Evidence map›Paper›PMID 32444344›Full record

ReviewJournal of sport and health science2020

The tortuous path of lactate shuttle discovery: From cinders and boards to the lab and ICU.

George A Brooks

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Journal of sport and health science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06121323 (Physiological Effects of Lactate in Individuals With Chronic Heart Failure), which is not on this map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06121323 nacompletednot on this mapstarted 2023, after this paper: background citation

Physiological Effects of Lactate in Individuals With Chronic Heart Failure

TypeinterventionalSponsorHenrik WiggersRan2023 to 2025Enrolled12ConditionsHeart Failure, SystolicArmsSodium lactate infusion, Sodium lactate ingestion
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 93 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Targeting Lactate and Lactylation in Cancer Metabolism and Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  6. Review
  7. Article
  8. Protein Lactylation in Liver Disease: A Comprehensive Review.Expert reviews in molecular medicine · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Lactate in Anaphylaxis: 100 Years On.Sports medicine (Auckland, N.Z.) · 2025
    Review
  13. Role of Histone Lactylation in Neurological Disorders.International journal of molecular sciences · 2025
    Review
  14. Review
  15. Article
  16. Review
  17. Lactate and lactylation in cancer.Signal transduction and targeted therapy · 2025
    Review
  18. Review
  19. Lactate Metabolism in Health and Disease.Advances in experimental medicine and biology · 2025
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

George A BrooksExercise Physiology Laboratory, Department of Integrative Biology, University of California Berkeley, CA 94720-3140, USA. Electronic address: gbrooks@berkeley.edu.
University of California, Berkeley · US

Funding

Aging Mitochondrial Fragmentation and Metabolic InflexibilityR01AG059715 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI BROOKS, GEORGE AUSTIN · 2018 to 2022
$3.0M
NIA NIH HHS R01 AG059715
6 · The paper itself

Abstract

Once thought to be a waste product of oxygen limited (anaerobic) metabolism, lactate is now known to form continuously under fully oxygenated (aerobic) conditions. Lactate shuttling between producer (driver) and consumer cells fulfills at least 3 purposes; lactate is: (1) a major energy source, (2) the major gluconeogenic precursor, and (3) a signaling molecule. The Lactate Shuttle theory is applicable to diverse fields such as sports nutrition and hydration, resuscitation from acidosis and Dengue, treatment of traumatic brain injury, maintenance of glycemia, reduction of inflammation, cardiac support in heart failure and following a myocardial infarction, and to improve cognition. Yet, dysregulated lactate shuttling disrupts metabolic flexibility, and worse, supports oncogenesis. Lactate production in cancer (the Warburg effect) is involved in all main sequela for carcinogenesis: angiogenesis, immune escape, cell migration, metastasis, and self-sufficient metabolism. The history of the tortuous path of discovery in lactate metabolism and shuttling was discussed in the 2019 American College of Sports Medicine Joseph B. Wolffe Lecture in Orlando, FL.

Indexed as

Critical CareAnaerobiosisBlood GlucoseCytosolEndurance TrainingFatty AcidsGlycolysisHumansLactic AcidLipolysisMitochondriaMonocarboxylic Acid TransportersOxidation-ReductionOxidative StressSepsisSignal TransductionBlood GlucoseFatty AcidsLactic AcidMonocarboxylic Acid TransportersAnaerobic metabolismExerciseGlycolysisOxidative metabolism, Warburg Effect

Identifiers

PMID32444344
PMCPMC7498672
OpenAlexW3007025642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.