reviewCell Communication and SignalingMar 12, 2025GOLD OA

L- and D-Lactate: unveiling their hidden functions in disease and health

Shanxi Medical University

PubMed
Indexed incrossrefdoajpubmed

Abstract

Lactate, once considered a mere byproduct of anaerobic metabolism, is now recognized as a critical signaling molecule with diverse roles in physiology and pathology. There are two stereoisomers of lactate: L- and D-lactate. Recent studies have shown that disruptions in these two lactate stereoisomers have distinct effects on health and disease. L-lactate is central to glycolysis and energy transfer through the Cori cycle but also acts as the dominant lactylation isomer induced by glycolysis, influencing metabolism and cell survival. Although less studied, D-lactate is linked to metabolic disorders and plays a role in mitochondrial dysfunction and oxidative stress. This review focuses on both L- and D-lactate…

Citation impact

46
total citations
FWCI
34.12
Percentile
100%
References
188
Citations per year

Authors

4

Topics & keywords

Keywords
  • Disease
  • Medicine
  • Internal medicine
UN Sustainable Development Goals
  • Zero hunger
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