2022
DOI: 10.1038/s41574-022-00724-0
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Lactate as a major myokine and exerkine

Abstract: The roles of exerkines, factors released from tissues during exercise, in promoting health and longevity were recently addressed in the Review by Chow and colleagues (Chow, L. S. et al. Exerkines in health, resilience and disease. Nat. Rev. Endocrinol. 18, 273-289 (2022) 1 ). However, their timely Review did not adequately describe the major and diverse roles of lactate in regulating metabolism and physiology. Here, we highlight important functions of lactate as an exerkine.

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Cited by 22 publications
(12 citation statements)
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“…Mechanisms by which lactate operates to control energy substrate partitioning include mass action ( 3 ), allosteric binding ( 23 , 24 , 248 ), ROS production ( 32 ), canonical intracellular signaling ( 249 ), central nervous system signaling via substrate supply ( 153 ) and protein lactylation ( 148 ), and gene expression via histone lactylation ( 30 , 250 ). With all due respect to classical and contemporary discoveries in metabolic regulation, it is reasonable to assert that “lactate is the major myokine and exerkine” because of its abundance, dynamic range of concentration change, effect on cell redox and multiple independent and coordinated regulatory effects on major metabolic pathways in diverse tissues ( 115 , 251 ). Lactate fuels the spiral mitochondrial reticulum at the base of the sperm head.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Mechanisms by which lactate operates to control energy substrate partitioning include mass action ( 3 ), allosteric binding ( 23 , 24 , 248 ), ROS production ( 32 ), canonical intracellular signaling ( 249 ), central nervous system signaling via substrate supply ( 153 ) and protein lactylation ( 148 ), and gene expression via histone lactylation ( 30 , 250 ). With all due respect to classical and contemporary discoveries in metabolic regulation, it is reasonable to assert that “lactate is the major myokine and exerkine” because of its abundance, dynamic range of concentration change, effect on cell redox and multiple independent and coordinated regulatory effects on major metabolic pathways in diverse tissues ( 115 , 251 ). Lactate fuels the spiral mitochondrial reticulum at the base of the sperm head.…”
Section: Discussionmentioning
confidence: 99%
“…To summarize this section, it is fair to reiterate that the roles for lactate in regulation of gene and protein synthesis regulation are becoming recognized ( 115 ).…”
Section: The Forms Of Lactate Signalingmentioning
confidence: 99%
“…Recently, we found post-exercise levels of N-lactoyl-phenylalanine (Lac-Phe), a pseudo-dipeptide shown to lower body weight in mice [10], to correlate with adipose tissue loss in subjects with obesity [11]. Other examples of exercise-regulated intermediary metabolites with extracellular signalling function include succinate, lactate, and beta-aminoisobutyric acid [8,[12][13][14]. In addition to endogenous metabolites, small molecules produced by the microbiota have been shown to modulate host energy metabolism and furthermore, immune cell function and inflammation [15,16].…”
Section: Introductionmentioning
confidence: 99%
“…Lactate is a fundamental metabolite that has attracted significant biochemical and physiologic attention for over a century (1, 2). Classically, lactate is produced from glucose when energy demands are high, such as in muscle during exercise, and can reach millimolar concentrations in the circulation (3, 4). Once produced, lactate exerts pleotropic functions in systemic energy metabolism.…”
Section: Introductionmentioning
confidence: 99%