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Lactate ion

Molecular classification
Other
01

Overview

Lactate ion is the conjugate base of lactic acid (systematic name: 2-hydroxypropanoate) formed via deprotonation of the carboxyl group[3][1]. It is a small molecule anion (C3H5O3^-) produced endogenously during anaerobic glycolysis and plays key roles in energy metabolism, shuttling between tissues, and serving as a metabolic substrate for gluconeogenesis and mitochondrial respiration[4]. Lactate also acts as a signaling molecule, influencing gene expression, immune regulation, and cellular adaptation to stress[2][4]. Cellular uptake and export of lactate involve monocarboxylate transporters (e.g., MCT1, MCT4)[2][4], and it can activate certain G-protein coupled receptors such as GPR81[2]. Lactate ion itself is not a classical therapeutic target—it functions principally as a metabolite and signaling molecule rather than a receptor, enzyme, transporter, or transcription factor; however, its transporters or receptors (such as monocarboxylate transporters and GPR81) are recognized drug targets and fields of therapeutic interest[2]. Elevated lactate levels in bodily fluids are clinically valuable as biomarkers for tissue hypoxia, cardiovascular dysfunction, sepsis, and metabolic diseases.

Other names
lactate2-hydroxypropanoateβ-lactatebeta-LactateCHEBI:24996
02

Biological functions

Energy metabolismGluconeogenesis precursorMetabolic signaling
03

Disease associations

CancerInflammationCardiovascular diseaseNeurodegenerative diseaseOther
04

Safety considerations

Elevated lactate is associated with lactic acidosis and may signal underlying disease (e.g., sepsis, hypoxia, mitochondrial disorders)
05

Biomarkers

Elevated blood lactate (for hypoxia, sepsis, metabolic disorders, exercise physiology)

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