Transcending metabolic acidosis: lactate as an epigenetic signal reprogramming diabetes-sepsis immunity
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By
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Xin Cai
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Liu Han
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Qun Liang
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May 8, 2026
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Clinical Scorecard: Reevaluating Metabolic Acidosis: The Role of Lactate as an Epigenetic Mediator in Modulating Immunity in Diabetes-Related Sepsis
At a Glance
| Category | Detail |
| Condition | |
| Key Mechanisms | Lactate as a metabolic biomarker and epigenetic regulator influencing immune dysfunction, highlighting its dual role. |
| Target Population | |
| Care Setting | |
Key Highlights
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
- Assess H3K18la levels and other relevant metrics to evaluate disease severity and treatment response.
Risks
Patient & Prescribing Data
Dichloroacetic acid reduces lactate but lacks proven survival benefit; further research needed for personalized therapies, as noted in the source.
Clinical Best Practices
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