Is L-lactate a novel signaling molecule in the brain?

J Cereb Blood Flow Metab. 2015 Jul;35(7):1069-75. doi: 10.1038/jcbfm.2015.77. Epub 2015 Apr 29.

Abstract

In the brain, L-lactate is produced by both neurons and astrocytes. There is no doubt that neurons use L-lactate as a supplementary fuel although the importance of this energy source is disputed. Irrespective of its caloric value, L-lactate might also have a signaling role in the brain. Here, we review several current hypotheses of L-lactate mediated signaling. Some proposed mechanisms require L-lactate entry into the neurons leading to a shift in ATP/ADP ratio or redox state. Others postulate interaction with either known receptor HCA1 (GPR81) or a novel, yet unidentified receptor. We argue that the sensitivity of any such mechanism has to match the concentration range of extracellular L-lactate, which is less than ~1.5 mmol/L under physiologic conditions. From that point of view, some of the proposed mechanisms require supraphysiologic levels of L-lactate and could be engaged during ischemia or seizures when L-lactate concentration rises dramatically. Currently, we do not know whether L-lactate production in the brain occurs in microdomains, which might create higher than average local concentrations. Nevertheless, it is clear that in the brain, as in the peripheral tissues, L-lactate is not only used as a source of energy but also acts as a signaling molecule.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adenosine Triphosphate / metabolism
  • Animals
  • Astrocytes / metabolism
  • Brain / cytology
  • Brain / metabolism*
  • Humans
  • KATP Channels / metabolism
  • Lactic Acid / metabolism*
  • Receptors, G-Protein-Coupled / metabolism
  • Receptors, N-Methyl-D-Aspartate / metabolism
  • Signal Transduction*

Substances

  • HCAR1 protein, human
  • KATP Channels
  • Receptors, G-Protein-Coupled
  • Receptors, N-Methyl-D-Aspartate
  • Lactic Acid
  • Adenosine Triphosphate