“…A lower NAD + /NADH ratio decreases enzymatic activities for substrate tion enzymes, TCA cycle enzymes, and ETC proteins, have been shown to be hyperacetylated (75,76). Protein hyperacetylation has been shown to decrease activities of succinate dehydrogenase, pyruvate dehydrogenase, ATP synthase, and malate-aspartate shuttle enzymes; additionally, hyperacetylation of oligomycin sensitivity-conferring protein (OSCP) increased the sensitivity to mPTP opening (75,76,(78)(79)(80)(81)(82). Moreover, inhibition of malateaspartate shuttle by acetylation impairs the transport of cytosolic NADH into mitochondria, thereby disrupting cytosolic redox state and glycolytic ATP production during the transition from cardiac hypertrophy to failure (76,83).…”