**Background:** Cytosolic citrate is imported from mitochondria by SLC25A1 and from the extracellular milieu by SLC13A5. In the cytosol, citrate is converted by ACLY to acetyl-CoA, which can be transported into the endoplasmic reticulum (ER) by SLC33A1 (AT-1). Mutations in these transporters are linked to human diseases including developmental delay, epilepsy, and progeria. This study investigates the systemic effects of overexpressing SLC25A1 or SLC13A5 in mice.
**Methods:** Transgenic mice with inducible Tet-Off systemic overexpression of SLC25A1 (SLC25A1 sTg) or SLC13A5 (SLC13A5 sTg) were generated under the Rosa26 locus. SLC25A1 sTg mice overexpressed from conception. SLC13A5 sTg mice were studied under three conditions: overexpression from conception (OC), from birth (OB), and from weaning (OW). Phenotypic characterization included body weight, lifespan, histology (skin, bone, spleen, lymph nodes, cornea), senescence markers (p16, p21, SA-β-gal), and metabolic assays (citrate, acetyl-CoA, malate in subcellular fractions). Quantitative acetyl-proteomics (stoichiometry of lysine acetylation) and lipidomics (LC-MS) were performed on liver, serum, skin, and brain. ER acetylation machinery was assessed by Western blot for AT-1, acetylated ER proteins, and ATG9A acetylation. SLC13A5 sTg mice were treated with compound 9 (C9), an inhibitor of ER acetyltransferases ATase1/2.
**Key Results:** SLC25A1 sTg mice were smaller but had normal lifespan and no progeria. SLC13A5 sTg^OC^ died perinatally; SLC13A5 sTg^OB^ and ^OW^ developed a severe progeria-like phenotype with reduced lifespan (maximum 175 days for males, 147 days for females), skin lesions, hair loss, hunched posture, rectal prolapse, splenomegaly, enlarged lymph nodes, systemic inflammation, osteoporosis, corneal changes (10-15% of mice), and increased senescence markers (p16, p21, SA-β-gal). Both models had increased cytosolic citrate and acetyl-CoA, and ER acetyl-CoA. SLC13A5 sTg mice showed a 3-fold upregulation of AT-1 and hyperacetylation of ER cargo proteins and ATG9A (approx. 4-fold), while SLC25A1 sTg did not. Acetyl-proteomics revealed 727 significantly changed lysine sites (599 proteins) in SLC13A5 sTg and 733 sites (591 proteins) in SLC25A1 sTg, with only ~30% overlap (224 sites, 193 proteins). Unique to SLC13A5 sTg were 698 sites (500 proteins) enriched in ribosomal, ER translational, and quality control pathways. Lipidomics showed 68 significantly changed lipids in SLC13A5 sTg liver vs 21 in SLC25A1 sTg, with only one common species (PC 34:6). Treatment with compound 9 reduced ER acetylation, normalized ATG9A acetylation, improved phenotype, and significantly increased lifespan (P<0.0005).
**Clinical Implications:** This study demonstrates that the source of cytosolic citrate (mitochondrial vs extracellular) determines distinct metabolic and phenotypic outcomes, with SLC13A5-driven citrate import specifically linked to ER proteostasis dysfunction and progeria. The rescue by ATase inhibition suggests a potential therapeutic target for diseases involving SLC13A5 hyperactivity or ER acetylation dysregulation. These findings highlight the importance of metabolite compartmentalization in signaling and disease, and may inform strategies for treating progeroid syndromes and related metabolic disorders.