Table 2 Summary of lactate in disease and the related signaling pathways

From: Lactate metabolism in human health and disease

Disease

Mechanism

Clinical significance

Cancer

Energy metabolism

Potential therapeutic targets

 

PD-L1/PD-1 pathway T-cell apoptosis

 
 

PAR-VEG/VEGFR2

 
 

Histone/Non-Histone lactylation

 
 

Activate the ERK–STAT3 pathway, GPR132 and Notch

 
 

Stabilize the HIF1 pathway

 
 

Inhibit NFAT, NKp46, and mTOR signaling

 

Traumatic brain injury

Energy metabolism

Neuroprotective effects

  

Biomarker of systemic physiology

  

Therapy for treating encephaledema

Cardiovascular disease

Energy metabolism

Biomarker of myocardial injury

 

GPR81/KLF2-mediated down-regulation of inflammatory cytokines IL-6, IL-8, MCP-1 and increased secretion of VCAM-1 and E-selectin

Predictors of prognosis and mortality rate

 

NF-κB pathway, FGF23 pathway, NO/cGMP signal transduction pathway, ATP ion channel

Reduce myocardial reperfusion injury

 

Excite C1 neurons/Increases sympathetic nerve activity and arterial blood pressure

Risk factors for atherosclerosis

Respiratory disease

Energy metabolism

Biomarker of severity of disease

 

Inhibite IL-33/TGF-β, JNK, ERK, NF-κB

Predictors of the prognosis and mortality rate

 

MRGPRX2-mediated inflammation

Indicators of diagnosis and therapeutic effect

Chronic liver disease

Energy metabolism

Predictors of prognosis and mortality rate

Kidney disease

Energy metabolism

Predictors of kidney injury and mortality rate

 

PD-1/PD-L1 pathway, Sirtuin 3/AMPK-regulated autophagy

Indicators of therapeutic effect

Sepsis

Energy metabolism

Biomarker of severity of disease

 

HMGB1 lactylation

Predictors of prognosis and mortality rate

 

Inhibit NF-κB pathway-mediated production of inflammatory cytokines

 

Arthritis

Energy metabolism

Indicators of diagnosis

 

Slc5a12-inhibit binding of CXCR3 and CXCL10

 
 

Slc5a12/PKM2/STAT3/IL-17