Lactate's role in age-related spinal disc degeneration

Metabolic Symbiosis: Lactate as an Epigenetic Regulator and a Biofuel in Age-dependent Intervertebral Disc Degeneration

NIH-funded research University of Pittsburgh at Pittsburgh · NIH-11168909

This project seeks to find out whether lactate acts as both a fuel and a chemical switch that changes gene activity in aging spinal discs to help people with disc degeneration and back pain.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Pittsburgh at Pittsburgh NIH-funded
Lab location1 site (Pittsburgh, United States)
Project IDNIH-11168909 on NIH RePORTER

What this research studies

From a patient's point of view, researchers will study how the inner and outer parts of spinal discs share and use lactate as an energy source and how lactate changes gene activity through chemical tags on DNA-packaging proteins. They will use laboratory tests on disc cells and tissues, including measurements of energy use and epigenetic marks, and compare younger versus older discs. The team may analyze human disc samples and lab models to link lactate-driven changes with the processes that lead to disc breakdown and pain. Results are intended to reveal biological targets that might be used to slow or reverse age-related disc degeneration.

Who could benefit from this research

Good fit: People with age-related intervertebral disc degeneration or chronic degenerative back pain, especially those undergoing spine surgery or willing to provide tissue or participate in related clinical studies, would be most relevant.

Not a fit: Patients whose pain comes from non-degenerative causes (recent injury, infection, inflammatory arthritis) or who cannot provide tissue or attend study visits are unlikely to benefit directly from this basic research.

Why it matters

Potential benefit: If successful, this work could point to new treatments that target lactate metabolism or its epigenetic effects to slow or reverse disc degeneration and reduce back pain.

How similar studies have performed: Laboratory studies have recently shown lactate can fuel cells and modify histones, but applying these findings to age-related disc degeneration is a novel and early-stage direction.

Where this research is happening

Pittsburgh, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.