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The science of lactate metabolism

Lactate is increasingly understood as a central player in energy metabolism. This is an overview of the research areas that define the field.

Over the past decades, lactate has been reframed from a presumed waste product into a recognised energy substrate and signalling molecule. The research below is organised by theme, from foundational mechanisms to applied questions in performance.

Research areas

Themes in lactate science

01

Lactate shuttle

How lactate is produced, transported and consumed between and within cells as a central metabolic intermediate.

02

Lactate as fuel

The role of lactate as an oxidisable energy substrate during exercise and at rest.

03

Lactate and endurance performance

Emerging research on how lactate availability may relate to endurance capacity and pacing.

04

Lactate and the brain

Lactate as a candidate energy source for the brain and its potential influence on central fatigue.

05

Lactate and fatigue

Re-examining the historical association between lactate and fatigue in light of current evidence.

06

Lactate and recovery

How lactate metabolism may interact with post-exercise recovery processes.

07

Lactate and glycogen

Lactate as a potential gluconeogenic and glycogenic substrate, and what this could mean for recovery.

08

Lactate and fat oxidation

The interplay between lactate, substrate selection and metabolic flexibility.

Editorial

Featured articles

All articles
Bibliography

Featured papers

Full bibliography
Review Review Lactate shuttle Metabolism Fuel

The Science and Translation of Lactate Shuttle Theory

Brooks, G. A. · Cell Metabolism · 2018

Main finding
Synthesises decades of evidence positioning lactate as a central node of metabolism — a major carbon source, signalling molecule and gluconeogenic precursor — rather than a metabolic dead-end.
Practical relevance
Provides the theoretical foundation for viewing lactate as a usable energy substrate, underpinning interest in exogenous lactate.
Limitations
Narrative review; integrates heterogeneous evidence rather than reporting a single controlled experiment.
DOI: 10.1016/j.cmet.2018.03.008 →
Review Review Fuel Sports nutrition Metabolism

What the Lactate Shuttle Means for Sports Nutrition

Brooks, G. A. · Nutrients · 2021

Main finding
Argues that, given lactate's central metabolic role, exogenous lactate and lactate-based formulations are a plausible and under-explored avenue for sports nutrition.
Practical relevance
Directly motivates research into oral and exogenous lactate as a fuelling strategy for athletes.
Limitations
Conceptual review; calls for — rather than provides — controlled human performance trials.
Animal model Animal Metabolism Fuel Lactate shuttle

Quantitative Fluxomics of Circulating Metabolites

Hui, S. et al. · Cell Metabolism · 2020

Main finding
Using isotope tracing in mice, shows that lactate is one of the most rapidly circulating and exchanged metabolites, serving as a primary carbon source for the TCA cycle across many tissues.
Practical relevance
Provides mechanistic, quantitative support for lactate being a major systemic fuel rather than a by-product.
Limitations
Conducted in rodents; absolute flux values may differ in exercising humans.
DOI: 10.1016/j.cmet.2020.09.013 →