It is well known that glucose is the primary source of energy in the brain, but mounting evidence suggests that at least some of this glucose is first converted to lactate and shuttled between cellular compartments before being oxidized in the TCA cycle. In this study, the hypothesis that this ”lactate shuttle” contributes to the 13C-lactate and 13C-bicarbonate signal observed in the awake human brain is tested using hyperpolarized 13C MRI (HP13C-MRI).
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