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Figure 5. The combination of recording the stimulus evoked CAP (triangle) with real time recordings of lactate (black line) enable for a fuller picture of the cellular interactions to emerge. At the onset of aglycemia the lactate falls almost immediately adopted by the CAP. Glucose is taken up by astrocytes and Healthy Flow Blood either saved as glycogen or straight processed glycolytically to lactate. The lactate is then transported to the axons for oxidative metabolism. Removing glucose from the aCSF or inhibiting glycogen metabolism with DAB or isofagomine causes the lactate to rapidly fall to zero followed by the CAP. The conclusion from this optic nerve knowledge is that astrocytes comprise glycogen and launch glycogen derived lactate into the interstitial area via the MCT1, from where it is taken up into axons by way of the MCT2 transporter. In addition to this lactate launch below circumstances of aglycemia, the place the latency to CAP failure could be accelerated by blocking lactate uptake or inhibiting glycogen metabolism, lactate can also be released tonically beneath baseline conditions.

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