For as long as I can remember, I was told that lactate was the enemy, the toxic waste product that made my legs burn and forced me to slow down. It turns out almost everything I believed about it was wrong. In this episode, I trace the remarkable story of how lactate went from metabolic villain to one of the most important molecules in exercise physiology. I start with George Brooks, the UC Berkeley professor who spent four decades building the lactate shuttle theory, the idea that lactate isn't waste but a fuel, a gluconeogenic precursor, and a signalling molecule that shuttles between cells, tissues, and organs.
Then I dig into a stunning 2023 paper from Craig Thompson's lab at Memorial Sloan Kettering that takes the story even further: lactate doesn't just feed the mitochondria, it activates the electron transport chain without even being metabolised. It's a messenger that tells your mitochondria to produce more ATP, suppresses glycolysis, and shifts your energy system toward oxidative phosphorylation.
I explore what all of this means for how we think about the lactate threshold, pacing, interval training, recovery, and even immune function. If you've ever pushed into that burning zone on a hard run or ride, this episode will change how you think about what's happening inside your body.
References:
Cai, X. et al. (2023). Lactate activates the mitochondrial electron transport chain independently of its metabolism. Molecular Cell, 83, 3904–3920.
Brooks, G.A. (2018). The Science and Translation of Lactate Shuttle Theory. Cell Metabolism, 27, 757–785.
Brooks, G.A. et al. (2022). Tracing the lactate shuttle to the mitochondrial reticulum. Experimental & Molecular Medicine, 54, 1332–1347.
Hui, S. et al. (2017). Glucose feeds the TCA cycle via circulating lactate. Nature, 551, 115–118.
Leija, R.G. et al. (2024). Enteric and systemic postprandial lactate shuttle phases and dietary carbohydrate carbon flow in humans. Nature Metabolism, 6, 670–677.
Brooks, G.A. (2023). What the Lactate Shuttle Means for Sports Nutrition. Nutrients, 15(9), 2178.