Evidence map›Paper›PMID 40759752›Full record

ArticleNature metabolism2025

Lactate signalling leads to aggregation of immune-inflammatory hotspots and SLC5A12 blockade promotes their resolution.

Michelangelo Certo, Elena Pontarini, Sebastian G Gilbert, Ronny Schmidt, Jason D Turner, Davide Lucchesi, Daria Apostolo, Giulia Cavallaro, Charlotte G Smith, Serena Colafrancesco and 7 more

Abstract read
In one paragraph

Article in Nature metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Lactate Signal: Modulator of Cellular Energy Production and Anabolism.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Nutrients · 2026
    Article
  7. JAK/STAT inhibition reprograms T cell activation and metabolism in inflammatory arthritis patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  8. Lactate Enhances CD8International journal of molecular sciences · 2026
    Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Michelangelo Certo *Department of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK. m.certo@bham.ac.uk.ORCID http://orcid.org/0000-0002-5568-3465
Elena Pontarini *Experimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, UK.
Sebastian G GilbertSchool of Mathematics, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-7502-8409
Ronny SchmidtSciomics GmbH, Neckargemünd, Germany.ORCID http://orcid.org/0009-0002-5173-8649
Jason D TurnerDepartment of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-5423-5302
Davide LucchesiExperimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-8019-556X
Daria ApostoloExperimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, UK.
Giulia CavallaroDepartment of Physics and Astronomy, University of Catania, Catania, Italy.
Charlotte G SmithDepartment of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Serena ColafrancescoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, and Rheumatology and Clinical Immunology, Istituto di Ricovero e Cura a Carattere Scientifico, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Joana CamposDepartment of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Saba NayarDepartment of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Christoph SchröderSciomics GmbH, Neckargemünd, Germany.
Benjamin A FisherDepartment of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0003-4631-549X
Fabian SpillSchool of Mathematics, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-8462-5080
Michele BombardieriExperimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, UK. m.bombardieri@qmul.ac.uk.ORCID http://orcid.org/0000-0002-3878-5216
Claudio MauroDepartment of Inflammation and Ageing, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK. c.mauro@bham.ac.uk.ORCID http://orcid.org/0000-0002-3736-0099

Funding

British Heart Foundation (BHF) FS/SBSRF/22/31031RCUK | Medical Research Council (MRC) MR/T016736/1
6 · The paper itself

Abstract

Ectopic lymphoid structures (ELS) are aggregates of lymphoid cells that often form within inflamed tissues in patients with autoimmune diseases, cancer, infectious diseases and cardiovascular conditions. These structures drive B cell maturation into memory B cells and plasma cells through B cell and T cell co-stimulation, and their role in pathogenesis is increasingly recognized. Understanding how ELS develop and persist in inflamed tissues is essential for elucidating the pathogenesis and treatment responses in diseases in which they have a prominent role. Here we show that metabolic pathways and specific metabolites, in particular lactate, are master regulators of ELS organization in Sjögren's disease (SjD), the second-most common autoimmune rheumatic disease. Furthermore, inhibiting lactate uptake by lactate transporters, specifically by SLC5A12 blockade, represents a previously unappreciated checkpoint in autoimmune inflammatory diseases. This approach results in multidimensional pro-resolution effects, including reduced inflammatory cytokine levels, enhanced T cell egress from inflamed sites and diminished T cell and B cell areas and their segregation within ELS.

Indexed as

InflammationLactic AcidSignal TransductionAnimalsB-LymphocytesHumansMiceSjogren's SyndromeT-LymphocytesLactic Acid

Identifiers

PMID40759752
PMCPMC12373510

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.