Lactate dynamics during sleep-awake cycle in human brain are studied non-invasively using single voxel diffusion weighted magnetic resonance spectroscopy (MRS) technique with simultaneous polysomnography (PSG) recordings to characterize sleep stages. Awake lactate apparent diffusion coefficients (ADC) values are large compared to other brain metabolites and may support active transport - Astrocyte-Neuron Lactate Shuttle (ANLS) mechanism. Lactate ADC are reduced in deep sleep stage in young subjects but are unchanged in older subjects. These results may reflect different interstitial fluid exchange activity or changed metabolic state with aging and require further research.
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