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LDHA promotes malignant progression and drug resistance while modulating tumor-infiltrating immune cell differentiationNew research identifies LDHA as a promising target for cancer

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Note that LDHA is a promising target for overcoming drug resistance and modulating the tumor immune microenvironment.

This systematic review synthesizes evidence regarding Lactate dehydrogenase A (LDHA) in malignant tumors. The scope of the review focuses on how LDHA influences metabolic pathways, tumor progression, and the surrounding immune microenvironment.

The synthesis indicates that LDHA promotes the Warburg effect and lactate accumulation. Furthermore, it is implicated in tumor DNA damage repair, malignant progression, and drug resistance. Regarding the immune microenvironment, both LDHA and its metabolite lactate are shown to modulate the differentiation and functional status of lymphoid and myeloid tumor-infiltrating immune cells in a context-dependent manner.

While the review identifies LDHA as a promising anti-tumor therapeutic target, it notes that these findings represent potential clinical prospects rather than established outcomes. The authors suggest that combining LDHA inhibitors with immunotherapies, such as CAR-T cell therapy or immune checkpoint blockade, may be a viable future strategy. However, specific limitations were not reported in the source.

How this fits prior evidence

This systematic review addresses gaps regarding metabolic drivers of resistance in malignant tumors. It specifically explores how LDHA contributes to drug resistance and promotes progression, which relates to the challenges of treatment resistance noted in prior coverage of breast cancer. Furthermore, it examines the modulation of immune cells by lactate, potentially offering a mechanism to address the resistance challenges seen in immune checkpoint blockade for nasopharyngeal carcinoma.

Cancer cells often find ways to survive and grow even when treatments try to stop them. One way they do this is by using a protein called Lactate dehydrogenase A (LDHA). This protein helps the tumor build up lactate, which helps the cancer progress and resist drugs. It also plays a role in repairing DNA damage within the tumor.

Beyond helping the cancer grow, LDHA changes the environment around the tumor. It affects how immune cells—the body's natural defenders—behave and function. Because this protein influences both the growth of the tumor and the behavior of the immune system, it is being looked at as a promising target for new treatments.

Researchers are looking into ways to block LDHA. The goal is to see if stopping this protein can make current treatments, like CAR-T cell therapy or immune checkpoint blockade, work better. While these findings show promise for future therapies, the research currently focuses on the potential of LDHA as a target rather than established clinical results.

What this means for you:
LDHA is a promising new target that could help make current cancer immunotherapies more effective.

Common questions

What is LDHA and how does it affect cancer?

LDHA is a protein that helps cancer cells grow, progress, and resist drugs. It also helps the tumor repair its DNA. By promoting the buildup of lactate, this protein creates an environment that supports the growth of malignant tumors.

How does LDHA affect the immune system's response to cancer?

LDHA and the byproduct it creates, lactate, change how immune cells behave. These changes affect both lymphoid and myeloid immune cells that enter the tumor area. Because of this, researchers are looking at LDHA as a target to improve anti-tumor immune responses.

How could targeting LDHA help current cancer treatments?

Targeting LDHA is being explored as a way to potentially boost existing immunotherapies. Specifically, researchers are looking at combining LDHA inhibitors with CAR-T cell therapy and immune checkpoint blockade to improve how the body fights tumors.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
Malignant tumors maintain proliferative, invasive, and metastatic capacities through metabolic reprogramming. Lactate dehydrogenase A (LDHA), is an essential glycolytic enzyme that is aberrantly overexpressed in diverse human malignancies. The enzymatic activity of LDHA is tightly modulated by multiple post-translational modifications, including acetylation, phosphorylation, and lactylation. LDHA promotes the Warburg effect and lactate accumulation, while participating in tumor DNA damage repair, malignant progression, and drug resistance. LDHA and its metabolite lactate substantially modulate the differentiation and functional status of tumor-infiltrating immune cells, including lymphoid and myeloid cells. These metabolic changes remodel the tumor immune microenvironment and regulate anti-tumor immune responses in a context-dependent manner. This review systematically summarizes the regulatory mechanisms of LDHA in immune cell metabolism and anti-tumor immunity. Additionally, it discusses the clinical potential of LDHA as a promising anti-tumor therapeutic target and explores the application prospects of combining LDHA inhibitors with immunotherapies, such as chimeric antigen receptor T-cell (CAR-T) therapy and immune checkpoint blockade. This study aims to provide novel perspectives for the research and development of tumor targeted therapies.
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