Document Detail


Hepatic lactate uptake versus leg lactate output during exercise in humans.
MedLine Citation:
PMID:  17656631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The exponential rise in blood lactate with exercise intensity may be influenced by hepatic lactate uptake. We compared muscle-derived lactate to the hepatic elimination during 2 h prolonged cycling (62 +/- 4% of maximal O(2) uptake, (.)Vo(2max)) followed by incremental exercise in seven healthy men. Hepatic blood flow was assessed by indocyanine green dye elimination and leg blood flow by thermodilution. During prolonged exercise, the hepatic glucose output was lower than the leg glucose uptake (3.8 +/- 0.5 vs. 6.5 +/- 0.6 mmol/min; mean +/- SE) and at an arterial lactate of 2.0 +/- 0.2 mM, the leg lactate output of 3.0 +/- 1.8 mmol/min was about fourfold higher than the hepatic lactate uptake (0.7 +/- 0.3 mmol/min). During incremental exercise, the hepatic glucose output was about one-third of the leg glucose uptake (2.0 +/- 0.4 vs. 6.2 +/- 1.3 mmol/min) and the arterial lactate reached 6.0 +/- 1.1 mM because the leg lactate output of 8.9 +/- 2.7 mmol/min was markedly higher than the lactate taken up by the liver (1.1 +/- 0.6 mmol/min). Compared with prolonged exercise, the hepatic lactate uptake increased during incremental exercise, but the relative hepatic lactate uptake decreased to about one-tenth of the lactate released by the legs. This drop in relative hepatic lactate extraction may contribute to the increase in arterial lactate during intense exercise.
Authors:
H B Nielsen; M A Febbraio; P Ott; P Krustrup; N H Secher
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-07-26
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  103     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-05     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1227-33     Citation Subset:  IM    
Affiliation:
Department of Anesthesia 2041, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark. hbay@vip.cybercity.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Gas Analysis
Exercise / physiology*
Exercise Test
Glucose / metabolism
Hemodynamics / physiology
Humans
Lactic Acid / metabolism*
Leg / blood supply
Liver / blood supply,  metabolism*
Male
Muscle, Skeletal / metabolism*
Oxygen Consumption / physiology
Regional Blood Flow / physiology
Chemical
Reg. No./Substance:
50-21-5/Lactic Acid; 50-99-7/Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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