Lactate Supply from Astrocytes to Neurons and its Role in Ischemic Stroke-induced Neurodegeneration
Brain Protection after Anoxic Brain Injury: Is Lactate Supplementation Helpful?
Blockade of lactate transport exacerbates delayed neuronal damage in a rat model of cerebral ischemia
Cerebral metabolic effects of exogenous lactate supplementation on the injured human brain
• Lactate in the brain is involved in nerve function and nerve cell survival.
• Stroke stimulation induces MCT4 expression and enhances lactate production.
• Lactate production from astrocytes may contribute to stroke prevention.
Brain Protection after Anoxic Brain Injury: Is Lactate Supplementation Helpful?
...Indeed, lactate does not require adenosine triphosphate (ATP) to be oxidated and it could therefore serve as an alternative substrate in condition of depleted energy reserves, i.e., reperfusion injury, even in presence of adequate tissue oxygen delivery. Lactate enriched solutions were studied in recent years in healthy subjects, acute heart failure, and severe traumatic brain injured patients, showing possible benefits that extend beyond the role as alternative energetic substrates.
Blockade of lactate transport exacerbates delayed neuronal damage in a rat model of cerebral ischemia
Cerebral metabolic effects of exogenous lactate supplementation on the injured human brain
Exogenous supplemental lactate can be utilized aerobically as a preferential energy substrate by the injured human brain, with sparing of cerebral glucose. Increased availability of cerebral extracellular pyruvate and glucose, coupled with a reduction of brain glutamate and ICP, suggests that hypertonic lactate therapy has beneficial cerebral metabolic and hemodynamic effects after TBI.