Published on August 30, 2023
Abstract
The monitoring of lactate levels allows for assessing athletes' endurance, holding a significant interest in the adaptation of personalized training programs. Blood lactate seems to be a robust biomarker of exercise-induced muscle fatigue. However, the clinical value of invasive measurements with commercially available blood lactate meters remains severely limited by their non-continuity. The advent of minimally invasive wearable biosensors may well overcome this limitation. The following literature review investigates lactate pharmacokinetics in the ISF during physical effort. It aims to characterize the relevance of dermal ISF as a medium for activity-induced lactate monitoring. Understanding the pharmacokinetics of lactate behavior in the body, its distribution in different compartments, and the potential variations during exercise is crucial for designing clinically relevant biosensors. This synthesis of current literature aims to guide biosensor developers in creating accurate, reliable, and minimally invasive solutions for lactate monitoring in sports science and health monitoring by extension.
References
[1] Xiaolu Li et al. âLactate metabolism in human health and diseaseâ. In: Signal transduction and targeted therapy 7.1 (2022), p. 305.
[2] Christopher D Foucher and Robert E Tubben. âLactic acidosisâ. In: StatPearls [Internet]. StatPearls Publishing, 2022.
[3] Matthew L Goodwin et al. âBlood lactate measurements and analysis during exercise: a guide for cliniciansâ. In: Journal of diabetes science and technology 1.4 (2007), pp. 558â569.
[4] I. Jacobs. âBlood lactate. Implications for training and sports performanceâ. In: Sports Medicine (Auckland, N.Z.) 3.1 (1986), pp. 10â25. doi: 10.2165/00007256-198603010-00003.
[5] HR Gosker and AMWJ Schols. Fatigued muscles in COPD but no finishing line in sight. 2008.
[6] Simeon P Cairns. âLactic acid and exercise performanceâ. In: Sports medicine 36.4 (2006), pp. 279â291.
[7] L Messonnier and H Dubouchaud. âLe lactate: sa cinĂ©tique, son mĂ©tabolisme, ses relations avec la performance et ses controversesâ. In: Science & MotricitĂ© 70 (2010), pp. 21â30.
[8] Bente Klarlund Pedersen, Adam Steensberg, and Peter Schjerling. âExercise and interleukin-6â. In: Current opinion in hematology 8.3 (2001), pp. 137â141.
[9] Josef Finsterer. âBiomarkers of peripheral muscle fatigue during exerciseâ. In: BMC musculoskeletal disorders 13.1 (2012), pp. 1â13.
[10] Jing-jing Wan et al. âMuscle fatigue: general understanding and treatmentâ. In: Experimental & molecular medicine 49.10 (2017), e384âe384.
[11] George Theofilidis et al. âMonitoring exercise-induced muscle fatigue and adaptations: making sense of popular or emerging indices and biomarkersâ. In: Sports 6.4 (2018), p. 153.
[12] L VĂ©ronique Billat. âUse of blood lactate measurements for prediction of exercise performance and for control of trainingâ. In: Sports medicine 22.3 (1996), pp. 157â175.
[13] D. B. Pyne et al. âEvaluation of the Lactate Pro blood lactate analyserâ. In: European Journal of Applied Physiology 82.1 (May 2000), pp. 112â116. doi: 10.1007/s004210050659.
[14] Jacinta M. Bonaventura et al. âReliability and Accuracy of Six Hand-Held Blood Lactate Analysersâ. In: Journal of Sports Science & Medicine 14.1 (Jan. 27, 2015), pp. 203â214.
[15] Halil Ä°brahim Kaya et al. âÄ°ki Farkli TaĆinabilir Elektro-Enzimatik Laktat Analiz Cihazinin Geçerlilik ve GĂŒvenilirlik ĂaliĆmasiâ. In: Spor Hekimligi Dergisi 55.2 (2020). Publisher: TĂŒrkiye Spor Hekimleri Dernegi, pp. 138â147. doi: 10.5152/tjsm.2020.170.
[16] Julia Madden et al. âBiosensing in dermal interstitial fluid using microneedle based electrochemical devicesâ. In: Sensing and Bio-Sensing Research 29 (2020), p. 100348.
[17] MyLife Technologies. Revolutionizing Vaccine Delivery with Ceramic Microneedles.
[18] Xing Xuan et al. âLactate biosensing for reliable on-body sweat analysisâ. In: ACS sensors 6.7 (2021), pp. 2763â2771.
[19] Wei Gao, George A Brooks, and David C Klonoff. âWearable physiological systems and technologies for metabolic monitoringâ. In: Journal of applied physiology 124.3 (2018), pp. 548â556.
[20] P Dardano, I Rea, and L De Stefano. âMicroneedles-based electrochemical sensors: New tools for advanced biosensingâ. In: Current Opinion in Electrochemistry 17 (2019), pp. 121â127.
[21] Misagh Rezapour Sarabi, Sattar Akbari Nakhjavani, and Savas Tasoglu. â3D-Printed Microneedles for Point-of-Care Biosensing Applicationsâ. In: Micromachines 13.7 (July 13, 2022), p. 1099. doi: 10.3390/mi13071099.
[22] Apoorva Panda et al. âFabrication and development of controlled release PLGA microneedles for macromolecular delivery using FITC-Dextran as model moleculeâ. In: Journal of Drug Delivery Science and Technology 68 (Feb. 2022), p. 102712. doi: 10.1016/j.jddst.2021.102712.
[23] Boyu Qin et al. 'Porosity control of polylactic acid porous microneedles using microfluidic technology'. In: 2022 IEEE CPMT Symposium Japan (ICSJ) (Nov. 9, 2022), pp. 127â130. doi: 10.1109/ICSJ55786.
[24] Letizia Ventrelli, Lucanos Marsilio Strambini, and Giuseppe Barillaro. 'Microneedles for transdermal biosensing: current picture and future direction'. In: Advanced healthcare materials 4.17 (2015), pp. 2606â2640.
[25] Mark Friedel et al. 'Opportunities and challenges in the diagnostic utility of dermal interstitial fluid'. In: Nature Biomedical Engineering (2023), pp. 1â15.
[26] D Barry Keenan et al. 'Interstitial fluid glucose time-lag correction for real-time continuous glucose monitoring'. In: Biomedical signal processing and control 8.1 (2013), pp. 81â89.
[27] Robert M Califf. 'Biomarker definitions and their applications'. In: Experimental Biology and Medicine 243.3 (2018), pp. 213â221.
[28] John A Wagner. 'Overview of biomarkers and surrogate endpoints in drug development'. In: Disease markers 18.2 (2002), pp. 41â46.
[29] Boyu Zhu et al. 'An overview of wearable and implantable electrochemical glucose sensors'. In: Electroanalysis 34.2 (2022), pp. 237â245.
[30] Jason Heikenfeld et al. 'Accessing analytes in biofluids for peripheral biochemical monitoring'. In: Nature biotechnology 37.4 (2019), pp. 407â419.
[31] National Center for Biotechnology Information. 'PubChem Compound Summary for CID 91435, Lactate'.
[32] Joshua D Rabinowitz and Sven EnerbĂ€ck. 'Lactate: the ugly duckling of energy metabolism'. In: Nature Metabolism 2.7 (2020), pp. 566â571.
[33] Zhou Zhou, Ming-Jiang Xu, and Bin Gao. 'Hepatocytes: a key cell type for innate immunity'. In: Cellular & molecular immunology 13.3 (2016), pp. 301â315.
[34] Barrie Phypers and JM Tom Pierce. 'Lactate physiology in health and disease'. In: Continuing Education in Anaesthesia, 6.3 (2006), pp. 128â132.
[35] Pierre J Magistretti and Igor Allaman. 'Lactate in the brain: from metabolic end-product to signalling molecule'. In: Nature Reviews Neuroscience 19.4 (2018), pp. 235â249.
[36] Miroslav Pohanka. 'D-lactic acid as a metabolite: toxicology, diagnosis, and detection'. In: BioMed Research International 2020 (2020).
[37] Shui Ping Wang et al. 'Pivotal roles for pH, lactate, and lactate-utilizing bacteria in the stability of a human colonic microbial ecosystem'. In: Msystems 5.5 (2020), e00645â20.
[38] Alain L Servin. 'Antagonistic activities of lactobacilli and bifidobacteria against microbial pathogens'. In: FEMS microbiology reviews 28.4 (2004), pp. 405â440.
[39] Satish K Tuteja, Connor Ormsby, and Suresh Neethirajan. 'Noninvasive label-free detection of cortisol and lactate using graphene embedded screen-printed electrode'. In: Nano-micro letters 10.3 (2018), pp. 1â10.
[40] Kamel S Kamel, Man S Oh, and Mitchell L Halperin. 'L-lactic acidosis: pathophysiology, classification, and causes; emphasis on biochemical and metabolic basis'. In: Kidney International 97.1 (2020), pp. 75â88.
[41] Francesca Miranda Di Mauro and Gretchen Lee Schoeffler. 'Point of care measurement of lactate'. In: Topics in companion animal medicine 31.1 (2016), pp. 35â43.
[42] Michael Dacko and Thomas Lange. 'Improved detection of lactate and đœ-hydroxybutyrate using MEGA-sLASER at 3 T'. In: NMR in Biomedicine 32.7 (2019), e4100.
[43] Jessica N Hinojosa, Christopher M Hearon, and Robert J Kowalsky. 'Blood lactate response to active recovery in athletes vs. non-athletes'. In: Sport Sciences for Health 17.3 (2021), pp. 699â705.
[44] Jacob Dunn and Michael H Grider. 'Physiology, adenosine triphosphate'. In: StatPearls [Internet. StatPearls Publishing, 2021.
[45] Shaohui Huang and Michael P Czech. 'The GLUT4 glucose transporter'. In: Cell metabolism 5.4 (2007), pp. 237â252.
[46] American Chemical Society National Historic Chemical Landmarks. 'Carl and Gerty Cori and Carbohydrate Metabolism'.
[47] Jan P. Kovacic. âChapter 60 - Lactic Acidosisâ. In: (2009), pp. 254â257. doi: 10.1016/B978-1-4160-2591-7.10060-8.
[48] How anaerobic metabolism still contributes to VO2?
[49] K Sahlin et al. âEffects of lactic acid accumulation and ATP decrease on muscle tension and relaxationâ. In: American Journal of Physiology-Cell Physiology 240.3 (1981), pp. C121âC126.
[50] Robert A Robergs, Farzenah Ghiasvand, and Daryl Parker. âBiochemistry of exercise-induced metabolic acidosisâ. In: American Journal of Physiology-Regulatory, Integrative and Comparative Physiology (2004).
[51] Gerrit Van Hall. âLactate kinetics in human tissues at rest and during exerciseâ. In: Acta physiologica 199.4 (2010), pp. 499â508.
[52] Sean M Forsythe and Gregory A Schmidt. âSodium bicarbonate for the treatment of lactic acidosisâ. In: Chest 117.1 (2000), pp. 260â267.
[53] Jeffrey A Kraut and Nicolaos E Madias. âLactic acidosisâ. In: New England Journal of Medicine 371.24 (2014), pp. 2309â2319.
[54] Nicolaos E Madias. âLactic acidosisâ. In: Kidney international 29.3 (1986), pp. 752â774.
[55] Andrew P Halestrap and Marieangela C Wilson. âThe monocarboxylate transporter familyârole and regulationâ. In: IUBMB life 64.2 (2012), pp. 109â119.
[56] KJMcCullagh et al. âRole of the lactate transporter (MCT1) in skeletal musclesâ. In: American Journal of Physiology-Endo271.1 (1996), E143âE150.
[57] RL Hazelwood. âCarbohydrate metabolismâ. In: Avian physiology. Springer, 1986, pp. 303â325.
[58] GA Brooks. âLactate production under fully aerobic conditions: the lactate shuttle during rest and exercise.â In: Federation proceedings. Vol. 45. 13. 1986, pp. 2924â2929.
[59] A t Katz and K Sahlin. âRegulation of lactic acid production during exerciseâ. In: Journal of applied physiology 65.2 (1988), pp. 509â518.
[60] F CarrĂ©. âRĂ©partition du lactate dans lâorganisme aprĂšs un exercice musculaire: le modĂšle historique unicompartmental et ses limitesâ. In: Science & sports 8.3 (1993), pp. 189â191.
[61] H Freund and P Zouloumian. âLactate after exercise in man: I. Evolution kinetics in arterial bloodâ. In: European Journal of Applied Physiology and Occupational Physiology 46.2 (1981), pp. 121â133.
[62] P Zouloumian and H Freund. âLactate after exercise inMan: II.Mathematical model.â In: European journal of applied physiology 46.2 (1981), pp. 135â147.
[63] P Zouloumian and H Freund. âLactate after exercise in man: III. Properties of the compartment modelâ. In: European Journal of Applied Physiology and Occupational Physiology 46.2 (1981), pp. 149â160.
[64] H Freund and P Zouloumian. âLactate after exercise in man: IV. Physiological observations and model predictionsâ. In: European Journal of Applied Physiology and Occupational Physiology 46.2 (1981), pp. 161â176.
[65] A Zerman, C Cobelli, and L Sacca. âA Compartmental Model Of Lactate Kinetics In Humans: Role Of Sites Of Tracer Administration And Samplingâ. In:[1990] Proceedings of the Twelfth Annual International Conference oIEEE. 1990, pp. 959â960.
[66] Ralph Beneke, Masen D Jumah, and Renate M LeithĂ€user. âModelling the lactate response to short-term all out exerciseâ. In: Dynamic medicine 6.1 (2007), pp. 1â7.
[67] John F Moxnes and Ăyvind Sandbakk. âThe kinetics of lactate production and removal during whole-body exerciseâ. In: Theoretical Biology and Medical Modelling 9.1 (2012), pp. 1â14.
[68] JJMedicine YouTube channel. Cori Cycle - Lactic Acid Metabolism - Purpose and Importance in Anaerobic Metabolism
[69] George A Brooks. âAnaerobic threshold: review of the concept and directions for future research.â In: Medicine and science in sports and exercise 17.1 (1985), pp. 22â34.
[70] Herbert Löllgen, Terry Graham, and Gisela Sjogaard. âMuscle metabolites, force, and perceived exertion bicycling at varying pedal ratesâ. In: Med Sci Sports Exerc 12.5 (1980), pp. 345â51.
[71] L Bruce Gladden. âLactate metabolism during exerciseâ. In: MEDICINE AND SPORT SCIENCE 46 (2004), pp. 152â196.
[72] J Karlsson, B Diamant, and B Saltin. âMuscle metabolites during submaximal and maximal exercise in manâ. In: Scandinavian journal of clinical and laboratory investigation 26.4 (1970), pp. 385â394.
[73] Ira Jacobs and Peter Kaiser. âLactate in blood, mixed skeletal muscle, and FT or ST fibres during cycle exercise in manâ. In: Acta physiologica scandinavica 114.3 (1982), pp. 461â466.
[74] Michael J Buono and John E Yeager. âIntraerythrocyte and plasma lactate concentrations during exercise in humansâ. In: European journal of applied physiology and occupational physiology 55.3 (1986), pp. 326â329.
[75] ROBERT T Harris and GARY A Dudley. âExercise alters the distribution of ammonia and lactate in bloodâ. In: Journal of Applied Physiology 66.1 (1989), pp. 313â317.
[76] Peter Foxdal et al. âLactate concentration differences in plasma, whole blood, capillary finger blood and erythrocytes during submaximal graded exercise in humansâ. In: European Journal of Applied Physiology and Occupational Physiology 61.3 (1990), pp. 218â222.
[77] EDITHW Smith et al. âLactate distribution in the blood during progressive exercise.â In: Medicine and science in sports and exercise 29.5 (1997), pp. 654â660.
[78] Carsten Juel et al. âLactate and potassium fluxes from human skeletal muscle during and after intense, dynamic, knee extensor exerciseâ. In: Acta physiologica Scandinavica 140.2 (1990), pp. 147â159.
[79] Narendra Kotwal and Aditi Pandit. âVariability of capillary blood glucose monitoring measured on home glucose monitoring devicesâ. In: Indian journal of endocrinology and metabolism 16.Suppl 2 (2012), S248.
[80] Hye Soon Kim. âBlood glucose measurement: is serum equal to plasma?â In: Diabetes & Metabolism Journal 40.5 (2016), pp. 365â366.
[81] A REETA PĂSĂ, KIMMO J LAMPINEN, and LEENA A RĂSĂNEN. âDistribution of lactate between red blood cells and plasma after exerciseâ. In: Equine Veterinary Journal 27.S18 (1995), pp. 231â234.
[82] NM Koho, LK VĂ€ihkönen, and AR Pösö. âLactate transport in red blood cells by monocarboxylate transportersâ. In: Equine Veterinary Journal 34.S34 (2002), pp. 555â559.
[83] JR Williams, N Armstrong, and BJ Kirby. âThe influence of the site of sampling and assay medium upon the measurement and interpretation of blood lactate responses to exerciseâ. In: Journal of sports sciences 10.2 (1992), pp. 95â107.
[84] S Oyono-Enguelle et al. âComparison of arterial and venous blood lactate kinetics after short exerciseâ. In: International journal of sports medicine 10.01 (1989), pp. 16â24.
[85] Chris Higgins. Lactate measurement: arterial versus venous blood sampling. January 2017.
[86] Olivier Collange et al. âComparison of capillary and arterial lactate levels in patients with shockâ. In: Anaesthesia Critical Care & Pain Medicine 36.3 (2017), pp. 157â162.
[87] Leandro Seoane et al. âCapillary lactic acid validation in an EDâ. In: The American journal of emergency medicine 31.9 (2013), pp. 1365â1367.
[88] Anette Raa et al. âValidation of a point-of-care capillary lactate measuring device (Lactate Pro 2)â. In: Scandinavian journal of trauma, resuscitation and emergency medicine 28.1 (2020), pp. 1â7.
[89] Colin A Graham et al. âAgreement between capillary and venous lactate in emergency department patients: prospective observational studyâ. In: BMJ open 9.4 (2019), e026109.
[90] David Stoll et al. âCapillary and venous lactate measurements with a handheld device compared to venous blood-gas analysis for emergency patientsâ. In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 26.1 (2018), pp. 1â5.
[91] Pattharawin Pattharanitima et al. âCorrelation of arterial, central venous and capillary lactate levels in septic shock patientsâ. In: Journal of the Medical Association of Thailand 94.2 (2011), p. 175.
[92] Lightowler, B., & Hoswell, A. (2016). Can handheld POC capillary lactate measurement be used with arterial and venous laboratory testing methods in the identification of sepsis? Journal of Paramedic Practice, 8(8), 396â406.
[93] Bonaventura, J. M., et al. (2015). Reliability and accuracy of six hand-held blood lactate analysers. Journal of Sports Science & Medicine, 14(1), 203.
[94] Ahmun, R., et al. (2002). Criterion validity of the lactate Pro LT-1710 portable analyser. Journal of Sports Sciences, 20(1), 31.
[95] Ono, S., Egawa, G., & Kabashima, K. (2017). Regulation of blood vascular permeability in the skin. Inflammation and Regeneration, 37(1), 1â8.
[96] Currie, J. F., Bodo, M. M., & Pearce, F. J. (2004). Novel Non-Intrusive Trans-Dermal Remote Wireless Micro-FluiTech. Walter Reed Army Institute Of Research.
[97] Jansson, P. A., Krogstad, A. L., & Lonnroth, P. (1996). Microdialysis measurements in skin: evidence for significant lactate release in healthy humans. American Journal of Physiology-Endocrinology And Metabolism, 271(1), E138âE142.
[98] Ohkuwa, T., et al. (2009). The Relationship between Exercise Intensity and Lactate Concentration on the Skin Surface. International Journal of Biomedical Science: ÄČBS, 5(1), 23â27.
[99] Birklein, F., Weber, M., & Neundörfer, B. (2000). Increased skin lactate in complex regional pain syndrome: evidence for tissue hypoxia? Neurology, 55(8), 1213â1215.
[100] Muller, M., et al. (1996). Measurement of interstitial muscle glucose and lactate concentrations during an oral glucose tolerance test. American Journal of Physiology-Endocrinology And Metabolism, 271(6), E1003âE1007.
[101] Röcker, K., Ahlgrim, C., & Prettin, S. (2012). Blood lactate levels at rest: Normal values and association with predominant type of exercise. Berlin, Oct. 2012, 7â8.
[102] Ming, D. K., et al. (2022). Real-time continuous measurement of lactate through a minimally invasive microneedle patch: a phase I clinical study. BMJ Innovations, 8(2).
[103] Chien, M. N., et al. (2022). Continuous Lactate Monitoring System Based on Percutaneous Microneedle Array. Sensors, 22(4), 1468.
[104] Braverman, I. M. (2000). The cutaneous microcirculation, 5(1), 3â9.
[105] Krogstad, A. L., et al. (1996). Microdialysis methodology for the measurement of dermal interstitial fluid in humans. British Journal of Dermatology, 134(6), 1005â1012.
[106] Spehar-DĂ©lĂšze, A. M., Anastasova, S., & Vadgama, P. (2021). Monitoring of lactate in interstitial fluid, saliva, and sweat by electrochemical biosensor: the uncertainties of biological interpretation. Chemosensors, 9(8), 195.