While the effects of exogenous lactate administration have been investigated, those of oral lactate administration on muscle synthesis have not been elucidated. The present study investigated the effects of long-term lactate administration on skeletal muscle synthesis and the additional effects of lactate administration after exercise training. The main findings were that long-term lactate administration increased skeletal muscle weight and influenced the expression of protein synthesis and degradation factors. However, lactate administration after exercise training did not have any additional effects on skeletal muscle synthesis.
This study showed that lactate administration decreased the amount of food intake by 11.1% and tended to decrease body weight. Appetite is regulated by hormones, such as leptin and ghrelin [31]. Previous studies have reported that lactate inhibits ghrelin secretion by binding ghrelin-producing cells [32] and that central administration of lactate decreases energy intake in rodents [33]. Therefore, the study suggests that oral lactate administration can also reduce food intake by inhibiting ghrelin secretion.
An important feature of long-term exercise training is that it induces skeletal muscle synthesis [3]. Specifically, high-intensity exercise increases muscle synthesis and lactate concentration to a greater extent than low-intensity exercise [17]. This suggests that an increase in blood lactate concentration may be linked to exercise-induced muscle synthesis. Previous studies have reported that lactate activates cell proliferation and increases the myotube diameter and length, myonuclei number, and protein content in cells [26, 34, 35]. Moreover, administration of 1 g/kg of lactate increased the blood lactate concentration by 4.1 ± 0.3 mmol/L, and that lactate administration 5 days/week increased the weight of the tibialis anterior muscle after 2 weeks in mice [26]. Thus, we hypothesized that long-term lactate administration would increase skeletal muscle weight. As expected, the pilot results showed that acute lactate administration increased the blood lactate concentration. Additionally, the current study demonstrated that skeletal muscle weight tended to increase in the Non/Lac when normalized to body weight and that the weight of the gastrocnemius muscle significantly increased when normalized to body weight. These findings suggest that increasing blood lactate levels may positively affect skeletal muscle synthesis as part of exercise-induced muscle synthesis.
The Akt/mTOR pathway and muscle-specific E3 ubiquitin ligases regulate muscle synthesis and degradation and play important roles in exercise-induced muscle synthesis [36, 37]. Previous studies primarily focused on the effects of acute lactate intake on protein synthesis and showed that exogenous lactate intake can alter the protein balance by stimulating the Akt/mTOR pathway in type 2 skeletal muscles [27, 28]. The present study investigated the effects of oral administration of lactate on protein synthesis and confirmed that the mRNA levels of Akt and mTOR in the plantaris muscle were increased. However, long-term lactate administration did not affect protein expression in the Akt/mTOR pathway in the EDL muscle. Nevertheless, the current results showed that the weight of skeletal muscles increased after long-term lactate administration, which was expected as the concentration of muscle specific E3 ubiquitin ligases decreased. MuRF1, an E3 ubiquitin ligase expressed in skeletal muscle, regulates proteolysis [38]; long-term exercise training attenuates protein degradation by downregulating MuRF1 expression in skeletal muscle [39, 40]. Interestingly, this study showed that MuRF1 expression was downregulated by long-term lactate administration, resulting in increased skeletal muscle weight. These findings are different from those of previous studies and suggest that long-term lactate administration may have a different effect on protein balance when compared with acute administration. The present study confirms that long-term lactate administration can positively affect skeletal muscle weight and the expression of protein synthesis and degradation factors.
IGF1 is generally acknowledged as somatomedin C, which activates cell growth and proliferation [36, 41]. However, several studies have recommended that the IGF1 concentration does not simply influence muscle synthesis; rather, it requires interaction with IGF receptors, physical activity, bio parameters, or other factors [42, 43]. This study confirmed that long-term lactate administration tended to increase skeletal muscle mass despite decreasing levels of circulating IGF1. Similarly, our previous study in rats confirmed that the level of factors for skeletal muscle synthesis increased even though lactate levels were reduced by serum IGF1 [28]. Thus, we suggest that the potential for increasing skeletal muscle synthesis caused by lactate does not depend on IGF1, and that lactate may affect other muscle synthesis pathways. Tsukamoto et al. [44] proposed that lactate inhibits Sir2, which is a negative regulator of MyoD, by decreasing the NAD+/NADH ratio. Oishi et al. [35] argued that calcium satellite anabolism is mediated by calcium signals and that lactate may stimulate the calcium/calmodulin-activated serine-threonine phosphatases calcineurin and myogenin. However, since this study did not elucidate the mechanisms of skeletal muscle synthesis caused by lactate, further molecular mechanistic studies on the effects of lactate administration on skeletal muscle are needed.
Oishi et al. [35] confirmed that administration of lactate and caffeine compounds combined with exercise training for 4 weeks increased the weight of the gastrocnemius and tibialis anterior muscles, enhanced the total DNA content, and upregulated anabolic signals in rats. Hashimoto et al. [45] showed that lactate-based compounds increased skeletal muscle weight of the plantaris and gastrocnemius muscles in obese rats when combined with voluntary running exercises. However, although the present study showed that lactate affects skeletal muscle weight and protein synthesis and degradation factors, its administration after exercise training did not result in additional effects.
Several studies reported that most (75–80%) of the lactate produced from exercise is preferentially used and stored as an energy source by skeletal muscles during exercise, post-exercise, and rest under aerobic conditions [46, 47]. In addition, Brooks et al. [48] reported that the lactate shuttle, which is activated by exercise training, transports lactate to the skeletal muscles, heart, and liver for energy production and gluconeogenesis. The lactate shuttle, also known as MCT isoforms 1 to 4, transports lactate to “cell-cell” and “intracellular shuttles” and is activated by the external environment, specifically exercise [49]. Coles et al. [50] showed that the MCT1 and 4 proteins and mRNA expression were immediately enhanced after acute exercise (2 hours, 21 m/min, 15% grade) in rat skeletal muscles. Enoki et al. [51] also reported that long-term exercise training (20–25 m/min, 30 min/day, 7 days/week, 3 weeks) increased levels of MCT1 and 4 in rat skeletal muscles. In summary, lactate is immediately transported and eliminated by exercise activated MCTs. In our experiment, lactate was administered immediately after every episode of exercise training. Hence, we supposed that MCTs were activated by exercise training, and that lactate administered immediately post-exercise was preferentially used as an energy source for post-exercise recovery rather than for skeletal muscle synthesis. However, a limitation of this study was that we did not confirm MCT activation in the skeletal muscles. Therefore, a more detailed study investigating the activation of MCTs is needed to confirm the effects of lactate on molecular signaling in skeletal muscle synthesis. Nevertheless, since lactate tended to increase skeletal muscle weight, positive results of skeletal muscle synthesis may be observed if lactate is administered before exercise training to reduce the effect of MCTs.