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Updated: Sep 13, 2025

Utilizing 18F-FDG PET/CT Imaging and Quantitative Histology to Measure Dynamic Changes in the Glucose Metabolism in Mouse Models of Lung Cancer
Published on: July 21, 2018
Research progress on the interaction between glucose metabolic reprogramming and lactylation in tumors
Yi Yang1,2, Yi Wu2,3, Hui Chen1,2
1Department of Obstetrics and Gynecology, Affiliated Hospital of Nantong University, Nantong, China.
Glucose metabolic reprogramming enhances glycolysis, increasing lactate. This lactate accumulation leads to lactylation, an epigenetic modification that impacts gene expression and inhibits anti-tumor immunity, promoting cancer progression.
Area of Science:
- Biochemistry
- Molecular Biology
- Cancer Research
Background:
- Glucose metabolic reprogramming alters cellular metabolism for rapid ATP production, even in oxygen-rich conditions.
- This process leads to lactate accumulation, affecting tumor and immune cells within the tumor microenvironment (TME).
- Lactylation, a post-translational modification, arises from lactate accumulation and impacts protein function and gene expression.
Purpose of the Study:
- To review the mechanisms of lactylation and glucose metabolic reprogramming.
- To explore their impact on immune cells within the TME.
- To elucidate their interrelations in tumor progression, immunity, and inflammation.
Main Methods:
- Review of existing literature on glucose metabolism, lactylation, and cancer immunology.
- Analysis of the molecular pathways linking glucose metabolism, lactate production, and epigenetic modifications.
- Examination of the effects of lactylation on immune cell function and the tumor microenvironment.
Main Results:
- Glucose reprogramming activates key enzymes (HK2, PKM2, LDHA) via transcription factors (HIF-1α, c-Myc), boosting glycolysis and lactate.
- Lactate serves as a substrate for lactylation, mediated by enzymes like CBP/p300, altering protein function and gene expression.
- Lactylation inhibits anti-tumor immunity by upregulating oncogenic pathways, promoting M2 macrophage polarization, and causing T-cell dysfunction.
Conclusions:
- Glucose metabolic reprogramming and lactylation are interconnected, driving tumorigenesis by affecting gene expression, protein function, and the TME.
- These processes contribute to immune evasion and cancer progression.
- Understanding these mechanisms offers potential therapeutic targets for cancer treatment.
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