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Am J Physiol Regul Integr Comp Physiol 277: R1522-R1536, 1999;
0363-6119/99 $5.00
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Vol. 277, Issue 5, R1522-R1536, November 1999

MODELING IN PHYSIOLOGY
Lactate metabolism during exercise: analysis by an integrative systems model

Marco E. Cabrera1,2,3, Gerald M. Saidel1, and Satish C. Kalhan2,3

Departments of 1 Biomedical Engineering and 2 Pediatrics, Case Western Reserve University; and 3 Rainbow Babies and Children's Hospital, Cleveland, Ohio 44106

To provide a framework for quantitative analysis of metabolic and transport processes associated with ATP production during exercise, we adapted a recently developed model that links cellular metabolism and its control to whole body responses at rest. The enhanced model is based on dynamic mass balances for glycogen, glucose, pyruvate (PY), lactate (LA), O2, and CO2 and is solved numerically to simulate responses to acute (<20 min), moderate exercise (i.e., below the LA threshold, less than ~60% maximal rate of O2 uptake). Simulations of responses to a step change in muscle ATP turnover predict substrate changes in muscle, splanchnic, and other tissues compartments, as well as changes in other metabolites (e.g., NADH, ADP) whose reactions are coupled to the main reactions. Even a significant (64%) decrease in muscle O2 concentration (Cm,O2) did not affect muscle O2 consumption. Model simulations of moderate exercise show that 1) muscle oxygenation is sufficient (Cm,O2 >2 mM) even during the transient state; 2) transient increases in concentration of muscle LA and arterial concentration of LA are associated with increases in glycolysis from increases in ADP/ATP and in LA production associated with a rise in NADH/NAD; 3) muscle ADP/ATP reaches a higher steady state that stimulates glycolysis, glycogenolysis, and oxidative phosphorylation to match the ATP demand; and 4) muscle NADH/NAD reaches a lower steady state that stimulates LA oxidation. It is suggested that the continuous stimulation of ATP synthesis processes during moderate exercise is mainly due to a higher ADP/ATP, not to a higher NADH/NAD. Critical measurements needed to quantify metabolic control mechanisms are identified.

metabolic control; energy metabolism; lactate threshold; muscle hypoxia; biochemical regulation


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