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Lactylation stabilizes PD-L1 to promote tumor immune evasion and cell growth

Lijun Liang, Yiqi Zong, Jinghao Huang, Yixuan Chen, Nuotong Xu, Pengyu Yan, Hai Song, Ming Wu

2026Cell Death and Disease7 citationsDOIOpen Access PDF

Abstract

Programmed death-ligand 1 (PD-L1) plays a critical role in tumor immune evasion, yet the mechanisms that regulate its expression, specifically the metabolic control of its stability and function, remain elusive. In this study, we demonstrate that lactate, a key metabolite in the tumor microenvironment, upregulates PD-L1 expression via lysine lactylation (Kla) of PD-L1 at residue K280 within its intracellular domain. This modification stabilizes PD-L1 by inhibiting E3 ligase HUWE1 binding, ubiquitination, and subsequent proteasomal degradation. We identified alanyl-tRNA synthetase 1 (AARS1) as the lactyltransferase that utilizes lactate as a lactyl-donor and is responsible for PD-L1 K280 lactylation. Functionally, PD-L1 lactylation promotes tumor immune evasion by impairing CD8 + T cell-mediated cytotoxicity and accelerates tumor growth in vivo. Furthermore, sodium lactate (NaLa) administration enhances the efficacy of anti-PD-L1 immunotherapy in preclinical models. Clinically, PD-L1 K280 lactylation correlates with advanced non-small cell lung cancer stages and poor patient survival, highlighting its potential as a diagnostic biomarker. Our findings unveil a novel lactate-PD-L1 regulatory axis and propose lactylation as a therapeutic target to augment the efficacy of the immune checkpoint blockade.

Topics & Concepts

Immune systemCancer researchImmunotherapyCytotoxicityCancer immunotherapyEvasion (ethics)Ubiquitin ligaseIntracellularCell growthBiologyImmune checkpointCell biologyDownregulation and upregulationMetaboliteCD8RegulatorPD-L1ChemistryCellCytotoxic T cellT cellAntibodyCancer cellLung cancerMechanism of actionMonoclonal antibodyCell cycleLysineCancer Immunotherapy and BiomarkersCancer, Hypoxia, and MetabolismFerroptosis and cancer prognosis