Glymphatic clearance controls state-dependent changes in brain lactate concentration

Research output: Contribution to journalJournal articleResearchpeer-review

  • Iben Lundgaard
  • Minh Lon Lu
  • Ezra Yang
  • Weiguo Peng
  • Humberto Mestre
  • Emi Hitomi
  • Rashid Deane
  • Nedergaard, Maiken

Brain lactate concentration is higher during wakefulness than in sleep. However, it is unknown why arousal is linked to an increase in brain lactate and why lactate declines within minutes of sleep. Here, we show that the glymphatic system is responsible for state-dependent changes in brain lactate concentration. Suppression of glymphatic function via acetazolamide treatment, cisterna magna puncture, aquaporin 4 deletion, or changes in body position reduced the decline in brain lactate normally observed when awake mice transition into sleep or anesthesia. Concurrently, the same manipulations diminished accumulation of lactate in cervical, but not in inguinal lymph nodes when mice were anesthetized. Thus, our study suggests that brain lactate is an excellent biomarker of the sleep-wake cycle and increases further during sleep deprivation, because brain lactate is inversely correlated with glymphatic-lymphatic clearance. This analysis provides fundamental new insight into brain energy metabolism by demonstrating that glucose that is not fully oxidized can be exported as lactate via glymphatic-lymphatic fluid transport.

Original languageEnglish
JournalJournal of Cerebral Blood Flow and Metabolism
Volume37
Issue number6
Pages (from-to)2112-2124
Number of pages13
ISSN0271-678X
DOIs
Publication statusPublished - Jun 2017

ID: 164971692