乳酸代谢与乳酸化修饰在肝细胞癌诊疗中的研究进展

Research progress of lactate metabolism and lactylation in the diagnosis and treatment of hepatocellular carcinoma

  • 摘要: 肝细胞癌是最常见的原发性肝癌,其发生与多种因素密切相关,包括代谢重编程、免疫逃逸以及肿瘤微环境变化。近年来,乳酸代谢异常被发现是肝细胞癌发生、发展以及免疫逃逸的关键因素之一。乳酸不仅是糖酵解途径的副产物,更是通过乳酸化等翻译后修饰,影响基因表达、免疫反应及细胞命运的“代谢信号分子”。乳酸在肝细胞癌中的积累不仅促进肿瘤细胞增殖和转移,还通过改变肿瘤微环境抑制免疫效应细胞的活性,为肿瘤免疫逃逸提供有利条件。笔者综述乳酸代谢与乳酸化修饰在肝细胞癌中的作用机制,并探讨其作为潜在治疗靶点的临床意义,旨在为肝细胞癌治疗提供新的思路和方法。

     

    Abstract: Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer, which is closely associated with multiple factors, including metabolic reprogramming, immune evasion, and changes in the tumor microenvironment. In recent years, abnormal lactate metabolism has been identified as a key factor in the initiation, progression, and immune escape of HCC. Lactate is not merely a byproduct of glycolysis but also acts as a "metabolic signaling molecule" that influences gene expression, immune responses, and cell fate through post‑translational modifications such as lactylation. The accumulation of lactate in HCC not only promotes tumor cell proliferation and metas-tasis but also suppresses the activity of immune effector cells by altering the tumor microenviron-ment, thereby facilitating tumor immune evasion. The authors summarize the mechanisms of lactate metabolism and lactylation in HCC, discuss their potential as therapeutic targets, aiming to provide new insights and strategies for liver cancer treatment.

     

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