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The role of protein lactylation in skin diseases: from molecular mechanisms to potential therapeutics.

Created on 16 Jul 2026

Authors

Yue Zhang, Zhinan Shi, Xiaohui Mo, Qiang Ju, Zhanyan Pan

Published in

Frontiers in immunology. Volume 17. Pages 1853603. Epub Jul 01, 2026.

Abstract

Lactylation represents a novel post-translational modification originating from lactate, a by-product of glycolysis. It has emerged as a pivotal mechanism linking cellular metabolism to epigenetic regulation. By transferring the lactyl group to lysine residues on both histone and non-histone proteins, this modification regulates gene transcription and protein function, thereby coordinating critical biological processes, including metabolic reprogramming and immune-inflammatory responses. Recent studies have highlighted the pivotal role of lactate and lactylation in the pathogenesis of diverse skin diseases, including immune-inflammatory skin diseases (e.g., psoriasis and atopic dermatitis), pathologic scars, skin malignancies (e.g., melanoma), and skin ageing. In certain diseases, such as psoriasis and melanoma, lactylation has been established as a core molecular mechanism, establishing a pathological link between systemic metabolic disorders, the local skin microenvironment, immune inflammatory processes, and skin diseases. In other conditions, lactate-mediated effects have been well documented, while the specific contribution of lactylation remains an active area of investigation. Currently, lactylation-related inhibitors have demonstrated therapeutic potential in cancer, metabolic, and immunological fields. Consequently, lactate-mediated lactylation may emerge as a novel therapeutic intervention target for skin disorders. In this review, we summarize recent advances in lactylation research in skin diseases and elucidate its potential as a therapeutic target for future clinical applications.

PMID:
42459708
Bibliographic data and abstract were imported from PubMed on 16 Jul 2026.

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