Evidence map›Paper›PMID 40167405›Full record

ArticleActa physiologica (Oxford, England)2025

Lactate orchestrates metabolic hemodynamic adaptations through a unique combination of venocontraction, artery relaxation, and positive inotropy.

Casper Homilius, Jacob M Seefeldt, Jakob Hansen, Roni Nielsen, Frank V de Paoli, Ebbe Boedtkjer

Abstract read
In one paragraph

Article in Acta physiologica (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Casper HomiliusDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Jacob M SeefeldtDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Jakob HansenDepartment of Forensic Medicine, Aarhus University, Aarhus, Denmark.
Roni NielsenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Frank V de PaoliDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-2174-2295
Ebbe BoedtkjerDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-5078-9279

Funding

Danmarks Frie Forskningsfond 0134-00294BFonden til Lægevidenskabens Fremme L-2022-00211Novo Nordisk Fonden NNF21OC0071822
6 · The paper itself

Abstract

aimH

methodsComparing the actions of pH-adjusted Na-carboxylates to equiosmolar NaCl, we study arteries and veins isolated from healthy rats and humans with ischaemic heart disease, isolated perfused rat hearts, and rat cardiovascular function in vivo.

resultsThe tested carboxylates generally relax arteries and veins. L-lactate relaxes human and rat arteries up to 70% (EC

conclusionCarboxylate metabolites generally relax arteries and veins. L-lactate relaxes arteries, lowering systemic vascular resistance, causes preferential venocontraction with increased ventricular diastolic filling, and elevates cardiac contractility and cardiac output. We propose that L-lactate optimizes cardiovascular function during metabolic disturbances.

Indexed as

ArteriesHemodynamicsLactic AcidMyocardial ContractionVasodilationVeinsAdaptation, PhysiologicalAnimalsFemaleHumansMaleRatsRats, Sprague-DawleyRats, WistarLactic Acidblood flowcardiac outputcontractilitymetabolitespreloadvascular resistance

Identifiers

PMID40167405
PMCPMC11960580

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Registered trials

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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.