乳酸化修饰在脓毒症中的研究进展
Research Progress on Lactylation Modification in Sepsis
DOI: 10.12677/acrem.2025.134054, PDF,   
作者: 刘 茜:四川省人民医院川东医院·达州市第一人民医院医学检验科,四川 达州;达州市妇幼保健院医学检验科,四川 达州
关键词: 乳酸化修饰脓毒症免疫反应细胞代谢治疗靶点Lactylation Modification Sepsis Immune Response Cellular Metabolism Therapeutic Target
摘要: 脓毒症是一种由感染引起的全身性炎症反应综合征,近年来,乳酸化修饰作为一种新兴的后转录修饰方式,逐渐引起了研究者的广泛关注。脓毒症的发生和发展与机体的免疫反应和细胞代谢密切相关,而乳酸化修饰在这些过程中可能发挥重要作用。现有研究表明,乳酸化不仅影响细胞的代谢途径,还可能通过调控免疫细胞功能、细胞信号转导等机制参与脓毒症的病理生理过程。然而,目前关于乳酸化修饰在脓毒症中的具体机制和作用尚不明确,相关研究仍处于起步阶段。本文旨在综述乳酸化修饰在脓毒症中的最新研究进展,探讨其在免疫反应、细胞代谢及病理生理中的作用机制,并分析乳酸化修饰作为潜在治疗靶点的前景,为脓毒症的进一步研究提供新的视角和思路。
Abstract: Sepsis is a systemic inflammatory response syndrome triggered by infection. In recent years, lactylation modification, as an emerging post-translational modification, has garnered increasing attention from researchers. The onset and progression of sepsis are closely associated with the host’s immune response and cellular metabolism, and lactylation modification may play a significant role in these processes. Existing studies suggest that lactylation not only influences cellular metabolic pathways but may also be involved in the pathophysiological mechanisms of sepsis by regulating immune cell functions and cellular signal transduction. However, the specific mechanisms and roles of lactylation modification in sepsis remain unclear, and related research is still in its early stages. This article aims to review the latest research progress on lactylation modification in sepsis, explore its mechanisms in immune response, cellular metabolism, and pathophysiology, and analyze the potential of lactylation modification as a therapeutic target, thereby providing new perspectives and insights for further research on sepsis.
文章引用:刘茜. 乳酸化修饰在脓毒症中的研究进展[J]. 亚洲急诊医学病例研究, 2025, 13(4): 383-389. https://doi.org/10.12677/acrem.2025.134054

参考文献

[1] Bruserud, Ø., Mosevoll, K.A., Bruserud, Ø., Reikvam, H. and Wendelbo, Ø. (2023) The Regulation of Neutrophil Migration in Patients with Sepsis: The Complexity of the Molecular Mechanisms and Their Modulation in Sepsis and the Heterogeneity of Sepsis Patients. Cells, 12, Article 1003. [Google Scholar] [CrossRef] [PubMed]
[2] Liu, S., Yang, T., Jiang, Q., Zhang, L., Shi, X., Liu, X., et al. (2024) Lactate and Lactylation in Sepsis: A Comprehensive Review. Journal of Inflammation Research, 17, 4405-4417. [Google Scholar] [CrossRef] [PubMed]
[3] Zhang, T., Huang, X., Li, L., Li, Y., Liu, Y., Shi, X., et al. (2025) Lactylation of HADHA Promotes Sepsis-Induced Myocardial Depression. Circulation Research, 137, e65-e87. [Google Scholar] [CrossRef] [PubMed]
[4] Terpe, P., Ruhs, S., Dubourg, V., Bucher, M. and Gekle, M. (2024) The Synergism of Cytosolic Acidosis and Reduced NAD+/NADH Ratio Is Responsible for Lactic Acidosis-Induced Vascular Smooth Muscle Cell Impairment in Sepsis. Journal of Biomedical Science, 31, Article No. 3. [Google Scholar] [CrossRef] [PubMed]
[5] Sun, Z., Song, Y., Li, J., Li, Y., Yu, Y. and Wang, X. (2023) Potential Biomarker for Diagnosis and Therapy of Sepsis: Lactylation. Immunity, Inflammation and Disease, 11, e1042. [Google Scholar] [CrossRef] [PubMed]
[6] Zhang, J., Wu, D., Zeng, F., Gu, H., Li, C., Cata, J.P., et al. (2025) Lactate Metabolic Reprogramming and Histone Lactylation Modification in Sepsis. International Journal of Biological Sciences, 21, 5034-5055. [Google Scholar] [CrossRef] [PubMed]
[7] Zhang, T., Chen, L., Kueth, G., Shao, E., Wang, X., Ha, T., et al. (2024) Lactate’s Impact on Immune Cells in Sepsis: Unraveling the Complex Interplay. Frontiers in Immunology, 15, Article ID: 1483400. [Google Scholar] [CrossRef] [PubMed]
[8] Chen, Y., Hu, H., Wang, C., Wu, J., Zan, J. and Liu, Y. (2025) Epigenetic Modulation by Lactylation in Sepsis: Linking Metabolism to Immune Dysfunction. Journal of Inflammation Research, 18, 7357-7367. [Google Scholar] [CrossRef] [PubMed]
[9] Guo, Y., Chu, L., Shui, W., Hu, H., Hao, L., Wang, D., et al. (2025) Histone Lactylation in Immune Cells and Its Predictive Role in Sepsis Progression: A Prospective Observational Study. Shock. [Google Scholar] [CrossRef] [PubMed]
[10] Wang, Y., Wei, A., Su, Z., Shi, Y., Li, X. and He, L. (2025) Characterization of Lactylation-Based Phenotypes and Molecular Biomarkers in Sepsis-Associated Acute Respiratory Distress Syndrome. Scientific Reports, 15, Article No. 13831. [Google Scholar] [CrossRef] [PubMed]
[11] Li, C., He, M., Shi, P., Yao, L., Fang, X., Li, X., et al. (2025) A Novel, Rapid, and Practical Prognostic Model for Sepsis Patients Based on Dysregulated Immune Cell Lactylation. Frontiers in Immunology, 16, Article ID: 1625311. [Google Scholar] [CrossRef] [PubMed]
[12] Qiao, J., Tan, Y., Liu, H., Yang, B., Zhang, Q., Liu, Q., et al. (2024) Histone H3K18 and Ezrin Lactylation Promote Renal Dysfunction in Sepsis‐Associated Acute Kidney Injury. Advanced Science, 11, Article 2307216. [Google Scholar] [CrossRef] [PubMed]
[13] Wu, D., Spencer, C.B., Ortoga, L., Zhang, H. and Miao, C. (2024) Histone Lactylation-Regulated METTL3 Promotes Ferroptosis via M6a-Modification on ACSL4 in Sepsis-Associated Lung Injury. Redox Biology, 74, Article 103194. [Google Scholar] [CrossRef] [PubMed]
[14] Tang, F., Xiao, D., Li, X. and Qiao, L. (2024) The Roles of Lactate and the Interplay with M6a Modification in Diseases. Cell Biology and Toxicology, 40, Article No. 107. [Google Scholar] [CrossRef] [PubMed]
[15] Raychaudhuri, D., Singh, P., Hennessey, M., et al. (2023) Histone Lactylation Drives CD8 T Cell Metabolism and Function. Cold Spring Harbor Laboratory.
[16] Raychaudhuri, D., Singh, P., Chakraborty, B., Hennessey, M., Tannir, A.J., Byregowda, S., et al. (2024) Histone Lactylation Drives CD8+ T Cell Metabolism and Function. Nature Immunology, 25, 2140-2151. [Google Scholar] [CrossRef] [PubMed]
[17] Huang, C., Xue, L., Lin, X., Shen, Y. and Wang, X. (2024) Histone Lactylation-Driven GPD2 Mediates M2 Macrophage Polarization to Promote Malignant Transformation of Cervical Cancer Progression. DNA and Cell Biology, 43, 605-618. [Google Scholar] [CrossRef] [PubMed]
[18] Zhou, X., Liu, D., Su, L., Yao, B., Long, Y., Wang, X., et al. (2017) Use of Stepwise Lactate Kinetics-Oriented Hemodynamic Therapy Could Improve the Clinical Outcomes of Patients with Sepsis-Associated Hyperlactatemia. Critical Care, 21, Article No. 33. [Google Scholar] [CrossRef] [PubMed]
[19] Budidha, K., Mamouei, M., Baishya, N., Qassem, M., Vadgama, P. and Kyriacou, P.A. (2020) Identification and Quantitative Determination of Lactate Using Optical Spectroscopy—Towards a Noninvasive Tool for Early Recognition of Sepsis. Sensors, 20, Article 5402. [Google Scholar] [CrossRef] [PubMed]
[20] Li, S., Shen, Y., Wang, C., Yang, J., Chen, M. and Hu, Y. (2024) Exploring the Prognostic and Diagnostic Value of Lactylation-Related Genes in Sepsis. Scientific Reports, 14, Article No. 23130. [Google Scholar] [CrossRef] [PubMed]
[21] Liu, M., Gu, L., Zhang, Y., Li, Y., Zhang, L., Xin, Y., et al. (2024) LKB1 Inhibits Telomerase Activity Resulting in Cellular Senescence through Histone Lactylation in Lung Adenocarcinoma. Cancer Letters, 595, Article 217025. [Google Scholar] [CrossRef] [PubMed]
[22] Tian, Q., Li, J., Wu, B., Pang, Y., He, W., Xiao, Q., et al. (2025) APP Lysine 612 Lactylation Ameliorates Amyloid Pathology and Memory Decline in Alzheimer’s Disease. Journal of Clinical Investigation, 135, e184656. [Google Scholar] [CrossRef] [PubMed]