Lactate is the metabolic byproduct of glycolysis, a process that, despite being less efficient than the complete oxidation of glucose to carbon dioxide and water, occurs throughout the brain. Glycolytic metabolism increases dramatically in response to ischemic events, but even during periods of sufficient oxygen availability, so-called "aerobic glycolysis" may account for as much as 10 -12% of glucose metabolism in the adult human brain (Vaishnavi et al., 2010). Moreover, in addition to resting-state glycolysis and baseline lactate production, brain activity has been shown to significantly increase local lactate concentrations (for review, see Mangia et al., 2009).It is thought that glycolysis is invoked to quickly, albeit inefficiently, provide energy; and because lactate has been implicated in the regulation of cerebral microcirculation (causing arteriole dilation), glycolytic increases might also play important roles in redirecting blood flow to oxygen-deprived brain regions during acute trauma and regulating cerebral blood flow in step with local metabolism under normal physiological conditions (Gordon et al., 2008). Although it is now mostly agreed that activity-dependent lactate increases occur, and that these are important for cerebrovascular coupling and the production of functional neuroimaging signals (Figley and Stroman, 2011), both the cellular origin and the ultimate fate of lactate remain to be definitively confirmed.In a recent report, Boumezbeur et al. (2010) demonstrated that intravenous infusions of 13 C-labeled lactate, combined with in vivo 13 C magnetic resonance spectroscopy (MRS), can be used to assess lactate transport kinetics and the cerebral metabolic rate of blood-borne (plasma) lactate in the human cerebral cortex, and to quantify the absolute and relative amounts of plasma lactate that are metabolized by neurons and glia. Based on a reversible Michaelis-Menton model, they showed that the rate of unidirectional lactate transport from the blood to the brain (V in ), the brain lactate concentration 13 C]lactateor[1-13 C] glucose, respectively. These findings, along with the lactate flux through the tricarboxylic acid (TCA) cycle, which they estimated as 0.50 Ϯ 0.02 mol/g/min in neurons and 0.15 Ϯ 0.02 mol/g/min in glia, suggest that neurons metabolized ϳ80% of the radiolabeled lactate (i.e., approximately four times more than glia). In addition, their results indicate that plasma lactate might play a significant role in supporting oxidative brain metabolism. They proposed that, under extreme [Lac] P conditions, the theoretical limit of lactate transport (V max ) would allow plasma lactate to fuel up to 60% of all cerebral metabolism and TCA cycle activity, and that the overall contribution could be as high as 10%, even under normal physiological conditions (i.e., where [Lac] P Ϸ 1.0 mmol/L).These data are especially interesting within the context of other recent reports, and might help to clarify certain debates regarding neurometabolism and cerebrovascular coupling mechanisms. Thus, I...