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. 2025 Aug 23;11:401. doi: 10.1038/s41420-025-02705-4

Table 2.

List of lactylation events that regulate lipid metabolism.

Substrates Lactylation sites Writer/Eraser Functions Health/disease Refs
FASN K528/673/1071 / Modulates the MAT domain by lactylation, thereby suppressing FASN enzymatic activity and consequently reducing DNL NAFLD, HCC, HIIT [3335]
APOC2 K70 P300/HADC3 Induces immunotherapy resistance by promoting extracellular lipolysis NSCLC [32]
CPT2 K457/458 AARS2/SIRT3 Integrates intracellular hypoxia and lactate to regulate OXPHOS, and induces follicle development Exercise, POI [37, 57]
SPRING K82 KAT7 pAKT/pPCK1/pLDHA/SPRINGla axis induces ferroptosis resistance in AKT-hyperactivated ICC via MVA flux reprogramming. ICC [83]
HADHA K519, K415, K644, K60, and K569 / KDM6B-mediated HADHA demethylation/lactylation promotes FAO and mineralization Periodontitis [62]
HADHA K166, K728 SIRT1/3 Disturbs cardiomyocyte mitochondrial function and energy metabolism Septic myocardial depression [65]
PCK2 K100 KAT8 Aggravates hepatic ferroptosis during IRI by OXSM-dependent mtFAS reprogramming LT [44]
Histone H3 K18 / Promotes HCC via lipid metabolism remodeling HCC [45]
Histone H3 K18 / PPARα activation reverses acquired resistance to TMZ in GBM by inhibiting H3K18la GBM [61]
Histone H3 K12 / H4k12la mediated by Fam172a in POMC neurons regulates lipid and glucose metabolism Obesity [49]
Histone H3 K18 P300 H3K18la-induced ACAT2/sEV-cholesterol axis orchestrates cholesterol-mediated immunosuppressive reprogramming PC [84]
Histone H3 K18 / Promotes NAFLD via targeting METTL3/YTHDF1/SCD1 m6A axis NAFLD [48]
Histone H3 K18 / Activates HIF1A and exacerbates SAP via ACSL4/LPCAT3/ALOX15 pathway-induced ferroptosis SAP [74]
Histone H3 K18 P300/CBP H3K18la-driven mechanism induces ferroptosis via METTL3-mediated m6A modification ALI [72]
Histone H3 K18 P300/CBP/SIRT3 Induces ACSL4 transcription to activate ferroptosis IVDD [73]
GCLM K34 ACAT2 Promotes ferroptosis resistance in KRASG12D-mutant cancers KRASG12D mutant cancers [86]
Histone H3 K18 / Induces hCG-induced luteinization in hypoxic GCs by upregulating CYP11A1 and STAR transcription Luteal insufficiency [85]
Histone H3 K18 / Induces chondrocyte ferroptosis OA [135]
ACSL4 K412 P300/CBP/SIRT3 Activates ferroptosis IVDD [73]
ARF1 K73 / Promotes LRP1-induced mitochondria release in astrocyte–neuron crosstalk Stroke [143]
NSUN2 K508 NAA10 Drives cancer resistance to ferroptosis by enhancing GCLC/GSH signaling GC [75]
Vps34 K356/K781 KAT5/TIP60 Increases lipid kinase activity and promotes autophagic flux and endolysosomal trafficking Exercise, Cancer [76]
RUBCN K33 / Promotes PI3P levels and LAP formation via interaction with Vps34 Infectious diseases [78]
APOA4, APOC1, APOC3 / / Promotes downregulation of cholesterol-related proteins Tendinopathy [93]
Histone H4 K12 / Promotes chemotherapy resistance by regulating ABCC2, ABCC3, and ABCC10 DLCC [95]
Histone H3 K18 / H3k18la-driven GPD2 regulates M2 polarization to induce metastasis of CC CC [79]
MeCP2 K271 P300/HDAC3 Exercise-induced Mecp2 lactylation alleviates atherosclerosis Atherosclerosis [121, 124]
Histone H3 K18 P300/HADC3 Promotes lipid peroxidation-induced EndMT and increases lipid burden with P300/ASF1A molecular complex Atherosclerosis [122]
Histone H4 K12 HADC3 Promotes atherosclerosis by TRAP1-induced metabolic reprogramming Atherosclerosis [125]
PCSK9 Pan-Kla / Promotes progression and metastasis of colon cancer Colon cancer [94]
AMPKα / / Exacerbates NPC senescence IVDD [134]
HADHB K273 / Regulates FA metabolism in mice liver Exercise [66]
ACSL1 K676 / Promotes FA metabolism and fat loss Exercise [66]