Lactate in the Brain: from Metabolic End-Product to Signalling Molecule
REVIEWS Lactate in the brain: from metabolic end-product to signalling molecule Pierre J. Magistretti1,2,3* and Igor Allaman2 Abstract | Lactate in the brain has long been associated with ischaemia; however, more recent evidence shows that it can be found there under physiological conditions. In the brain, lactate is formed predominantly in astrocytes from glucose or glycogen in response to neuronal activity signals. Thus, neurons and astrocytes show tight metabolic coupling. Lactate is transferred from astrocytes to neurons to match the neuronal energetic needs, and to provide signals that modulate neuronal functions, including excitability, plasticity and memory consolidation. In addition, lactate affects several homeostatic functions. Overall, lactate ensures adequate energy supply, modulates neuronal excitability levels and regulates adaptive functions in order to set the ‘homeostatic tone’ of the nervous system. Pyruvate dehydrogenase When studied at the organ level, brain energy meta Notably, under physiological conditions, the (PDH). The first component bolism can be considered as being almost fully oxida lactate:pyruvate concentration ratio is at least 10:1 enzyme of the pyruvate tive: elegant studies pioneered in the 1940s and 1950s (REF. 11). Thus, when considering the intercellular trans dehydrogenase complex; by Schmitt and Kety1 and later by Sokoloff 2 showed fer of a glycolytic substrate, lactate is the predominant it converts pyruvate into acetyl-CoA, which enters the that glucose is the obligatory physiological energy substrate in the brain. This ratio can also massively tricarboxylic acid (TCA) cycle substrate of the brain and is metabolized to CO2 and increase under hypoxia, as decreases in the partial for cellular respiration.
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