Metabolic and cardiorespiratory responses to "the lactate clamp"

Am J Physiol Endocrinol Metab. 2002 Nov;283(5):E889-98. doi: 10.1152/ajpendo.00266.2002.

Abstract

To evaluate the hypothesis that precursor supply limits gluconeogenesis (GNG) during exercise, we examined training-induced changes in glucose kinetics [rates of appearance (R(a)) and disappearance (R(d))], oxidation (R(ox)), and recycling (R(r)) with an exogenous lactate infusion to 3.5-4.0 mM during rest and to pretraining 65% peak O(2) consumption (VO(2 peak)) levels during exercise. Control and clamped trials (LC) were performed at rest pre- (P(R)R, P(R)R-LC) and posttraining (P(O)R, P(O)R-LC) and during exercise pre- (P(R)E(X)) and posttraining at absolute (P(O)A(B), P(O)A(B)-LC) and relative (P(O)R(L), P(O)R(L)-LC) intensities. Glucose R(r) was not different in any rest or exercise condition. Glucose R(a) did not differ as a result of LC. Glucose R(ox) was significantly decreased with LC at P(O)R (0.38 +/- 0.03 vs. 0.56 +/- 0.04 mg. kg(-1). min(-1)) and P(O)A(B) (3.82 +/- 0.51 vs. 5.0 +/- 0.62 mg. kg(-1). min(-1)). Percent glucose R(d) oxidized decreased with all LC except P(O)R(L)-LC (P(R)R, 32%; P(R)R-LC, 22%; P(O)R, 27%; P(O)R-LC, 20%; P(O)A(B), 95%; P(O)A(B)-LC, 77%), which resulted in a significant increase in oxidation from alternative carbohydrate (CHO) sources at rest and P(O)A(B). We conclude that 1) increased arterial [lactate] did not increase glucose R(r) measured during rest or exercise after training, 2) glucose disposal or production did not change with increased precursor supply, and 3) infusion of exogenous CHO in the form of lactate resulted in the decrease of glucose R(ox).

Publication types

  • Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Blood Glucose / metabolism*
  • Blood Pressure / drug effects
  • Blood Pressure / physiology*
  • Energy Metabolism / drug effects
  • Energy Metabolism / physiology
  • Fatty Acids, Nonesterified / blood
  • Glycerol / blood
  • Heart Rate / drug effects
  • Heart Rate / physiology*
  • Homeostasis / drug effects
  • Homeostasis / physiology
  • Humans
  • Insulin / blood
  • Lactic Acid / blood
  • Lactic Acid / pharmacokinetics*
  • Male
  • Oxygen Consumption / physiology
  • Physical Exertion / drug effects
  • Physical Exertion / physiology*
  • Respiration
  • Rest / physiology
  • Weight Loss / physiology

Substances

  • Blood Glucose
  • Fatty Acids, Nonesterified
  • Insulin
  • Lactic Acid
  • Glycerol