State Key Laboratory of Cell Differentiation and Regulation, Henan Center for Outstanding Overseas Scientists of Organ Fibrosis, Pingyuan Laboratory, College of Life Science, Henan Normal University, Xinxiang 453007, China.
Int J Mol Sci. 2023 Dec 25;25(1):315. doi: 10.3390/ijms25010315.
Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive lung disease characterized by excessive deposition of fibrotic connective tissue in the lungs. Emerging evidence suggests that metabolic alterations, particularly glycolysis reprogramming, play a crucial role in the pathogenesis of IPF. Lactate, once considered a metabolic waste product, is now recognized as a signaling molecule involved in various cellular processes. In the context of IPF, lactate has been shown to promote fibroblast activation, myofibroblast differentiation, and extracellular matrix remodeling. Furthermore, lactate can modulate immune responses and contribute to the pro-inflammatory microenvironment observed in IPF. In addition, lactate has been implicated in the crosstalk between different cell types involved in IPF; it can influence cell-cell communication, cytokine production, and the activation of profibrotic signaling pathways. This review aims to summarize the current research progress on the role of glycolytic reprogramming and lactate in IPF and its potential implications to clarify the role of lactate in IPF and to provide a reference and direction for future research. In conclusion, elucidating the intricate interplay between lactate metabolism and fibrotic processes may lead to the development of innovative therapeutic strategies for IPF.
特发性肺纤维化(IPF)是一种慢性进行性肺部疾病,其特征是肺部纤维化结缔组织的过度沉积。新出现的证据表明,代谢改变,特别是糖酵解重编程,在 IPF 的发病机制中起着关键作用。乳酸曾被认为是一种代谢废物,但现在被认为是一种参与各种细胞过程的信号分子。在 IPF 中,乳酸已被证明可促进成纤维细胞的激活、肌成纤维细胞的分化和细胞外基质的重塑。此外,乳酸可以调节免疫反应,并有助于 IPF 中观察到的促炎微环境。此外,乳酸还参与了 IPF 中涉及的不同细胞类型之间的串扰;它可以影响细胞间通讯、细胞因子的产生以及促纤维化信号通路的激活。这篇综述旨在总结糖酵解重编程和乳酸在 IPF 中的作用的最新研究进展及其潜在意义,以阐明乳酸在 IPF 中的作用,并为未来的研究提供参考和方向。总之,阐明乳酸代谢与纤维化过程之间的复杂相互作用可能会为 IPF 的创新治疗策略的发展提供依据。