Evidence map›Paper›PMID 41239494›Full record

ReviewEuropean journal of medical research2025

Lactate and gastric cancer immunotherapy from regulatory mechanisms to therapeutic strategies: a critical review.

Yuanzhu Hao, Yanan Zhang, Yu Zhang, Duo Yang, Dan Ren, Yixing Yue, Qian Li, QingLing Fan, Chao Sun, Manli Cui and 1 more

Abstract readReview
In one paragraph

Review in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

11 authors.

Yuanzhu HaoDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Yanan ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Yu ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Duo YangDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Dan RenDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Yixing YueDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Qian LiDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
QingLing FanDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China.
Chao SunDepartment of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China.
Manli CuiDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China. cuiml1587@163.com.ORCID https://orcid.org/0000-0001-7860-2472
Mingxin ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, China. zmx3115@163.com.ORCID https://orcid.org/0000-0002-3945-3387

Funding

2024 Shaanxi Provincial Health Commission High-level Talent (Team) Cultivation Program Project XYFYPT-RC-02Shaanxi Provincial Department of Education Special Service Project 24JC079Xi'an Weiyang District Project 202412
6 · The paper itself

Abstract

backgroundGastric cancer (GC) remains a leading cause of cancer-related mortality globally, with current immunotherapies exhibiting limited therapeutic efficacy owing to the immunosuppressive tumour microenvironment (TME). MAIN BODY: Lactate, a hallmark metabolic by-product of tumour glycolysis, also functions as a critical metabolic driver. By promoting TME acidification, immunosuppression, and epigenetic reprogramming, lactate emerges as a pivotal regulator in reshaping GC immune evasion and therapeutic resistance, while also strongly correlating with chemotherapy resistance. Furthermore, the dysregulated expression of lactate-associated metabolic genes represents a promising therapeutic target.

conclusionThis review elucidates the dual roles and clinical value of lactate in gastric cancer as both an energy substrate and a signalling molecule within the tumour microenvironment and positions lactylation as a critical metabolic-epigenetic bridge. We also discuss innovative strategies that integrate lactate metabolism-targeting immune checkpoint inhibitors to overcome therapeutic resistance in GC.

Indexed as

ImmunotherapyLactic AcidStomach NeoplasmsAnimalsDrug Resistance, NeoplasmHumansImmune Checkpoint InhibitorsTumor MicroenvironmentImmune Checkpoint InhibitorsLactic AcidGastric cancerImmune evasionImmunotherapyLactate metabolismLactylationTumour microenvironment

Identifiers

PMID41239494
PMCPMC12619365

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.