Table 2 List of lactylation events that regulate lipid metabolism.

From: Roles of lactylation in lipid metabolism and related diseases

Substrates

Lactylation sites

Writer/Eraser

Functions

Health/disease

Refs

FASN

K528/673/1071

/

Modulates the MAT domain by lactylation, thereby suppressing FASN enzymatic activity and consequently reducing DNL

NAFLD, HCC, HIIT

[33,34,35]

APOC2

K70

P300/HADC3

Induces immunotherapy resistance by promoting extracellular lipolysis

NSCLC

[32]

CPT2

K457/458

AARS2/SIRT3

Integrates intracellular hypoxia and lactate to regulate OXPHOS, and induces follicle development

Exercise, POI

[37, 57]

SPRING

K82

KAT7

pAKT/pPCK1/pLDHA/SPRINGla axis induces ferroptosis resistance in AKT-hyperactivated ICC via MVA flux reprogramming.

ICC

[83]

HADHA

K519, K415, K644, K60, and K569

/

KDM6B-mediated HADHA demethylation/lactylation promotes FAO and mineralization

Periodontitis

[62]

HADHA

K166, K728

SIRT1/3

Disturbs cardiomyocyte mitochondrial function and energy metabolism

Septic myocardial depression

[65]

PCK2

K100

KAT8

Aggravates hepatic ferroptosis during IRI by OXSM-dependent mtFAS reprogramming

LT

[44]

Histone H3

K18

/

Promotes HCC via lipid metabolism remodeling

HCC

[45]

Histone H3

K18

/

PPARα activation reverses acquired resistance to TMZ in GBM by inhibiting H3K18la

GBM

[61]

Histone H3

K12

/

H4k12la mediated by Fam172a in POMC neurons regulates lipid and glucose metabolism

Obesity

[49]

Histone H3

K18

P300

H3K18la-induced ACAT2/sEV-cholesterol axis orchestrates cholesterol-mediated immunosuppressive reprogramming

PC

[84]

Histone H3

K18

/

Promotes NAFLD via targeting METTL3/YTHDF1/SCD1 m6A axis

NAFLD

[48]

Histone H3

K18

/

Activates HIF1A and exacerbates SAP via ACSL4/LPCAT3/ALOX15 pathway-induced ferroptosis

SAP

[74]

Histone H3

K18

P300/CBP

H3K18la-driven mechanism induces ferroptosis via METTL3-mediated m6A modification

ALI

[72]

Histone H3

K18

P300/CBP/SIRT3

Induces ACSL4 transcription to activate ferroptosis

IVDD

[73]

GCLM

K34

ACAT2

Promotes ferroptosis resistance in KRASG12D-mutant cancers

KRASG12D mutant cancers

[86]

Histone H3

K18

/

Induces hCG-induced luteinization in hypoxic GCs by upregulating CYP11A1 and STAR transcription

Luteal insufficiency

[85]

Histone H3

K18

/

Induces chondrocyte ferroptosis

OA

[135]

ACSL4

K412

P300/CBP/SIRT3

Activates ferroptosis

IVDD

[73]

ARF1

K73

/

Promotes LRP1-induced mitochondria release in astrocyte–neuron crosstalk

Stroke

[143]

NSUN2

K508

NAA10

Drives cancer resistance to ferroptosis by enhancing GCLC/GSH signaling

GC

[75]

Vps34

K356/K781

KAT5/TIP60

Increases lipid kinase activity and promotes autophagic flux and endolysosomal trafficking

Exercise, Cancer

[76]

RUBCN

K33

/

Promotes PI3P levels and LAP formation via interaction with Vps34

Infectious diseases

[78]

APOA4, APOC1, APOC3

/

/

Promotes downregulation of cholesterol-related proteins

Tendinopathy

[93]

Histone H4

K12

/

Promotes chemotherapy resistance by regulating ABCC2, ABCC3, and ABCC10

DLCC

[95]

Histone H3

K18

/

H3k18la-driven GPD2 regulates M2 polarization to induce metastasis of CC

CC

[79]

MeCP2

K271

P300/HDAC3

Exercise-induced Mecp2 lactylation alleviates atherosclerosis

Atherosclerosis

[121, 124]

Histone H3

K18

P300/HADC3

Promotes lipid peroxidation-induced EndMT and increases lipid burden with P300/ASF1A molecular complex

Atherosclerosis

[122]

Histone H4

K12

HADC3

Promotes atherosclerosis by TRAP1-induced metabolic reprogramming

Atherosclerosis

[125]

PCSK9

Pan-Kla

/

Promotes progression and metastasis of colon cancer

Colon cancer

[94]

AMPKα

/

/

Exacerbates NPC senescence

IVDD

[134]

HADHB

K273

/

Regulates FA metabolism in mice liver

Exercise

[66]

ACSL1

K676

/

Promotes FA metabolism and fat loss

Exercise

[66]