Objective: Ionizing radiation (IR) causes heart senescence, which eventually manifests as radiation-induced heart damage (RIHD). Energy metabolism of cardiomyocytes is involved in senescence. This study attempts to explore radiation-induced senescence mechanisms through TMT-labeled proteomics.Methods: Echocardiography, senescence-associated secretory phenotype (SASP), telomere length and P21 expression were conducted to detect IR induced senescence. Total protein acetylation of irradiated heart apex and H9C2 cells was discovered by Western blotting compared with the control. To further investigate lysine acetylation alterations in irradiated heart proteins, proteomics of lysine acetylation was performed. Acetylated level of Atp5f1c was verified by Co-IP. The plasmids of the acetylated-mimicking Atp5f1c mutant (K55Q), deacetylated-mimicking Atp5f1c mutant (K55R) and WT were constructed and used for to transfect H9C2 cells to prove that acetylated Atp5f1c participated in energy metabolism and senescence. Deacetylation inhibitors, plasmid transfection and Co-IP were used to determine the mechanism of upstream regulation of Atp5f1c K55-Ac.Results: LVEF was decreased, SASP was elevated, telomere length was shortened and P21was overexpressed after IR. In addition, the total protein acetylation level significantly increased, and 69 proteins, including 90 sites, showed a lysine acetylation response to irradiation. The majority of the hyperacetylated proteins were related to energy metabolism. The ATP synthase γ subunit was hyperacetylated at the 55th lysine site and led to decreased ATP enzyme activity and synthesis decreased. Atp5f1c K55-Ac induced H9C2 metabolic dysfunction and senescence. Sirt4 and Sitr5, deacetylase inhibitors, mediated Atp5f1c K55-Ac deacetylation. Conclusion: IR induced cardiomyocyte senescence and energy metabolism disorder. Atp5f1c K55-ac, which is modulated by Sirt4 or Sirt5, might be a potential molecular target underlying RIHD.