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[RC] LA/ Erythrocytes - Ridecamp Guest

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In this study, fitness improved Erythrocyte Deformability in the presence of 
lactic acid. Erythrocytes are red cells and they must be able to bend as they 
go through small blood vessels. On the occasion where the equine spleen has 
contracted and lactic acid is being produced, fitness plays an important role 
in preventing a number of problems, possibly bleeding in the lungs, cartilage 
destruction, tendon damage, muscle damage--caused by inflexible red cells. 
Echinocytes are permanently damaged stiff red cells often seen in large 
quantity in racehorses. One rheologist thinks this may be due to chronic 
sequestration in the acid environment of the equine spleen in horses that are 
stalled but not properly exercised for days on end. This paper, though, talks 
about a lesser problem--reduced deformability due to the presence of lactic 
acid.

Authors P Connes, D Bouix, G Py, C Prefaut, J Mercier, JF Brun, C Caillaud
Title   Opposite effects of in vitro lactate on erythrocyte deformability in 
athletes and untrained subjects
Full source     Clinical Hemorheology and Microcirculation, 2004, Vol 31, Iss 
4, pp 311-318

Exercise transiently increases blood viscosity: however data on red cell 
deformability in this process remain inconsistent, since studies report either 
impairment (proportional to blood lactate accumulation), a lack of effect, or 
even in some cases an improvement. To test whether these inconsistencies may be 
due to physiological differences among populations studied, we compared the 
effects of in vitro lactate (2 mM, 4 mM and 10 mM) on erythrocyte rigidity in 
venous blood drawn at rest in 10 untrained vs 10 aerobically-trained subjects. 
After adjustment of osmolality and pH and incubation at 37degreesC during 2 
minutes, viscometric measurements were performed at 1000 s(-1) with the MT90 
(falling ball) viscometer and Dintenfass's 'Tk' was calculated. While at 
baseline there was no significant difference in Tk between the two groups, it 
decreased in the aerobically-trained subjects between 2 and 10 mM lactate 
concentrations (p<0.05) and increased in the untrained group between 2 and 4 mM 
(p<0.05). Thus, it seems that endurance training influences erythrocyte 
response to lactate. Lactate impaired erythrocyte deformability in untrained 
subjects but it (unexpectedly) improved it in trained subjects. This difference 
may be due to training-induced adaptations in erythrocyte metabolism, possibly 
including transmembrane transfer via monocarboxylate transporters.



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