Evidence map›Paper›PMID 41864972›Full record

ArticleCell death & disease2026

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

Abstract read
In one paragraph

Article in Cell death & disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Lactate Signal: Modulator of Cellular Energy Production and Anabolism.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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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

8 authors.

Lijun Liang *Department of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. lianglijun2022@zju.edu.cn.ORCID http://orcid.org/0000-0003-3949-6165
Yiqi Zong *Department of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID http://orcid.org/0009-0000-6201-4588
Jinghao Huang *Department of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yixuan Chen *Zhejiang University School of Medicine, Hangzhou, China.ORCID http://orcid.org/0009-0001-4831-1794
Nuotong Xu *Zhejiang University School of Medicine, Hangzhou, China.
Pengyu YanZhejiang University School of Medicine, Hangzhou, China.
Hai SongDepartment of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. haisong@zju.edu.cn.ORCID http://orcid.org/0000-0003-3228-6616
Ming WuDepartment of Thoracic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. iwuming22@zju.edu.cn.ORCID http://orcid.org/0000-0002-1009-5387

Funding

China Postdoctoral Science Foundation no.2023M743038National Natural Science Foundation of China (National Science Foundation of China) no. 82403156
6 · The paper itself

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.

Indexed as

B7-H1 AntigenLactic AcidTumor EscapeAnimalsCell Line, TumorCell ProliferationFemaleHumansLysineMiceMice, Inbred C57BLB7-H1 AntigenCD274 protein, humanLactic AcidLysine

Identifiers

PMID41864972
PMCPMC13039446

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.