Kinetic analysis of the human blood-brain barrier transport of lactate and its influence by hypercapnia
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Kinetic analysis of the human blood-brain barrier transport of lactate and its influence by hypercapnia. / Knudsen, G M; Paulson, O B; Hertz, M M.
In: Journal of Cerebral Blood Flow and Metabolism, Vol. 11, No. 4, 07.1991, p. 581-6.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Kinetic analysis of the human blood-brain barrier transport of lactate and its influence by hypercapnia
AU - Knudsen, G M
AU - Paulson, O B
AU - Hertz, M M
PY - 1991/7
Y1 - 1991/7
N2 - Blood-brain barrier permeability to L-lactate was studied in 18 patients with the double indicator technique. Venous outflow curves were obtained during normo- and hypercapnia and were analyzed by means of a model that takes tracer backflux and capillary heterogeneity of transit times into account. The average unidirectional extraction of L-lactate was 15%; the transport from the blood to the brain (PS1) was 0.081 ml g-1 min-1 and the transport from the brain to the blood (PS2) was on the same order of magnitude. In hypercapnia, arterial pH decreased from 7.39 to 7.26 and PS1 to L-lactate increased significantly by 110%. PS2 also increased although a statistically significant difference compared to the resting state was not reached. It is concluded that L-lactate is easily taken up by the human brain, and that the mechanism by which it crosses the blood-brain barrier is equilibrative. Furthermore, the brain permeability to lactate is enhanced by hypercapnia and the mechanism is believed to act through the decrease in pH.
AB - Blood-brain barrier permeability to L-lactate was studied in 18 patients with the double indicator technique. Venous outflow curves were obtained during normo- and hypercapnia and were analyzed by means of a model that takes tracer backflux and capillary heterogeneity of transit times into account. The average unidirectional extraction of L-lactate was 15%; the transport from the blood to the brain (PS1) was 0.081 ml g-1 min-1 and the transport from the brain to the blood (PS2) was on the same order of magnitude. In hypercapnia, arterial pH decreased from 7.39 to 7.26 and PS1 to L-lactate increased significantly by 110%. PS2 also increased although a statistically significant difference compared to the resting state was not reached. It is concluded that L-lactate is easily taken up by the human brain, and that the mechanism by which it crosses the blood-brain barrier is equilibrative. Furthermore, the brain permeability to lactate is enhanced by hypercapnia and the mechanism is believed to act through the decrease in pH.
KW - Adult
KW - Aged
KW - Blood-Brain Barrier
KW - Brain/metabolism
KW - Cell Membrane Permeability
KW - Humans
KW - Hypercapnia/metabolism
KW - Kinetics
KW - Lactates/blood
KW - Lactic Acid
KW - Middle Aged
KW - Surface Properties
U2 - 10.1038/jcbfm.1991.107
DO - 10.1038/jcbfm.1991.107
M3 - Journal article
C2 - 2050746
VL - 11
SP - 581
EP - 586
JO - Journal of Cerebral Blood Flow and Metabolism
JF - Journal of Cerebral Blood Flow and Metabolism
SN - 0271-678X
IS - 4
ER -
ID: 275031525