Table 2 Onco-therapeutic drugs targeting lactate metabolism/lactylation

From: Lactate and lactylation in cancer

Target

Drug name

Reserch status

Applications

Mechanism

Ref/Trial No.

LDHA

AT-101(Gossypol) and its derivative e.g., FX-11

Preclinical

Pancreatic cancer, breast cancer, adrenocortical carcinoma, and lymphoma

Lactate anabolism

26,34,188,382,383,498

LDHA

oxamate

Preclinical

NSCLC, melanoma

Lactate anabolism

190,389,391

LDHA

GSK2837808A

Preclinical

Melanoma

Lactate anabolism

392

LDHA

GNE-140

Preclinical

Pancreatic cancer

Lactate anabolism

385

LDHA

Zinc

Preclinical

Melanoma

Lactate anabolism

394

LDHA

NHI-Glc-2

Preclinical

NSCLC and gastric cancer

Lactate anabolism

334

LDHA

LncRNA GLTC

Preclinical

PTC

Lactate anabolism

393

LDHA/B

NCI-006

Preclinical

Pancreatic cancer

Lactate anabolism

386

LDHA/B

MS6105

Preclinical

Pancreatic cancer

Lactate anabolism

387

MCT

CHC

Preclinical

Breast cancers

Lactate anabolism

342,343,344

MCT1/2

AR-C155858 (SR13801)

Preclinical

Breast cancers, B-cell lymphoma

Lactate anabolism

397,398,499

MCT1/2

AZD3965

Clinical trial

Advanced solid cancers (NSCLC, SCLC, prostate, gastric, breast cancers), Burkitt’s lymphoma and diffuse large B-cell lymphoma

Lactate excretion

NCT0179159576,79,178,334,344,398,496

MCT1

AZ3965

Preclinical

CRC, melanoma

Lactate excretion

400

MCT1

AR-C122982 (SR13800)

Preclinical

Burkitt lymphoma cell, neuroblastoma

Lactate excretion

399,500

MCT1

BAY8002

Preclinical

HCC, some solid cancers

Lactate excretion

400

MCT4

AZ93

Preclinical

CRC, melanoma

Lactate excretion

410

MCT4

ALK-04

Preclinical

Melanoma

Lactate excretion

492

MCT1/4

Syrosingopine

Preclinical

HCC, lung cancer, hematologic malignancies, breast cancer

Lactate excretion

166,501,502

MCT1/4

7ACCs

Preclinical

Cervix cancer, breast cancer, CRC

Lactate excretion

102,503

CD147

AC-73

Preclinical

HCC, AML

CD147-MCT interaction

413,504

CD147

metuzumab

Preclinical

LUAD, NSCLC

CD147-MCT interaction

414

Lactate

LOx

Preclinical

Breast cancer, melanoma, GBM, HCC

Lactate catabolism

418,419,420,421,422,423,424,425,428,429,430,431,495

Lactate

NaHCO3

Preclinical

NSCLC, breast cancer

Lactate catabolism

434,494

Lactate

nanoCaCO3

Preclinical

Βreast cancer

Lactate catabolism

435

Lactate

CoMnFe-LDO

Preclinical

UM

Lactate catabolism

493

GLUT1

BAY876

Preclinical

Breast cancer, GBM

Lactate anabolism

432,505

Pyruvate

UK5099. POx

Preclinical

Breast cancer

Pyruvate catabolism

433

Lactylation

BML

Preclinical

HCC

Histone modification

225

Lactylation

RJA

Preclinical

HCC

Histone modification

226

Lactylation

K673-pe

Preclinical

CRC

Non-histone modification

243

Lactylation

D34-919

Preclinical

GBM

Non-histone modification

244,436

Lactylation

anti-APOC2K70-lac antibody

Preclinical

NSCLC

Non-histone modification

181

Lactylation

β-alanine

Preclinical

CRC

Non-histone modification

239

Lactylation

MG149

Preclinical

CRC

Non-histone modification

240

  1. AML acute myeloid leukemia, CD147 cluster of differentiation 147, CRC colorectal cancer, GBM glioblastoma, GLUT1 glucose transporter 1, HCC hepatocellular carcinoma, LDHA lactate dehydrogenase A, LUAD lung adenocarcinoma, MCT monocarboxylate transporters, MCT1 monocarboxylate transporter 1, MCT2 monocarboxylate transporter 2, MCT4 monocarboxylate transporter 4, NSCLC non-small cell lung cancer, SCLC small cell lung cancer, UM uveal melanoma