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IV Lactate Raises Pro-BDNF in Small Human Trial, Partially Mimicking Exercise

The small randomized trial in healthy adults linked exercise-level lactate to a brief rise in circulating pro-BDNF without changing the mature form measured in blood.

Overview

  • Researchers infused sodium lactate for one hour in a randomized crossover design with 18 healthy adults, reaching blood levels comparable to medium–high intensity exercise.
  • Plasma pro-BDNF rose 15 minutes after infusion and remained elevated for about two hours, whereas mature BDNF in plasma and serum did not change.
  • Muscle pro-BDNF levels were unchanged, though baseline muscle pro-BDNF expression correlated with the proportion of type I muscle fiber area among participants.
  • Authors emphasized that lactate infusion is not a replacement for exercise and recommended regular high-intensity workouts for brain health.
  • Findings support lactate as a mediator of some exercise-linked brain signals, with calls for CNS-focused measurements, larger and more diverse cohorts, and mechanistic studies to assess therapeutic potential.