LDHA (Lactate Dehydrogenase A) - Glycolysis, Cancer Metabolism, and Genetic Variants

A comprehensive biomedical overview of the LDHA gene, including its genomic context, protein function, expression patterns, associated diseases, and clinical significance.

Gene Information Card

Symbol LDHA
Full Name Lactate Dehydrogenase A
Gene Type Protein coding
Chromosomal Location 11p15.1
NCBI Gene ID 3939 ncbi.nlm.nih.gov/gene/3939
Ensembl ID ENSG00000134333
UniProt ID P00338
OMIM ID 150000
HGNC ID 6535
Aliases LDH-A, LDHM, GSD11, PIG19

Description

The LDHA gene encodes the A subunit of lactate dehydrogenase (LDH), a tetrameric enzyme that catalyzes the reversible conversion of pyruvate to lactate, coupled with the oxidation of NADH to NAD+. This reaction is the final step of anaerobic glycolysis. LDHA is predominantly expressed in skeletal muscle and is strongly induced by hypoxia via HIF1A. It plays a central role in the 'Warburg effect' in cancer cells, promoting aerobic glycolysis. Mutations in LDHA cause Glycogen Storage Disease XI (GSD11), characterized by exercise intolerance and myoglobinuria. Elevated LDHA expression is a poor prognostic marker in many cancers.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Glycogen Storage Disease XI (GSD11) Loss-of-function mutations in LDHA lead to a deficiency of the LDHA subunit, impairing the conversion of pyruvate to lactate in skeletal muscle during anaerobic exercise. This results in an inability to sustain high-intensity exercise and leads to muscle damage and myoglobinuria. OMIM #612933; ClinVar; PMID: 12838515
Cancer (Multiple Types) LDHA is overexpressed in many cancers (e.g., pancreatic, breast, lung, colorectal). It drives the Warburg effect, promoting glycolysis and lactate production, which supports tumor growth, invasion, and immune evasion. High LDHA expression correlates with poor prognosis and metastasis. COSMIC; PMID: 27378309; PMID: 29622463
Exertional Myoglobinuria As a key symptom of GSD11, LDHA deficiency leads to exercise-induced rhabdomyolysis and myoglobinuria due to impaired muscle energy metabolism. OMIM #612933; PMID: 12838515

Expression Profile

Tissue Expression
Tissue nTPM level
Skeletal Muscle High Very High
Heart Moderate Medium
Liver Low Low
Kidney Moderate Medium
Brain Low Low
Pancreas Low Low
Cell Line Expression
Cell Line nTPM Notes
HeLa (Cervical Cancer) High Cancer cell line with high glycolytic activity
A549 (Lung Cancer) High Overexpressed in lung adenocarcinoma
MCF7 (Breast Cancer) Moderate Expression varies with subtype
HepG2 (Liver Cancer) Low Lower expression compared to muscle-derived lines
K562 (Leukemia) Moderate Expressed in hematopoietic lineage
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.860G>A (p.Arg287Gln) Missense Rare Loss of enzymatic activity; associated with GSD11
c.112G>A (p.Gly38Arg) Missense Rare Loss of function; reported in GSD11 patients
c.733C>T (p.Arg245Cys) Missense Rare Reduced enzyme activity; linked to exertional myoglobinuria
c.1040A>G (p.Tyr347Cys) Missense Rare Impaired tetramer formation; pathogenic in GSD11
Mutation functional classification

Loss of Function (LOF)

Most pathogenic LDHA mutations are loss-of-function, leading to reduced or absent enzymatic activity. This causes GSD11, characterized by muscle glycogenosis and exercise intolerance.

Gain of Function (GOF)

Gain-of-function mutations are not commonly reported in germline settings. However, somatic copy number gains and transcriptional upregulation (not point mutations) are frequent in cancers, leading to increased LDHA activity.

Dominant Negative (DN)

Some missense mutations may exert a dominant-negative effect by disrupting the tetrameric assembly of the LDH enzyme, although this is less well-documented compared to recessive loss-of-function alleles.

Gene Ontology (GO)

• L-lactate dehydrogenase activity • NAD binding
• identical protein binding • glycolytic process
• response to hypoxia • cytosol
• extracellular exosome

Pathways

Glycolysis / Gluconeogenesis
HIF-1 signaling pathway
Central carbon metabolism in cancer
Pyruvate metabolism

Protein Summary

The LDHA protein (UniProt P00338) is a 332-amino acid enzyme that forms homo- or heterotetramers with LDHB to create various LDH isozymes. The LDHA homotetramer (LDH-5) has a high affinity for pyruvate and is specialized for anaerobic glycolysis. It is localized in the cytoplasm. The protein is regulated by allosteric effectors and post-translational modifications, including acetylation and phosphorylation. Its expression is strongly induced by HIF1A under hypoxic conditions, and it is a key mediator of the Warburg effect in tumors.

Related Products

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LDHAL6A Knockout HEK293 Cell Line EDJ-KQ918 Human 160287 Details Get a Quote
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LDHA Knockout HeLa Cell Line EDJ-KQ21155 Human 3939 Details Get a Quote
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LDHA Knockout ZR-75-1 Cell Line EDJ-KZ327 Human 3939 Details Get a Quote
LDHAL6B Knockout HeLa Cell Line EDJ-KQ57841 Human 92483 Details Get a Quote
LDHAL6A Knockout HeLa Cell Line EDJ-KQ58810 Human 160287 Details Get a Quote
LDHAL6B Knockout A-549 Cell Line EDJ-KQ66337 Human 92483 Details Get a Quote
LDHAL6A Knockout A-549 Cell Line EDJ-KQ67294 Human 160287 Details Get a Quote
LDHAL6B Knockout HCT 116 Cell Line EDJ-KQ74763 Human 92483 Details Get a Quote
LDHAL6A Knockout HCT 116 Cell Line EDJ-KQ75693 Human 160287 Details Get a Quote
Displaying Records 1 To 14 Of 14 Records
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