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Lactate activates trained immunity by fueling the tricarboxylic acid cycle and regulating histone lactylation

Huanhuan Cai, Xueyuan Chen, Yan Liu, Ying-Bo Chen, Gechang Zhong, Xiaoyu Chen, Shuo Rong, Hao Zeng, Lin Zhang, Zelong Li, Aihua Liao, Xiangtai Zeng, Wei Xiong, Cihang Guo, Yanfang Zhu, Ke‐Qiong Deng, Hong Ren, Huan Yan, Zeng Cai, Ke Xu, Li Zhou, Zhibing Lu, Fubing Wang, Shi Liu

2025Nature Communications72 citationsDOIOpen Access PDF

Abstract

Trained immunity refers to the long-term memory of the innate immune cells. However, little is known about how environmental nutrient availability influences trained immunity. This study finds that physiologic carbon sources impact glucose contribution to the tricarboxylic acid (TCA) cycle and enhance cytokine production of trained monocytes. Our experiments demonstrate that trained monocytes preferentially employe lactate over glucose as a TCA cycle substrate, and lactate metabolism is required for trained immune cell responses to bacterial and fungal infection. Except for the contribution to the TCA cycle, endogenous lactate or exogenous lactate also supports trained immunity by regulating histone lactylation. Further transcriptome analysis, ATAC-seq, and CUT&Tag-seq demonstrate that lactate enhance chromatin accessibility in a manner dependent histone lactylation. Inhibiting lactate-dependent metabolism by silencing lactate dehydrogenase A (LDHA) impairs both lactate fueled the TCA cycle and histone lactylation. These findings suggest that lactate is the hub of immunometabolic and epigenetic programs in trained immunity. Here, Cai et al. demonstrate that environmental metabolite availability directly impacts glucose utilization and function in trained immunity - trained monocytes prefer lactate over glucose as a physiologic fuel, and lactate regulates trained immunity by altering histone lactylation.

Topics & Concepts

Citric acid cycleHistoneTricarboxylic acidCell biologyImmunityChemistryBiologyBiochemistryImmune systemImmunologyMetabolismGeneImmune responses and vaccinationsDiabetes and associated disordersImmune cells in cancer
Lactate activates trained immunity by fueling the tricarboxylic acid cycle and regulating histone lactylation | Litcius