Summary: Intracerebral dialysis has allowed the contin uous, on-line measurement of lactate in the extracellular fluid (ECF) of conscious, freely moving rats. The rapid time response of the technique allows the direct determi nation of the time course of changes in lactate in ECF following externally imposed stimuli. The time course of lactate appearance in ECF was found to be considerably slower than that observed in tissue following electrocon vulsive shock or during ischemia following cardiac arrest. The ECF data could be fit to an integrated Michaelis Menten model that assumed reversible transport of lac tate across the cell membrane. This transport was found to act only when energy supplies could maintain mem brane integrity and function, since ECF levels of lactateThe intracellular concentration of lactate is di rectly dependent on the cytoplasmic redox state, pH, and the intracellular pyruvate concentration (Hohorst et aI., 1959). Indeed, the cytoplasmic redox state of the brain undergoes dramatic changes following seizure (e.g., Howse and Duffy, 1975) and ischemia (e.g., Lowry et aI., 1964). Since such events produce large changes in the concen trations of lactate, it is important to understand how its intracellular levels are regulated (i.e., via metabolism, transport). Lactate levels are particu larly important in this respect, since intracellular accumulation of lactate is also directly associated with cell dysfunction and death (Myers, 1979; Rehncrona et aI., 1981; Hillered et aI., 1985
848failed to follow tissue levels after cardiac arrest when en ergy resources are depleted. The calculated rate of cel lular lactate transport was two orders of magnitude faster than transport of lactate across the blood-brain barrier in the adult rat, and passive diffusion of lactate was not found to contribute significantly across either cell or blood-brain barriers. Probenecid, an inhibitor of acid transport, was able to block both the efflux of lactate from cell to ECF and the consequent reuptake of lactate by cells in the striatum of the rat following electroconvul sive shock or ischemia.