Affiliation:
1. The First Clinical Medical College of Gansu University of Chinese Medicine (Gansu Provincial Hospital) Lanzhou China
2. General Surgery Clinical Medical Center Gansu Provincial Hospital Lanzhou China
3. Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology in Gansu Province Gansu Provincial Hospital Gansu China
4. NHC Key Laboratory of Diagnosis and Therapy of Gastrointestinal Tumor Gansu Provincial Hospital Lanzhou China
5. Geriatrics Department Lianyungang First People's Hospital Lianyugang China
6. Cadre Ward of General Surgery Department Gansu Provincial Hospital Lanzhou China
Abstract
ABSTRACTLactate was once considered to be a by‐product of energy metabolism, but its unique biological value was only gradually explored with the advent of the Warburg effect. As an end product of glycolysis, lactate can act as a substrate for energy metabolism, a signal transduction molecule, a regulator of the tumor microenvironment and immune cells, and a regulator of the deubiquitination of specific enzymes, and is involved in various biological aspects of tumor regulation, including energy shuttling, growth and invasion, angiogenesis and immune escape. Furthermore, we describe a novel lactate‐dependent epigenetic modification, namely histone lactylation modification, and review the progress of its study in tumors, mainly involving the reprogramming of tumor phenotypes, regulation of related gene expression, mediation of the glycolytic process in tumor stem cells (CSCs) and influence on the tumor immune microenvironment. The study of epigenetic regulation of tumor genes by histone modification is still in its infancy, and we expect that by summarizing the effects of lactate and histone modification on tumor and related gene regulation, we will clarify the scientific significance of future histone modification studies and the problems to be solved, and open up new fields for targeted tumor therapy.
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