Evidence map›Paper›PMID 40476345›Full record

ReviewJournal of neurochemistry2025

A Bird's-Eye View of Glycolytic Upregulation in Activated Brain: The Major Fate of Lactate Is Release From Activated Tissue, Not Shuttling to Nearby Neurons.

Gerald A Dienel, Douglas L Rothman, Silvia Mangia

Abstract readReview
In one paragraph

Review in Journal of neurochemistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Rethinking Human Energy Metabolism.Current issues in molecular biology · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Astrocytes Regulate Brain State Transitions.Neurochemical research · 2025
    Review
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

3 authors.

Gerald A DienelDepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0001-8887-3057
Douglas L RothmanDepartment of Biomedical Engineering, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-9321-4195
Silvia MangiaDepartment of Radiology, Center for Magnetic Resonance Research (CMRR), University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0001-6341-4516

Funding

TRD4 - Ultrahigh Field Engineering and SafetyP41EB027061 · NIBIB · UNIVERSITY OF MINNESOTA · PI Gregory John Metzger · 2019 to 2026
$11.7M
Obtaining brain pCO2, pH and pO2 maps via measurements of neurovascular coupling: a novel non-invasive approach to identify the culprits of loss of brain functionDP1AG093028 · NIA · UNIVERSITY OF MINNESOTA · PI Silvia Mangia · 2024 to 2026
$3.2M
13C MRS Studies of Brain Mitochondrial Metabolism in Insulin ResistanceR01NS087568 · NINDS · YALE UNIVERSITY · PI PETERSEN, KITT F, ROTHMAN, DOUGLAS LYLE · 2014 to 2018
$2.1M
Homeostatic modeling of functional neuroimaging data in humans: a novel methodology to obtain brain maps of tissue pCO2, pO2 and pH in agingR01AG087526 · NIA · UNIVERSITY OF MINNESOTA · PI Silvia Mangia, Douglas Lyle Rothman · 2024 to 2026
$2.0M
Validation of GABA MRS as a Biomarker of InhibitionR01MH109159 · NIMH · YALE UNIVERSITY · PI BEHAR, KEVIN L, ROTHMAN, DOUGLAS LYLE · 2016 to 2019
$1.7M
MRS validation of computational metabolic modeling of human brain function to determine energetic disruptions underlying fMRI-derived functional connectivity in degenerative or psychiatric disordersR01NS100106 · NINDS · YALE UNIVERSITY · PI HYDER, DEWAN SYED FAHMEED, ROTHMAN, DOUGLAS LYLE · 2017 to 2021
$959k
Metabolic and neuromodulatory basis of altered activated and deactivated cortical areas in healthy human agingR56AG079086 · NIA · YALE UNIVERSITY · PI HYDER, DEWAN SYED FAHMEED, ROTHMAN, DOUGLAS LYLE · 2022 to 2022
$657k
NIA NIH HHS DP1 AG093028NIA NIH HHS R01 AG087526NIA NIH HHS R56 AG079086NIBIB NIH HHS P41 EB027061NIH HHS DP1 AG093028NIH HHS P41 EB027061NIH HHS R01 AG087526NIH HHS R01 MH109159NIH HHS R01 NS087568NIH HHS R01 NS100106NIH HHS R56 AG079086NIMH NIH HHS R01 MH109159NINDS NIH HHS R01 NS087568NINDS NIH HHS R01 NS100106
6 · The paper itself

Abstract

Glucose is the major, obligatory fuel for the brain, and nearly all glucose is oxidized in the awake, resting state. However, during activation, much of the glucose is not oxidized even though adequate oxygen is available, ATP demand is increased, and glycolysis generates less ATP than oxidation. The fate of the lactate produced by glycolysis is a highly debated topic, in part because its origin and fate in the living brain are difficult to measure. One idea has been that astrocytes generate lactate and shuttle it to neurons as a major fuel, but critical elements of the shuttle model are not validated, and there is no compelling evidence to support shuttling coupled with oxidation in vivo. Metabolic brain imaging reveals rapid loss of labeled metabolites of glucose from activated tissue that is mediated by lactate transporters and gap junctional trafficking among astrocytes. Lactate is highly labeled by [

Indexed as

BrainGlycolysisLactic AcidNeuronsUp-RegulationAnimalsAstrocytesGlucoseHumansGlucoseLactic Acidastrocytebrain activationglucoseglycogenlactateneuron

Identifiers

PMID40476345
PMCPMC12142580

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.