Evidence map›Paper›PMID 38388706›Full record

ArticleNature metabolism2024

Enteric and systemic postprandial lactate shuttle phases and dietary carbohydrate carbon flow in humans.

Robert G Leija, Casey C Curl, Jose A Arevalo, Adam D Osmond, Justin J Duong, Melvin J Huie, Umesh Masharani, George A Brooks

Open access · hybridAbstract read
In one paragraph

Article in Nature metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
9.8field-weighted citation impact, top 1% 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.

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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Measurement of glycolysis with heavy water labeling.The Journal of biological chemistry · 2026
    Article
  7. Review
  8. Article
  9. L-lactic acid enhances type I interferon immune response and inhibits virus infection by promoting IRF9 L-lactylation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Increasing the health span: unique role for exercise.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Review
  14. Review
  15. Article
  16. The mitochondrial lactate oxidation complex: endpoint for carbohydrate carbon disposal.American journal of physiology. Endocrinology and metabolism · 2025
    Article
  17. Article
  18. Leg cycling efficiency is unaltered in healthy aging regardless of sex or training status.Journal of applied physiology (Bethesda, Md. : 1985) · 2024
    Article
  19. Delayed and diminished postprandial lactate shuttling in healthy older men and women.American journal of physiology. Endocrinology and metabolism · 2024
    Article
  20. Altered glucose kinetics occurs with aging: a new outlook on metabolic flexibility.American journal of physiology. Endocrinology and metabolism · 2024
    Article
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

8 authors at 2 institutions in 1 country.

Robert G LeijaExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA.
Casey C CurlExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA.
Jose A ArevaloExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA.ORCID http://orcid.org/0000-0002-1120-4960
Adam D OsmondExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA.
Justin J DuongExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA.
Melvin J HuieExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA.
Umesh MasharaniDepartment of Medicine, University of California, San Francisco, CA, USA.
George A BrooksExercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA, USA. gbrooks@berkeley.edu.ORCID http://orcid.org/0000-0002-1389-1629
University of California, Berkeley · USUniversity of California, San Francisco · 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

Dietary glucose in excess is stored in the liver in the form of glycogen. As opposed to direct conversion of glucose into glycogen, the hypothesis of the postprandial lactate shuttle (PLS) proposes that dietary glucose uptake is metabolized to lactate in the gut, thereby being transferred to the liver for glycogen storage. In the present study, we provide evidence of a PLS in young healthy men and women. Overnight fasted participants underwent an oral glucose tolerance test, and arterialized lactate concentration and rate of appearance were determined. The concentration of lactate in the blood rose before the concentration of glucose, thus providing evidence of an enteric PLS. Secondary increments in the concentration of lactate in the blood and its rate of appearance coincided with those of glucose, which indicates the presence of a larger, secondary, systemic PLS phase driven by hepatic glucose release. The present study challenges the notion that lactate production is the result of hypoxia in skeletal muscles, because our work indicates that glycolysis proceeds to lactate in fully aerobic tissues and dietary carbohydrate is processed via lactate shuttling. Our study proposes that, in humans, lactate is a major vehicle for carbohydrate carbon distribution and metabolism.

Indexed as

Dietary CarbohydratesLactic AcidPostprandial PeriodAdultBlood GlucoseCarbonFemaleGlucoseGlucose Tolerance TestGlycogenHumansLiverMaleYoung AdultBlood GlucoseCarbonDietary CarbohydratesGlucoseGlycogenLactic Acid

Identifiers

PMID38388706
PMCPMC11052717
OpenAlexW4392057970

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.