Effects of Lactate on Brain Carbohydrate Metabolism in Healthy Aging
Northern Arizona University
Summary
The brain's primary source of fuel is glucose. Unfortunately, the brain's ability to use glucose declines during normal aging. This decline in brain glucose metabolism makes it vulnerable to cognitive impairment and Alzheimer's disease. The brain can use another fuel source - lactate - which becomes available to the brain during exercise. The investigators have discovered that when lactate fuels the brain, brain glucose metabolism also improves. Essentially, from a metabolic angle, the brain appears younger. Recently, the investigators have shown that lactate - even in the absence of exercise - stimulates this beneficial effect on the brain. The investigators propose to compare the effects of lactate in healthy young and older adults to test whether these beneficial lactate-mediated effects persist throughout the lifespan, thereby providing a blueprint to restore youthful brain glucose metabolism.
Description
The human brain has an immense energy demand that is fueled almost exclusively by glucose. Unfortunately, the brain's ability to metabolize glucose declines with age, and this is linked to neurodegenerative diseases. Finding ways to delay, halt, or reverse brain glucose hypo-metabolism is fundamental to promoting healthy brain aging. Exercise is a well-established way to improve brain glucose metabolism. The investigators have discovered a mechanism through exercise to selectively upregulate aerobic glycolysis - the specific pathway that is responsible for the age-related decline in whole brai…
Eligibility
- Age range
- 20–80 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Meet the American College of Sports Medicine (ACSM) physical activity guidelines for moderate-intensity aerobic activity, i.e., 150+ minutes of moderate or 75+ minutes of rigorous aerobic activity. * The older cohort must have adhered to these physical activity guidelines for 30+ years. * "Good" or "Excellent" aerobic fitness category based on ACSM standardized maximal aerobic power (V̇O2max) values for age and sex. Exclusion Criteria: * Need for daily medication for chronic conditions, diagnosed heart, lung, metabolic or cerebrovascular disease, smokers, pregnancy and…
Interventions
- BiologicalSodium lactate infusion
Sodium lactate will be infused to target circulating concentrations between 4-6 mmol/L
- OtherExercise-induced hyperlactatemia
Cycling will be performed at an intensity to increase circulating lactate to 4-6 mmol/L
Location
- Northern Arizona University Dept of Biological SciencesFlagstaff, Arizona