The lactylation axis: bridging metabolic reprogramming and immunosuppression in the tumor microenvironment - Report - MDSpire

The lactylation axis: bridging metabolic reprogramming and immunosuppression in the tumor microenvironment

  • By

  • Xingxing Tao

  • Yingjie Liu

  • Peishan Yu

  • Wenjiang Wu

  • Yanli Fu

  • Ping Lan

  • Shengzhu Jin

  • June 19, 2026

  • 0 min

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Clinical Report: The Role of Lactylation in Tumor Microenvironment Dynamics

Overview

This review highlights the role of protein lactylation as a critical epigenetic mechanism linking metabolic changes to immune suppression in the tumor microenvironment.

Background

Protein lactylation is a novel post-translational modification that connects cellular metabolism to gene regulation, particularly in cancer. The accumulation of lactate in the tumor microenvironment, a result of the Warburg effect, creates conditions conducive to lactylation, influencing both tumor cell behavior and immune responses.

Data Highlights

No numerical data or trial data presented in the source material.

Key Findings

  • Lactylation promotes tumor cell malignancy by reshaping chromatin accessibility and enhancing oncogenic signaling pathways.
  • It drives macrophages toward an M2-like immunosuppressive phenotype and enhances the function of regulatory T cells (Tregs).
  • Lactylation induces dysfunction and exhaustion in CD8+ T cells, contributing to immune evasion.
  • Current evidence on lactylation is largely correlative, necessitating further research to establish causality.

Clinical Implications

Clinicians should consider the metabolic-epigenetic-immune interactions when developing treatment plans for cancer patients.

Conclusion

The lactylation axis represents a significant link between metabolism and immune suppression in cancer. Further research is needed to fully elucidate its mechanisms.

Related Resources & Content

  1. Frontiers in Immunology, 2026 -- Lactylation-mediated remodelling of the breast cancer microenvironment: single-cell multidimensional analysis and prognostic model construction
  2. Frontiers in Immunology, 2026 -- Non-histone lactylation in cancer: current advances and clinical implications
  3. Frontiers in Immunology, 2026 -- The regulatory roles of dysregulated lactate dehydrogenase A in anti-tumor immunity within immune cells
  4. Cutaneous melanoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up - PubMed
  5. Frontiers in Immunology — Glycolytic reprogramming in cancer: immune crosstalk, nutrient competition, and supportive care perspectives
  6. Cutaneous melanoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up - PubMed
  7. Prognostic value of baseline LIPI, LDH and dNLR in ES-SCLC patients receiving immune checkpoint inhibitors: a systematic review and meta-analysis - PubMed
  8. A Phase I Dose-escalation Study of AZD3965, an Oral Monocarboxylate Transporter 1 Inhibitor, in Patients with Advanced Cancer - PubMed

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