Lactate uptake by skeletal muscle occurs under diverse conditions, inc
luding hypoxia and electrical stimulation. A possible metabolic fate o
f lactate in resting muscle is its conversion to pyruvate followed by
carboxylation to malate in the cytosolic malic reaction. To test this
hypothesis, we measured hindlimb lactate uptake in hypoxic mechanicall
y ventilated rabbits. Rabbits were given intravenous infusions of hydr
oxymalonate, an inhibitor of the malic reaction (200 mM; n = 7), or no
rmal saline (n = 7) at 1.1 ml/min. Hindlimb lactate uptake/release was
calculated as femoral blood flow times the arteriovenous lactate diff
erence. Saline or hydroxymalonate was infused continuously during sequ
ential 30-min periods of normoxia (arterial Po-2 approximate to 150 To
rr), hypoxemia (arterial Po-2 approximate to 30 Torr), and reoxygenati
on (arterial Po-2 approximate to 150 Torr). Hindlimb O-2 transport dec
reased with hypoxemia, but O-2 consumption remained unchanged in both
groups. During hyperemia there was net uptake of lactate by the hindli
mb of the group given normal saline [4.5 +/- 0.9 (SE) mu mol/min]. The
hindlimb of the hydroxymalonate group continued to release lactate (-
0.5 +/- 1.0 mu mol/min). The inhibition of lactate uptake by hydroxyma
lonate supports the hypothesis that the melic reaction plays a major r
ole in the metabolism of lactate by resting rabbit skeletal muscle.