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Lactylation as a metabolic-epigenetic switch in cancer: dual roles in cell death resistance and therapeutic vulnerability - PubMed

3 days ago
  • #lactylation
  • #epigenetics
  • #cancer
  • Protein lactylation acts as a metabolic-epigenetic switch in cancer, influencing treatment resistance and therapeutic vulnerability.
  • Key enzymatic pathways (AARS1/2, KATs, HDACs) and non-enzymatic mechanisms (MGO/LGSH) regulate lactylation.
  • Lactylation modifies non-histone proteins (e.g., p53, XLF) and interacts with other PTMs, such as H3K18la and H3K27ac in T-ALL.
  • Lactylation enhances intrinsic (e.g., DNA repair via BLM K24la) and extrinsic resistance (e.g., PD-L1 upregulation).
  • Targeting lactylation (e.g., LDHA inhibition, KAT inhibitors) shows synergistic effects in sensitizing tumors to therapy.
  • Future directions include enzyme-substrate specificity studies, drug design, and lactylomic biomarkers for precision oncology.