组蛋白乳酸化在结直肠癌“代谢-表观遗传-免疫”互作网络中的研究进展
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苏北人民医院

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Research progress on histone lactylation in the “Metabolism-Epigenetics-Immunity” crosstalk network of colorectal cancer
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Northern Jiangsu People''s Hospital

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    摘要:

    组蛋白乳酸化(Histone lactylation,Kla)作为近年来发现的关键表观遗传修饰,逐渐被视为连接结直肠癌(colorectal cancer,CRC)代谢重编程、基因表达调控与免疫微环境塑造的重要枢纽。CRC中显著增强的糖酵解使乳酸在肿瘤细胞及其微环境中大量积累,而乳酸不仅作为代谢终产物存在,更可驱动形成,进而重塑染色质开放状态并激活与增殖、侵袭、干性维持及免疫逃逸相关的基因表达程序。与此同时,Kla对免疫系统具有多层级影响,可促进肿瘤相关巨噬细胞(tumor-associated macrophages,TAM)向M2型极化、增强调节性T细胞(regulatory T cells,Treg)稳态、诱导CD8? T细胞耗竭并削弱抗原呈递能力,从而形成持续的免疫抑制性肿瘤微环境(tumor microenvironment,TME)。近年来的研究进一步揭示Kla在乳酸代谢、表观遗传调控和免疫反应之间构建了稳定的互作闭环,使其不仅具有重要生物学意义,也展现出作为风险分层指标、代谢与表观遗传靶点及免疫治疗反应预测因子的潜在临床价值。尽管当前在酶系统识别、检测标准化及临床验证方面仍存在不足,Kla仍为深入理解CRC的复杂调控网络提供了新的视角,并为未来代谢—表观遗传—免疫联合干预策略的发展奠定了基础。

    Abstract:

    Histone lactylation (Kla) has recently been recognized as an important epigenetic modification in colorectal cancer (CRC). It is increasingly regarded as a key point of interaction among metabolic reprogramming, gene regulation, and immune microenvironment remodeling. In CRC, enhanced glycolysis leads to marked lactate accumulation in tumor cells and the surrounding microenvironment. Lactate is therefore more than an end product of metabolism. It can drive Kla formation, alter chromatin accessibility, and activate transcriptional programs related to proliferation, invasion, stemness, and immune escape. Kla also affects the immune system at several levels. It can promote M2 polarization of tumor-associated macrophages (TAM), support the homeostasis of regulatory T cells (Treg), induce CD8? T-cell exhaustion, and weaken antigen presentation, thereby forming a persistent immunosuppressive tumor microenvironment (TME). Recent studies further show that Kla forms a relatively stable interactive loop among lactate metabolism, epigenetic regulation, and immune response. This gives Kla both biological importance and potential clinical value in CRC, including possible use in risk stratification, metabolic and epigenetic targeting, and prediction of immunotherapy response. Some issues remain unresolved, especially the identification of the relevant enzymatic system, the standardization of detection methods, and validation in clinical settings. Even so, Kla provides a new perspective for understanding the complex regulatory network of CRC and offers a basis for future combined strategies targeting metabolism, epigenetics, and immunity.

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黄晓荣,孙东炜.组蛋白乳酸化在结直肠癌“代谢-表观遗传-免疫”互作网络中的研究进展[J].生物医学工程学进展,2026,(1):139-144

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  • 收稿日期:2026-01-09
  • 最后修改日期:2026-02-19
  • 录用日期:2026-02-24
  • 在线发布日期: 2026-04-14
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