Main Reaction: Pyruvate >> Cltrate + Succinate + Malate + α-Ketoglutarate

Reference: PubMed ID: 26909082
Authors: Romero-Garcia S, Moreno-Altamirano MM, Prado-Garcia H, Sánchez-García FJ
Title: Lactate Contribution to the Tumor Microenvironment: Mechanisms, Effects on Immune Cells and Therapeutic Relevance.
Published: 2016 Feb 16

Pyruvate --> Cltrate + Succinate + Malate + α-Ketoglutarate