PMID- 12376315 OWN - NLM STAT- MEDLINE DCOM- 20021108 LR - 20131121 IS - 0193-1849 (Print) IS - 0193-1849 (Linking) VI - 283 IP - 5 DP - 2002 Nov TI - Metabolic and cardiorespiratory responses to "the lactate clamp". PG - E889-98 AB - To evaluate the hypothesis that precursor supply limits gluconeogenesis (GNG) during exercise, we examined training-induced changes in glucose kinetics [rates of appearance (R(a)) and disappearance (R(d))], oxidation (R(ox)), and recycling (R(r)) with an exogenous lactate infusion to 3.5-4.0 mM during rest and to pretraining 65% peak O(2) consumption (VO(2 peak)) levels during exercise. Control and clamped trials (LC) were performed at rest pre- (P(R)R, P(R)R-LC) and posttraining (P(O)R, P(O)R-LC) and during exercise pre- (P(R)E(X)) and posttraining at absolute (P(O)A(B), P(O)A(B)-LC) and relative (P(O)R(L), P(O)R(L)-LC) intensities. Glucose R(r) was not different in any rest or exercise condition. Glucose R(a) did not differ as a result of LC. Glucose R(ox) was significantly decreased with LC at P(O)R (0.38 +/- 0.03 vs. 0.56 +/- 0.04 mg. kg(-1). min(-1)) and P(O)A(B) (3.82 +/- 0.51 vs. 5.0 +/- 0.62 mg. kg(-1). min(-1)). Percent glucose R(d) oxidized decreased with all LC except P(O)R(L)-LC (P(R)R, 32%; P(R)R-LC, 22%; P(O)R, 27%; P(O)R-LC, 20%; P(O)A(B), 95%; P(O)A(B)-LC, 77%), which resulted in a significant increase in oxidation from alternative carbohydrate (CHO) sources at rest and P(O)A(B). We conclude that 1) increased arterial [lactate] did not increase glucose R(r) measured during rest or exercise after training, 2) glucose disposal or production did not change with increased precursor supply, and 3) infusion of exogenous CHO in the form of lactate resulted in the decrease of glucose R(ox). FAU - Miller, Benjamin F AU - Miller BF AD - Department of Integrative Biology, University of California, Berkeley, California 94720, USA. FAU - Fattor, Jill A AU - Fattor JA FAU - Jacobs, Kevin A AU - Jacobs KA FAU - Horning, Michael A AU - Horning MA FAU - Suh, Sang-Hoon AU - Suh SH FAU - Navazio, Franco AU - Navazio F FAU - Brooks, George A AU - Brooks GA LA - eng GR - AR-42906/AR/NIAMS NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (Blood Glucose) RN - 0 (Fatty Acids, Nonesterified) RN - 0 (Insulin) RN - 33X04XA5AT (Lactic Acid) RN - PDC6A3C0OX (Glycerol) SB - IM MH - Adolescent MH - Adult MH - Blood Glucose/*metabolism MH - Blood Pressure/drug effects/*physiology MH - Energy Metabolism/drug effects/physiology MH - Fatty Acids, Nonesterified/blood MH - Glycerol/blood MH - Heart Rate/drug effects/*physiology MH - Homeostasis/drug effects/physiology MH - Humans MH - Insulin/blood MH - Lactic Acid/blood/*pharmacokinetics MH - Male MH - Oxygen Consumption/physiology MH - Physical Exertion/drug effects/*physiology MH - Respiration MH - Rest/physiology MH - Weight Loss/physiology EDAT- 2002/10/12 04:00 MHDA- 2002/11/26 04:00 CRDT- 2002/10/12 04:00 PHST- 2002/10/12 04:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/10/12 04:00 [entrez] AID - 10.1152/ajpendo.00266.2002 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2002 Nov;283(5):E889-98. doi: 10.1152/ajpendo.00266.2002.