In addition, highly proliferative normal cells, such as T cells during activation, perform aerobic glycolysis while inhibiting mitochondrial pyruvate import8. Suppressed activity of the pyruvate dehydrogenase (PDH) complex, attributed to its phosphorylation, reduced free coenzyme A (CoA) levels and a decreased NAD+/NADH ratio, limits the mitochondrial metabolism of glycolysis-generated pyruvate, promoting its catabolism by LDH in the cytosol9,10. Frequent upregulation of LDHA expression in cancer cells drives lactate production from pyruvate, with reduced reversible conversion of lactate back to pyruvate. This process regenerates NAD+ from NADH, allowing glycolysis to persist11,12.
I think we should look into this, this seems very similar to the UK condition