靶向“乳酸记忆”:乳酸化修饰驱动肺纤维化病理持续性的机制
DOI:
作者:
作者单位:

长江大学附属第一医院

作者简介:

通讯作者:

中图分类号:

基金项目:

湖北省自然科学基金计划项目(2024AF B459);湖北省卫生健康科技项目(WJ20250015)。


Targeting "Lactate Memory": Mechanisms of Protein Lactylation-Driven Pathological Persistence in Pulmonary Fibrosis
Author:
Affiliation:

The First Affiliated Hospital of Yangtze University

Fund Project:

Natural Science Foundation of Hubei Province (No. 2024AFB459) ; Health Commission of Hubei Province Science and Technology Project (No. WJ20250015).

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    肺纤维化(PF)是以肺泡上皮反复受损、成纤维细胞持续活化及细胞外基质过度沉积为特征的致死性肺疾病。尽管临床已应用吡非尼酮与尼达尼布,但其仅能减缓而非逆转病程,核心瓶颈在于活化成纤维细胞具备由表观遗传介导的“病理持久性”或“致病记忆”。近年来,代谢重编程——尤其是“Warburg效应”产生的乳酸堆积,被证实是驱动纤维化演进的关键。2019年发现的蛋白质乳酸化修饰(Kla)为理解这一过程提供了全新视角。作为一种新型翻译后修饰,乳酸化修饰充当了“代谢-表观遗传开关”,通过重塑组蛋白及非组蛋白的生化特征,将瞬时的代谢紊乱固化为持久的基因转录程序。本综述系统解析了乳酸化修饰的生化调控体系及其在锁定成纤维细胞活化、介导“代谢-免疫”旁分泌交互、以及驱动氧化应激与机械力反馈环路中的分子机制。通过深度剖析乳酸化介导的“致病记忆”形成逻辑,本文旨在揭示靶向乳酸代谢轴在打破纤维化自我维持环路中的独特价值,为开发具有“记忆擦除”功能的新型抗纤维化药物提供前瞻性的理论指导与转化思路。

    Abstract:

    Pulmonary fibrosis (PF) is a lethal lung disease characterized by recurrent alveolar epithelial injury, persistent fibroblast activation, and excessive extracellular matrix (ECM) deposition. Although Pirfenidone and Nintedanib have been implemented in clinical practice, they only delay rather than reverse disease progression. The core bottleneck lies in the epigenetically-mediated "pathological persistence" or "pathogenic memory" of activated fibroblasts. Recently, metabolic reprogramming—specifically lactate accumulation resulting from the "Warburg effect"—has been identified as a critical driver of fibrosis evolution. The discovery of protein lactylation (Kla) in 2019 provided a novel perspective for understanding this process. As a nascent post-translational modification (PTM), lactylation acts as a "metabolic-epigenetic switch," solidifying transient metabolic disturbances into enduring gene transcription programs by remodeling the biochemical signatures of histones and non-histone proteins. This review systematically elucidates the biochemical regulatory system of lactylation and its molecular mechanisms in locking fibroblast activation, mediating "metabolic-immune" paracrine crosstalk, and driving oxidative stress and mechanical feedback loops. [ ]By providing an in-depth analysis of the logic behind lactylation-mediated "pathogenic memory" formation, this article aims to reveal the unique value of targeting the lactate metabolic axis in breaking the self-sustaining loops of fibrosis, offering prospective theoretical guidance and translational insights for the development of novel anti-fibrotic drugs with "memory-erasing" capabilities.

    参考文献
    相似文献
    引证文献
引用本文
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2026-04-29
  • 最后修改日期:2026-05-26
  • 录用日期:2026-09-14
  • 在线发布日期:
  • 出版日期: