Protein Lactylation in Central Nervous System Diseases: Molecular Mechanisms and Targeted Therapeutic Strategies.
Overview
- Department of Neurosurgery, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China
- Department of Spinal Surgery, People’s Hospital of Yangjiang, Yangjiang, Guangdong, People’s Republic of China
- School of Medicine, Southeast University, Nanjing, Jiangsu, People’s Republic of China
- Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, Guangdong, People’s Republic of China
- Hanzhong Psychiatric Hospital, Hanzhong, Shanxi, People’s Republic of China
- Key Laboratory of Artificial Organs and Computational Medicine in Zhejiang Province, Shulan International Medical College, Institute of Translational Medicine, Zhejiang Shuren University, Hangzhou, Zhejiang, People’s Republic of China
Abstract
Lactate, once considered merely a metabolic byproduct, is now recognized as a cornerstone of central nervous system (CNS) homeostasis, serving as both a vital energy substrate and signaling molecule. The identification of lysine lactylation (Kla) has established this modification as a key epigenetic link between cellular metabolism and genomic regulation. This review examines the molecular mechanisms underlying protein lactylation, including enzymatic regulation by writers, erasers, and readers as well as non-enzymatic mechanisms. The multifaceted roles of Kla are explored in the context of CNS disorders, ranging from malignancies, acute injuries, and neurodegenerative diseases. The review further examines Kla’s role in neuroinflammation, metabolic reprogramming, and neuroplasticity, highlighting its potential as a sensitive biomarker. Potential therapeutic strategies are also considered, including metabolic inhibitors and nanocarriers capable of crossing the blood-brain barrier (BBB) to restore metabolic and epigenetic balance.
Reproduced under the paper's license (CC BY-NC), from the paper cited above.
Code
The paper links to its data, not to its authors' code: see the Data section.
Tracing map
A tracing map links a paper to the code its authors published: this paper has none, so it has no map.
Data
Datasets cited
- geo:GSE85426 — at NCBI GEO; found in the text, “Lactylation in Neurodegenerative Diseases”
Data Sharing Statement
Data sharing is not applicable to this article, as no new datasets were generated or analyzed in the current study. All information and data discussed in this review are derived from the published literature cited in the reference list. The materials and conclusions are based on publicly available sources, ensuring the accessibility and verifiability of the synthesized knowledge.
Reproduced under the paper's license (CC BY-NC), from the paper cited above.
Versions
The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.
Version 2, 28 September 2026
- Funding: added National Natural Science Foundation of China: 82171459
Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, pages, dates, 12 authors, 5 keywords, 7 MeSH terms, 146 references.
Cite
This paper
Cheng, Z., Ou, G., Zhang, G., Ahmed, W., Han, Y., Zhang, D., Chai, T., Hu, M., Zhang, Q., Lei, J., Lei, L., & Zhu, Z. (2026). Protein Lactylation in Central Nervous System Diseases: Molecular Mechanisms and Targeted Therapeutic Strategies. International journal of nanomedicine, 21, 621038. https://
BibTeX
@article{cheng2026protei
author = {Cheng, Ziyan and Ou, Guangxin and Zhang, Guilong and Ahmed, Waqas and Han, Yongquan and Zhang, Dongshan and Chai, Tianran and Hu, Meng and Zhang, Qiankun and Lei, Jiaxin and Lei, Lanjie and Zhu, Zhihan},
title = {{Protein Lactylation in Central Nervous System Diseases: Molecular Mechanisms and Targeted Therapeutic Strategies}},
journal = {International journal of nanomedicine},
year = {2026},
month = jul,
volume = {21},
pages = {621038},
publisher = {Dove Press},
issn = {1176-9114},
doi = {10.2147/
url = {https://
pmid = {42500703},
pmcid = {PMC13398407}
}
RIS
TY - JOUR
AU - Cheng, Ziyan
AU - Ou, Guangxin
AU - Zhang, Guilong
AU - Ahmed, Waqas
AU - Han, Yongquan
AU - Zhang, Dongshan
AU - Chai, Tianran
AU - Hu, Meng
AU - Zhang, Qiankun
AU - Lei, Jiaxin
AU - Lei, Lanjie
AU - Zhu, Zhihan
TI - Protein Lactylation in Central Nervous System Diseases: Molecular Mechanisms and Targeted Therapeutic Strategies
T2 - International journal of nanomedicine
J2 - Int J Nanomedicine
PY - 2026
DA - 2026/
VL - 21
SP - 621038
SN - 1176-9114
PB - Dove Press
DO - 10.2147/
UR - https://
LA - en
ER -
CSL-JSON
{
"id": "10.2147/
"type": "article-journal",
"title": "Protein Lactylation in Central Nervous System Diseases: Molecular Mechanisms and Targeted Therapeutic Strategies",
"container-title": "International journal of nanomedicine",
"author": [
{
"family": "Cheng",
"given": "Ziyan"
},
{
"family": "Ou",
"given": "Guangxin"
},
{
"family": "Zhang",
"given": "Guilong"
},
{
"family": "Ahmed",
"given": "Waqas"
},
{
"family": "Han",
"given": "Yongquan"
},
{
"family": "Zhang",
"given": "Dongshan"
},
{
"family": "Chai",
"given": "Tianran"
},
{
"family": "Hu",
"given": "Meng"
},
{
"family": "Zhang",
"given": "Qiankun"
},
{
"family": "Lei",
"given": "Jiaxin"
},
{
"family": "Lei",
"given": "Lanjie"
},
{
"family": "Zhu",
"given": "Zhihan"
}
],
"container-title-short":
"volume": "21",
"page": "621038",
"DOI": "10.2147/
"PMID": "42500703",
"PMCID": "PMC13398407",
"ISSN": "1176-9114",
"publisher": "Dove Press",
"URL": "https://
"language": "en",
"issued": {
"date-parts": [
[
2026,
7,
20
]
]
}
}
Similar papers
The papers with a page that share the most with this one: the tools found in their code, their categories, datasets, cited references and authors, the rarest counting most.
- [1] doi:10.1016/j.isci.2026.116092
- Sigma-1 receptor promotes glycolysis in neuronal systems by suppressing GRIM19.Journal: iScienceIn common: cellular / molecular, 4 references
- [2] doi:10.2147/dddt.s627186
- Esketamine Attenuates Postoperative Neurocognitive Disorder in Aged Mice: Associations with Bioenergetic Remodeling in Hippocampal CD11b-Enriched Cell Fractions and Glycolysis-Related Signaling.Journal: Drug design, development and therapyIn common: cellular / molecular, 3 references
- [3] doi:10.3892/ijmm.2026.5849
- miR‑223‑3p promotes microglial lactylation and M1 polarization via the FBXW7/
Notch1/ Hes1/ SIRT1 axis. Journal: International journal of molecular medicineIn common: cellular / molecular, 3 references - [4] doi:10.1155/humu/2963117
- Construction of a Diagnostic Model and Drug Prediction for Postischemic Stroke Cognitive Impairment Based on Machine Learning Screening of Lactate Metabolism- and Pyroptosis-Related Genes.Journal: Human mutationIn common: 3 references
- [5] doi:10.1038/s44321-026-00422-8
- Hyperglycemia impairs cognitive function by inducing mitochondrial damage through lactylation of LRPPRC at K223.Journal: EMBO molecular medicineIn common: cellular / molecular, 2 references
- [6] doi:10.3389/fimmu.2026.1837728
- Hexokinase 2 upregulation is associated with glycolytic reprogramming and neuroinflammation in hypoxic-ischemic brain damage: a therapeutic target for early intervention.Journal: Frontiers in immunologyIn common: cellular / molecular, 2 references
- [7] doi:10.1016/j.isci.2026.116930
- HCAR1-mediated lactate signaling modulates motor behavior and regulates spontaneous firing in Purkinje cells.Journal: iScienceIn common: cellular / molecular, 2 references
- [8] doi:10.1371/journal.pone.0345890
- Differential regulation of p62-ubiquitin conjugates in neurons versus astrocytes during cellular stress.Journal: PloS oneIn common: cellular / molecular, 2 references
- [9] doi:10.1177/0271678x261485404 [code]
- The microdialysis-derived lactate-pyruvate gradient indicates anaerobic activity after brain injury.Journal: Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and MetabolismIn common: cellular / molecular, 1 reference
- [10] doi:10.1038/s41586-026-10874-0 [code]
- Amygdala astrocyte primary cilium mechanisms contribute to stress behaviours.Journal: NatureIn common: cellular / molecular, 1 reference
Contribute
The authors of this paper can claim it, correct its record and validate its tracing map, and the maintainers of its code (its owner, or a public member of its organization) correct what it says of their repository; anyone signed in can ask for its removal. Every request goes to OSCR's own machine, which answers it; your account page follows them.
Sign in with ORCID to claim this paper as one of its authors, correct its record or validate its tracing map: when the paper's metadata lists your ORCID iD, you are recognized at once. Maintainers of its code: sign in with GitHub, then claim the repository on your account page.
Claim this paper
Correct its record
Say what each link of this record is, remove the ones that are not the paper's, add the ones that are missing. The correction becomes a new version of the record, in its Versions section.
Request its removal
To ask OSCR to remove this record, the copies of its authors' scripts or its tracing map, use the removal request page: signed in, you say who you are, what to remove and why, then review and confirm the request. Published rules decide every request (how).
Discussion, reproductions, activity
Discussion: questions and error reports about this paper and its code, from signed-in readers and its authors. It opens with sign-in.
Reproductions: reports from readers who ran the authors' code: what they reproduced, with which environment, commit and data. It opens with sign-in.
Activity: what happens around this paper: new versions of its record, its map's validation, discussions and reproductions. It opens with sign-in.
