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An exercise-inducible metabolite that suppresses feeding and obesity
Open accessAbstract
Exercise confers protection against obesity, type 2 diabetes and other cardiometabolic diseases 1-5. However, the molecular and cellular mechanisms that mediate the metabolic benefits of physical activity remain unclear 6. Here we show that exercise stimulates the production of N-lactoyl-phenylalanine (Lac-Phe), a blood-borne signalling metabolite that suppresses feeding and obesity. The biosynthesis of Lac-Phe from lactate and phenylalanine occurs in CNDP2+ cells, including macrophages, monocytes and other immune and epithelial cells localized to diverse organs. In diet-induced obese mice, pharmacological-mediated increases in Lac-Phe reduces food intake without affecting movement or energy expenditure. Chronic administration of Lac-Phe decreases adiposity and body weight and improves glucose homeostasis. Conversely, genetic ablation of Lac-Phe biosynthesis in mice increases food intake and obesity following exercise training. Last, large activity-inducible increases in circulating Lac-Phe are also observed in humans and racehorses, establishing this metabolite as a molecular effector associated with physical activity across multiple activity modalities and mammalian species. These data define a conserved exercise-inducible metabolite that controls food intake and influences systemic energy balance.
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“A recent study revealed that lactate reduced appetite via N-lactoyl-phenylalanine (Lac-Phe) and exerted neuroplastic effects through the BDNF pathway [58].”
From High-intensity interval training or lactate administration combined with aerobic training enhances visceral fat loss while promoting VMH neuroplasticity in female rats (2024) · cites this paper as [58]
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Lac-Phe (N-lactoyl-phenylalanine)
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“Recently, N-lactoyl-phenylalanine (Lac-Phe) has been identified in the blood as a new exercise-induced metabolite that could play a significant role in the protective effects against obesity [8,9].”
InfluentialExercise pills for cardiometabolic health cannot mimic the exercise milieu
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Host–microbe interactions rewire metabolism in a C. elegans model of leucine breakdown deficiency
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N‐lactoyl amino acids are potential biomarkers for insulin resistance and diabetic complications
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“1,11 Moreover, metformin treatment was shown to have a profound effect on increasing Lac-Phe levels in both mice and humans, which in turn mediates appetite-suppressing and weight-lowering properties.”
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Role of astrocytes in Alzheimer's disease pathogenesis and the impact of exercise-induced remodeling
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Reply to ‘Lactate as a major myokine and exerkine’
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Self-citationExercise benefits yourself and your offspring: a mini-review
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Brain amino acid sensing for organismal amino acid homeostasis
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“For example, N-lactoyl phenylalanine (Lac-Phe), synthesized in intestinal epithelial cells, has been shown to mediate appetite suppression in both humans and mice through its central action [159,160].”
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“N-lactoyl-amino acids have emerged as a significant class of metabolites, playing diverse physiological roles that span across various biological processes and body systems [1, 2, 7, 9].”
InfluentialSexual dimorphism in the serum metabolome following acute exhaustive exercise
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“…(oxoglutaric acid, citric acid, isocitric acid) [22]; a ketone body ((R)−3-hydroxybutyric acid) [23]; a marker of fatty acid oxidation (L-acetylcarnitine) [24]; and other exercise-induced factors validated in other datasets, such as N-lactoyl-phenylalanine [25] and N-acetylvaline [20] ( Fig.”
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“17 Plasma lactate levels can rise from ~0.1 mM at rest to ~25 mM during exhaustive exercise, with even higher concentrations accumulating locally in skeletal muscle.”
InfluentialQi, L., He, Y., Sviercovich, A., Mei, X., Chen, E. H., Xia, Y., Conboy, M. J., Conboy, I. M., & Stahl, A. (2026) · Nature Biomedical Engineering · doi:10.1038/s41551-026-01618-6 · Cited by 4
“…perspective, this variability provides an opportunity to investigate cohort-specific effects driven by geography, genetics and lifestyles (for example, caloric restriction 71 , exercise 72 , alcohol 73 ) in future work with larger donor pools and platforms with high experimental scalability.”
Self-citationMolecular vehicles for therapeutic delivery of lactate in exercise and medicine
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“64,65 However, at present enthusiasm for, and efficacy of covalently linked compounds for lactate delivery would be hampered by delays in digestion and unknown bioavailability.”
The blood metabolome of brain health in midlife and influences of genes, microbiome and exposome
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Exercise-induced lactate suppresses ccRCC via CNDP2-mediated depletion of intracellular amino acids
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“Studies have shown that CNDP2 can catalyze the synthesis of N-lactoyl-amino acids (Lac-AAs) from lactate and amino acids, and that these Lac-AAs are rapidly secreted outside the cell [9, 10].”
TET3 Contributes to Exercise‐Induced Functional Axon Regeneration and Visual Restoration
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Metabolic Fingerprint of Dual Body Fluids Deciphers Diabetic Retinopathy
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Understanding emerging bioactive metabolites with putative roles in cancer biology
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“By a, yet unknown mechanism, Lac-Phe has been shown to act as blood-borne signalling metabolite that suppresses feeding and obesity (52).”
BackgroundLac-Phe mediates the anti-obesity effect of metforminPreprint
Xiao, S., Li, V. L., Lyu, X., Chen, X., Wei, W., Abbasi, F., Knowles, J. W., Deng, S., Tiwari, G., Shi, X., et al. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.11.02.565321 · Cited by 4
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“3, 4 These seminal studies also show that the benefits of improved glucose homeostasis and reduced weight of LacPhe occurs only in diet-induced obese mice, and not necessarily lean mice.”
InfluentialZhang, Y., Xiao, Q., Zhou, X., Li, Y., Wang, S., Zhou, X., Chen, R., Zhang, Y., Gao, M., Xu, F., et al. (2025) · Analytical Chemistry · doi:10.1021/acs.analchem.4c06974 · Cited by 3
Training-Induced Metabolic Adaptations in Skeletal Muscle
García-Domínguez, E., Gómez‐Cabrera, M. C., & González, G. O. (2025) · Advances in experimental medicine and biology · doi:10.1007/978-3-031-88361-3_21 · Cited by 3
Čajka, T., Hričko, J., Kulhavá, L., Paucova, M., Nováková, M., Holá, V., Rakusanova, S., Fiehn, O., Škop, V., Laňková, I., et al. (2026) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.70205 · Cited by 3
Metadata
- Authors
- Li, V. L., He, Y., Contrepois, K., Liu, H., Kim, J. T., Wiggenhorn, A. L., Tanzo, J. T., Tung, A. S.-H., Lyu, X., Zushin, P.-J. H., Jansen, R. S., Michael, B., Loh, K. Y., Yang, A. C., Carl, C. S., Voldstedlund, C. T., Wei, W., Terrell, S. M., Moeller, B. C., Arthur, R. M., Wallis, G. A., van de Wetering, K., Stahl, A., Kiens, B., Richter, E. A., Banik, S. M., Snyder, M. P., Xu, Y., & Long, J. Z.
- Affiliations
- Stanford Medicine (US)
- Baylor College of Medicine (US)
- University of California, Berkeley (US)
- Radboud University Nijmegen (NL)
- Stanford University (US)
- University of California, San Francisco (US)
- University of Copenhagen (DK)
- University of California, Davis (US)
- University of Birmingham (GB)
- Corresponding author
- Xu, Yong
- Long, Jonathan Z.
- ORCID
- Li, Veronica L.
- He, Yang
- Contrepois, Kévin
- Liu, Hailan
- Kim, Joon T.
- Wiggenhorn, Amanda L.
- Tanzo, Julia T.
- Tung, Alan Sheng-Hwa
- Lyu, Xuchao
- Zushin, Peter-James H.
- Jansen, Robert S.
- Michael, Basil
- Loh, Kang Yong
- Yang, Andrew C.
- Carl, Christian S.
- Voldstedlund, Christian T.
- Wei, Wei
- Terrell, Stephanie M.
- Moeller, Benjamin C.
- Wallis, Gareth A.
- van de Wetering, Koen
- Stahl, Andreas
- Kiens, Bente
- Richter, Erik A.
- Banik, Steven M.
- Snyder, Michael P.
- Xu, Yong
- Long, Jonathan Z.
- Venue
- Nature
- Published
- 2022-06-15
- Volume
- 606
- Issue
- 7915
- Pages
- 785-790
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC9767481
- OpenAlex
- W4282972916
- Cited by
- 331
- References
- 31
- Citations by year
- 2026: 69 · 2025: 91 · 2024: 86 · 2023: 61 · 2022: 24
- FWCI
- 34.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion, other-oa)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- PubMed Central (acceptedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- U.S. Department of Agriculture (51000-064-01S)
- American Heart Association (20POST35120600)
- Novo Nordisk
- Novo Nordisk Fonden (NNF18OC0034072, NNF17OC0027274)
- Ono Pharma Foundation
- National Institutes of Health (DK130541, 51000-064-01S, DK113954)
- National Institute of General Medical Sciences (T32GM113854)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK124265, R01DK120858, R01DK118940, P01DK113954, R01DK126830, R01DK117281, R01DK115761, DP1DK130641, R01DK109934, P30DK020579)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR072695)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Keywords
- physical activity, feeding inhibition, obesity, dietary intake, energy balance, lactate, phenylalanine, CNDP2, macrophages, monocytes, glucose homeostasis, diet-induced obesity, exercise training, racehorses
- MeSH terms
- Animals, Body Weight, Diabetes Mellitus, Type 2, Disease Models, Animal, Eating, Energy Metabolism, Feeding Behavior, Glucose, Obesity, Phenylalanine, Physical Conditioning, Animal, Lactic Acid, Adiposity, Mice
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