Skip to content

Journal article

Source notes

Redox Biology · 2020

Bibliographic details

Source record

George A. Brooks

Lactate as a fulcrum of metabolism

Elsevier BV. 35. 101454.

Study type
Narrative mechanistic review
Review basis
Full text reviewed

What happens to lactate after a working muscle produces it? This paper describes lactate as a fuel, a building block for making glucose and a signal that can influence cell activity. It emphasizes movement between producing and consuming cells, including exchanges involving muscle, heart, liver and brain. Human studies discussed suggest that direct use for energy accounts for roughly 75% to 80% of lactate disposal during sustained exercise. That proportion describes the fate of lactate, not the share of all exercise energy supplied by it.

The author also explains that lactate can be produced when oxygen is available, so its presence alone does not establish oxygen deprivation. Beyond immediate fuel use, laboratory studies suggest effects on gene activity and the machinery cells use for energy. These roles vary with tissue and context. Evidence of a signaling pathway is not the same as proving a lasting health benefit from deliberately raising lactate.

How Does This Show Up in Real Life?

The word waste suggests a substance that the body simply needs to discard. Lactate provides a different example: material produced in one place can become useful fuel or a signal elsewhere. This makes exercise metabolism easier to understand as communication and exchange between tissues, rather than isolated muscles consuming supplies. It also cautions against assuming that a temporary blood measurement reveals everything about production and use inside cells. The paper discusses possible clinical applications and experimental signaling pathways, but these do not establish a general recommendation to take lactate or pursue a particular blood level. Its practical contribution is mainly explanatory. Treatment claims and training prescriptions would need direct evidence for the proposed intervention and the relevant people.

The evidence spans human experiments, animal studies and cell systems, with several signaling proposals still requiring human confirmation. The author acknowledges controversy around aspects of mitochondrial lactate use and describes some newer mechanisms as early research. Findings about acute metabolism cannot automatically establish the size or persistence of long-term effects in people after a particular exercise program ends.

Why We Cite It

Alpekin can use this source to explain why a molecule's role depends on where, when and how it acts. The paper also discusses disrupted regulation in disease, providing a basis for avoiding simplistic labels that classify a normal metabolic substance as always beneficial or always harmful.

This is useful background for understanding metabolic connections, with stronger and more exploratory ideas distinguished. Take the proposed mechanisms as questions that can guide further research, rather than as proof that manipulating one substance will reproduce the wider benefits of physical activity.

Where this source appears

Pages citing this source

1 page · 1 article · 0 wikis

Articles