“…The lack of lactate accumulation (also observed in all subsequent studies; Sections 5.2,5.3 and 5.4) suggested an adaptation to a high glycolytic rate in the lamellar tissue, with produced lactate being either utilised as an energy source via lactate dehydrogenase (LDH; richly present in lamellar epidermis ) or removed efficiently via a lactate shuttle (Gladden, 2004). Furthermore, because L:P is indicative of tissue redox status and is considered a sensitive marker of cellular metabolic dysfunction (Vespa et al, 2005) used in the diagnostic evaluation of disorders of energy metabolism in a range of tissues (Marcoux et al, 2008;Zhang and Natowicz, 2013), with lamellar L:P resembling values recorded in skin and previously reported for brain (Zhang and Natowicz, 2013) and muscle (Edner et al, 2005), lamellar dialysate L:P was considered to have potential for detecting the presence of bioenergetic failure during laminitis development.…”