="middle">sgScr1</td>
<td align="left" valign="middle">ATTCTCTCGACATCTGGTGG</td>
</tr>
<tr>
<td align="left" valign="middle">sgScr2</td>
<td align="left" valign="middle">GCTCGGTAACTAACCGGTGC</td>
</tr>
<tr>
<td align="left" valign="middle">sg<italic>SLC2A1</italic></td>
<td align="left" valign="middle">AGTGTTGTAGCCAAACTGCA</td>
</tr>
<tr>
<td align="left" valign="middle">sg<italic>ATF4</italic>-1</td>
<td align="left" valign="middle">TCCAGTAAAGTCCCGCGACA</td>
</tr>
<tr>
<td align="left" valign="middle">sg<italic>ATF4</italic>-2</td>
<td align="left" valign="middle">TTGGTCAGTGCCTCAGACAA</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Lentiviral particles were produced by transfecting lentivirus plasmids into 293&#x202F;T cells. Briefly, 293&#x202F;T cells were seeded in 6-well plates and grown to approximately 60&#x2013;70% confluency. Cells were then co-transfected with a mixture of 4&#x202F;&#x03BC;g of the lentiCRISPRv2-sgRNA plasmid, 0.5&#x202F;&#x03BC;g of the packaging plasmid pCAG-HIVgp (RIKEN BRC, cat. RDB04394) (<xref ref-type="bibr" rid="ref36">36</xref>), and 0.5&#x202F;&#x03BC;g of the envelope plasmid pCMV-VSV-G (RIKEN BRC, cat. RDB04392) using Lipofectamine 3,000 and P3000 reagent according to the manufacturer&#x2019;s protocol. pCAG-HIVgp and pCMV-VSV-G were provided by the RIKEN BRC through the National BioResource Project of the MEXT/AMED, Japan. Forty-eight hours post-transfection, the supernatant containing lentiviral particles was harvested, filtered through a 0.45&#x202F;&#x03BC;m pore filter, and supplemented with polybrene to a final concentration of 10&#x202F;&#x03BC;g/mL. For infection, 2&#x202F;&#x00D7;&#x202F;10<sup>4</sup> HU-HSA-2 or HU-HSA-3 cells were incubated with the virus-containing supernatant for 8&#x202F;h. Following infection, the viral medium was replaced with complete DMEM, and the cells were cultured for 72&#x202F;h. Subsequently, cells stably expressing Cas9 and sgRNAs were selected by culture in complete DMEM containing puromycin at a concentration of 2&#x202F;&#x03BC;g/mL for HU-HSA-2 or 4&#x202F;&#x03BC;g/mL for HU-HSA-3.</p>
</sec>
<sec id="sec11">
<title>Extracellular flux analysis</title>
<p>Extracellular flux experiments were performed according to the manufacturer&#x2019;s protocol. Briefly, 2.5&#x202F;&#x00D7;&#x202F;10<sup>3</sup> HU-HSA-2 or 2.0&#x202F;&#x00D7;&#x202F;10<sup>3</sup> HU-HSA-3 cells were seeded on assay plates coated with 0.1% gelatin and incubated overnight. On the next day, the medium was replaced with complete DMEM with or without glucose. After 48&#x202F;h incubation, the medium was replaced with FBS-free DMEM for flux analysis, which contained 4&#x202F;mM&#x202F;L-glutamine alone or with 25&#x202F;mM D(+)-glucose. Cells were incubated for at least 1&#x202F;h at 37&#x202F;&#x00B0;C without CO<sub>2</sub> regulation. Assay solutions were loaded on each assay cartridge well. For the ATP rate assay, 1.5&#x202F;&#x03BC;M oligomycin and 0.5&#x202F;&#x03BC;M rotenone/antimycin A were applied. For mitochondrial oxidation assay, 3&#x202F;&#x03BC;M BPTES, 2&#x202F;&#x03BC;M UK5099 and 4&#x202F;&#x03BC;M etomoxir were applied. Oxygen consumption rate and extracellular acidification rate were measured using a Seahorse XFp Analyzer. For normalization, cells were stained using Hoechst 33342 after measurement, and the well images were acquired using EVOS FL at 10&#x202F;&#x00D7;&#x202F;magnification. For each well, three representative fields were randomly selected for analysis. The number of cells was quantified using ImageJ software (National Institutes of Health, United States). Briefly, images were duplicated and converted to 8-bit grayscale. A binary mask was created using the Default auto-threshold algorithm with the background set to black. To separate touching or overlapping nuclei, the Watershed command was applied. Finally, particles were analyzed using the Analyze Particles function, counting objects with a size range of 50&#x2013;500 square pixels. The average number of cells in each area was used for normalizing oxygen consumption rate or extracellular acidification rate values.</p>
</sec>
<sec id="sec12">
<title>Cleavage under targets and tagmentation CUT&#x0026;Tag</title>
<p>CUT&#x0026;Tag experiments were conducted using a CUT&#x0026;Tag Assay Kit following the manufacturer&#x2019;s protocol with slight modifications. Briefly, 2.5&#x202F;&#x00D7;&#x202F;10<sup>5</sup> HU-HSA-2 or HU-HSA-3 cells were prepared for each reaction (in duplicate for pan-Kla samples and singly for H3K4me3, H3K27ac, and RNAPII-Ser5P samples). Cells were washed with 1.0&#x202F;mL Complete Wash Buffer twice and incubated with activated beads for 5&#x202F;min at RT, and then antibodies (pan-Kla, H3K4me3, H3K27ac, and RNAPII-Ser5P) were added and incubated for 1.5&#x202F;h at RT. Afterwards, cells were incubated with the secondary antibody (Goat Anti-Rabbit IgG [H&#x202F;+&#x202F;L], 1:50) for 30&#x202F;min at RT. pAG-Tn5 was introduced to the cells and incubated for 1&#x202F;h at RT followed by washing with 500&#x202F;&#x03BC;L Digitonin Buffer twice. Tagmentation was initiated by adding magnesium chloride and incubating for 1&#x202F;h at 37&#x202F;&#x00B0;C followed by washing with 500&#x202F;&#x03BC;L High Salt Digitonin Buffer twice. To stop tagmentation, 6.75&#x202F;&#x03BC;L 0.5&#x202F;M EDTA, 8.25&#x202F;&#x03BC;L 10% SDS, and 1.5&#x202F;&#x03BC;L Proteinase K were added to the reaction, and DNA was then purified. For DNA amplification, PCR was performed on purified DNA fragments with index primers using PCR Master Mix. The process consists of 72&#x202F;&#x00B0;C for 5&#x202F;min, 13&#x202F;cycles of 98&#x202F;&#x00B0;C for 40&#x202F;s and 63&#x202F;&#x00B0;C for 10&#x202F;s, and 72&#x202F;&#x00B0;C for 1&#x202F;min. Amplified DNA was purified with AMpure XP. DNA concentration was measured with Qubit using a dsDNA High Sensitivity kit. DNA quality was checked with TapeStation using High Sensitivity D5000 ScreenTape. DNA libraries were submitted to Rhelixa Co., Ltd. (Tokyo, Japan) and sequenced with the Illumina NovaSeq X Plus (Illumina, CA, United States) to generate a minimum of 20 million paired-end 150&#x202F;bp reads for pan-Kla samples cultured under 0&#x202F;mM glucose condition and 13.3 million paired-end 150&#x202F;bp reads for pan-Kla cultured under 25&#x202F;mM glucose condition and for H3K4me3, H3K27ac, and RNAPII-Ser5P samples cultured with/without glucose. Sequencing reads were qualified with fastp v0.26.0 (<xref ref-type="bibr" rid="ref37">37</xref>) and mapped to the CanFam3.1 canine reference genome from Ensembl using Bowtie2 v2.5.4 (<xref ref-type="bibr" rid="ref38">38</xref>). For sample normalization, the sum-of-fragments coverage was determined by calculating the number of fragments with lengths of 1 to 1,000&#x202F;bp from bedpe files converted from mapped BAM files using bedtools v2.31.1 (<xref ref-type="bibr" rid="ref39">39</xref>). Raw bedGraph files converted from BAM files using bamCoverage (deepTools v3.5.6) (<xref ref-type="bibr" rid="ref40">40</xref>) were normalized by the sum-of-fragments coverage and then visualized using Integrative Genome Viewer (IGV). For visualizing transcription start sites (TSSs), computeMatrix (deepTools) in reference-point mode (default settings) was used, and the resulting matrix was visualized by plotProfile. For visualizing gene-body heatmaps and genomic annotation, plotPeakProf and plotAnnoPie in ChIPseeker v3.21 were used, respectively (<xref ref-type="bibr" rid="ref41">41</xref>, <xref ref-type="bibr" rid="ref42">42</xref>). To identify significantly enriched peaks in the 0&#x202F;mM glucose condition relative to the 25&#x202F;mM condition, peak calling was performed using MACS2 (v2.2.9.1) (<xref ref-type="bibr" rid="ref43">43</xref>). The 0&#x202F;mM glucose samples were designated as the treatment (&#x2212;t), and the 25&#x202F;mM glucose samples were used as the control (&#x2212;c). The false discovery rate (FDR) threshold (&#x2212;q) was set to 0.1 for pan-Kla and H3K4me3 samples, and 0.001 for RNAPII-Ser5P samples. Afterwards, significant peaks were then annotated to genomic features using HOMER (v5.1) (<xref ref-type="bibr" rid="ref44">44</xref>) with a custom annotation file generated from the CanFam3.1 canine reference genome (Ensembl). Gene ontology analysis was conducted using PANTHER Pathways in PANTHER v18.0 (<xref ref-type="bibr" rid="ref45">45</xref>, <xref ref-type="bibr" rid="ref46">46</xref>).</p>
</sec>
<sec id="sec13">
<title>mRNA-sequencing (mRNA-seq)</title>
<p>HU-HSA-2 and HU-HSA-3 were cultured under 0&#x202F;mM or 25&#x202F;mM glucose conditions for 48&#x202F;h in triplicate. Total RNA was extracted using a NucleoSpin RNA isolation kit according to the manufacturer&#x2019;s instructions. RNA samples were submitted to Rhelixa Co., Ltd. for further analyses. mRNA-seq libraries were constructed using a NEBNext Ultra II Directional RNA Library Prep Kit and sequenced with the Illumina NovaSeq X Plus platform to generate a minimum of 40 million paired-end 150-bp reads. Sequencing reads were mapped to the CanFam3.1 canine reference genome using STAR, and expression levels were estimated using RSEM (<xref ref-type="bibr" rid="ref47">47</xref>, <xref ref-type="bibr" rid="ref48">48</xref>). Differential expression was analyzed with edgeR 3.42.0, and pathway enrichment was evaluated with gene set enrichment analysis (GSEA) v4.4.0 (<xref ref-type="bibr" rid="ref49 ref50 ref51">49&#x2013;51</xref>). To compare transcriptional profiles of our HSA cell lines with other canine cells, we analyzed our mRNA-seq data of HSA cell lines and 29 publicly available canine RNA-seq datasets (BioProject accessions PRJNA719562, PRJNA803064, PRJNA590267, PRJNA689618, and PRJNA786902) (<xref ref-type="table" rid="tab5">Table 5</xref>). All FASTQ files were aligned to the CanFam4 reference genome with STAR, and gene expression levels were estimated with RSEM. Read counts were analyzed in R v4.3.2. Genes with low counts per million (CPM) were filtered with edgeR (filterByExpr), library sizes were normalized by the trimmed mean of M-values (TMM), and precision weights were estimated with limma-voom. Principal-component analysis was performed on log<sub>2</sub>CPM values after removing batch effects using limma 3.56.2. Mean &#x00B1; SD expression of endothelial markers was summarized per biological group and visualized with ggplot2.</p>
<table-wrap position="float" id="tab5">
<label>Table 5</label>
<caption>
<p>Summary of canine cell sequencing datasets.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Experiment accession</th>
<th align="left" valign="middle">Experiment title</th>
<th align="left" valign="middle">Organism name</th>
<th align="left" valign="middle">Instrument</th>
<th align="center" valign="middle">Study accession</th>
<th align="center" valign="middle">Sample accession</th>
<th align="center" valign="middle">Total size, Mb</th>
<th align="center" valign="middle">Total spots</th>
<th align="center" valign="middle">Total bases</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">SRX10509643</td>
<td align="left" valign="middle">GSM5225596: endothelial cells coronary artery dog A; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP313354</td>
<td align="center" valign="middle">SRS8633736</td>
<td align="center" valign="middle">158</td>
<td align="center" valign="middle">11425142</td>
<td align="center" valign="middle">863734867</td>
</tr>
<tr>
<td align="left" valign="middle">SRX10509644</td>
<td align="left" valign="middle">GSM5225597: endothelial cells coronary artery dog C; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP313354</td>
<td align="center" valign="middle">SRS8633737</td>
<td align="center" valign="middle">167</td>
<td align="center" valign="middle">11893399</td>
<td align="center" valign="middle">899031286</td>
</tr>
<tr>
<td align="left" valign="middle">SRX10509645</td>
<td align="left" valign="middle">GSM5225598: endothelial cells femoral artery dog A; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP313354</td>
<td align="center" valign="middle">SRS8633738</td>
<td align="center" valign="middle">160</td>
<td align="center" valign="middle">11500946</td>
<td align="center" valign="middle">869197148</td>
</tr>
<tr>
<td align="left" valign="middle">SRX10509648</td>
<td align="left" valign="middle">GSM5225601: endothelial cells pulmonary artery dog A; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP313354</td>
<td align="center" valign="middle">SRS8633741</td>
<td align="center" valign="middle">170</td>
<td align="center" valign="middle">11976954</td>
<td align="center" valign="middle">905294855</td>
</tr>
<tr>
<td align="left" valign="middle">SRX10509649</td>
<td align="left" valign="middle">GSM5225602: endothelial cells pulmonary artery dog B; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP313354</td>
<td align="center" valign="middle">SRS8633742</td>
<td align="center" valign="middle">178</td>
<td align="center" valign="middle">12770805</td>
<td align="center" valign="middle">965107572</td>
</tr>
<tr>
<td align="left" valign="middle">SRX10509650</td>
<td align="left" valign="middle">GSM5225603: endothelial cells pulmonary artery dog C; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP313354</td>
<td align="center" valign="middle">SRS8633743</td>
<td align="center" valign="middle">168</td>
<td align="center" valign="middle">12224963</td>
<td align="center" valign="middle">924067882</td>
</tr>
<tr>
<td align="left" valign="middle">SRX9779362</td>
<td align="left" valign="middle">GSM5005184: D17 parental rep 1; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">Illumina HiSeq 2,500</td>
<td align="center" valign="middle">SRP300293</td>
<td align="center" valign="middle">SRS7966796</td>
<td align="center" valign="middle">2,343</td>
<td align="center" valign="middle">44634511</td>
<td align="center" valign="middle">5579313875</td>
</tr>
<tr>
<td align="left" valign="middle">SRX9779363</td>
<td align="left" valign="middle">GSM5005185: D17 parental rep 2; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">Illumina HiSeq 2,500</td>
<td align="center" valign="middle">SRP300293</td>
<td align="center" valign="middle">SRS7966797</td>
<td align="center" valign="middle">2,175</td>
<td align="center" valign="middle">41414982</td>
<td align="center" valign="middle">5176872750</td>
</tr>
<tr>
<td align="left" valign="middle">SRX9779364</td>
<td align="left" valign="middle">GSM5005186: D17 parental rep 3; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">Illumina HiSeq 2,500</td>
<td align="center" valign="middle">SRP300293</td>
<td align="center" valign="middle">SRS7966798</td>
<td align="center" valign="middle">2,255</td>
<td align="center" valign="middle">43027350</td>
<td align="center" valign="middle">5378418750</td>
</tr>
<tr>
<td align="left" valign="middle">SRX9779368</td>
<td align="left" valign="middle">GSM5005190: HMPOS parental rep 1; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">Illumina HiSeq 2,500</td>
<td align="center" valign="middle">SRP300293</td>
<td align="center" valign="middle">SRS7966802</td>
<td align="center" valign="middle">1,501</td>
<td align="center" valign="middle">26810051</td>
<td align="center" valign="middle">3351256375</td>
</tr>
<tr>
<td align="left" valign="middle">SRX9779369</td>
<td align="left" valign="middle">GSM5005191: HMPOS parental rep 2; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">Illumina HiSeq 2,500</td>
<td align="center" valign="middle">SRP300293</td>
<td align="center" valign="middle">SRS7966803</td>
<td align="center" valign="middle">1,649</td>
<td align="center" valign="middle">29447128</td>
<td align="center" valign="middle">3680891000</td>
</tr>
<tr>
<td align="left" valign="middle">SRX9779370</td>
<td align="left" valign="middle">GSM5005192: HMPOS parental rep 3; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">Illumina HiSeq 2,500</td>
<td align="center" valign="middle">SRP300293</td>
<td align="center" valign="middle">SRS7966804</td>
<td align="center" valign="middle">1896</td>
<td align="center" valign="middle">33553175</td>
<td align="center" valign="middle">4194146875</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340456</td>
<td align="left" valign="middle">GSM5720812: 1508-1_S1_L001; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258887</td>
<td align="center" valign="middle">204</td>
<td align="center" valign="middle">7055040</td>
<td align="center" valign="middle">532748267</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340457</td>
<td align="left" valign="middle">GSM5720813: 1508-1_S1_L002; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258886</td>
<td align="center" valign="middle">210</td>
<td align="center" valign="middle">7220453</td>
<td align="center" valign="middle">545263057</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340458</td>
<td align="left" valign="middle">GSM5720814: 1508-1_S1_L003; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258888</td>
<td align="center" valign="middle">212</td>
<td align="center" valign="middle">7244256</td>
<td align="center" valign="middle">547052616</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340459</td>
<td align="left" valign="middle">GSM5720815: 1508-1_S1_L004; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258889</td>
<td align="center" valign="middle">210</td>
<td align="center" valign="middle">7129627</td>
<td align="center" valign="middle">538409294</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340460</td>
<td align="left" valign="middle">GSM5720816: 1508-2_S7_L001; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258891</td>
<td align="center" valign="middle">185</td>
<td align="center" valign="middle">6400694</td>
<td align="center" valign="middle">483231680</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340461</td>
<td align="left" valign="middle">GSM5720817: 1508-2_S7_L002; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258890</td>
<td align="center" valign="middle">190</td>
<td align="center" valign="middle">6549323</td>
<td align="center" valign="middle">494498009</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340462</td>
<td align="left" valign="middle">GSM5720818: 1508-2_S7_L003; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258893</td>
<td align="center" valign="middle">193</td>
<td align="center" valign="middle">6575715</td>
<td align="center" valign="middle">496464875</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340463</td>
<td align="left" valign="middle">GSM5720819: 1508-2_S7_L004; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258892</td>
<td align="center" valign="middle">191</td>
<td align="center" valign="middle">6469921</td>
<td align="center" valign="middle">488494527</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340464</td>
<td align="left" valign="middle">GSM5720820: 1508-3_S8_L001; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258895</td>
<td align="center" valign="middle">186</td>
<td align="center" valign="middle">6402997</td>
<td align="center" valign="middle">483476466</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340465</td>
<td align="left" valign="middle">GSM5720821: 1508-3_S8_L002; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258894</td>
<td align="center" valign="middle">191</td>
<td align="center" valign="middle">6531844</td>
<td align="center" valign="middle">493239108</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340466</td>
<td align="left" valign="middle">GSM5720822: 1508-3_S8_L003; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258898</td>
<td align="center" valign="middle">194</td>
<td align="center" valign="middle">6570878</td>
<td align="center" valign="middle">496171220</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340467</td>
<td align="left" valign="middle">GSM5720823: 1508-3_S8_L004; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11258896</td>
<td align="center" valign="middle">191</td>
<td align="center" valign="middle">6432303</td>
<td align="center" valign="middle">485718048</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340420</td>
<td align="left" valign="middle">GSM5720800: 1506-1_S3_L001; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11245299</td>
<td align="center" valign="middle">179</td>
<td align="center" valign="middle">6061797</td>
<td align="center" valign="middle">457666042</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340421</td>
<td align="left" valign="middle">GSM5720801: 1506-1_S3_L002; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11245300</td>
<td align="center" valign="middle">186</td>
<td align="center" valign="middle">6308546</td>
<td align="center" valign="middle">476327052</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340422</td>
<td align="left" valign="middle">GSM5720802: 1506-1_S3_L003; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="middle">SRP349649</td>
<td align="center" valign="middle">SRS11245301</td>
<td align="center" valign="middle">186</td>
<td align="center" valign="middle">6220877</td>
<td align="center" valign="middle">469693213</td>
</tr>
<tr>
<td align="left" valign="middle">SRX13340423</td>
<td align="left" valign="middle">GSM5720803: 1506-1_S3_L004; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="middle"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="middle">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245302</td>
<td align="center" valign="top">186</td>
<td align="center" valign="top">6148315</td>
<td align="center" valign="top">464223596</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340448</td>
<td align="left" valign="top">GSM5720804: 1506-2_S11_L001; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245307</td>
<td align="center" valign="top">178</td>
<td align="center" valign="top">6012595</td>
<td align="center" valign="top">454001258</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340449</td>
<td align="left" valign="top">GSM5720805: 1506-2_S11_L002; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245308</td>
<td align="center" valign="top">179</td>
<td align="center" valign="top">6066321</td>
<td align="center" valign="top">458074581</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340450</td>
<td align="left" valign="top">GSM5720806: 1506-2_S11_L003; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245309</td>
<td align="center" valign="top">185</td>
<td align="center" valign="top">6165693</td>
<td align="center" valign="top">465573259</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340451</td>
<td align="left" valign="top">GSM5720807: 1506-2_S11_L004; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245310</td>
<td align="center" valign="top">180</td>
<td align="center" valign="top">5930455</td>
<td align="center" valign="top">447816603</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340452</td>
<td align="left" valign="top">GSM5720808: 1506-3_S6_L001; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245311</td>
<td align="center" valign="top">192</td>
<td align="center" valign="top">6654762</td>
<td align="center" valign="top">502477497</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340453</td>
<td align="left" valign="top">GSM5720809: 1506-3_S6_L002; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245312</td>
<td align="center" valign="top">197</td>
<td align="center" valign="top">6806659</td>
<td align="center" valign="top">513974551</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340454</td>
<td align="left" valign="top">GSM5720810: 1506-3_S6_L003; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245313</td>
<td align="center" valign="top">200</td>
<td align="center" valign="top">6838721</td>
<td align="center" valign="top">516388344</td>
</tr>
<tr>
<td align="left" valign="top">SRX13340455</td>
<td align="left" valign="top">GSM5720811: 1506-3_S6_L004; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">NextSeq 500</td>
<td align="center" valign="top">SRP349649</td>
<td align="center" valign="top">SRS11245314</td>
<td align="center" valign="top">198</td>
<td align="center" valign="top">6729910</td>
<td align="center" valign="top">508183809</td>
</tr>
<tr>
<td align="left" valign="top">SRX7177537</td>
<td align="left" valign="top">GSM4175965: UUA&#x2014;uninfected cells from uninfected well; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina NovaSeq 6,000</td>
<td align="center" valign="top">SRP230456</td>
<td align="center" valign="top">SRS5684513</td>
<td align="center" valign="top">1,515</td>
<td align="center" valign="top">17108657</td>
<td align="center" valign="top">5132597100</td>
</tr>
<tr>
<td align="left" valign="top">SRX7177538</td>
<td align="left" valign="top">GSM4175966: UUB&#x2014;uninfected cells from uninfected well; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina NovaSeq 6,000</td>
<td align="center" valign="top">SRP230456</td>
<td align="center" valign="top">SRS5684514</td>
<td align="center" valign="top">1,424</td>
<td align="center" valign="top">16006488</td>
<td align="center" valign="top">4801946400</td>
</tr>
<tr>
<td align="left" valign="top">SRX7177539</td>
<td align="left" valign="top">GSM4175967: UUC&#x2014;uninfected cells from uninfected well; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina NovaSeq 6,000</td>
<td align="center" valign="top">SRP230456</td>
<td align="center" valign="top">SRS5684515</td>
<td align="center" valign="top">1,537</td>
<td align="center" valign="top">17429567</td>
<td align="center" valign="top">5228870100</td>
</tr>
<tr>
<td align="left" valign="top">SRX7177540</td>
<td align="left" valign="top">GSM4175968: UUD&#x2014;uninfected cells from uninfected well; <italic>Canis lupus familiaris</italic>; RNA-Seq</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina NovaSeq 6,000</td>
<td align="center" valign="top">SRP230456</td>
<td align="center" valign="top">SRS5684516</td>
<td align="center" valign="top">1742</td>
<td align="center" valign="top">19444560</td>
<td align="center" valign="top">5833368000</td>
</tr>
<tr>
<td align="left" valign="top">SRX14030411</td>
<td align="left" valign="top">RNA-Seq of <italic>Canis lupus familiaris</italic>: Fibroblast</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina MiSeq</td>
<td align="center" valign="top">SRP358051</td>
<td align="center" valign="top">SRS11866026</td>
<td align="center" valign="top">413</td>
<td align="center" valign="top">14991035</td>
<td align="center" valign="top">749551750</td>
</tr>
<tr>
<td align="left" valign="top">SRX14030410</td>
<td align="left" valign="top">RNA-Seq of <italic>Canis lupus familiaris</italic>: Fibroblast</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina MiSeq</td>
<td align="center" valign="top">SRP358051</td>
<td align="center" valign="top">SRS11866024</td>
<td align="center" valign="top">996</td>
<td align="center" valign="top">36050619</td>
<td align="center" valign="top">1802530950</td>
</tr>
<tr>
<td align="left" valign="top">SRX14030407</td>
<td align="left" valign="top">RNA-Seq of <italic>Canis lupus familiaris</italic>: Fibroblast</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina MiSeq</td>
<td align="center" valign="top">SRP358051</td>
<td align="center" valign="top">SRS11866022</td>
<td align="center" valign="top">495</td>
<td align="center" valign="top">17742386</td>
<td align="center" valign="top">887119300</td>
</tr>
<tr>
<td align="left" valign="top">SRX14030406</td>
<td align="left" valign="top">RNA-Seq of <italic>Canis lupus familiaris</italic>: Fibroblast</td>
<td align="left" valign="top"><italic>Canis lupus familiaris</italic></td>
<td align="left" valign="top">Illumina MiSeq</td>
<td align="center" valign="top">SRP358051</td>
<td align="center" valign="top">SRS11866021</td>
<td align="center" valign="top">1,313</td>
<td align="center" valign="top">47701815</td>
<td align="center" valign="top">2385090750</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec14">
<title>RT-qPCR</title>
<p>Total RNA was extracted with TriPure Isolation Reagent according to the manufacturer&#x2019;s instructions. Reverse transcription was performed using PrimeScript II 1st Strand cDNA Synthesis Kit for 1&#x202F;&#x03BC;g of total RNA per sample according to the manufacturer&#x2019;s instructions. qPCR samples were prepared using KAPA SYBR FAST qPCR Kit Master Mix (2&#x00D7;) ABI Prism. The reaction solution contained 1&#x202F;&#x00D7;&#x202F;KAPA SYBR FAST qPCR Master Mix, 200&#x202F;nM forward and reverse primers, 1&#x202F;&#x03BC;L cDNA, and UltraPure DNase/RNase-free distilled water (UPDW). The samples were applied in triplicate and analyzed on a StepOne Real-Time PCR System. Samples were denatured at 95&#x202F;&#x00B0;C for 20&#x202F;s followed by 40&#x202F;cycles of 95&#x202F;&#x00B0;C for 3&#x202F;s and 60&#x202F;&#x00B0;C for 30&#x202F;s. RT-qPCR was performed using the primers listed in <xref ref-type="table" rid="tab6">Table 6</xref>. Results were normalized using the geometric mean of reference genes (<italic>RPL32</italic>, <italic>ACTB</italic>, <italic>B2M</italic>, <italic>HMBS</italic>, <italic>TBP</italic>, and <italic>YWHAZ</italic>), which were selected from potential internal controls by geNorm (<xref ref-type="bibr" rid="ref52">52</xref>). No-template controls (UPDW) and no-RT samples were used as negative controls. No amplification was detected for any primer set. Gene sequences were obtained from Ensembl. Primer3 ver 3.3.0 was used to design primers targeting 80&#x2013;150&#x202F;bp products. The primers were designed to bind all splice variants and to span exon-exon junctions where possible. NCBI BLAST was used to confirm that each primer set did not detect other genes. Primer-set specificity was evaluated by verifying a single peak in the melt curve. Relative expression levels were calculated by setting the 0&#x202F;h sample to 1.</p>
<table-wrap position="float" id="tab6">
<label>Table 6</label>
<caption>
<p>qPCR primer sequences.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Species</th>
<th align="left" valign="middle">Target</th>
<th align="left" valign="middle">Sequence (forward)</th>
<th align="left" valign="middle">Sequence (reverse)</th>
<th align="left" valign="middle">Gene ID</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="19">Canine</td>
<td align="left" valign="middle"><italic>RPL32</italic></td>
<td align="left" valign="middle">TGGTTACAGGAGCAACAAGAAA</td>
<td align="left" valign="middle">GCACATCAGCAGCACTTCA</td>
<td align="left" valign="middle">ENSCAFG00000004821</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>TBP</italic></td>
<td align="left" valign="middle">ATAAGAGAGCCCCGAACCAC</td>
<td align="left" valign="middle">TTCACATCACAGCTCCCCAC</td>
<td align="left" valign="middle">ENSCAFG00000004119</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>YWHAZ</italic></td>
<td align="left" valign="middle">CGAAGTTGCTGCTGGTGA</td>
<td align="left" valign="middle">TTGCATTTCCTTTTTGCTGA</td>
<td align="left" valign="middle">ENSCAFG00000000580</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>ACTB</italic></td>
<td align="left" valign="middle">CCAGCAAGGATGAAGATCAAG</td>
<td align="left" valign="middle">TCTGCTGGAAGGTGGACAG</td>
<td align="left" valign="middle">ENSCAFG00000016020</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>HMBS</italic></td>
<td align="left" valign="middle">TCACCATCGGAGCCATCT</td>
<td align="left" valign="middle">GTTCCCACCACGCTCTTCT</td>
<td align="left" valign="middle">ENSCAFG00000012342</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>B2M</italic></td>
<td align="left" valign="middle">ACGGAAAGGAGATGAAAGCA</td>
<td align="left" valign="middle">CCTGCTCATTGGGAGTGAA</td>
<td align="left" valign="middle">ENSCAFG00000013633</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>PECAM1</italic></td>
<td align="left" valign="middle">AACTTCACCATCCAGAAGG</td>
<td align="left" valign="middle">TCCACTGGGGCTATCACC</td>
<td align="left" valign="middle">ENSCAFG00000011740</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>VWF</italic></td>
<td align="left" valign="middle">AAGCAGACGATGGTGGATTC</td>
<td align="left" valign="middle">AATGTCCAGGAATGGCTCAG</td>
<td align="left" valign="middle">ENSCAFG00000015228</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>KDR</italic></td>
<td align="left" valign="middle">GGTATGGTCCTTGCCTCAGA</td>
<td align="left" valign="middle">CAGTGGTATCCGTGTCATCG</td>
<td align="left" valign="middle">ENSCAFG00000002079</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>ATF4</italic></td>
<td align="left" valign="middle">CTTAAGCCATGGCGCTTTTC</td>
<td align="left" valign="middle">GGAATGTGCTTAATTCGAAGGTG</td>
<td align="left" valign="middle">ENSCAFG00000001324</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>ASNS</italic></td>
<td align="left" valign="middle">TTGGGTTTTGTGCCACCATG</td>
<td align="left" valign="middle">AGAAAGGAAGAGGGGAAAGCTG</td>
<td align="left" valign="middle">ENSCAFG00000002222</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>SLC7A11</italic></td>
<td align="left" valign="middle">ATTCATGTCCGCAAGCACAC</td>
<td align="left" valign="middle">TGCCAGCCCAATAAAAAGCC</td>
<td align="left" valign="middle">ENSCAFG00000003749</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>SESN2</italic></td>
<td align="left" valign="middle">TTAGCTGCTTTTGGCGTCTG</td>
<td align="left" valign="middle">TGCAGAAACTCAGCCATGTG</td>
<td align="left" valign="middle">ENSCAFG00000011842</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>CHAC1</italic></td>
<td align="left" valign="middle">AGATCATGAGGGCTGCACTTG</td>
<td align="left" valign="middle">TAGCCGCCAAGTACTGCTTC</td>
<td align="left" valign="middle">ENSCAFG00000009414</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>DDIT3</italic></td>
<td align="left" valign="middle">GCGGATCATGTTGAAGATGAGC</td>
<td align="left" valign="middle">TCAGCTGCCATCTCTACAGTTG</td>
<td align="left" valign="middle">ENSCAFG00000030112</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>MTHFD2</italic></td>
<td align="left" valign="middle">TGTAGATGGCCTCCTTGTTCAG</td>
<td align="left" valign="middle">AACAGCGTTGCAGACCTTTC</td>
<td align="left" valign="middle">ENSCAFG00000008716</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>PYCR1</italic></td>
<td align="left" valign="middle">GCCACACATCATCCCCTTTATC</td>
<td align="left" valign="middle">AACGCCATCAGCTTCTTCTC</td>
<td align="left" valign="middle">ENSCAFG00000005906</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>PYCR2</italic></td>
<td align="left" valign="middle">TGTCGGCTCACAAGATCATAGC</td>
<td align="left" valign="middle">TCACCGTCTCCTTGTTGTTCC</td>
<td align="left" valign="middle">ENSCAFG00000016140</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>ALDH18A1</italic></td>
<td align="left" valign="middle">ATGGAAGCCAAGGTGAAAGC</td>
<td align="left" valign="middle">TGGGTTCCGTTGGCAATAAC</td>
<td align="left" valign="middle">ENSCAFG00000008339</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec15">
<title>Single-cell transcriptome analysis</title>
<p>Tumor tissues were harvested from two PDX models under anesthesia as described in the Animal Study section. Tumor tissues were washed with PBS to remove excess blood and trimmed to carefully remove mouse-derived adipose and connective tissues. The remaining tumor tissue was mechanically dissociated by mincing it into small fragments (~1&#x2013;2&#x202F;mm cubes) using sterile scalpels. Tissue fragments were then washed with PBS containing 0.1% bovine serum albumin (BSA) to prevent cell aggregation, and then subjected to two rounds of RBC lysis using an NH&#x2084;Cl-based buffer with gentle agitation for 5&#x202F;min. Following a wash with PBS/BSA, the tissue fragments were enzymatically digested in a solution containing 3&#x202F;mg/mL collagenase I and 1&#x202F;&#x03BC;g/mL DNase I in DMEM for 50&#x202F;min at 37&#x202F;&#x00B0;C with intermittent mixing. The digested tissue was gently homogenized by passing through 18G and 23G needles. The resulting cell suspension was then passed through a 40&#x202F;&#x03BC;m cell strainer to remove any remaining clumps. After another wash and RBC lysis step to ensure purity, dead cells were depleted using the Dead Cell Removal Kit according to the manufacturer&#x2019;s protocol. The number of viable cells was determined with trypan blue staining. The cell concentration was adjusted to approximately 1,000 cells/&#x03BC;L. Five thousand cells per sample were loaded onto a Chromium Controller for single-cell capture. Single-cell gene expression libraries were prepared using the Chromium Next GEM Single Cell 3&#x2019; Reagent Kits v3.1 for Dual Index following the manufacturer&#x2019;s protocol. The quality and fragment size distribution of the final libraries were assessed using an Agilent Bioanalyzer 2,100 with a High Sensitivity DNA Kit. Libraries were then pooled and sequenced on an Illumina NovaSeq 6,000 platform with a targeted sequencing depth of 800 million reads per sample.</p>
<p>For data analysis, canine-specific reads were first extracted using XenoCell with default settings (<xref ref-type="bibr" rid="ref53">53</xref>), and mapping and alignment were conducted by Cell Ranger (10X Genomics). Data were processed with Seurat ver. 4.2.0 using R ver. 4.5.0 in Rstudio ver. 2025.05.0. Metascape analysis for cluster 10 was conducted using Metascape (<xref ref-type="bibr" rid="ref54">54</xref>).</p>
</sec>
<sec id="sec16">
<title>Spatial transcriptome analysis</title>
<p>Patient information is detailed in <xref ref-type="table" rid="tab3">Table 3</xref>. A tumor tissue sample obtained from a splenectomy was embedded in Optimal Cutting Temperature (OCT) compound, snap-frozen, and stored at &#x2212;80&#x202F;&#x00B0;C until use. The frozen tissue was sectioned at 10&#x202F;&#x03BC;m thickness and placed onto a Stereo-seq chip. Stereo-seq library preparation, sequencing, and primary data analysis were performed by AZENTA (Chelmsford, MA, United States). Libraries were sequenced on a DNBSEQ platform, generating 1.0&#x2013;1.5&#x202F;G of paired-end reads, ensuring that &#x003E;75% of reads achieved a Phred score &#x2265; Q30. Raw sequencing reads were demultiplexed using the DNBSEQ platform&#x2019;s built-in software, and the quality of the raw data was assessed using fastp v.0.20.0. The final data processing, including alignment to the canine reference genome (ROS_Cfam_1.0) and spatial expression mapping, was performed using the Stereo-seq Analysis Workflow (SAW) pipeline.</p>
</sec>
<sec id="sec17">
<title>Migration assay</title>
<p>HU-HSA-2 and HU-HSA-3 were cultured under 0&#x202F;mM or 25&#x202F;mM glucose conditions for 24&#x202F;h in 6-well plates. Then, the cells were co-cultured with RAW264 cells seeded on ThinCert Cell-culture inserts for 24&#x202F;h. RAW264 cells on the upper surface of the inserts were removed with a cotton swab. Migrated RAW264 cells on the lower membrane surface were fixed with 4% paraformaldehyde for 30&#x202F;min at RT, and then stained with 0.01% crystal violet for 30&#x202F;min at RT. The number of cells was counted manually in ten fields at 200&#x202F;&#x00D7;&#x202F;under a light microscope (BX-41).</p>
</sec>
<sec id="sec18">
<title>Conditioned medium assay</title>
<p>HU-HSA-3 cells were cultured in DMEM with or without 25&#x202F;mM glucose for 48&#x202F;h. The supernatant was collected as conditioned medium and used for further analysis after filtering through a 0.2&#x202F;&#x03BC;m pore filter. D(+)-glucose was added to the conditioned medium obtained from the 0&#x202F;mM glucose condition to a final concentration of 5.6&#x202F;mM to allow RAW264 cells to survive. RAW264 cells were cultured with the conditioned medium (glucose 5.6&#x202F;mM or 25&#x202F;mM) or complete DMEM (glucose 5.6&#x202F;mM or 25&#x202F;mM) for 24&#x202F;h. Afterward, total RNA was harvested for RT-qPCR.</p>
</sec>
<sec id="sec19">
<title>Metabolome analysis</title>
<p>1.0&#x202F;&#x00D7;&#x202F;10<sup>5</sup> HU-HSA-3 cells were seeded in 10&#x202F;cm dishes with regular DMEM cell culture medium in triplicate and incubated overnight. The next day, the medium was changed to DMEM without glucose and glutamine (#042-32255, Fujifilm Wako, custom order lacking glutamine) supplemented with 4&#x202F;mM <sup>13</sup>C<sub>5</sub> L-glutamine. Cells were harvested at 0, 0.5, 3, 24, and 48&#x202F;h after changing the medium. Briefly, cells were washed with 3.4% erythritol twice after aspirating cell culture medium. 800&#x202F;&#x03BC;L methanol and 10&#x202F;&#x03BC;M internal standard were added, and then the extracted solution was centrifuged at 2,300&#x202F;&#x00D7;&#x202F;g, 4&#x202F;&#x00B0;C for 5&#x202F;min. Supernatant was collected and ultrafiltered with a 5&#x202F;kDa cutoff filter at 9,100&#x202F;&#x00D7;&#x202F;g, 4&#x202F;&#x00B0;C for 3&#x202F;h to remove proteins. Samples were then submitted to Human Metabolome Technology (Yamagata, Japan) for further analyses. Metabolic products were analyzed by an Agilent CE-TOF MS system (Agilent Technologies) (<xref ref-type="bibr" rid="ref55">55</xref>) with a fused silica capillary (i.d. 50&#x202F;&#x03BC;m &#x00D7;&#x202F;80&#x202F;cm in total length) in cation and anion modes. The signal-to-noise ratio for each peak was calculated, and peaks with a ratio more than 3 were used for the analysis. Using mass-to-charge ratios (m/z) and migration time of each peak, metabolic products were determined based on a metabolic product library from Human Metabolome Technology. For quantification of metabolic products, the concentration of total isotope ions for each product was calculated and normalized with the internal standard (<xref ref-type="bibr" rid="ref56">56</xref>, <xref ref-type="bibr" rid="ref57">57</xref>).</p>
</sec>
<sec id="sec20">
<title>Cell viability assay</title>
<p>Two thousand cells were seeded in 96-well cell culture plates and cultured in 100&#x202F;&#x03BC;L DMEM corresponding to each experimental condition. On the next day, cells were treated with either dimethyl sulfoxide (DMSO), tunicamycin, or salubrinal each at five different concentrations (10&#x202F;&#x03BC;g/mL, 1&#x202F;&#x03BC;g/mL, 0.1&#x202F;&#x03BC;g/mL, 0.01&#x202F;&#x03BC;g/mL, and 0.001&#x202F;&#x03BC;g/mL for tunicamycin; 100&#x202F;&#x03BC;M, 10&#x202F;&#x03BC;M, 1&#x202F;&#x03BC;M, 0.1&#x202F;&#x03BC;M, and 0.01&#x202F;&#x03BC;M for salubrinal). Survival rates were analyzed using Cell Counting Kit-8 (CCK-8) according to the manufacturer&#x2019;s instructions with slight modifications. Briefly, 10&#x202F;&#x03BC;L of CCK-8 solution was added to each well 48&#x202F;h after adding DMSO or either inhibitor. After a 2-h incubation, 10&#x202F;&#x03BC;L of 0.1% SDS solution was added to stop the reaction and the absorbance at 450&#x202F;nm was measured with a microplate reader MTP-320. Survival rates were calculated by setting the absorbance of DMSO-treated samples as 100%. KyPlot v5.0 software (KyensLab, Inc., Tokyo, Japan) was used to draw survival curves (<xref ref-type="bibr" rid="ref58">58</xref>).</p>
</sec>
<sec id="sec21">
<title>Statistical analysis</title>
<p>All statistical analyses were performed using R software (version 4.5.0; R Foundation for Statistical Computing, Vienna, Austria). A <italic>p</italic> value of less than 0.05 was considered statistically significant. Data distribution was first assessed for normality using the Shapiro&#x2013;Wilk test. For comparisons between two independent groups, the two-tailed Student&#x2019;s <italic>t</italic> test was used for normally distributed data. For comparisons among more than two groups, one-way analysis of variance (ANOVA) was performed, followed by Dunnett&#x2019;s <italic>post hoc</italic> test to compare each experimental group against the control group. For experiments involving two independent variables, two-way ANOVA was used, followed by an appropriate post hoc test for specific comparisons. <italic>In vivo</italic> tumor growth curves were analyzed using two-way ANOVA with repeated measures, and differences at the final time point were assessed using Dunnett&#x2019;s multiple comparisons test. Correlations between H3K18la intensity and immune cell density were assessed using Pearson&#x2019;s correlation coefficient.</p>
</sec>
<sec id="sec22">
<title>AI-assisted tools</title>
<p>We used OpenAI ChatGPT (model o3, and 5.2 accessed June 2025&#x2013;December 2025) and Google Gemini 2.5 Pro (accessed September 2024&#x2013;March 2025) for English proofreading and for methodological suggestions for bioinformatic analyses. Representative prompts were &#x201C;Please check the grammar of the attached document. Results should be shown as a list with line numbers and correct grammar&#x201D; for English proofreading, and &#x201C;Please explain common methods for creating peak plots of CUT&#x0026;Tag signals around the TSS regions&#x201D; for methodological suggestions. All outputs were reviewed and edited by the authors. No AI-generated data were used.</p>
</sec>
</sec>
<sec sec-type="results" id="sec23">
<title>Results</title>
<sec id="sec24">
<title>Establishment of canine hemangiosarcoma cell lines and PDX models</title>
<p>We established two canine HSA cell lines from splenic tumors of two dog patients (HU-HSA-2 and HU-HSA-3, <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1A</xref>; patient details in <xref ref-type="table" rid="tab3">Table 3</xref>). They expressed endothelial-marker genes and proteins (CD31, vWF, and KDR) (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S1B&#x2013;D</xref>). Gene expression profiles, however, were more similar to those of fibroblasts than to those of normal femoral and pulmonary arterial endothelial cells, which might reflect undifferentiated features of neoplastic endothelial cells (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1E</xref>; <xref ref-type="table" rid="tab5">Table 5</xref>). When transplanted subcutaneously into nude mice, both cell lines developed tumors that recapitulated morphological features of HSA such as blood-filled capillaries and proliferation of either spindle (HU-HSA-2) or round to oval (HU-HSA-3) tumor cells (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S1F,G</xref>). HU-HSA-2 cells develop tumors at four of six inoculation sites, and tumor growth rates were variable across the sites where tumors formed, whereas HU-HSA-3 formed tumors at all inoculation sites and showed consistent tumor growth (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1F</xref>). PDX models were also generated from three dog patients (HU-HSA-2, HU-HSA-3, and HU-HSA-1). They retained histological features of the corresponding patient tumors and expressed endothelial markers (CD31 and vWF) (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1G</xref>). Short tandem repeat analysis with a commercial canine genotyping kit confirmed the canine origin and the unique identity of each cell line and PDX model (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1H</xref>). We used these resources in subsequent experiments.</p>
</sec>
<sec id="sec25">
<title>Glucose is the major source of histone lactylation in HSA cells</title>
<p>To investigate the role of histone lactylation, we first evaluated global histone lactylation levels in the newly established HSA cell lines under regular or nutrient-deficient conditions. Under regular culture condition (25&#x202F;mM glucose, 4&#x202F;mM glutamine), HU-HSA-3 cells exhibited markedly stronger signals than HU-HSA-2 cells (<xref ref-type="fig" rid="fig1">Figure 1A</xref>). Glucose deprivation (0&#x202F;mM glucose, 4&#x202F;mM glutamine) for 48&#x202F;h significantly decreased global pan-H3 and H4 lactylation, H3K18la, and H4K5la levels in both cell lines without altering global histone acetylation levels (H3Ac, H4Ac) (<xref ref-type="fig" rid="fig1">Figure 1B</xref>) and resulted in modest cell growth retardation over 96&#x202F;h (<xref ref-type="fig" rid="fig1">Figure 1C</xref>). Polyclonal knockout of <italic>SLC2A1</italic> (GLUT1), a glucose transporter, by the CRISPR/Cas9 system also exhibited a significant reduction in global histone lactylation levels (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S2A</xref>), although no growth inhibition was observed <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S2B,C</xref>). This could be explained by metabolic adaptation acquired during the prolonged establishment period of the knockout cells. In contrast to glucose, glutamine deprivation (25&#x202F;mM glucose, 0&#x202F;mM glutamine) did not affect global histone lactylation levels (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S2D</xref>). These results suggest that glucose is the major source of histone lactylation in canine HSA cell lines.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Glucose starvation reduces global histone lactylation levels and reprograms HSA cell metabolism. <bold>(A)</bold> Western blot analysis of histone lactylation and total histone H3 levels in HSA cell lines under 25&#x202F;mM glucose condition. <bold>(B)</bold> Western blot analysis of histone lactylation and acetylation, and total histone H3 levels in HSA cell lines. <bold>(C)</bold> Growth curves of HSA cell lines cultured with or without glucose over 96&#x202F;h <italic>in vitro</italic>. <bold>(D)</bold> Extracellular flux analysis of HSA cell lines. (Left) Oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) traces. (Right) Calculated ATP production rates from mitochondria and glycolysis. <bold>(E)</bold> A schematic diagram of the seahorse Mito Fuel Flex Test. Created with BioRender. <bold>(F&#x2013;H)</bold> Mitochondrial fuel oxidation analysis in HSA cell lines. (Top) Calculated fuel oxidation, dependency, and flexibility for glucose <bold>(F)</bold>, fatty acids <bold>(G)</bold>, and glutamine <bold>(H)</bold>. (Bottom) OCR traces during sequential inhibition of fuel pathways. <bold>(I)</bold> GSEA from mRNA-seq in HSA cell lines. HSA cells were cultured for 48&#x202F;h with or without glucose in <bold>(B,C,F&#x2013;I)</bold>. Data are presented as mean &#x00B1; SD (<italic>n</italic>&#x202F;=&#x202F;3). <italic>n.s</italic>., Not significant. &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05. &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01. &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001. Two-way ANOVA for (C). Student&#x2019;s <italic>t</italic> test for extracellular flux analyses.</p>
</caption>
<graphic xlink:href="fvets-13-1734339-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">A scientific diagram displaying multiple panels labeled A to J. Panels A and B show Western blot analysis of histone modifications in cell lines HU-HSA-2 and HU-HSA-3 with varying glucose levels. Panel C presents graphs of cell proliferation over time with different glucose concentrations. Panel D includes line graphs of oxygen consumption and extracellular acidification rates, and bar graphs of ATP production rates. Panel E illustrates a metabolic pathway diagram. Panels F to H contain bar and line graphs of fuel oxidation, flexibility, dependency, and capacity for glucose, fatty acids, and glutamine. Panels I and J depict bar charts of oxidative phosphorylation and fatty acid metabolism enrichment scores.</alt-text>
</graphic>
</fig>
<p>Next, we assessed the metabolic status of HSA cell lines and the effects of glucose deprivation by extracellular flux analysis. Although our HSA cell lines retained endothelial characteristics, they relied comparably on glycolysis and OXPHOS for ATP production (<xref ref-type="fig" rid="fig1">Figure 1D</xref>). Glucose deprivation for 48&#x202F;h induced a near-complete metabolic shift toward OXPHOS, while overall ATP production rates remained comparable or slightly decreased (<xref ref-type="fig" rid="fig1">Figure 1D</xref>). To further evaluate nutrient dependency, flexibility, and capacity, we sequentially inhibited major mitochondrial fuel pathways using UK5099 for mitochondrial pyruvate carrier, BPTES for glutaminase, and etomoxir (ETO) for carnitine palmitoyltransferase 1 (<xref ref-type="fig" rid="fig1">Figure 1E</xref>). HU-HSA-3 cells consumed more glucose than HU-HSA-2 (<xref ref-type="fig" rid="fig1">Figure 1F</xref>), which may explain why the higher global histone lactylation levels were observed in HU-HSA-3 (<xref ref-type="fig" rid="fig1">Figure 1A</xref>). Upon glucose deprivation for 48&#x202F;h, both cell lines increased their reliance on alternative mitochondrial fuels. Changes in fatty acid oxidation parameters were modest and differed between cell lines (<xref ref-type="fig" rid="fig1">Figure 1G</xref>). No statistically significant change was observed in HU-HSA-3, whereas HU-HSA-2 showed only a small, albeit statistically significant, change. Glutamine oxidation dependency increased in both cell lines. A more robust change was observed in HU-HSA-3 than in HU-HSA-2 (<xref ref-type="fig" rid="fig1">Figure 1H</xref>). Consistent with these functional data, GSEA of mRNA-seq data showed that HU-HSA-3 cells under glucose deprivation for 48&#x202F;h displayed enrichment of OXPHOS and fatty acid metabolism/oxidation pathways, whereas comparable enrichment was not observed in HU-HSA-2 cells (<xref ref-type="fig" rid="fig1">Figure 1I</xref>). This cell line&#x2013;dependent transcriptional response is consistent with the more pronounced alteration in nutrient dependency observed in HU-HSA-3.</p>
<p>Taken together, our results demonstrate that glucose is the major source of histone lactylation in HSA cell lines and that glucose restriction shifts cellular metabolism toward mitochondrial respiration. This shift is accompanied by cell line-dependent changes in reliance on non-glucose mitochondrial substrates (particularly glutamine oxidation) and by transcriptional activation of OXPHOS and fatty acid metabolism pathways in HU-HSA-3.</p>
</sec>
<sec id="sec26">
<title>Lysine lactylation is enriched at TSSs and modulates gene expression during glucose starvation</title>
<p>To determine whether the robust reduction in global histone lactylation levels caused by glucose deprivation affects transcriptional regulation, we performed CUT&#x0026;Tag using antibodies against lysine lactylation (Kla), H3K4me3, and H3K27ac in HU-HSA-2 cells cultured for 48&#x202F;h with or without glucose. Glucose starvation increased Kla signals at promoter regions (&#x2264; 1&#x202F;kb), while the distributions of H3K4me3 and H3K27ac were not changed (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S3A</xref>). Further analysis including HU-HSA-3 confirmed that Kla signals were strongly enriched around TSSs in both HU-HSA-2 and HU-HSA-3 cells under glucose-deprived conditions (<xref ref-type="fig" rid="fig2">Figure 2A</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S3B,C</xref>). In contrast, H3K4me3 and H3K27ac did not exhibit such localized enrichment with the exception of H3K4me3 enrichment at TSSs in HU-HSA-3 (<xref ref-type="fig" rid="fig2">Figure 2A</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S3B,C, S4A</xref>). We then analyzed co-occupancy of Kla, H3K4me3, and RNAPII-Ser5P around TSSs to assess the transcriptional competence associated with Kla signals in HU-HSA-3 cells under glucose-deprived conditions. The largest overlap (1,957 genes) was detected between Kla and RNAPII-Ser5P, whereas only 142 genes overlapped between H3K4me3 and RNAPII-Ser5P and 99 genes for all three marks, suggesting that Kla is associated with activation of gene expression independently of H3K4me3 (<xref ref-type="fig" rid="fig2">Figure 2B</xref>, upper). PANTHER Gene Ontology analysis of the genes overlapped with Kla and RNAPII-Ser5P identified enrichment of gene sets associated with positive regulation of OXPHOS and stress responses (<xref ref-type="fig" rid="fig2">Figure 2B</xref>, lower). Consistently, GSEA of mRNA-seq data showed significant enrichment of OXPHOS and stress-response signatures under glucose starvation (<xref ref-type="fig" rid="fig1">Figures 1I</xref>, <xref ref-type="fig" rid="fig2">2C</xref>). Further examination of representative stress-response genes co-enriched with Kla and RNAPII-Ser5P at their TSSs; <italic>ASNS</italic> (amino-acid deprivation), <italic>DDIT3</italic> (endoplasmic reticulum stress), and <italic>SESN2</italic> (oxidative stress), confirmed concurrent enrichment under glucose-deprived conditions (<xref ref-type="fig" rid="fig2">Figure 2D</xref>). Expression of these and other stress-response genes was upregulated in HU-HSA-3 cells 48&#x202F;h after starting glucose starvation (<xref ref-type="fig" rid="fig2">Figure 2E</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S4B</xref>). HU-HSA-2 cells also increased expression of these genes, while transcriptional activation peaked 4&#x202F;h after starting glucose deprivation (<xref ref-type="fig" rid="fig2">Figure 2E</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S4B</xref>). Kla enrichment at TSSs was already evident 4&#x202F;h after glucose withdrawal in HU-HSA-2 cells (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S4C</xref>), suggesting that this cell line responds to glucose deprivation faster than HU-HSA-3 cells.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>KLA is enriched at TSSs of stress-response genes and promotes their transcription under glucose starvation. <bold>(A)</bold> Composite profile plots (top), heatmaps (middle), and merged profile plots (bottom) around TSSs. <bold>(B)</bold> (Top) Venn diagram showing overlap of genes with enriched KLA, H3K4me3, or RNAPII-Ser5P at TSSs in HU-HSA-3 cells under glucose starvation. (Bottom) PANTHER gene ontology analysis of the 1,957 genes co-enriched for KLA and RNAPII-Ser5P but not H3K4me3. <bold>(C)</bold> GSEA plots of mRNA-seq in glucose-starved HU-HSA-3 cells. NES, normalized enrichment score. <bold>(D)</bold> Genome tracks showing CUT&#x0026;Tag signals at representative stress-response gene loci in HSA cell lines cultured with or without glucose. <bold>(E)</bold> Time-course analysis of relative expression levels of stress-response genes in HSA cell lines following glucose starvation. <bold>(F)</bold> Integrated single-cell transcriptomic analysis of two HSA-PDX tumors. (Left) Uniform manifold approximation and projection (UMAP) of all tumor cells. (Top right) Metascape analysis for cluster 10. (Bottom right) UMAP of representative stress-response genes. <bold>(G)</bold> Spatial transcriptomics from an HSA patient tumor. Shown are <italic>PECAM1</italic> (marker of HSA tumor cells), stress-marker gene expressions, and the merged image. Arrowheads indicate a stress-response cluster. Data are presented as mean &#x00B1; SD (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fvets-13-1734339-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Graphical representation of various data analyses. Panel A shows heat maps depicting gene expression changes under different conditions for HU-HSA-2 and HU-HSA-3, with line graphs indicating specific histone modifications. Panel B features a Venn diagram and bar chart illustrating gene overlap and significant pathways in PantherGO Top7. Panel C presents enrichment plots for hallmark pathways. Panel D shows track views of gene regions with histone modifications. Panel E consists of bar graphs for relative gene expression over time. Panel F illustrates a UMAP plot for Cluster 10 with gene ontology analysis. Panel G displays images of HSA tissue labeled for PECAM and stress markers.</alt-text>
</graphic>
</fig>
<p>Next, to evaluate whether similar responses occur <italic>in vivo</italic>, we performed single-cell RNA-seq (scRNA-seq) on two HSA PDX tumors (HU-HSA-1 and HU-HSA-3) and spatial transcriptomics on an HSA patient tumor. The scRNA-seq analysis identified a tumor-cell population characterized by stress-response genes including those enriched with Kla and RNAPII-Ser5P signals at their TSSs (<xref ref-type="fig" rid="fig2">Figure 2F</xref>; cluster 10) of the 227 genes defining cluster 10, 44 were concurrently enriched with Kla and RNAPII-Ser5P at their TSSs (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S4D</xref>). We then mapped tumor cells that expressed stress-response genes from the overlap (<italic>ATF3, DDIT3, DDIT4, GADD45A,</italic> and <italic>GCLC</italic>) as well as <italic>ATF4</italic> and <italic>ASNS,</italic> and found that they formed cluster-like regions rather than being randomly scattered, suggesting that their distribution is shaped by the local microenvironment (<xref ref-type="fig" rid="fig2">Figure 2G</xref>). These findings indicate that these stress-response pathways are also active <italic>in vivo</italic>.</p>
<p>Collectively, our data indicate that glucose starvation leads to Kla enrichment at TSSs of OXPHOS and stress-response genes in HSA, and that this enrichment correlates with increased transcription.</p>
</sec>
<sec id="sec27">
<title>ATF4 and acute glucose removal are required to induce stress responses</title>
<p>To explore upstream regulation, we focused on ATF4, one of the master regulators of stress-response genes. CUT&#x0026;Tag revealed robust Kla enrichment at the TSSs of ATF4 48&#x202F;h after glucose withdrawal, whereas RNAPII-Ser5P enrichment was decreased (<xref ref-type="fig" rid="fig3">Figure 3A</xref>). Polyclonal ATF4 knockout in HU-HSA-3 cells significantly dampened the upregulation of ATF4-dependent stress-response genes induced by glucose deprivation, but it did not affect ATF4-independent stress-response genes such as <italic>NQO1</italic> and <italic>GCLC</italic> (<xref ref-type="fig" rid="fig3">Figures 3B</xref>,<xref ref-type="fig" rid="fig3">C</xref>). ATF4 loss did not affect short-term cell proliferation under either glucose-starved or normal culture conditions (<xref ref-type="fig" rid="fig3">Figure 3D</xref>), indicating that ATF4-regulated stress responses are negligible for short-term proliferation or that other stress-response regulators compensate for ATF4 loss. In time-course analysis of glucose deprivation, global histone lactylation levels started decreasing after 24&#x202F;h in HU-HSA-2 cells and 8&#x202F;h in HU-HSA-3 cells (<xref ref-type="fig" rid="fig3">Figure 3E</xref>). Although RNAPII-Ser5P was not enriched at TSSs of ATF4, its protein levels were increased within 1&#x202F;h in HU-HSA-2 cells and by 48&#x202F;h in HU-HSA-3 cells, followed by induction of ASNS (<xref ref-type="fig" rid="fig3">Figure 3E</xref>). Stepwise glucose dilutions indicated that ATF4 expression was induced at higher glucose concentrations in HU-HSA-3 than in HU-HSA-2 cells, although histone lactylation levels were reduced in both cell lines even at 2.5&#x202F;mM glucose (10 times dilution, <xref ref-type="fig" rid="fig4">Figure 4A</xref>). <italic>ATF4</italic> and <italic>ASNS</italic> expressions showed inverse correlations with glucose concentrations in both cell lines; however, the extent of upregulation was greater in HU-HSA-3 cells (<xref ref-type="fig" rid="fig4">Figure 4B</xref>). These results suggest that HU-HSA-2 and HU-HSA-3 cell lines have different sensitivities to glucose deprivation, which could reflect their different dependencies on glucose for ATP production (<xref ref-type="fig" rid="fig1">Figure 1D</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>ATF4 is required to induce stress responses under glucose starvation. <bold>(A)</bold> Genome tracks showing CUT&#x0026;Tag signals at the <italic>ATF4</italic> locus in HSA cell lines cultured for 48&#x202F;h with or without glucose. <bold>(B)</bold> Western blotting of ATF4 in polyclonal ATF4-knockout HU-HSA-3 cells and scramble controls cultured without glutamine for 4&#x202F;h to induce ATF4 expression. <bold>(C)</bold> Relative mRNA expression of key stress-response genes in scramble control and sgATF4-expressing HU-HSA-3 cells cultured for 48&#x202F;h with or without glucose. Expression levels were normalized to the matched scramble control in each glucose condition. <bold>(D)</bold> <italic>In vitro</italic> growth curves of scramble control and sgATF4-expressing HU-HSA-3 cells cultured over 96&#x202F;h with or without glucose. <bold>(E)</bold> Time course western blotting of KLa, ATF4, ASNS, total histone H3, and actin over 48&#x202F;h of glucose starvation in HSA cell lines. Data are presented as mean &#x00B1; SD (<italic>n</italic>&#x202F;=&#x202F;3). N<italic>.s</italic>., not significant, two-way ANOVA in <bold>(D)</bold>.</p>
</caption>
<graphic xlink:href="fvets-13-1734339-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Panels illustrating various experimental data. Panel A shows gene expression profiles with different conditions (0 mM vs 25 mM). Panel B presents a Western blot of ATF4 and Vinculin with different treatments. Panel C contains bar graphs comparing relative gene expression for ASNS, SLC7A11, MTHFD2, NQO1, and GCLC under different conditions. Panel D displays line graphs of cell numbers over time at two glucose concentrations. Panel E shows Western blots for Kla, ATF4, ASNS, H3, and Actin over a time course in different conditions.</alt-text>
</graphic>
</fig>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Acute glucose withdrawal is required for inducing stress responses in HSA cells. <bold>(A)</bold> Western blotting of ATF4, Kla, and Vinculin in HU-HSA-2 and HU-HSA-3 cells. Cells were cultured for 4&#x202F;h (HU-HSA-2) or 48&#x202F;h (HU-HSA-3) in medium with serially diluted glucose (25&#x202F;mM to 0&#x202F;mM). <bold>(B)</bold> Relative mRNA expression levels of <italic>ATF4</italic> and <italic>ASNS</italic> in HU-HSA-2 and HU-HSA-3 cells cultured as in <bold>(A)</bold>. <bold>(C,D)</bold> Time-course qPCR of <italic>ATF4</italic>, <italic>ASNS</italic>, <italic>SESN2</italic>, and <italic>DDIT3</italic> in HU-HSA-2 and HU-HSA-3 cells. Cells were cultured in medium with or without glucose and treated with vehicle (DMSO), 0.06&#x202F;&#x03BC;g/mL tunicamycin <bold>(C)</bold>, or 10&#x202F;&#x03BC;M salubrinal <bold>(D)</bold>. Data are presented as mean &#x00B1; SD (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fvets-13-1734339-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Figure showing experimental results on gene expression and protein levels under different glucose conditions. Panel A displays Western blots for ATF4, Kla, H3, H4, and Vinculin across HU-HSA-2 and HU-HSA-3 cell lines with varying glucose dilution rates. Panels B-D present bar graphs indicating relative gene expression for ATF4, ASNS, SESN2, and DDIT3 over different time points and glucose concentrations, with different treatments (DMSO, Tunicamycin, Sulbinalir) indicated in color. Error bars suggest variability across experiments.</alt-text>
</graphic>
</fig>
<p>We also limited glucose uptake by polyclonal knockout of GLUT1 (<italic>SLC2A1</italic>) and by treating cells with the GLUT1 inhibitor BAY876. Both interventions significantly reduced global histone lactylation levels (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S2A, S5A</xref>), yet they failed to trigger stress-response gene expressions (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S5B,C</xref>). Although BAY876 treatments slightly increased their expressions (&#x003C; two-fold) in HU-HSA-2 cells, GLUT1 inhibition could be sufficient to reduce global histone lactylation levels but insufficient to induce stress responses. As noted above, long-term culture during knockout cell-line establishment might have allowed metabolic adaptation. In addition, BAY876 treatment could provide only partial inhibition, either because of incomplete inhibition of GLUT1 or compensation by other glucose transporters such as GLUT3 or GLUT4. Thus, acute and substantial glucose removal appears necessary to induce stress responses.</p>
<p>Next, to test whether acute glucose starvation is required for inducing stress responses, we treated the cells with tunicamycin and salubrinal. Tunicamycin directly induces endoplasmic reticulum stress by inhibiting N-linked glycosylation (<xref ref-type="bibr" rid="ref59">59</xref>), whereas salubrinal prolongs stress responses by inhibiting eIF2&#x03B1; dephosphorylation, thereby increasing ATF4 protein levels (<xref ref-type="bibr" rid="ref60">60</xref>). We used these compounds at a low-dose (25% inhibition concentration, IC<sub>25</sub>) to mimic glucose-deficient cultures we tested, which induced only a slight delay in cell proliferation (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S5D</xref>). These treatments activated <italic>ATF4, ASNS, SESN2,</italic> and <italic>DDIT3</italic> expressions under regular culture conditions, confirming that stress responses were induced (<xref ref-type="fig" rid="fig4">Figures 4C,D</xref>, dark red). Glucose deprivation alone induced expression levels almost comparable to those in tunicamycin- or salubrinal-treated cells, whereas a modest additive effect was observed with drug treatments at 48&#x202F;h (<xref ref-type="fig" rid="fig4">Figures 4C</xref>,<xref ref-type="fig" rid="fig4">D</xref>). In addition, these treatments induced gene expressions slightly earlier than DMSO controls in HU-HSA-3 cells, yet expression levels eventually reached similar levels by 48&#x202F;h. These results suggest that acute glucose deprivation alone is sufficient to induce robust ATF4-regulated stress responses.</p>
<p>Taken together, glucose-starvation-induced stress responses are mostly ATF4 dependent and require acute and substantial glucose withdrawal, while loss of global histone lactylation alone is insufficient to trigger them.</p>
</sec>
<sec id="sec28">
<title>HSA cells activate <italic>de novo</italic> asparagine synthesis from glutamine to survive in glucose-deprived conditions</title>
<p>So far, we have shown that glucose deprivation activates transcription of ATF4-mediated stress-response genes including the asparagine synthetase, ASNS. CUT&#x0026;Tag analysis also revealed Kla enrichment at the TSSs of genes involved in asparagine and aspartate synthesis under glucose-deprived conditions (<xref ref-type="fig" rid="fig5">Figure 5A</xref>). We therefore hypothesized that <italic>de novo</italic> asparagine synthesis contributes to metabolic adaptation during acute glucose starvation. Given that glucose withdrawal increased OXPHOS activity in both cell lines and increased glutamine oxidation dependency more prominently in HU-HSA-3 (<xref ref-type="fig" rid="fig1">Figures 1D</xref>,<xref ref-type="fig" rid="fig1">H</xref>), we hypothesized that glutamine could be used for asparagine synthesis via anaplerosis (<xref ref-type="fig" rid="fig5">Figure 5B</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>HSA cells utilize glutamine-derived asparagine for survival under glucose starvation. <bold>(A)</bold> PANTHER pathway analysis of genes with KLa enrichment at the TSSs in glucose-starved HSA cells. <bold>(B)</bold> Diagram of <italic>de novo</italic> asparagine synthesis via the TCA cycle under glucose restriction. Created with BioRender. <bold>(C)</bold> A schematic diagram of [U-<sup>13</sup>C]glutamine tracing. <bold>(D)</bold> Normalized metabolite concentrations in HU-HSA-3 cells after switching to the medium containing [U-<sup>13</sup>C]glutamine under glucose starvation. <bold>(E)</bold> Cell proliferation assay of HU-HSA-3 cells cultured for 72&#x202F;h with or without glucose and supplemented with or without 2&#x202F;mM asparagine in 1% FBS. <bold>(F)</bold> Cell proliferation assay of scramble control and sgATF4-expressing HU-HSA-3 cells cultured under the same conditions as in <bold>(E)</bold>. <bold>(G)</bold> Western blotting for KLa, H3K18La, ATF4, and ASNS in HU-HSA-3 cells treated as in <bold>(F)</bold>. <bold>(H)</bold> Relative expression levels of stress-response genes in HU-HSA-3 cells cultured for 48&#x202F;h with or without glucose. 4&#x202F;mM glutamine was supplemented for the final 24&#x202F;h of culture. <bold>(I)</bold> Proposed model summarizing the adaptive response of HSA cells to glucose starvation. Created with BioRender. Data are presented as mean &#x00B1; SD (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05; <italic>n.s.</italic>, not significant. Student&#x2019;s <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fvets-13-1734339-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Diagram and data visualizations explore the role of asparagine and metabolic pathways in cellular processes under glucose restriction. Panels A, B, and I depict pathway enrichment and metabolic cycles. Panels C and D show labeled metabolite data and concentration graphs over time for compounds like asparagine and pyruvate. Panel E illustrates cell viability with asparagine presence, while panel F displays effects of specific gene knockouts. Panel G is a western blot for glucose/glutamine conditions. Panel H presents gene expression data under varying nutrient conditions.</alt-text>
</graphic>
</fig>
<p>To trace glutamine-derived carbon, we conducted isotope-tracing metabolomic analysis using [U-<sup>13</sup>C]glutamine for 48&#x202F;h in HU-HSA-3 cells (<xref ref-type="fig" rid="fig5">Figure 5C</xref>). The results confirmed that glutamine fueled the tricarboxylic acid (TCA) cycles since <sup>13</sup>C labeling appeared in TCA-cycle intermediates within 0.5&#x202F;h (<xref ref-type="fig" rid="fig5">Figure 5D</xref>). <sup>13</sup>C incorporation into asparagine started 3&#x202F;h after glucose starvation, and asparagine concentration significantly increased by 48&#x202F;h (<xref ref-type="fig" rid="fig5">Figure 5D</xref>). By contrast, <sup>13</sup>C enrichment and the concentration of aspartate peaked at 3&#x202F;h and then decreased gradually, suggesting conversion of aspartate to asparagine by ASNS. Lactate concentration was markedly reduced 0.5&#x202F;h after glucose starvation (<xref ref-type="fig" rid="fig5">Figure 5D</xref>). This confirms that Kla enrichment at TSSs was established under low-lactate conditions. Next, we added asparagine (2&#x202F;mM at a final concentration) to the culture medium under glucose-starved and low-FBS conditions. In this experiment, we reduced FBS concentrations to minimize the effect of serum-derived asparagine and to examine the direct effect of asparagine supplementation. Asparagine supplementation modestly increased HSA cell proliferation rates under glucose-deprived conditions for 72&#x202F;h (<xref ref-type="fig" rid="fig5">Figure 5E</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S6A</xref>), and this effect was abolished by ATF4 reduction (<xref ref-type="fig" rid="fig5">Figure 5F</xref>). In contrast, asparagine supplementation had no impact under normal glucose conditions (<xref ref-type="fig" rid="fig5">Figure 5E</xref>; <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S6A</xref>). Although proline concentration showed a similar trend to that of asparagine (<xref ref-type="fig" rid="fig5">Figure 5D</xref>), proline supplementation did not accelerate HSA cell proliferation, nor were proline-synthesis genes upregulated (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S6B,C</xref>). These results suggest that glutamine-derived asparagine, produced through the ATF4-ASNS axis, supports HSA cell survival in glucose-deprived conditions.</p>
<p><sup>13</sup>C tracing also indicated that intracellular glutamine was significantly decreased at 24&#x202F;h and was nearly depleted at 48&#x202F;h (<xref ref-type="fig" rid="fig5">Figure 5D</xref>), which raised a possibility that glutamine deficiency, rather than glucose starvation, induced stress responses. To address this possibility, we added glutamine 24&#x202F;h after initiation of glucose starvation and subsequently examined stress-response gene and protein expression. Glutamine supplementation did not affect gene expression changes induced by glucose starvation, global histone lactylation levels, and ATF4/ASNS protein expression levels (<xref ref-type="fig" rid="fig5">Figures 5G</xref>,<xref ref-type="fig" rid="fig5">H</xref>). These results suggest that these responses are driven primarily by glucose withdrawal rather than by secondary glutamine depletion during the extended culture period.</p>
<p>Collectively, we demonstrate that HSA cells activate <italic>de novo</italic> asparagine synthesis from glutamine to adapt to glucose starvation, and that ATF4-mediated stress responses and global histone lactylation loss are induced by glucose deprivation itself (<xref ref-type="fig" rid="fig5">Figure 5I</xref>).</p>
</sec>
<sec id="sec29">
<title>M2&#x2013;like macrophages accumulate around HSA cells with low histone lactylation levels</title>
<p>Finally, we examined histone lactylation levels and its functional implications in patient tumors. Formalin-fixed paraffin-embedded blocks from 13 canine splenic HSA cases archived in our laboratory were used for this purpose (<xref ref-type="table" rid="tab3">Table 3</xref>). Immunohistochemistry (IHC) for H3K18la indicated that HSA tumor cells exhibited significantly higher average H3K18la intensity compared to normal endothelial cells (ECs) in 9 out of 13 cases (<xref ref-type="fig" rid="fig6">Figures 6A</xref>,<xref ref-type="fig" rid="fig6">B</xref>). In contrast, no such trend was observed in nuclear Kla signals likely because this antibody recognizes broader targets including non-histone proteins (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figures S7A,B</xref>). By careful microscopic observation, we recognized heterogeneous H3K18la signal patterns among tumor cells within the same tissues. We then classified tumor cells into low, middle, and high groups based on nuclear H3K18la mean values and visualized their spatial distribution. The results indicated that tumor cells formed clusters with cells of the same group, suggesting that H3K18la levels are associated with spatial factors such as the tumor microenvironment (<xref ref-type="fig" rid="fig6">Figure 6C</xref>).</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Histone lactylation exhibits heterogeneous distribution, and M2-like macrophages accumulate in low-histone lactylation areas. <bold>(A)</bold> Representative images of hematoxylin &#x0026; eosin and H3K18la IHC of HSA and adjacent normal tissues. Scale bars, 100&#x202F;&#x03BC;m. <bold>(B)</bold> Quantitative analysis of nuclear H3K18la intensity in HSA and normal endothelial cells. <bold>(C)</bold> (Left) Representative images showing intratumoral H3K18la heterogeneity in HSA tissue. Scale bars, 250&#x202F;&#x03BC;m. (Right) Violin plots showing H3K18la intensity for total and subregions. <bold>(D)</bold> GSEA plots from mRNA-seq showing enrichment of inflammatory pathways in glucose-starved HSA cells. <bold>(E)</bold> PANTHER pathway analysis of Kla-enriched genes from glucose-starved HSA cells. <bold>(F)</bold> IGV snapshots of CUT&#x0026;Tag signals at representative inflammatory gene loci. <bold>(G)</bold> Representative dual-IHC images for H3K18la and CD204 in HSA tissue. Scale bars, 200&#x202F;&#x03BC;m. <bold>(H)</bold> Correlations between tumor-cell H3K18la intensity and the number of infiltrating immune cells in each area. <bold>(I)</bold> Schematic of the migration assay. <bold>(J)</bold> Box plots of migrating RAW264 cells. <bold>(K)</bold> Relative mRNA expression levels in RAW264 cells treated with conditioned medium from HU-HSA-3 cells cultured with or without glucose. Data are presented as mean &#x00B1; SD (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001. Student&#x2019;s <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fvets-13-1734339-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">A multi-panel scientific illustration features various analyses comparing endothelial cells and HSA tumor cells. Panel A shows histological slides of a spleen case with highlighted HSA areas. Panel B presents a graph displaying nuclear DAB mean values across different cases. Panel C uses H3K18la intensity maps and violin plots to indicate tumor region variations. Panel D provides enrichment plots for inflammatory pathways. Panel E visualizes pathway intensities with dot plots. Panel F shows graphical representations of chemical treatment effects. Panel G includes tumor intensity maps and graphs correlating H3K18la intensity with various markers. Panel H contains scatterplots correlating cell markers. Panel I explains a macrophage infiltration assay. Panel J depicts box plots of infiltrating macrophages under different treatments. Panel K presents bar graphs of gene expression levels.</alt-text>
</graphic>
</fig>
<p>mRNA-seq and CUT&#x0026;Tag experiments on glucose-deprived HSA cell lines revealed transcriptional activation and Kla enrichment at the TSSs of inflammation-associated genes (<xref ref-type="fig" rid="fig6">Figures 6D</xref>&#x2013;<xref ref-type="fig" rid="fig6">F</xref>). Based on these findings, we double-stained H3K18la and immune-cell markers (Iba-1 for macrophages, CD204 for M2-like macrophages, and CD3 for T cells) to evaluate correlations between histone lactylation and immune responses. To take heterogeneous H3K18la patterns into account, we first classified tumor cells as described above and selected five areas that included all three groups for each tissue sample (<xref ref-type="fig" rid="fig6">Figure 6G</xref>). The results indicated statistically significant negative correlation between average normalized H3K18la signals and Iba-1-positive or CD204-positive cells (<italic>p</italic>&#x202F;=&#x202F;0.0212 and <italic>p</italic>&#x202F;=&#x202F;0.0380, respectively), whereas no correlation was observed with CD3-positive cells (<xref ref-type="fig" rid="fig6">Figure 6H</xref>). These findings suggest that macrophages, particularly those with an M2-like phenotype, preferentially infiltrate into tumor regions characterized by low histone lactylation levels.</p>
<p>To further explore functional interactions between glucose-starved HSA cells and macrophages, we co-cultured HSA cells with murine macrophage cell line RAW264 (<xref ref-type="fig" rid="fig6">Figure 6I</xref>). Glucose-starved HSA cells attracted a significantly higher number of RAW264 cells compared to HSA cells cultured under regular glucose conditions (<xref ref-type="fig" rid="fig6">Figure 6J</xref>). Furthermore, conditioned medium from glucose-restricted HSA cells decreased expression of M1-like markers (<italic>IL-6</italic> and <italic>NOS2</italic>) and increased expression of M2-like markers (<italic>MSR1</italic> and <italic>CD274</italic>) in RAW264 cells (<xref ref-type="fig" rid="fig6">Figure 6K</xref>). These results indicate that glucose-starved HSA cells attract macrophages and polarize them toward an M2-like phenotype.</p>
<p>Taken together, we demonstrate that histone lactylation is spatially heterogeneous in HSA tissues, and that tumor regions with low histone lactylation levels recruit M2-type macrophages. Considering these findings together with the <italic>in vitro</italic> co-culture experiment results, HSA cells can create pro-tumor microenvironments in glucose-restricted regions in tumor tissues.</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec30">
<title>Discussion</title>
<p>In this study, glucose withdrawal from the culture medium resulted in a redistribution of Kla to TSSs of genes associated with stress responses, asparagine synthesis, and immune responses. Stress-response genes exhibited concomitant enrichment of Kla and RNAPII-Ser5P at TSSs and were transcriptionally upregulated, suggesting that Kla at TSSs is associated with positive regulation of transcription. This is consistent with previous findings that histone lactylation is enriched at TSSs and actively regulates gene expression in tumor cells and immune cells (<xref ref-type="bibr" rid="ref7">7</xref>, <xref ref-type="bibr" rid="ref61">61</xref>, <xref ref-type="bibr" rid="ref62">62</xref>). These studies, however, were conducted under glucose-rich conditions. Our results indicate that HSA cells exploit a limited lactate pool to regulate specific genes under glucose- and lactate-restricted conditions, suggesting that tumor cells can rapidly adapt to microenvironmental changes. Although we identified the important role of Kla under glucose-deprived conditions, we could not determine whether enrichment at TSSs was established on histones. These signals may reflect lactylation of histones, non-histone proteins, or both. We tested an H3K18la antibody in CUT&#x0026;Tag as reported elsewhere but failed to obtain sufficient DNA for sequencing. This might be attributed to insufficient H3K18la levels under glucose-deprived conditions, lot-to-lot variability of the antibody, or species differences. Nevertheless, the observed redistribution of Kla under glucose-deprived conditions suggests that HSA cells utilize a limited lactate pool to epigenetically regulate gene expression and adapt to low-glucose environments.</p>
<p>HU-HSA-2 and HU-HSA-3 differed in the timing and magnitude of transcriptional stress responses to glucose starvation, consistent with intrinsic metabolic heterogeneity. Our mitochondrial fuel-usage profiling and transcriptomic analyses suggest that HU-HSA-3 is more metabolically flexible and more readily engages oxidative metabolism and alternative substrates (e.g., fatty acids and glutamine) when glucose becomes limiting, which would be expected to buffer early energetic stress and delay ATF4-dependent transcriptional activation relative to HU-HSA-2. In addition, HU-HSA-3 shows higher basal histone lactylation under glucose-replete conditions, which may provide a chromatin-level reserve that supports a more gradual transition during nutrient restriction, whereas lower basal lactylation levels in HU-HSA-2 may contribute to a faster onset of stress signaling. Together, these cell line&#x2013;dependent features likely reflect broader metabolic diversity in HSA and may help explain variable adaptation to glucose-poor microenvironments.</p>
<p>Although genes associated with asparagine synthesis and immune responses showed Kla peaks at their TSSs, they were not overrepresented among PANTHER GO terms for genes showing concomitant enrichment of Kla and RNAPII-Ser5P. This means that genes with Kla peaks at their TSSs do not necessarily coincide with RNAPII-Ser5P peaks, although some genes such as <italic>OAS1</italic>, <italic>OAS2</italic>, and <italic>CLCF1</italic> exhibited co-enrichment of both signals. We speculate that these lactylation marks prime specific genes for rapid expression upon a secondary stimulus. Several reports indicate similar mechanisms in innate immunity. M1 macrophages exposed to bacteria primed wound-healing genes that were later transcribed during M2 polarization, and trained monocytes/macrophages retain H3K18la as an epigenetic memory that accelerates gene expression upon a secondary stimulus (<xref ref-type="bibr" rid="ref7">7</xref>, <xref ref-type="bibr" rid="ref63">63</xref>). While our experiments demonstrated that the asparagine pathway and immune responses are functionally important in HSA cells, time-course analyses of gene and protein expression will be required to determine whether Kla actually primes these genes for rapid reactivation upon a secondary stimulus. In addition, our CUT&#x0026;Tag experiments revealed that ATF4 was one of the genes with Kla enrichment at their TSSs without RNAPII-Ser5P enrichment. Given that ATF4 protein expression is regulated by translational inhibition (<xref ref-type="bibr" rid="ref64">64</xref>), concomitant enrichment of Kla and RNAPII-Ser5P may not be necessary for immediate induction. However, it is possible that Kla at TSSs functions as an epigenetic memory to rapidly supply additional ATF4 protein if its levels become limiting or additional cellular stresses occur. Overall, although further research is required, Kla, possibly histone lactylation, could maintain selected genes in a poised state for future stimuli in tumor cells as well.</p>
<p>In this study, we established and characterized canine HSA cell lines and PDX models by examining their morphology, gene and protein expression, and STR profiles. Long-term <italic>in vitro</italic> cultures can induce genetic drift, clonal selection, and altered signaling-pathway activity, thereby causing tumor cells to lose their original characteristics (<xref ref-type="bibr" rid="ref65">65</xref>, <xref ref-type="bibr" rid="ref66">66</xref>). This makes it difficult to predict patient responses (<xref ref-type="bibr" rid="ref67">67</xref>, <xref ref-type="bibr" rid="ref68">68</xref>). To minimize this limitation, in our study, all <italic>in vitro</italic> experiments were conducted with early-passage cultures (fewer than p16). In addition, PDX models are useful tools to predict patient responses to potential therapeutics. Generally, PDX models retain morphology and heterogeneity more faithfully than cultured cells because they are grown in a 3D environment with non-tumor components such as stromal and immune cells (<xref ref-type="bibr" rid="ref69">69</xref>). Indeed, our HSA PDX models recapitulated original patient tumor morphology more accurately than early-passage cell lines. Although further characterization is needed, our paired patient-derived HSA models could be useful for basic and translational hemangiosarcoma research.</p>
<p>Our study has several limitations. First, all metabolic analyses were performed in 2D cell cultures. Tumor-cell metabolism <italic>in vivo</italic> is modulated by microenvironmental factors, which results in metabolic dynamics that differ from those <italic>in vitro</italic>. Future studies should interrogate HSA cell metabolism in cell-line xenografts, PDX models, and patient tissues for a more physiologically relevant understanding. Second, we could not perform loss- and gain-of-function experiments targeting histone lactylation. Writers and erasers for histone lactylation have been identified, but they can also modify histone acetylation (<xref ref-type="bibr" rid="ref7">7</xref>, <xref ref-type="bibr" rid="ref70">70</xref>). This means that their knockout, overexpression, or pharmacological inhibition can affect multiple histone modifications, which obscures whether Kla peaks at TSSs drive transcription or merely correlate with a transcriptionally active epigenetic state. Third, our experiments were limited to canine hemangiosarcoma. Whether the glucose-deprivation-associated enrichment of pan-Kla at TSSs is conserved in human angiosarcoma or across other tumor types remains unknown. If conserved, this lactylation-based gene regulation could be targeted broadly. If not, it may be unique to HSA and should be pursued as an HSA-specific target. Nonetheless, our data show that lysine lactylation, possibly histone lactylation, persists even under glucose-deprived conditions, suggesting that tumor cells exploit this epigenetic mark to regulate transcription under nutrient-poor conditions. Fourth, we used the murine macrophage cell line RAW264 for co-culture and conditioned medium assays due to the limited availability of canine macrophage cell lines. Although RAW264 cells are widely used as a macrophage model, interspecies differences in cytokine-receptor affinity or signal interaction could affect the results. Future studies using canine-derived macrophages are warranted to validate the species-specific interactions observed in this study.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec31">
<title>Data availability statement</title>
<p>The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request. mRNA-seq and CUT&#x0026;Tag data were uploaded on Gene Expression Omnibus (GSE304507, GSE304509, and GSE305701). Custom codes used for data analysis are available at Zenodo (DOI: <ext-link xlink:href="https://doi.org/10.5281/zenodo.16813072" ext-link-type="uri">10.5281/zenodo.16813072</ext-link>). All noncommercially available new materials, including constructs, cell lines and PDX models, that Hokkaido University has the right to provide will be made available to nonprofit or academic requesters upon completion of a standard material transfer agreement. Requests for materials may be made by contacting KA (<email xlink:href="mailto:k-aoshima@vetmed.hokudai.ac.jp">k-aoshima@vetmed.hokudai.ac.jp</email>).</p>
</sec>
<sec sec-type="ethics-statement" id="sec32">
<title>Ethics statement</title>
<p>The studies involving client-owned dogs were reviewed and approved by the Hokkaido University Veterinary Teaching Hospital Ethics Screening Committee (approval no. 2022&#x2013;005), and written informed consent was obtained from the owners for the participation of their animals in this study. The mouse experiments were reviewed and approved by the Hokkaido University Institutional Animal Care and Use Committee (protocol nos. 20&#x2013;0083 and 21&#x2013;0062) and were conducted in accordance with local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec33">
<title>Author contributions</title>
<p>TS: Investigation, Funding acquisition, Conceptualization, Formal analysis, Writing &#x2013; original draft, Data curation, Validation, Methodology. KaH: Methodology, Data curation, Validation, Writing &#x2013; review &#x0026; editing. JY: Data curation, Writing &#x2013; review &#x0026; editing. MY: Writing &#x2013; review &#x0026; editing, Methodology. RK: Resources, Writing &#x2013; review &#x0026; editing. SK: Resources, Writing &#x2013; review &#x0026; editing. KeH: Resources, Writing &#x2013; review &#x0026; editing. YO-O: Writing &#x2013; review &#x0026; editing, Methodology. MS: Methodology, Writing &#x2013; review &#x0026; editing. PX: Data curation, Methodology, Writing &#x2013; review &#x0026; editing. QY: Writing &#x2013; review &#x0026; editing, Methodology, Data curation. TK: Writing &#x2013; review &#x0026; editing. KA: Conceptualization, Project administration, Funding acquisition, Validation, Writing &#x2013; review &#x0026; editing, Investigation, Supervision, Formal analysis, Visualization, Data curation, Writing &#x2013; original draft.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We acknowledge the efforts of Drs. Mitsuyoshi Takiguchi and Hironobu Yasui, Faculty of Veterinary Medicine, Hokkaido University, for giving useful pieces of advice and constructive discussion. We are grateful to all the members of the Laboratory of Comparative Pathology, Faculty of Veterinary Medicine, Hokkaido University for their helpful discussions, encouragement, and support. We sincerely thank all canine patients whose tumor tissues gave rise to the tumor cell lines and PDX models analyzed in this study, and we are deeply grateful to their owners for their generous cooperation and courtesy in supporting this research. We also gratefully acknowledge the following individuals whose contributions to our crowdfunding project helped make this research possible: Akinori Ariji (member of the amateur pro-wrestling group &#x201C;Nariagari&#x201D;), Hidetaka Kano, Hirokazu Enomoto, Hisashi Ishihara, Ikuo Konishi, Jun Murayama, Kaoru Miyoda, Kayo Watanabe, Keisuke Okutani, Lemi Shinozaki, Mariko Nishikida, Mayumi Befu, Midori Okutani, Sachiko Hashimoto, Satoru Okita, Teruko Michiduka, Tomoichi Enomoto, Toshiaki Michiduka, Yoji Hibiki, and Yuki Maki, as well as the many other donors who prepferred to remain anonymous.</p>
</ack>
<sec sec-type="COI-statement" id="sec34">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec35">
<title>Generative AI statement</title>
<p>The author(s) declared that Generative AI was used in the creation of this manuscript. We used OpenAI ChatGPT (model o3 and 5.2) and Google Gemini 2.5 Pro for English proofreading and methodological suggestions. All outputs were reviewed and edited by the authors. No AI-generated data were used.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec36">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec37">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fvets.2026.1734339/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fvets.2026.1734339/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><label>1.</label> <mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hanahan</surname><given-names>D</given-names></name></person-group>. <article-title>Hallmarks of Cancer: new dimensions</article-title>. <source>Cancer Discov</source>. (<year>2022</year>) <volume>12</volume>:<fpage>31</fpage>&#x2013;<lpage>46</lpage>. doi: <pub-id pub-id-type="doi">10.1158/2159-8290.CD-21-1059</pub-id>, <pub-id pub-id-type="pmid">35022204</pub-id></mixed-citation></ref>
<ref id="ref2"><label>2.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kodama</surname><given-names>M</given-names></name> <name><surname>Nakayama</surname><given-names>KI</given-names></name></person-group>. <article-title>A second Warburg-like effect in cancer metabolism: the metabolic shift of glutamine-derived nitrogen</article-title>. <source>BioEssays</source>. (<year>2020</year>) <volume>42</volume>:<fpage>12</fpage>. doi: <pub-id pub-id-type="doi">10.1002/bies.202000169</pub-id></mixed-citation></ref>
<ref id="ref3"><label>3.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Warburg</surname><given-names>O</given-names></name> <name><surname>Wind</surname><given-names>F</given-names></name> <name><surname>Negelein</surname><given-names>E</given-names></name></person-group>. <article-title>The metabolism of tumors in the body</article-title>. <source>J Gen Physiol</source>. (<year>1927</year>) <volume>8</volume>:<fpage>519</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.1085/jgp.8.6.519</pub-id>, <pub-id pub-id-type="pmid">19872213</pub-id></mixed-citation></ref>
<ref id="ref4"><label>4.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ijare</surname><given-names>OB</given-names></name> <name><surname>Hambarde</surname><given-names>S</given-names></name> <name><surname>Henrique</surname><given-names>B</given-names></name> <name><surname>Lopez</surname><given-names>S</given-names></name> <name><surname>Sharpe</surname><given-names>MA</given-names></name> <name><surname>Helekar</surname><given-names>SA</given-names></name> <etal/></person-group>. <article-title>Glutamine anaplerosis is required for amino acid biosynthesis in human meningiomas</article-title>. <source>Neuro-Oncology</source>. (<year>2022</year>) <volume>24</volume>:<fpage>556</fpage>&#x2013;<lpage>68</lpage>. doi: <pub-id pub-id-type="doi">10.1093/neuonc/noab219</pub-id></mixed-citation></ref>
<ref id="ref5"><label>5.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kremer</surname><given-names>JC</given-names></name> <name><surname>Prudner</surname><given-names>BC</given-names></name> <name><surname>Lange</surname><given-names>SES</given-names></name> <name><surname>Bean</surname><given-names>GR</given-names></name> <name><surname>Schultze</surname><given-names>MB</given-names></name> <name><surname>Brashears</surname><given-names>CB</given-names></name> <etal/></person-group>. <article-title>Arginine deprivation inhibits the Warburg effect and upregulates glutamine Anaplerosis and serine biosynthesis in ASS1-deficient cancers</article-title>. <source>Cell Rep</source>. (<year>2017</year>) <volume>18</volume>:<fpage>991</fpage>&#x2013;<lpage>1004</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.celrep.2016.12.077</pub-id>, <pub-id pub-id-type="pmid">28122247</pub-id></mixed-citation></ref>
<ref id="ref6"><label>6.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deberardinis</surname><given-names>RJ</given-names></name> <name><surname>Mancuso</surname><given-names>A</given-names></name> <name><surname>Daikhin</surname><given-names>E</given-names></name> <name><surname>Nissim</surname><given-names>I</given-names></name> <name><surname>Yudkoff</surname><given-names>M</given-names></name> <name><surname>Wehrli</surname><given-names>S</given-names></name> <etal/></person-group>. <article-title>Beyond aerobic glycolysis: transformed cells can engage in glutamine metabolism that exceeds the requirement for protein and nucleotide synthesis</article-title>. <source>Proc Natl Acad Sci USA</source>. (<year>2007</year>) <volume>104</volume>:<fpage>19345</fpage>&#x2013;<lpage>50</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.0709747104</pub-id>, <pub-id pub-id-type="pmid">18032601</pub-id></mixed-citation></ref>
<ref id="ref7"><label>7.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>D</given-names></name> <name><surname>Tang</surname><given-names>Z</given-names></name> <name><surname>Huang</surname><given-names>H</given-names></name> <name><surname>Zhou</surname><given-names>G</given-names></name> <name><surname>Cui</surname><given-names>C</given-names></name> <name><surname>Weng</surname><given-names>W</given-names></name> <etal/></person-group>. <article-title>Metabolic regulation of gene expression by histone lactylation</article-title>. <source>Nature</source>. (<year>2019</year>) <volume>574</volume>:<fpage>575</fpage>&#x2013;<lpage>80</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41586-019-1678-1</pub-id></mixed-citation></ref>
<ref id="ref8"><label>8.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Irizarry-Caro</surname><given-names>RA</given-names></name> <name><surname>McDaniel</surname><given-names>MM</given-names></name> <name><surname>Overcast</surname><given-names>GR</given-names></name> <name><surname>Jain</surname><given-names>VG</given-names></name> <name><surname>Troutman</surname><given-names>TD</given-names></name> <name><surname>Pasare</surname><given-names>C</given-names></name></person-group>. <article-title>TLR signaling adapter BCAP regulates inflammatory to reparatory macrophage transition by promoting histone lactylation</article-title>. <source>Proc Natl Acad Sci USA</source>. (<year>2020</year>) <volume>117</volume>:<fpage>30628</fpage>&#x2013;<lpage>38</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.2009778117</pub-id>, <pub-id pub-id-type="pmid">33199625</pub-id></mixed-citation></ref>
<ref id="ref9"><label>9.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>S</given-names></name> <name><surname>Huang</surname><given-names>T</given-names></name> <name><surname>Wu</surname><given-names>Q</given-names></name> <name><surname>Yuan</surname><given-names>H</given-names></name> <name><surname>Wu</surname><given-names>X</given-names></name> <name><surname>Yuan</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title>Lactate reprograms glioblastoma immunity through CBX3-regulated histone lactylation</article-title>. <source>J Clin Invest</source>. (<year>2024</year>) <volume>134</volume>:<fpage>e176851</fpage>. doi: <pub-id pub-id-type="doi">10.1172/JCI176851</pub-id>, <pub-id pub-id-type="pmid">39545414</pub-id></mixed-citation></ref>
<ref id="ref10"><label>10.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leo</surname><given-names>AD</given-names></name> <name><surname>Ugolini</surname><given-names>A</given-names></name> <name><surname>Yu</surname><given-names>X</given-names></name> <name><surname>Scirocchi</surname><given-names>F</given-names></name> <name><surname>Scocozza</surname><given-names>D</given-names></name> <name><surname>Peixoto</surname><given-names>B</given-names></name> <etal/></person-group>. <article-title>Glucose-driven histone lactylation promotes the immunosuppressive activity of monocyte-derived macrophages in glioblastoma</article-title>. <source>Immunity</source>. (<year>2024</year>) <volume>57</volume>:<fpage>1105</fpage>&#x2013;<lpage>23</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.immuni.2024.04.006</pub-id></mixed-citation></ref>
<ref id="ref11"><label>11.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xiong</surname><given-names>J</given-names></name> <name><surname>He</surname><given-names>J</given-names></name> <name><surname>Zhu</surname><given-names>J</given-names></name> <name><surname>Pan</surname><given-names>J</given-names></name> <name><surname>Liao</surname><given-names>W</given-names></name> <name><surname>Ye</surname><given-names>H</given-names></name> <etal/></person-group>. <article-title>Lactylation-driven METTL3-mediated RNA m6A modification promotes immunosuppression of tumor-infiltrating myeloid cells</article-title>. <source>Mol Cell</source>. (<year>2022</year>) <volume>82</volume>:<fpage>1660</fpage>&#x2013;<lpage>77</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.molcel.2022.02.033</pub-id></mixed-citation></ref>
<ref id="ref12"><label>12.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>J</given-names></name> <name><surname>Chen</surname><given-names>Z</given-names></name> <name><surname>Jin</surname><given-names>M</given-names></name> <name><surname>Gu</surname><given-names>X</given-names></name> <name><surname>Wang</surname><given-names>Y</given-names></name> <name><surname>Huang</surname><given-names>G</given-names></name> <etal/></person-group>. <article-title>Histone H4K12 lactylation promotes malignancy progression in triple-negative breast cancer through SLFN5 downregulation</article-title>. <source>Cell Signal</source>. (<year>2024</year>) <volume>124</volume>:<fpage>111468</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cellsig.2024.111468</pub-id>, <pub-id pub-id-type="pmid">39395526</pub-id></mixed-citation></ref>
<ref id="ref13"><label>13.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname><given-names>S</given-names></name> <name><surname>Zhang</surname><given-names>J</given-names></name> <name><surname>Zhao</surname><given-names>R</given-names></name> <name><surname>Shi</surname><given-names>R</given-names></name> <name><surname>An</surname><given-names>L</given-names></name> <name><surname>Yu</surname><given-names>Z</given-names></name> <etal/></person-group>. <article-title>Histone lactylation promotes malignant progression by facilitating USP39 expression to target PI3K/AKT/HIF-1&#x03B1; signal pathway in endometrial carcinoma</article-title>. <source>Cell Death Discov</source>. (<year>2024</year>) <volume>10</volume>:<fpage>121</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41420-024-01898-4</pub-id>, <pub-id pub-id-type="pmid">38459014</pub-id></mixed-citation></ref>
<ref id="ref14"><label>14.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aupperle-Lellbach</surname><given-names>H</given-names></name> <name><surname>Grassinger</surname><given-names>JM</given-names></name> <name><surname>Floren</surname><given-names>A</given-names></name> <name><surname>T&#x00F6;rner</surname><given-names>K</given-names></name> <name><surname>Beitzinger</surname><given-names>C</given-names></name> <name><surname>Loesenbeck</surname><given-names>G</given-names></name> <etal/></person-group>. <article-title>Tumour incidence in dogs in Germany: a retrospective analysis of 109,616 histopathological diagnoses (2014&#x2013;2019)</article-title>. <source>J Comp Pathol</source>. (<year>2022</year>) <volume>198</volume>:<fpage>33</fpage>&#x2013;<lpage>55</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jcpa.2022.07.009</pub-id>, <pub-id pub-id-type="pmid">36116890</pub-id></mixed-citation></ref>
<ref id="ref15"><label>15.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baioni</surname><given-names>E</given-names></name> <name><surname>Scanziani</surname><given-names>E</given-names></name> <name><surname>Vincenti</surname><given-names>MC</given-names></name> <name><surname>Leschiera</surname><given-names>M</given-names></name> <name><surname>Bozzetta</surname><given-names>E</given-names></name> <name><surname>Pezzolato</surname><given-names>M</given-names></name> <etal/></person-group>. <article-title>Estimating canine cancer incidence: findings from a population-based tumour registry in northwestern Italy</article-title>. <source>BMC Vet Res</source>. (<year>2017</year>) <volume>13</volume>:<fpage>203</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12917-017-1126-0</pub-id>, <pub-id pub-id-type="pmid">28659149</pub-id></mixed-citation></ref>
<ref id="ref16"><label>16.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dobson</surname><given-names>JM</given-names></name> <name><surname>Samuel</surname><given-names>S</given-names></name> <name><surname>Milstein</surname><given-names>H</given-names></name> <name><surname>Rogers</surname><given-names>K</given-names></name> <name><surname>Wood</surname><given-names>JLN</given-names></name></person-group>. <article-title>Canine neoplasia in the UK: estimates of incidence rates from a population of insured dogs</article-title>. <source>J Small Anim Pract</source>. (<year>2002</year>) <volume>43</volume>:<fpage>240</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1748-5827.2002.tb00066.x</pub-id>, <pub-id pub-id-type="pmid">12074288</pub-id></mixed-citation></ref>
<ref id="ref17"><label>17.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gr&#x00FC;ntzig</surname><given-names>K</given-names></name> <name><surname>Graf</surname><given-names>R</given-names></name> <name><surname>Boo</surname><given-names>G</given-names></name> <name><surname>Guscetti</surname><given-names>F</given-names></name> <name><surname>H&#x00E4;ssig</surname><given-names>M</given-names></name> <name><surname>Axhausen</surname><given-names>KW</given-names></name> <etal/></person-group>. <article-title>Swiss canine Cancer registry 1955-2008: occurrence of the Most common tumour diagnoses and influence of age, breed, body size, sex and neutering status on tumour development</article-title>. <source>J Comp Pathol</source>. (<year>2016</year>) <volume>155</volume>:<fpage>156</fpage>&#x2013;<lpage>70</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jcpa.2016.05.011</pub-id>, <pub-id pub-id-type="pmid">27406312</pub-id></mixed-citation></ref>
<ref id="ref18"><label>18.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Taylor</surname><given-names>C</given-names></name> <name><surname>Barry</surname><given-names>GJ</given-names></name> <name><surname>O&#x2019;Neill</surname><given-names>DG</given-names></name> <name><surname>Guill&#x00E9;n</surname><given-names>A</given-names></name> <name><surname>Price</surname><given-names>PP</given-names></name> <name><surname>Labadie</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title>Survival time and prognostic factors in dogs clinically diagnosed with haemangiosarcoma in UK first opinion practice</article-title>. <source>PLoS One</source>. (<year>2025</year>) <volume>20</volume>:<fpage>6</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0316066</pub-id></mixed-citation></ref>
<ref id="ref19"><label>19.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Prymak</surname><given-names>C</given-names></name> <name><surname>McKee</surname><given-names>LJ</given-names></name> <name><surname>Goldschmidt</surname><given-names>MH</given-names></name> <name><surname>Glickman</surname><given-names>LT</given-names></name></person-group>. <article-title>Epidemiologic, clinical, pathologic, and prognostic characteristics of splenic hemangiosarcoma and splenic hematoma in dogs: 217 cases (1985)</article-title>. <source>J Am Vet Med Assoc</source>. (<year>1988</year>) <volume>193</volume>:<fpage>706</fpage>&#x2013;<lpage>12</lpage>.</mixed-citation></ref>
<ref id="ref20"><label>20.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Faulhaber</surname><given-names>EA</given-names></name> <name><surname>Janik</surname><given-names>E</given-names></name> <name><surname>Thamm</surname><given-names>DH</given-names></name></person-group>. <article-title>Adjuvant carboplatin for treatment of splenic hemangiosarcoma in dogs: retrospective evaluation of 18 cases (2011-2016) and comparison with doxorubicin-based chemotherapy</article-title>. <source>J Vet Intern Med</source>. (<year>2021</year>) <volume>35</volume>:<fpage>1929</fpage>&#x2013;<lpage>34</lpage>. doi: <pub-id pub-id-type="doi">10.1111/jvim.16212</pub-id>, <pub-id pub-id-type="pmid">34227148</pub-id></mixed-citation></ref>
<ref id="ref21"><label>21.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>G</given-names></name> <name><surname>Wu</surname><given-names>M</given-names></name> <name><surname>Durham</surname><given-names>AC</given-names></name> <name><surname>Radaelli</surname><given-names>E</given-names></name> <name><surname>Mason</surname><given-names>NJ</given-names></name> <name><surname>Xu</surname><given-names>XW</given-names></name> <etal/></person-group>. <article-title>Molecular subtypes in canine hemangiosarcoma reveal similarities with human angiosarcoma</article-title>. <source>PLoS One</source>. (<year>2020</year>) <volume>15</volume>:<fpage>3</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0229728</pub-id>, <pub-id pub-id-type="pmid">32210430</pub-id></mixed-citation></ref>
<ref id="ref22"><label>22.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname><given-names>K</given-names></name> <name><surname>Ludwig</surname><given-names>L</given-names></name> <name><surname>Krijgsman</surname><given-names>O</given-names></name> <name><surname>Adams</surname><given-names>DJ</given-names></name> <name><surname>Wood</surname><given-names>GA</given-names></name> <name><surname>Weyden</surname><given-names>LVD</given-names></name> <etal/></person-group>. <article-title>Comparison of the oncogenomic landscape of canine and feline hemangiosarcoma shows novel parallels with human angiosarcoma</article-title>. <source>Dis Model Mech</source>. (<year>2021</year>) <volume>14</volume>:<fpage>7</fpage>. doi: <pub-id pub-id-type="doi">10.1242/dmm.049044</pub-id>, <pub-id pub-id-type="pmid">34296746</pub-id></mixed-citation></ref>
<ref id="ref23"><label>23.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sch&#x00F6;ffski</surname><given-names>P</given-names></name> <name><surname>Timmermans</surname><given-names>I</given-names></name> <name><surname>Wildiers</surname><given-names>H</given-names></name> <name><surname>Dumez</surname><given-names>H</given-names></name> <name><surname>Hompes</surname><given-names>D</given-names></name> <name><surname>Christiaens</surname><given-names>M</given-names></name> <etal/></person-group>. <article-title>Retrospective analysis of the clinical presentation, treatment and outcome of Angiosarcoma in a sarcoma referral center</article-title>. <source>Oncol Res Treat</source>. (<year>2021</year>) <volume>44</volume>:<fpage>322</fpage>&#x2013;<lpage>32</lpage>. doi: <pub-id pub-id-type="doi">10.1159/000516000</pub-id>, <pub-id pub-id-type="pmid">33946082</pub-id></mixed-citation></ref>
<ref id="ref24"><label>24.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wagner</surname><given-names>MJ</given-names></name> <name><surname>Ravi</surname><given-names>V</given-names></name> <name><surname>Schaub</surname><given-names>SK</given-names></name> <name><surname>Kim</surname><given-names>EY</given-names></name> <name><surname>Sharib</surname><given-names>J</given-names></name> <name><surname>Mogal</surname><given-names>H</given-names></name> <etal/></person-group>. <article-title>Incidence and presenting characteristics of Angiosarcoma in the US, 2001-2020</article-title>. <source>JAMA Netw Open</source>. (<year>2024</year>) <volume>7</volume>:<fpage>4</fpage>. doi: <pub-id pub-id-type="doi">10.1001/jamanetworkopen.2024.6235</pub-id>, <pub-id pub-id-type="pmid">38607625</pub-id></mixed-citation></ref>
<ref id="ref25"><label>25.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Colas</surname><given-names>M</given-names></name> <name><surname>G&#x00E9;razime</surname><given-names>A</given-names></name> <name><surname>Popescu</surname><given-names>D</given-names></name> <name><surname>Puzenat</surname><given-names>E</given-names></name> <name><surname>Chaigneau</surname><given-names>L</given-names></name> <name><surname>Woronoff</surname><given-names>AS</given-names></name> <etal/></person-group>. <article-title>Angiosarcoma: a population-based cancer registry descriptive study of 45 consecutive cases diagnosed between 1979 and 2016</article-title>. <source>Rare Tumors</source>. (<year>2020</year>) <volume>12</volume>:<fpage>12</fpage>. doi: <pub-id pub-id-type="doi">10.1177/2036361320979216</pub-id>, <pub-id pub-id-type="pmid">33403092</pub-id></mixed-citation></ref>
<ref id="ref26"><label>26.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heishima</surname><given-names>K</given-names></name> <name><surname>Aketa</surname><given-names>N</given-names></name> <name><surname>Heishima</surname><given-names>M</given-names></name> <name><surname>Kawachi</surname><given-names>A</given-names></name></person-group>. <article-title>Hemangiosarcoma in dogs as a potential non-rodent animal model for drug discovery research of angiosarcoma in humans</article-title>. <source>Front Oncol</source>. (<year>2023</year>) <volume>13</volume>:<fpage>1250766</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fonc.2023.1250766</pub-id>, <pub-id pub-id-type="pmid">38130992</pub-id></mixed-citation></ref>
<ref id="ref27"><label>27.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname><given-names>W</given-names></name> <name><surname>Zeng</surname><given-names>S</given-names></name> <name><surname>Wang</surname><given-names>X</given-names></name> <name><surname>Wang</surname><given-names>G</given-names></name> <name><surname>Liao</surname><given-names>D</given-names></name> <name><surname>Li</surname><given-names>R</given-names></name> <etal/></person-group>. <article-title>A feedback loop driven by H3K9 lactylation and HDAC2 in endothelial cells regulates VEGF-induced angiogenesis</article-title>. <source>Genome Biol</source>. (<year>2024</year>) <volume>25</volume>:<fpage>165</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s13059-024-03308-5</pub-id>, <pub-id pub-id-type="pmid">38918851</pub-id></mixed-citation></ref>
<ref id="ref28"><label>28.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>Y</given-names></name> <name><surname>Zhang</surname><given-names>Z</given-names></name> <name><surname>Cao</surname><given-names>X</given-names></name> <name><surname>Guo</surname><given-names>D</given-names></name> <name><surname>Huang</surname><given-names>S</given-names></name> <name><surname>Xie</surname><given-names>L</given-names></name> <etal/></person-group>. <article-title>Semaphorin 6A phase separation sustains a histone lactylation&#x2013;dependent lactate buildup in pathological angiogenesis</article-title>. <source>Proc Natl Acad Sci USA</source>. (<year>2025</year>) <volume>122</volume>:<fpage>e2423677122</fpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.2423677122</pub-id>, <pub-id pub-id-type="pmid">40244673</pub-id></mixed-citation></ref>
<ref id="ref29"><label>29.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname><given-names>M</given-names></name> <name><surname>Yang</surname><given-names>K</given-names></name> <name><surname>Wang</surname><given-names>X</given-names></name> <name><surname>Chen</surname><given-names>L</given-names></name> <name><surname>Gill</surname><given-names>PS</given-names></name> <name><surname>Ha</surname><given-names>T</given-names></name> <etal/></person-group>. <article-title>Lactate promotes endothelial-to-mesenchymal transition via Snail1 lactylation after myocardial infarction</article-title>. <source>Sci Adv</source>. (<year>2023</year>) <volume>9</volume>:<fpage>5</fpage>. doi: <pub-id pub-id-type="doi">10.1126/sciadv.adc9465</pub-id>, <pub-id pub-id-type="pmid">36735787</pub-id></mixed-citation></ref>
<ref id="ref30"><label>30.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harasawa</surname><given-names>R</given-names></name> <name><surname>Mizusawa</surname><given-names>H</given-names></name> <name><surname>Nozawa</surname><given-names>K</given-names></name> <name><surname>Nakagawa</surname><given-names>T</given-names></name> <name><surname>Asada</surname><given-names>K</given-names></name> <name><surname>Kato</surname><given-names>I</given-names></name></person-group>. <article-title>Detection and tentative identification of dominant mycoplasma species in cell cultures by restriction analysis of the 16S-23S rRNA intergenic spacer regions</article-title>. <source>Res Microbiol</source>. (<year>1993</year>) <volume>144</volume>:<fpage>489</fpage>&#x2013;<lpage>93</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0923-2508(93)90057-9</pub-id>, <pub-id pub-id-type="pmid">7910696</pub-id></mixed-citation></ref>
<ref id="ref31"><label>31.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schneider</surname><given-names>CA</given-names></name> <name><surname>Rasband</surname><given-names>WS</given-names></name> <name><surname>Eliceiri</surname><given-names>KW</given-names></name></person-group>. <article-title>NIH image to ImageJ: 25 years of image analysis</article-title>. <source>Nat Methods</source>. (<year>2012</year>) <volume>9</volume>:<fpage>671</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nmeth.2089</pub-id>, <pub-id pub-id-type="pmid">22930834</pub-id></mixed-citation></ref>
<ref id="ref32"><label>32.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bankhead</surname><given-names>P</given-names></name> <name><surname>Loughrey</surname><given-names>MB</given-names></name> <name><surname>Fern&#x00E1;ndez</surname><given-names>JA</given-names></name> <name><surname>Dombrowski</surname><given-names>Y</given-names></name> <name><surname>McArt</surname><given-names>DG</given-names></name> <name><surname>Dunne</surname><given-names>PD</given-names></name> <etal/></person-group>. <article-title>QuPath: open source software for digital pathology image analysis</article-title>. <source>Sci Rep</source>. (<year>2017</year>) <volume>7</volume>:<fpage>16878</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-017-17204-5</pub-id>, <pub-id pub-id-type="pmid">29203879</pub-id></mixed-citation></ref>
<ref id="ref33"><label>33.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Concordet</surname><given-names>JP</given-names></name> <name><surname>Haeussler</surname><given-names>M</given-names></name></person-group>. <article-title>CRISPOR: intuitive guide selection for CRISPR/Cas9 genome editing experiments and screens</article-title>. <source>Nucleic Acids Res</source>. (<year>2018</year>) <volume>46</volume>:<fpage>W242</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1093/nar/gky354</pub-id>, <pub-id pub-id-type="pmid">29762716</pub-id></mixed-citation></ref>
<ref id="ref34"><label>34.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Naito</surname><given-names>Y</given-names></name> <name><surname>Hino</surname><given-names>K</given-names></name> <name><surname>Bono</surname><given-names>H</given-names></name> <name><surname>Ui-Tei</surname><given-names>K</given-names></name></person-group>. <article-title>CRISPRdirect: software for designing CRISPR/Cas guide RNA with reduced off-target sites</article-title>. <source>Bioinformatics</source>. (<year>2015</year>) <volume>31</volume>:<fpage>1120</fpage>&#x2013;<lpage>3</lpage>. doi: <pub-id pub-id-type="doi">10.1093/bioinformatics/btu743</pub-id>, <pub-id pub-id-type="pmid">25414360</pub-id></mixed-citation></ref>
<ref id="ref35"><label>35.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sanjana</surname><given-names>NE</given-names></name> <name><surname>Shalem</surname><given-names>O</given-names></name> <name><surname>Zhang</surname><given-names>F</given-names></name></person-group>. <article-title>Improved vectors and genome-wide libraries for CRISPR screening</article-title>. <source>Nat Methods</source>. (<year>2014</year>) <volume>11</volume>:<fpage>783</fpage>&#x2013;<lpage>4</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nmeth.3047</pub-id>, <pub-id pub-id-type="pmid">25075903</pub-id></mixed-citation></ref>
<ref id="ref36"><label>36.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miyoshi</surname><given-names>H</given-names></name> <name><surname>Bl&#x00F6;mer</surname><given-names>U</given-names></name> <name><surname>Takahashi</surname><given-names>M</given-names></name> <name><surname>Gage</surname><given-names>FH</given-names></name> <name><surname>Verma</surname><given-names>IM</given-names></name></person-group>. <article-title>Development of a self-inactivating lentivirus vector</article-title>. <source>J Virol</source>. (<year>1998</year>) <volume>72</volume>:<fpage>8150</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JVI.72.10.8150-8157.1998</pub-id>, <pub-id pub-id-type="pmid">9733856</pub-id></mixed-citation></ref>
<ref id="ref37"><label>37.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>S</given-names></name> <name><surname>Zhou</surname><given-names>Y</given-names></name> <name><surname>Chen</surname><given-names>Y</given-names></name> <name><surname>Gu</surname><given-names>J</given-names></name></person-group>. <article-title>Fastp: an ultra-fast all-in-one FASTQ preprocessor</article-title>. <source>Bioinformatics</source>. (<year>2018</year>) <volume>34</volume>:<fpage>i884</fpage>&#x2013;<lpage>90</lpage>. doi: <pub-id pub-id-type="doi">10.1093/bioinformatics/bty560</pub-id>, <pub-id pub-id-type="pmid">30423086</pub-id></mixed-citation></ref>
<ref id="ref38"><label>38.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Langmead</surname><given-names>B</given-names></name> <name><surname>Salzberg</surname><given-names>SL</given-names></name></person-group>. <article-title>Fast gapped-read alignment with bowtie 2</article-title>. <source>Nat Methods</source>. (<year>2012</year>) <volume>9</volume>:<fpage>357</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nmeth.1923</pub-id>, <pub-id pub-id-type="pmid">22388286</pub-id></mixed-citation></ref>
<ref id="ref39"><label>39.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Quinlan</surname><given-names>AR</given-names></name> <name><surname>Hall</surname><given-names>IM</given-names></name></person-group>. <article-title>BEDTools: a flexible suite of utilities for comparing genomic features</article-title>. <source>Bioinformatics</source>. (<year>2010</year>) <volume>26</volume>:<fpage>841</fpage>&#x2013;<lpage>2</lpage>. doi: <pub-id pub-id-type="doi">10.1093/bioinformatics/btq033</pub-id>, <pub-id pub-id-type="pmid">20110278</pub-id></mixed-citation></ref>
<ref id="ref40"><label>40.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ram&#x00ED;rez</surname><given-names>F</given-names></name> <name><surname>Ryan</surname><given-names>DP</given-names></name> <name><surname>Gr&#x00FC;ning</surname><given-names>B</given-names></name> <name><surname>Bhardwaj</surname><given-names>V</given-names></name> <name><surname>Kilpert</surname><given-names>F</given-names></name> <name><surname>Richter</surname><given-names>AS</given-names></name> <etal/></person-group>. <article-title>deepTools2: a next generation web server for deep-sequencing data analysis</article-title>. <source>Nucleic Acids Res</source>. (<year>2016</year>) <volume>44</volume>:<fpage>W160</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkw257</pub-id>, <pub-id pub-id-type="pmid">27079975</pub-id></mixed-citation></ref>
<ref id="ref41"><label>41.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Q</given-names></name> <name><surname>Li</surname><given-names>M</given-names></name> <name><surname>Wu</surname><given-names>T</given-names></name> <name><surname>Zhan</surname><given-names>L</given-names></name> <name><surname>Li</surname><given-names>L</given-names></name> <name><surname>Chen</surname><given-names>M</given-names></name> <etal/></person-group>. <article-title>Exploring Epigenomic datasets by ChIPseeker</article-title>. <source>Curr Protoc</source>. (<year>2022</year>) <volume>2</volume>:<fpage>e585</fpage>. doi: <pub-id pub-id-type="doi">10.1002/cpz1.585</pub-id>, <pub-id pub-id-type="pmid">36286622</pub-id></mixed-citation></ref>
<ref id="ref42"><label>42.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>G</given-names></name> <name><surname>Wang</surname><given-names>LG</given-names></name> <name><surname>He</surname><given-names>QY</given-names></name></person-group>. <article-title>ChIPseeker: an R/Bioconductor package for ChIP peak annotation, comparison and visualization</article-title>. <source>Bioinformatics</source>. (<year>2015</year>) <volume>31</volume>:<fpage>2399</fpage>&#x2013;<lpage>400</lpage>. doi: <pub-id pub-id-type="doi">10.1093/bioinformatics/btv145</pub-id></mixed-citation></ref>
<ref id="ref43"><label>43.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name> <name><surname>Liu</surname><given-names>T</given-names></name> <name><surname>Meyer</surname><given-names>CA</given-names></name> <name><surname>Eeckhoute</surname><given-names>J</given-names></name> <name><surname>Johnson</surname><given-names>DS</given-names></name> <name><surname>Bernstein</surname><given-names>BE</given-names></name> <etal/></person-group>. <article-title>Model-based analysis of ChIP-Seq (MACS)</article-title>. <source>Genome Biol</source>. (<year>2008</year>) <volume>9</volume>:<fpage>R137</fpage>. doi: <pub-id pub-id-type="doi">10.1186/gb-2008-9-9-r137</pub-id>, <pub-id pub-id-type="pmid">18798982</pub-id></mixed-citation></ref>
<ref id="ref44"><label>44.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heinz</surname><given-names>S</given-names></name> <name><surname>Benner</surname><given-names>C</given-names></name> <name><surname>Spann</surname><given-names>N</given-names></name> <name><surname>Bertolino</surname><given-names>E</given-names></name> <name><surname>Lin</surname><given-names>YC</given-names></name> <name><surname>Laslo</surname><given-names>P</given-names></name> <etal/></person-group>. <article-title>Simple combinations of lineage-determining transcription factors prime cis-regulatory elements required for macrophage and B cell identities</article-title>. <source>Mol Cell</source>. (<year>2010</year>) <volume>38</volume>:<fpage>576</fpage>&#x2013;<lpage>89</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.molcel.2010.05.004</pub-id>, <pub-id pub-id-type="pmid">20513432</pub-id></mixed-citation></ref>
<ref id="ref45"><label>45.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mi</surname><given-names>H</given-names></name> <name><surname>Thomas</surname><given-names>P</given-names></name></person-group>. <article-title>PANTHER pathway: an ontology-based pathway database coupled with data analysis tools</article-title>. <source>Methods Mol Biol</source>. (<year>2009</year>) <volume>563</volume>:<fpage>103</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.1007/978-1-60761-175-2_7</pub-id></mixed-citation></ref>
<ref id="ref46"><label>46.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thomas</surname><given-names>PD</given-names></name> <name><surname>Ebert</surname><given-names>D</given-names></name> <name><surname>Muruganujan</surname><given-names>A</given-names></name> <name><surname>Mushayahama</surname><given-names>T</given-names></name> <name><surname>Albou</surname><given-names>LP</given-names></name> <name><surname>Mi</surname><given-names>H</given-names></name></person-group>. <article-title>PANTHER: making genome-scale phylogenetics accessible to all</article-title>. <source>Protein Sci</source>. (<year>2022</year>) <volume>31</volume>:<fpage>8</fpage>&#x2013;<lpage>22</lpage>. doi: <pub-id pub-id-type="doi">10.1002/pro.4218</pub-id></mixed-citation></ref>
<ref id="ref47"><label>47.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dobin</surname><given-names>A</given-names></name> <name><surname>Gingeras</surname><given-names>TR</given-names></name></person-group>. <article-title>Mapping RNA-seq reads with STAR</article-title>. <source>Curr Protoc Bioinformatics</source>. (<year>2015</year>) <volume>51</volume>:<fpage>11.14.1</fpage>&#x2013;<lpage>11.14.19</lpage>. doi: <pub-id pub-id-type="doi">10.1002/0471250953.bi1114s51</pub-id>, <pub-id pub-id-type="pmid">26334920</pub-id></mixed-citation></ref>
<ref id="ref48"><label>48.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>B</given-names></name> <name><surname>Dewey</surname><given-names>CN</given-names></name></person-group>. <article-title>RSEM: accurate transcript quantification from RNA-Seq data with or without a reference genome</article-title>. <source>BMC Bioinformatics</source>. (<year>2011</year>) <volume>12</volume>:<fpage>323</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1471-2105-12-323</pub-id>, <pub-id pub-id-type="pmid">21816040</pub-id></mixed-citation></ref>
<ref id="ref49"><label>49.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robinson</surname><given-names>MD</given-names></name> <name><surname>McCarthy</surname><given-names>DJ</given-names></name> <name><surname>Smyth</surname><given-names>GK</given-names></name></person-group>. <article-title>edgeR: a Bioconductor package for differential expression analysis of digital gene expression data</article-title>. <source>Bioinformatics</source>. (<year>2010</year>) <volume>26</volume>:<fpage>139</fpage>&#x2013;<lpage>40</lpage>. doi: <pub-id pub-id-type="doi">10.1093/bioinformatics/btp616</pub-id>, <pub-id pub-id-type="pmid">19910308</pub-id></mixed-citation></ref>
<ref id="ref50"><label>50.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mootha</surname><given-names>VK</given-names></name> <name><surname>Lindgren</surname><given-names>CM</given-names></name> <name><surname>Eriksson</surname><given-names>KF</given-names></name> <name><surname>Subramanian</surname><given-names>A</given-names></name> <name><surname>Sihag</surname><given-names>S</given-names></name> <name><surname>Lehar</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title>PGC-1&#x03B1;-responsive genes involved in oxidative phosphorylation are coordinately downregulated in human diabetes</article-title>. <source>Nat Genet</source>. (<year>2003</year>) <volume>34</volume>:<fpage>267</fpage>&#x2013;<lpage>73</lpage>. doi: <pub-id pub-id-type="doi">10.1038/ng1180</pub-id>, <pub-id pub-id-type="pmid">12808457</pub-id></mixed-citation></ref>
<ref id="ref51"><label>51.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Subramanian</surname><given-names>A</given-names></name> <name><surname>Tamayo</surname><given-names>P</given-names></name> <name><surname>Mootha</surname><given-names>VK</given-names></name> <name><surname>Mukherjee</surname><given-names>S</given-names></name> <name><surname>Ebert</surname><given-names>BL</given-names></name> <name><surname>Gillette</surname><given-names>MA</given-names></name> <etal/></person-group>. <article-title>Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles</article-title>. <source>Proc Natl Acad Sci USA</source>. (<year>2005</year>) <volume>102</volume>:<fpage>15545</fpage>&#x2013;<lpage>50</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.0506580102</pub-id>, <pub-id pub-id-type="pmid">16199517</pub-id></mixed-citation></ref>
<ref id="ref52"><label>52.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vandesompele</surname><given-names>J</given-names></name> <name><surname>De Preter</surname><given-names>K</given-names></name> <name><surname>Pattyn</surname><given-names>F</given-names></name> <name><surname>Poppe</surname><given-names>B</given-names></name> <name><surname>Van Roy</surname><given-names>N</given-names></name> <name><surname>De Paepe</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Accurate normalization of real-time quantitative RT-PCR data by geometric averaging of multiple internal control genes</article-title>. <source>Genome Biol</source>. (<year>2002</year>) <volume>3</volume>:<fpage>research0034</fpage>. doi: <pub-id pub-id-type="doi">10.1186/gb-2002-3-7-research0034</pub-id>, <pub-id pub-id-type="pmid">12184808</pub-id></mixed-citation></ref>
<ref id="ref53"><label>53.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheloni</surname><given-names>S</given-names></name> <name><surname>Hillje</surname><given-names>R</given-names></name> <name><surname>Luzi</surname><given-names>L</given-names></name> <name><surname>Pelicci</surname><given-names>PG</given-names></name> <name><surname>Gatti</surname><given-names>E</given-names></name></person-group>. <article-title>XenoCell: classification of cellular barcodes in single cell experiments from xenograft samples</article-title>. <source>BMC Med Genet</source>. (<year>2021</year>) <volume>14</volume>:<fpage>41</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12920-021-00872-8</pub-id>, <pub-id pub-id-type="pmid">33514375</pub-id></mixed-citation></ref>
<ref id="ref54"><label>54.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>Y</given-names></name> <name><surname>Zhou</surname><given-names>B</given-names></name> <name><surname>Pache</surname><given-names>L</given-names></name> <name><surname>Chang</surname><given-names>M</given-names></name> <name><surname>Khodabakhshi</surname><given-names>A</given-names></name> <name><surname>Tanaseichuk</surname><given-names>O</given-names></name> <etal/></person-group>. <article-title>Metascape provides a biologist-oriented resource for the analysis of systems-level datasets</article-title>. <source>Nat Commun</source>. (<year>2019</year>) <volume>10</volume>:<fpage>1523</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41467-019-09234-6</pub-id>, <pub-id pub-id-type="pmid">30944313</pub-id></mixed-citation></ref>
<ref id="ref55"><label>55.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soga</surname><given-names>T</given-names></name> <name><surname>Heiger</surname><given-names>DN</given-names></name></person-group>. <article-title>Amino acid analysis by capillary electrophoresis electrospray ionization mass spectrometry</article-title>. <source>Anal Chem</source>. (<year>2000</year>) <volume>72</volume>:<fpage>1236</fpage>&#x2013;<lpage>41</lpage>. doi: <pub-id pub-id-type="doi">10.1021/ac990976y</pub-id>, <pub-id pub-id-type="pmid">10740865</pub-id></mixed-citation></ref>
<ref id="ref56"><label>56.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soga</surname><given-names>T</given-names></name> <name><surname>Ohashi</surname><given-names>Y</given-names></name> <name><surname>Ueno</surname><given-names>Y</given-names></name> <name><surname>Naraoka</surname><given-names>H</given-names></name> <name><surname>Tomita</surname><given-names>M</given-names></name> <name><surname>Nishioka</surname><given-names>T</given-names></name></person-group>. <article-title>Simultaneous determination of anionic intermediates for <italic>Bacillus subtilis</italic> metabolic pathways by capillary electrophoresis electrospray ionization mass spectrometry</article-title>. <source>Anal Chem</source>. (<year>2002</year>) <volume>74</volume>:<fpage>2233</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1021/ac020064n</pub-id>, <pub-id pub-id-type="pmid">12038746</pub-id></mixed-citation></ref>
<ref id="ref57"><label>57.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soga</surname><given-names>T</given-names></name> <name><surname>Ohashi</surname><given-names>Y</given-names></name> <name><surname>Ueno</surname><given-names>Y</given-names></name> <name><surname>Naraoka</surname><given-names>H</given-names></name> <name><surname>Tomita</surname><given-names>M</given-names></name> <name><surname>Nishioka</surname><given-names>T</given-names></name></person-group>. <article-title>Quantitative metabolome analysis using capillary electrophoresis mass spectrometry</article-title>. <source>J Proteome Res</source>. (<year>2003</year>) <volume>2</volume>:<fpage>488</fpage>&#x2013;<lpage>94</lpage>. doi: <pub-id pub-id-type="doi">10.1021/pr034020m</pub-id>, <pub-id pub-id-type="pmid">14582645</pub-id></mixed-citation></ref>
<ref id="ref58"><label>58.</label><mixed-citation publication-type="book"><person-group person-group-type="author"><name><surname>KyPlot</surname><given-names>YK</given-names></name></person-group> In: <person-group person-group-type="editor"><name><surname>H&#x00E4;rdle</surname><given-names>W</given-names></name> <name><surname>R&#x00F6;nz</surname><given-names>B</given-names></name></person-group>, editors. <source>Compstat: Proceedings in computational statistics</source>. <publisher-loc>Heidelberg</publisher-loc>: <publisher-name>Physica-Verlag</publisher-name> (<year>2002</year>). <fpage>37</fpage>&#x2013;<lpage>46</lpage>.</mixed-citation></ref>
<ref id="ref59"><label>59.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kozutsumi</surname><given-names>Y</given-names></name> <name><surname>Segal</surname><given-names>M</given-names></name> <name><surname>Normington</surname><given-names>K</given-names></name> <name><surname>Gething</surname><given-names>MJ</given-names></name> <name><surname>Sambrook</surname><given-names>J</given-names></name></person-group>. <article-title>The presence of malfolded proteins in the endoplasmic reticulum signals the induction of glucose-regulated proteins</article-title>. <source>Nature</source>. (<year>1988</year>) <volume>332</volume>:<fpage>462</fpage>&#x2013;<lpage>4</lpage>. doi: <pub-id pub-id-type="doi">10.1038/332462a0</pub-id>, <pub-id pub-id-type="pmid">3352747</pub-id></mixed-citation></ref>
<ref id="ref60"><label>60.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boyce</surname><given-names>M</given-names></name> <name><surname>Bryant</surname><given-names>KF</given-names></name> <name><surname>Jousse</surname><given-names>C</given-names></name> <name><surname>Long</surname><given-names>K</given-names></name> <name><surname>Harding</surname><given-names>HP</given-names></name> <name><surname>Scheuner</surname><given-names>D</given-names></name> <etal/></person-group>. <article-title>A selective inhibitor of eIF2&#x03B1; dephosphorylation protects cells from ER stress</article-title>. <source>Science</source>. (<year>2005</year>) <volume>307</volume>:<fpage>935</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1126/science.1101902</pub-id>, <pub-id pub-id-type="pmid">15705855</pub-id></mixed-citation></ref>
<ref id="ref61"><label>61.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>F</given-names></name> <name><surname>Si</surname><given-names>W</given-names></name> <name><surname>Xia</surname><given-names>L</given-names></name> <name><surname>Yin</surname><given-names>D</given-names></name> <name><surname>Wei</surname><given-names>T</given-names></name> <name><surname>Tao</surname><given-names>M</given-names></name> <etal/></person-group>. <article-title>Positive feedback regulation between glycolysis and histone lactylation drives oncogenesis in pancreatic ductal adenocarcinoma</article-title>. <source>Mol Cancer</source>. (<year>2024</year>) <volume>23</volume>:<fpage>90</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12943-024-02008-9</pub-id>, <pub-id pub-id-type="pmid">38711083</pub-id></mixed-citation></ref>
<ref id="ref62"><label>62.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deng</surname><given-names>J</given-names></name> <name><surname>Li</surname><given-names>Y</given-names></name> <name><surname>Yin</surname><given-names>L</given-names></name> <name><surname>Liu</surname><given-names>S</given-names></name> <name><surname>Li</surname><given-names>Y</given-names></name> <name><surname>Liao</surname><given-names>W</given-names></name> <etal/></person-group>. <article-title>Histone lactylation enhances GCLC expression and thus promotes chemoresistance of colorectal cancer stem cells through inhibiting ferroptosis</article-title>. <source>Cell Death Dis</source>. (<year>2025</year>) <volume>16</volume>:<fpage>193</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41419-025-07498-z</pub-id>, <pub-id pub-id-type="pmid">40113760</pub-id></mixed-citation></ref>
<ref id="ref63"><label>63.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ziogas</surname><given-names>A</given-names></name> <name><surname>Novakovic</surname><given-names>B</given-names></name> <name><surname>Ventriglia</surname><given-names>L</given-names></name> <name><surname>Galang</surname><given-names>N</given-names></name> <name><surname>Tran</surname><given-names>KA</given-names></name> <name><surname>Li</surname><given-names>W</given-names></name> <etal/></person-group>. <article-title>Long-term histone lactylation connects metabolic and epigenetic rewiring in innate immune memory</article-title>. <source>Cell</source>. (<year>2025</year>) <volume>188</volume>:<fpage>2992</fpage>&#x2013;<lpage>3012</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2025.03.048</pub-id></mixed-citation></ref>
<ref id="ref64"><label>64.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vattem</surname><given-names>KM</given-names></name> <name><surname>Wek</surname><given-names>RC</given-names></name></person-group>. <article-title>Reinitiation involving upstream ORFs regulates ATF4 mRNA translation in mammalian cells</article-title>. <source>Proc Natl Acad Sci USA</source>. (<year>2004</year>) <volume>101</volume>:<fpage>14457</fpage>&#x2013;<lpage>62</lpage>.</mixed-citation></ref>
<ref id="ref65"><label>65.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ben-David</surname><given-names>U</given-names></name> <name><surname>Siranosian</surname><given-names>B</given-names></name> <name><surname>Ha</surname><given-names>G</given-names></name> <name><surname>Tang</surname><given-names>H</given-names></name> <name><surname>Oren</surname><given-names>Y</given-names></name> <name><surname>Hinohara</surname><given-names>K</given-names></name> <etal/></person-group>. <article-title>Genetic and transcriptional evolution alters cancer cell line drug response</article-title>. <source>Nature</source>. (<year>2018</year>) <volume>560</volume>:<fpage>325</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41586-018-0409-3</pub-id>, <pub-id pub-id-type="pmid">30089904</pub-id></mixed-citation></ref>
<ref id="ref66"><label>66.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Domcke</surname><given-names>S</given-names></name> <name><surname>Sinha</surname><given-names>R</given-names></name> <name><surname>Levine</surname><given-names>DA</given-names></name> <name><surname>Sander</surname><given-names>C</given-names></name> <name><surname>Schultz</surname><given-names>N</given-names></name></person-group>. <article-title>Evaluating cell lines as tumour models by comparison of genomic profiles</article-title>. <source>Nat Commun</source>. (<year>2013</year>) <volume>4</volume>:<fpage>2126</fpage>. doi: <pub-id pub-id-type="doi">10.1038/ncomms3126</pub-id>, <pub-id pub-id-type="pmid">23839242</pub-id></mixed-citation></ref>
<ref id="ref67"><label>67.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arrowsmith</surname><given-names>J</given-names></name> <name><surname>Miller</surname><given-names>P</given-names></name></person-group>. <article-title>Trial watch: phase II and phase III attrition rates 2011-2012</article-title>. <source>Nat Rev Drug Discov</source>. (<year>2013</year>) <volume>12</volume>:<fpage>569</fpage>. doi: <pub-id pub-id-type="doi">10.1038/nrd4090</pub-id>, <pub-id pub-id-type="pmid">23903212</pub-id></mixed-citation></ref>
<ref id="ref68"><label>68.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Johnson</surname><given-names>JI</given-names></name> <name><surname>Decker</surname><given-names>S</given-names></name> <name><surname>Zaharevitz</surname><given-names>D</given-names></name> <name><surname>Rubinstein</surname><given-names>LV</given-names></name> <name><surname>Venditti</surname><given-names>JM</given-names></name> <name><surname>Schepartz</surname><given-names>S</given-names></name> <etal/></person-group>. <article-title>Relationships between drug activity in NCI preclinical in vitro and in vivo models and early clinical trials</article-title>. <source>Br J Cancer</source>. (<year>2001</year>) <volume>84</volume>:<fpage>1424</fpage>&#x2013;<lpage>31</lpage>. doi: <pub-id pub-id-type="doi">10.1054/bjoc.2001.1796</pub-id>, <pub-id pub-id-type="pmid">11355958</pub-id></mixed-citation></ref>
<ref id="ref69"><label>69.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Y</given-names></name> <name><surname>Wu</surname><given-names>W</given-names></name> <name><surname>Cai</surname><given-names>C</given-names></name> <name><surname>Zhang</surname><given-names>H</given-names></name> <name><surname>Shen</surname><given-names>H</given-names></name> <name><surname>Han</surname><given-names>Y</given-names></name></person-group>. <article-title>Patient-derived xenograft models in cancer therapy: technologies and applications</article-title>. <source>Signal Transduct Target Ther</source>. (<year>2023</year>) <volume>8</volume>:<fpage>160</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41392-023-01419-2</pub-id>, <pub-id pub-id-type="pmid">37045827</pub-id></mixed-citation></ref>
<ref id="ref70"><label>70.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moreno-Yruela</surname><given-names>C</given-names></name> <name><surname>Zhang</surname><given-names>D</given-names></name> <name><surname>Wei</surname><given-names>W</given-names></name> <name><surname>B&#x00E6;k</surname><given-names>M</given-names></name> <name><surname>Liu</surname><given-names>W</given-names></name> <name><surname>Gao</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title>Class I histone deacetylases (HDAC1-3) are histone lysine delactylases</article-title>. <source>Sci Adv</source>. (<year>2022</year>) <volume>8</volume>:<fpage>3</fpage>. doi: <pub-id pub-id-type="doi">10.1126/sciadv.abi6696</pub-id></mixed-citation></ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0004">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/668529/overview">Carlos Eduardo Fonseca-Alves</ext-link>, Paulista University, Brazil</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0005">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/23729/overview">Michelle M. Martinez-Montemayor</ext-link>, Central University of the Caribbean, Puerto Rico</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3327615/overview">Yukino Machida</ext-link>, Nippon Veterinary and Life Science University, Japan</p>
</fn>
</fn-group>
<fn-group>
<fn id="fn0001"><label>1</label><p><ext-link xlink:href="https://horizondiscovery.com/ja/ordering-and-calculation-tools/crispr-design-tool" ext-link-type="uri">https://horizondiscovery.com/ja/ordering-and-calculation-tools/crispr-design-tool</ext-link></p></fn>
<fn id="fn0002"><label>2</label><p><ext-link xlink:href="http://crispor.tefor.net/" ext-link-type="uri">http://crispor.tefor.net/</ext-link></p></fn>
<fn id="fn0003"><label>3</label><p><ext-link xlink:href="https://crispr.dbcls.jp/" ext-link-type="uri">https://crispr.dbcls.jp/</ext-link></p></fn>
</fn-group>
</back>
</article>