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World J Hepatol. Dec 27, 2025; 17(12): 111153
Published online Dec 27, 2025. doi: 10.4254/wjh.v17.i12.111153
Histone lactylation: A key epigenetic modulator in the pathogenesis of metabolic dysfunction-associated steatohepatitis and alcoholic steatohepatitis
Mable Misha Singh, Arunim Shah, Sangam Rajak, Chandra Prakash Chaturvedi, Rohit A Sinha
Mable Misha Singh, Arunim Shah, Chandra Prakash Chaturvedi, Department of Hematology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India
Sangam Rajak, FEST Division, CSIR-Indian Institute of Toxicology Research, Lucknow 226001, Uttar Pradesh, India
Rohit A Sinha, Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India
Author contributions: Singh MM, Shah A, Rajak S, Chaturvedi CP, and Sinha RA wrote the paper; Singh MM and Sinha RA reviewed the literature, designed the outline, and coordinated the writing of the paper; All authors have read and agreed to the published version of the manuscript.
Supported by the Science and Engineering Research Board, No. CRG/2022/002149; and the Indian Council of Medical Research, No. ICMR/02/833/IGP-2024 and No. R.12016/12/2023-HR.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rohit A Sinha, Associate Professor, Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow 226014, Uttar Pradesh, India. anthony.rohit@gmail.com
Received: June 24, 2025
Revised: August 6, 2025
Accepted: November 6, 2025
Published online: December 27, 2025
Processing time: 185 Days and 18.4 Hours
Core Tip

Core Tip: This review article describes a biological process called histone lactylation and its role in liver diseases. Histone lactylation is a metabolically aligned epigenetic modification on histones, which can regulate hepatic gene expression. Increased lactate levels in metabolic dysfunction-associated steatohepatitis and alcoholic steatohepatitis may induce histone lactylation of key genes involved in hepatic lipogenesis, inflammation and fibrosis. Consequently, pharmacological modulation of histone lactylation may open a new therapeutic option to counter metabolic dysfunction-associated steatohepatitis and alcoholic steatohepatitis progression.