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Updated: Jun 5, 2025

Measuring Lactase Enzymatic Activity in the Teaching Lab
Published on: August 6, 2018
Lactylation modification in cardio-cerebral diseases: A state-of-the-art review
Zi Liao1, Bei Chen1, Tong Yang1
1Key Laboratory of Hunan Province for Integrated Traditional Chinese and Western Medicine on Prevention and Treatment of Cardio-Cerebral Diseases, College of Integrated Traditional Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China.
Insights
Lactylation, a protein modification linked to lactate, impacts cardio-cerebral diseases (CCDs). Targeting lactylation offers a novel therapeutic strategy for treating these metabolic and inflammatory conditions.
Area of Science:
- Biochemistry
- Molecular Biology
- Pathology
Background:
- Cardio-cerebral diseases (CCDs) like heart disease and stroke are major health threats.
- Metabolic abnormalities, particularly lactate accumulation, are central to CCD pathology.
- Lactylation, a modification of proteins by lactate, influences cellular functions in CCDs.
Purpose of the Study:
- To review the types and enzymes of lactylation.
- To highlight lactylation's role in CCD pathological processes.
- To explore lactylation as a therapeutic target for CCDs.
Main Methods:
- Literature review of lactylation mechanisms and roles in CCDs.
- Synthesis of clinical and preclinical evidence on lactylation.
- Analysis of lactylation's impact on inflammation, angiogenesis, metabolism, and fibrosis.
Main Results:
- Lactylation affects histone and non-histone proteins, modulating their function.
- This modification is implicated in key pathological pathways of CCDs.
- Enzymes regulating lactylation are potential therapeutic targets.
Conclusions:
- Lactylation plays a significant role in the pathogenesis of cardio-cerebral diseases.
- Targeting lactylation pathways presents a promising therapeutic avenue for CCDs.
- Further research into lactylation could lead to innovative treatments for these conditions.
Abstract:
Cardio-cerebral diseases (CCDs), encompassing conditions such as coronary heart disease, myocardial infarction, stroke, Alzheimer's disease, et al., represent a significant threat to human health and well-being. These diseases are often characterized by metabolic abnormalities and remodeling in the process of pathology. Glycolysis and hypoxia-induced lactate accumulation play critical roles in cellular energy dynamics and metabolic imbalances in CCDs. Lactylation, a post-translational modification driven by excessive lactate accumulation, occurs in both histone and non-histone proteins. It has been implicated in regulating protein function across various pathological processes in CCDs, including inflammation, angiogenesis, lipid metabolism dysregulation, and fibrosis. Targeting key proteins involved in lactylation, as well as the enzymes regulating this modification, holds promise as a therapeutic strategy to modulate disease progression by addressing these pathological mechanisms. This review provides a holistic picture of the types of lactylation and the associated modifying enzymes, highlights the roles of lactylation in different pathological processes, and synthesizes the latest clinical evidence and preclinical studies in a comprehensive view. We aim to emphasize the potential of lactylation as an innovative therapeutic target for preventing and treating CCD-related conditions.
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