Lactate as an Exercise Mimetic: Mitigating Disuse Atrophy and Improving Muscle Endurance in Aging SAMP8 Mice

Lactate, historically considered a metabolic byproduct, has emerged as a key regulator of muscle physiology and metabolism. This study explores its potential as an exercise mimetic to counteract disuse muscle atrophy (DMA) in aging skeletal muscle using a hindlimb suspension model in senescence-accelerated prone 8 (SAMP8) mice. The mice were divided into four groups: Control, lactate-treated control, hindlimb suspension, and hindlimb suspension with lactate intervention. Lactate administration significantly preserved gastrocnemius muscle mass, restored muscle strength, and attenuated oxidative muscle fiber atrophy. Electrophoretic and histological analyses revealed an increase in MyHC I expression, indicating a protective effect on oxidative muscle fibers. Functional assessments showed that lactate improved muscle endurance and contractile force, while metabolomic profiling identified significant changes in energy metabolism, amino acid metabolism, and protein synthesis pathways. Specifically, lactate intervention improved impaired branched-chain amino acid metabolism, suggesting improved protein synthesis and recovery. In addition, lactate enhanced Cori cycle activity, upregulated hepatic lactate transporters, and increased lactate dehydrogenase B enzymatic activity, facilitating efficient lactate metabolism and gluconeogenesis. These results provide new insights into the role of lactate as a metabolic regulator and highlight its potential as a therapeutic intervention to combat exercise-induced muscle wasting and preserve muscle function in aging and immobilized individuals.乳酸（Lactate）曾被普遍认为是代谢副产物，如今已被证实是肌肉生理与代谢的关键调控因子。本研究以快速衰老易感8型（SAMP8）小鼠的后肢悬吊模型为实验基础，探讨乳酸作为运动拟似剂对抗衰老骨骼肌废用性肌萎缩（disuse muscle atrophy, DMA）的潜在价值。实验小鼠被分为四组：空白对照组、乳酸处理对照组、后肢悬吊组以及乳酸干预后肢悬吊组。给予乳酸可显著维持腓肠肌质量、恢复肌肉力量，并减轻氧化型肌纤维的萎缩程度。电泳与组织学分析结果显示，肌球蛋白重链I型（MyHC I）的表达水平显著升高，表明乳酸对氧化型肌纤维具有保护作用。功能评估结果表明，乳酸可提升肌肉耐力与收缩力量；代谢组学分析则发现，能量代谢、氨基酸代谢及蛋白质合成通路均发生显著变化。具体而言，乳酸干预可改善受损的支链氨基酸代谢，提示其能促进蛋白质合成与机体恢复。此外，乳酸可增强科里循环（Cori cycle）活性、上调肝脏乳酸转运体的表达，并提升乳酸脱氢酶B（lactate dehydrogenase B）的酶活性，从而促进乳酸的高效代谢与糖异生过程。本研究结果为乳酸作为代谢调控因子的作用机制提供了新视角，并凸显了其作为治疗手段的潜力，可用于对抗运动诱导的肌肉丢失，维持衰老与肢体制动人群的肌肉功能。