Observations on lactate transport in brain cells and cardiac myocytes indic
ate the presence of a high-affinity monocarboxylate transporter. The rat mo
nocarboxylate transporter isoform MCT2 was analysed by expression in Xenopu
s laevis oocytes and the results were compared with the known characteristi
cs of lactate transport in heart and brain. Monocarboxylate transport via M
CT2 was driven by the H+ gradient over the plasma membrane. Uptake of lacta
te strongly increased with decreasing pH, showing half-maximal stimulation
at pH 7.2. A wide variety of monocarboxylates and ketone bodies, including
lactate, pyruvate, beta-hydroxybutyrate, acetoacetate, 2-oxoiso-valerate an
d 2-oxoisohexanoate, were substrates of MCT2. All substrates had a high aff
inity for MCT2, For lactate a K-m value of 0.74 +/- 0.07 mM was determined
at pH 7.0. For the other substrates, K-i values between 100 mu M and 1 mM w
ere measured for inhibition of lactate transport, which is about one-tenth
of the corresponding values for the ubiquitously expressed monocarboxylate
transporter isoform MCT1. Monocarboxylate transport via MCT2 could be inhib
ited by alpha-cyano-4-hydroxycinnamate, anion-channel inhibitors and flavon
oids. It is suggested that cells which express MCT2 preferentially use lact
ate and ketone bodies as energy sources.