Peak Lactate Concentration Research Articles

Outcomes of post-cardiac surgery patients with persistent hyperlactatemia in the intensive care unit: a matched cohort study.

BackgroundHigher morbidity and mortality rates are seen amongst patients presenting with hyperlactatemia in the postoperative period. The purpose of this study was to determine the relationship between persistent elevations in lactate and poor ICU outcome in post-cardiac surgery patients.MethodsThis was a retrospective matched cohort analysis of cardiac surgery patients undergoing bypass and/or valve surgery in a university hospital centre. Selection criteria were: cardiac bypass and/or valve surgery; admission to the ICU for > 24 h postoperatively; and peak lactate ≥ 3.0 mmol/L. Hyperlactatemic patients were matched to 2 normolactatemic patients. Multivariable conditional logistic regression was used to determine predictors of hyperlactatemia and mortality.ResultsFour hundred sixty-nine post-cardiac surgery patients were admitted to the ICU for > 24 h. 144 of these patients had an arterial blood lactate ≥ 3.0 mmol/L. Amongst the mortalities, 78.9 % presented with hyperlactatemia. Independent risk factors predictive of a lactate ≥3.0 mmol/L were preoperative IABP insertion (RR 2.8, CI 1.1–7.2) and postoperative acute kidney injury (RR 3.2, CI 2.1–5.4). Patients whose lactate concentrations continued to increase >30 h postoperatively were more likely to die (RR 8.44 CI 2.50–28.53).ConclusionsThe persistence of hyperlactatemia is a more important determinant of postoperative outcome than the absolute value of the peak lactate concentration. A simple postoperative lactate washout does not sufficiently explain this lactate accumulation. Mortality is proposed to be secondary to a state of ongoing hypoperfusion.

Abnormal heart rate recovery and deficient chronotropic response after submaximal exercise in young Marfan syndrome patients.

Marfan syndrome patients present important cardiac structural changes, ventricular dysfunction, and electrocardiographic changes. An abnormal heart rate response during or after exercise is an independent predictor of mortality and autonomic dysfunction. The aim of the present study was to compare heart rate recovery and chronotropic response obtained by cardiac reserve in patients with Marfan syndrome subjected to submaximal exercise. A total of 12 patients on β-blocker therapy and 13 off β-blocker therapy were compared with 12 healthy controls. They were subjected to submaximal exercise with lactate measurements. The heart rate recovery was obtained in the first minute of recovery and corrected for cardiac reserve and peak lactate concentration. Peak heart rate (141±16 versus 155±17 versus 174±8 bpm; p=0.001), heart rate reserve (58.7±9.4 versus 67.6±14.3 versus 82.6±4.8 bpm; p=0.001), heart rate recovery (22±6 versus 22±8 versus 34±9 bpm; p=0.001), and heart rate recovery/lactate (3±1 versus 3±1 versus 5±1 bpm/mmol/L; p=0.003) were different between Marfan groups and controls, respectively. All the patients with Marfan syndrome had heart rate recovery values below the mean observed in the control group. The absolute values of heart rate recovery were strongly correlated with the heart rate reserve (r=0.76; p=0.001). Marfan syndrome patients have reduced heart rate recovery and chronotropic deficit after submaximal exercise, and the chronotropic deficit is a strong determinant of heart rate recovery. These changes are suggestive of autonomic dysfunction.

Biomarkers (Procalcitonin, C Reactive Protein, and Lactate) as Predictors of Mortality in Surgical Patients with Complicated Intra-Abdominal Infection.

An accurate and readily available biomarker for identifying patients with complicated intra-abdominal infection needing special attention in critical care units because of their greater risk of dying would be of value for intensivists. A multi-center, observational, retrospective study explored blood lactate, C-reactive protein (CRP), and procalcitonin (PCT) concentrations, and also Sequential Organ Failure Assessment (SOFA) and Simplified Acute Physiology Score (SAPS II) as mortality predictors in all adult patients with complicated intra-abdominal infection (cIAI) admitted to Surgical Critical Care Units (SCCUs) for ≥48 h in four Spanish hospitals (June 2012-June 2013). Logistic regression models (step-wise procedure) were constructed using as dependent variables "intra-SCCU mortality" or "overall mortality," and variables showing differences (p≤0.1) in bivariate analyses as independent variables. One hundred twenty-one cases were included. Mortality intra-SCCU (R(2)=0.189, p=0.001) was associated with SAPS II (categorized as high if ≥47) (OR=9.55; 95% CI, 1.09-83.85; p=0.042) and 24 h-lactate (≥5.87 categorized as high) (OR=6.90; 95% CI, 1.28-37.08). Overall mortality (R(2)=0.275, p=0.001) was associated with peak PCT (≥100 categorized as high) (OR=11.28; 95% CI, 1.80-70.20), peak lactate (≥1.8 categorized as high) (OR=8.86; 95% CI, 1.51-52.10) and SOFA at admission (≥7 categorized as high) (OR=8.14; 95% CI, 1.69-39.20), but was predicted better (R(2)=0.275, p=0.001) by a single dummy variable (high peak PCT-high peak lactate concentrations) (OR=99.11; 95% CI, 5.21-1885.97; p=0.002). In the present study, SAPS II and 24 h-lactate concentrations predicted intra-SCCU mortality whereas overall mortality was predicted better by concurrent high PCT and lactate peak concentrations than by clinical scores or by each biomarker separately.

Reprodutibilidade do teste anaeróbio de Wingate em ciclistas

The aim of this study was to verify the reliability of selected variables during Wingate anaerobic test, physiologic markers and perceptual associated in trained cyclists. Fifteen male cyclists performed three tests, with workload of 0.087 times the body mass. Measures of peak power, average power, minimum power, fatigue index, heart rate, perceived effort and lactate concentration were collected. It was verified data normality, applied ANOVA One Way repeated with Tukey as post-hoc test, intraclass coefficient correlation and Bland Altman test. Results showed no significant different for the peak power, fatigue index, lactate concentration, heart rate and perceived effort between tests. Of these, peak power, heart rate and perceived effort high and significant intraclass correlation scores were found (.797−.975). Also, peak power showed good agreement between tests. In conclusion, the Wingate anaerobic test showed high reliability for peak power, heart rate and perceived effort in recreational cyclists.

Reliability and Construct Validity of the Karate-Specific Aerobic Test

ABThe aim of this study was to examine absolute and relative reliabilities and external responsiveness of the Karate-specific aerobic test (KSAT). This study comprised 43 male karatekas, 19 of them participated in the first study to establish test-retest reliability and 40, selected on the bases of their karate experience and level of practice, participated in the second study to identify external responsiveness of the KSAT. The latter group was divided into 2 categories: national-level group (G(n)) and regional-level group (G(r)). Analysis showed excellent test-retest reliability of time to exhaustion (TE), with intraclass correlation coefficient ICC(3,1) >0.90, standard error of measurement (SEM) <5%: (3.2%) and mean difference (bias) ± the 95% limits of agreement: -9.5 ± 78.8 seconds. There was a significant difference between test-retest session in peak lactate concentration (Peak [La]) (9.12 ± 2.59 vs. 8.05 ± 2.67 mmol·L(-1); p < 0.05) but not in peak heart rate (HRpeak) and rating of perceived exertion (RPE) (196 ± 9 vs. 194 ± 9 b·min(-1) and 7.6 ± 0.93 vs. 7.8 ± 1.15; p > 0.05), respectively. National-level karate athletes (1,032 ± 101 seconds) were better than regional level (841 ± 134 seconds) on TE performance during KSAT (p < 0.001). Thus, KSAT provided good external responsiveness. The area under the receiver operator characteristics curve was >0.70 (0.86; confidence interval 95%: 0.72-0.95). Significant difference was detected in Peak [La] between national- (6.09 ± 1.78 mmol·L(-1)) and regional-level (8.48 ± 2.63 mmol·L(-1)) groups, but not in HRpeak (194 ± 8 vs. 195 ± 8 b·min(-1)) and RPE (7.57 ± 1.15 vs. 7.42 ± 1.1), respectively. The result of this study indicates that KSAT provides excellent absolute and relative reliabilities. The KSAT can effectively distinguish karate athletes of different competitive levels. Thus, the KSAT may be suitable for field assessment of aerobic fitness of karate practitioners.

Lactate Threshold and Performance Adaptations to 4 Weeks of Training in Untrained Swimmers: Volume Vs. Intensity

The purpose of this study was to investigate the impact of 4 weeks of high-intensity vs. high-volume swim training on lactate threshold (LT) characteristics and performance. Thirteen untrained swimmers with a mean age of 19.0 ± 0.5 undertook an incremental swimming test before and after 4 weeks of training for the determination of LT. Performance was evaluated by a 50-m maximum freestyle test. The swimmers were assigned to 1 of each of 2 training groups. The high-intensity group (n = 6) focused on sprint training (SP) and swam a total of 1,808 ± 210 m. The high-volume group (n = 7) followed the same program as the SP group but swam an additional 1,100 m (38% more) of endurance swimming (SP + End). A training effect was evident in both groups as seen by the similar improvements in sprint performance of the 50-m maximum time (p < 0.01), peak velocity increases and the lower value of lactate at the individual LTs (p < 0.01). Lactate threshold velocity improved only in the SP + End group from 1.20 ± 0.12 m·s(-1) pretraining to 1.32 ± 0.12 m·s(-1) posttraining (p = 0.77, effect size = 1, p < 0.01), expressed by the rightward shifts of the individual lactate-velocity curves, indicating an improvement in the aerobic capacity. Peak lactate and lactate concentrations at LT did not significantly change. In conclusion, this study was able to demonstrate that 4 weeks of either high-intensity or high-volume training was able to demonstrate similar improvements in swimming performance. In the case of lack of significant changes in lactate profiling in response to high-intensity training, we could suggest a dissociation between the 2.

Acute High-Intensity Single-Leg Cycling Decreases Perceived Exertion Associated with Subsequent Submaximal Exercise

Previous investigators have reported that nociceptive afferent neurons innervating skeletal muscles respond to a milieu of metabolic byproducts typical of high intensity exercise. Neural inhibitory responses may be reduced following benign exposure to stimuli. PURPOSE: The purpose of this investigation was to evaluate physiological and perceptual responses to an acute trial of high intensity single-leg cycling. We hypothesized that acute exposure to high concentrations of metabolic byproducts would habituate afferent nociceptors and ultimately reduce perceived exertion associated with subsequent exercise. METHODS: Five trained cyclists (age: 27±10 yrs) performed a graded cycling exercise test (3 min; 35 watt/stage) to determine power at lactate threshold (1 mmol above baseline) before (baseline) and 48hr after acute single-leg cycling. Blood lactate, heart rate (HR), oxygen consumption (VO2), and rating of perceived exertion (RPE) were assessed during the final 30s of each stage. Following the graded exercise test each participant performed single-leg cycling at 110% of their double-leg lactate threshold power (251±38 watts). Participants cycled repeatedly at this power until volitional failure. Trials were repeated until participants had accumulated a total of 5min. Legs were exercised with a counter balanced design. Differences in dependent variables were assessed using paired t-tests. RESULTS: Compared to baseline, RPE decreased (12.2 vs. 11.4; p< 0.01) and HR decreased (150 vs. 148; p=0.05), There were no alterations in blood lactate and VO2. Peak lactate concentrations following single-leg cycling trials were 13 ± 2.2 mmol/L. CONCLUSSION: These data demonstrate that an acute exposure to an extraordinarily high perturbation of the metabolic milieu reduced perceived exertion associated with subsequent sub maximal exercise. Note that blood lactates concentrations following single-leg cycling were similar to those associated with maximal aerobic exercise but were produced within the muscles of one leg. Thus, the disturbance in homeostasis in those muscles was likely twice as large. These results may have implications for treatment of patients with inappropriately functioning nocioceptors (e.g., fibromyalgia). Supported by PEAK Graduate Student Research Grant.

Aerobic capacity in patients with chronic liver disease: Very modest effect of liver transplantation

Aerobic capacity is commonly impaired in patients with liver cirrhosis, as demonstrated by their low oxygen consumption at peak exercise (peak VO(2)). This impairment is correlated with the severity of the liver disease. We investigated the effect of orthotopic liver transplantation (OLT) alone on exercise capacity in this prospective study of patients with liver cirrhosis. Twenty liver transplant candidates, aged 27 to 61years, underwent resting pulmonary function tests, echocardiography, and incremental cardiopulmonary exercise testing (CPET) before OLT and 16.3 + or - 1.6months after OLT. Following OLT, peak VO(2) increased by a mean of only 7.7% (from 63.4 to 71.1% of predicted value), and decreased in one-quarter of the patients. Cardiac function was normal before OLT and no changes in respiratory indicators followed OLT. Change in peak VO(2) after OLT (Delta peak VO(2)) was related to changes in hemoglobin level (r(2)=0.45, p=0.04), the stopping of beta-blocker therapy, and muscle impairment, as suggested by the correlation between Delta peak VO(2) and peak lactate concentration before OLT (r(2)=0.64, p<0.01). Our study provides evidence of a very modest and inconsistent increase in aerobic capacity in liver transplant candidates after liver transplantation alone. This persistent impairment of exercise tolerance was principally of peripheral origin but anemia and beta-blocker treatment should be considered as major aggravating factors. Rehabilitation programs before and after transplantation may increase its benefits to these deconditioned liver transplant recipients in their daily lives.

Age-related differences in repeated-sprint ability in highly trained youth football players

In this study, we investigated the age-related differences in repeated-sprint ability and blood lactate responses in 134 youth football players. Players from the development programme of a professional club were grouped according to their respective under-age team (U-11 to U-18). Following familiarization, the participants performed a repeated-sprint ability test [6 × 30-m sprints 30 s apart, with active recovery (2.0–2.2 m · s−1) between sprints]. The test variables were total time, percent sprint decrement, and post-test peak lactate concentration. Total time improved from the U-11 to U-15 age groups (range 33.15 ± 1.84 vs. 27.25 ± 0.82 s), whereas no further significant improvements were evident from U-15 to U-18. No significant differences in percent sprint decrement were reported among groups (range 4.0 ± 1.0% to 5.5 ± 2.1%). Post-test peak lactate increased from one age group to the next (range 7.3 ± 1.8 to 12.6 ± 1.6 mmol · l−1), but remained constant when adjusted for age-related difference in body mass. Peak lactate concentration was moderately correlated with sprint time (r = 0.70, P > 0.001). Our results suggest that performance in repeated-sprint ability improves during maturation of highly trained youth football players, although a plateau occurs from 15 years of age. In contrast to expectations based on previous suggestions, percent sprint decrement during repeated sprints did not deteriorate with age.

A single nutrient feed supports both chemically defined NS0 and CHO fed‐batch processes: Improved productivity and lactate metabolism

A chemically defined nutrient feed (CDF) coupled with basal medium preloading was developed to replace a hydrolysate-containing feed (HCF) for a fed-batch NS0 process. The CDF not only enabled a completely chemically defined process but also increased recombinant monoclonal antibody titer by 115%. Subsequent tests of CDF in a CHO process indicated that it could also replace the hydrolysate-containing nutrient feed in this expression system as well as providing an 80% increase in product titer. In both CDF NS0 and CHO processes, the peak lactate concentrations were lower and, more interestingly, lactate metabolism shifted markedly from net production to net consumption when cells transitioned from exponential to stationary growth phase. Subsequent investigations of the lactate metabolic shift in the CHO CDF process were carried out to identify the cause(s) of the metabolic shift. These investigations revealed several metabolic features of the CHO cell line that we studied. First, glucose consumption and lactate consumption are strictly complementary to each other. The combined cell specific glucose and lactate consumption rate was a constant across exponential and stationary growth phases. Second, Lactate dehydrogenase (LDH) activity fluctuated during the fed-batch process. LDH activity was at the lowest when lactate concentration started to decrease. Third, a steep cross plasma membrane glucose gradient exists. Intracellular glucose concentration was more than two orders of magnitude lower than that in the medium. Fourth, a large quantity of citrate was diverted out of mitochondria to the medium, suggesting a partially truncated tricarboxylic acid (TCA) cycle in CHO cells. Finally, other intermediates in or linked to the glycolytic pathway and the TCA cycle, which include alanine, citrate, isocitrate, and succinate, demonstrated a metabolic shift similar to that of lactate. Interestingly, all these metabolites are either in or linked to the pathway downstream of pyruvate, but upstream of fumarate in glucose metabolism. Although the specific mechanisms for the metabolic shift of lactate and other metabolites remain to be elucidated, the increased understanding of the metabolism of CHO cultures could lead to future improvements in medium and process development.

Acute Metformin Overdose: Examining Serum pH, Lactate Level, and Metformin Concentrations in Survivors Versus Nonsurvivors: A Systematic Review of the Literature

Metformin is known to cause potentially fatal metabolic acidosis with an increased lactate level in both overdose and therapeutic use. No association between mortality and serum pH, lactate level, or metformin concentrations, though intuitive, has yet been described. This systematic literature review is designed to evaluate the association between mortality and serum pH, lactate level, and metformin concentrations in acute metformin overdose. We reviewed the literature by using the MEDLINE, EMBASE, CINAHL, and TOXNET databases for cases of metformin overdose with documented mortality data and values of serum pH, lactate level, and metformin concentrations. When available, patient age, patient sex, and whether patients received intravenous sodium bicarbonate therapy or hemodialysis were also analyzed. Cases meeting inclusion criteria were analyzed to determine whether a difference in distribution of nadir serum pH, peak serum lactate level, or peak serum metformin concentrations existed between overdose survivors and nonsurvivors. We identified 10 articles that had 1 or more cases meeting our inclusion criteria. In total, there were 22 cases of metformin overdose (5/22 died) that met inclusion criteria. No intentional overdose patients died whose serum pH nadir was greater than 6.9, maximum lactate concentration less than 25 mol/L, or maximum metformin concentration less than 50 microg/mL (therapeutic range 1 to 2 microg/mL). Intentional overdose patients with a nadir serum pH less than 6.9 had 83% mortality (5/6), those with lactate concentration greater than 25 mmol/L had 83% mortality (5/6), and those with metformin concentration greater than 50 microg/mL had 38% mortality (5/12). Nadir serum pH and peak serum lactate and metformin concentration distributions in survivors and nonsurvivors revealed that survivors had a median nadir pH of 7.30, interquartile range (IQR) 7.22, 7.36; nonsurvivors, a median nadir pH of 6.71, IQR 6.71, 6.73; survivors, a median peak lactate level of 10.8 mmol/L, IQR 4.2, 12.9; nonsurvivors, a median peak lactate level of 35.0 mmol/L, IQR 33.3, 39.0; survivors, a median peak metformin level of 42 microg/mL, IQR 6.6, 67.6; and nonsurvivors, a median peak metformin level of 110 microg/mL, IQR 110, 110. No cases of acute metformin overdose meeting the study's inclusion criteria were found in which patients with a nadir serum pH greater than 6.9, peak serum lactate concentrations less than 25 mmol/L, or peak serum metformin concentrations less than 50 microg/mL died. Patients with acute metformin overdose who died had much lower serum pH nadirs and much higher peak serum lactate and metformin concentrations than those who survived.

Ability of test measures to predict competitive performance in elite swimmers

The purpose of this study was to quantify the relationship between changes in test measures and changes in competition performance for individual elite swimmers. The 24 male and 16 female swimmers, who were monitored for 3.6 years (s = 2.5), raced in a major competition at the end of each 6-month season (3.6 competitions, s = 2.2). A 7×200-m incremental swimming step-test and anthropometry were conducted in up to four training phases each season. Correlations of changes in step-test and anthropometry measures between training phases and seasons with changes in competition performance between seasons were derived with repeated-measures mixed-modelling and linear regression. Changes in competition performance were best tracked by changes in test measures between taper phases. The best single predictor of competition performance was skinfolds for females (r = −0.53). The best predictor from the step-test was stroke rate at a blood lactate concentration of 4 mmol · l−1 (females: r = 0.46; males: r = 0.41); inclusion of the second-best step-test predictor in a multiple linear regression improved the correlations (females: r = 0.52 with speed in the seventh step included; males: r = 0.58 with peak lactate concentration included). In conclusion, a combination of fitness and technique factors is important for competitive performance. The step-test is a useful adjunct in a swimmer's training preparation for tracking large changes in performance.

Protocols for hyperlactatemia induction in the lactate minimum test adapted to swimming rats

The lactate minimum test (LACmin) has been considered an important indicator of endurance exercise capacity and a single session protocol can predict the maximal steady state lactate (MLSS). The objective of this study was to determine the best swimming protocol to induce hyperlactatemia in order to assure the LACmin in rats ( Rattus norvegicus), standardized to four different protocols (P) of lactate elevation. The protocols were P1: 6 min of intermittent jumping exercise in water (load of 50% of the body weight — bw); P2: two 13% bw load swimming bouts until exhaustion (tlim); P3: one tlim 13% bw load swimming bout; and P4: two 13% bw load swimming bouts (1st 30 s, 2nd to tlim), separated by a 30 s interval. The incremental phase of LACmin beginning with initial loads of 4% bw, increased in 0.5% at each 5 min. Peak lactate concentration was collected after 5, 7 and 9 min (mmol L − 1 ) and differed among the protocols P1 (15.2 ± 0.4, 14.9 ± 0.7, 14.8 ± 0.6) and P2 (14.0 ± 0.4, 14.9 ± 0.4, 15.5 ± 0.5) compared to P3 (5.1 ± 0.1, 5.6 ± 0.3, 5.6 ± 0.3) and P4 (4.7 ± 0.2, 6.8 ± 0.2, 7.1 ± 0.2). The LACmin determination success rates were 58%, 55%, 80% and 91% in P1, P2, P3 and P4 protocols, respectively. The MLSS did not differ from LACmin in any protocol. The LACmin obtained from P4 protocol showed better assurance for the MLSS identification in most of the tested rats.

Residence at 3,800-m altitude for 5 mo in growing dogs enhances lung diffusing capacity for oxygen that persists at least 2.5 years

Mammals native to high altitude (HA) exhibit larger lung volumes than their lowland counterparts. To test the hypothesis that adaptation induced by HA residence during somatic maturation improves pulmonary gas exchange in adulthood, male foxhounds born at sea level (SL) were raised at HA (3,800 m) from 2.5 to 7.5 mo of age and then returned to SL prior to somatic maturity while their littermates were simultaneously raised at SL. Following return to SL, all animals were trained to run on a treadmill; gas exchange and hemodynamics were measured 2.5 years later at rest and during exercise while breathing 21% and 13% O(2). The multiple inert gas elimination technique was employed to estimate ventilation-perfusion (Va/Q) distributions and lung diffusing capacity for O(2) (Dl(O(2))). There were no significant intergroup differences during exercise breathing 21% O(2). During exercise breathing 13% O(2), peak O(2) uptake and Va/Q distributions were similar between groups but arterial pH, base excess, and O(2) saturation were higher while peak lactate concentration was lower in animals raised at HA than at SL. At a given exercise intensity, alveolar-arterial O(2) tension gradient (A-aDo(2)) attributable to diffusion limitation was lower while Dlo(2) was 12-25% higher in HA-raised animals. Mean systemic arterial blood pressure was also lower in HA-raised animals; mean pulmonary arterial pressures were similar. We conclude that 5 mo of HA residence during maturation enhances long-term gas exchange efficiency and Dl(O(2)) without impacting Va/Q inequality during hypoxic exercise at SL.

Effects of Taper on Swimming Force and Swimmer Performance After an Experimental Ten-Week Training Program

The purpose of this research was to examine how an 11-day taper after an 8.5-week experimental training cycle affected lactate levels during maximal exercise, mean force, and performance in training swimmers, independent of shaving, psychological changes, and postcompetition effects. Fourteen competition swimmers with shaved legs and torsos were recruited from the São Paulo Aquatic Federation. The training cycle consisted of a basic training period (endurance and quality phases) of 8.5 weeks, with 5,800 m.d(-1) mean training volume and 6 d.wk(-1) frequency; and a taper period (TP) of 1.5 weeks' duration that incorporated a 48% reduction in weekly volume without altering intensity. Attained swimming force (SF) and maximal performance over 200-m maximal swim (Pmax) before and after taper were measured. After taper, SF and Pmax improved 3.6 and 1.6%, respectively (p < 0.05). There were positive correlations (p < 0.05) between SF and Pmax before (r = 0.86) and after (r = 0.83) the taper phase. Peak lactate concentrations after SF were unaltered before (6.79 +/- 1.2 mM) and after (7.15 +/- 1.8 mM) TP. Results showed that TP improved mean swimming velocity, but not in the same proportion as force after taper, suggesting that there are other factors influencing performance in faster swimming.

Protein‐free fed‐batch culture of non‐GS NS0 cell lines for production of recombinant antibodies

Presented is a novel antibody production platform based on the fed-batch culture of recombinant, NS0-derived cell lines. A standardized fed-batch cell culture process was developed for five non-GS NS0 cell lines using enriched and optimized protein-free, cholesterol-free, and chemically defined basal and feed media. The process performed reproducibly and scaled faithfully from the 2-L to the 100-L bioreactor scale achieving a volumetric productivity of > 120 mg/L per day. Fed-batch cultures for all five cell lines exhibited significant lactate consumption when the cells entered the stationary or death phase. Peak and final lactate concentrations were low relative to a previously developed fed-batch process (FBP). Such low lactate production and high lactate consumption rates were unanticipated considering the fed-batch culture basal medium has an unconventionally high initial glucose concentration of 15 g/L, and an overall glucose consumption in excess of 17 g/L. The potential of this process platform was further demonstrated through additional media optimization, which has resulted in a final antibody concentration of 2.64 +/- 0.19 g/L and volumetric productivity of > 200 mg/L per day in a 13-day FBP for one of the five production cell lines. Use of this standardized protein-free, cholesterol-free NS0 FBP platform enables consistency in development time and cost effectiveness for manufacturing of therapeutic antibodies.

Effect of training and detraining on catecholamine responses to sprint exercise in adolescent girls

Training is well known to influence catecholamine responses to exercise. In women, this training effect is still not well characterized and has been studied mostly in adults. Hence, we investigated in this longitudinal study, the effects of a 6-month sprint training program followed by 5 months of detraining on plasma catecholamine responses to a sprint exercise in young female subjects. Twelve healthy adolescent girls [training group (TG), n=6; control group (CG), n=6] took part in our study. TG participated in 6 months of supervised sprint training program (3 days/week) and has no training past whereas, CG continued with it's normal activity. A 6s-sprint test was performed on a cycle ergometer before training (P1) and after training (P2) in both the groups. TG only realized a 6s-sprint test after 5 months of detraining (P3). Blood lactate concentrations (La) as well as plasma adrenaline (A) and noradrenaline (NA) concentrations were measured at rest, immediately after the warm-up and the 6s-sprint and during recovery. Peak power W peak), expressed both in absolute and relative values, were significantly increased in TG in P2 (P<0.01) but did not change in CG. After the sprint-training period, the warm-up and the 6s-sprint induced plasma A increase and the maximal A concentrations were significantly higher than in P1 and P3 for TG only (P<0.05). Plasma A did not change in CG after 6 months. In P3, W peak and maximal lactate concentrations ([La]max) were significantly greater compared to P1 and P2 in TG (P<0.05). In CG, [La]max were significantly increased in P2 (P<0.05). The present study demonstrates that 6 months of sprint training in adolescent girls induce both an increase in performances and in A responses to sprint exercise. This adrenergic adaptation disappears after 5 months of detraining whereas the gain in performance is maintained. These new data may lead to practical considerations.

PHYSIOLOGICAL DETERMINANTS OF THREE-KILOMETER RUNNING PERFORMANCE IN EXPERIENCED TRIATHLETES

The present investigation examined the physiological parameters that contribute to 3-km running performance. Following 2 familiarization sessions, 16 experienced male triathletes (O2max = 55.7 ± 4.9 ml·kg−1·min−1, age = 31.3 ± 11.7 years) performed a 3-km time trial (3kmTT) and were assessed for selected physiological and anthropometrical characteristics. Stepwise multiple regression and correlation analysis was used to determine the variables that significantly related to 3kmTT. The analysis revealed that 82.3% of the adjusted variance in 3kmTT performance could be explained by peak treadmill running velocity during a O2max test (Vmax) alone. The addition of the running velocity at lactate threshold (LTvel) and peak lactate concentration ([BLa2]peak) to the prediction equation allowed for 93.6% of the adjusted variance in 3kmTT to be predicted (Y = 213.64 Vmax - 25.61 LTvel - 5.40 [BLa2]peak + 1358.5). Correlation analysis revealed that Vmax (r = −0.91), LTvel (r = −0.90), and O2max (r = −0.80) were significantly related to running performance. These results show that Vmax was the single best predictor of 3-km running performance in experienced male triathletes and that both aerobic and anaerobic abilities are related to improved 3kmTT performance. Since the assessment of Vmax is relatively simple to implement, we suggest that determining Vmax may be a practical method for monitoring performance changes in short-term endurance running events.

Physiological Determinants of Three-Kilometer Running Performance in Experienced Triathletes

The present investigation examined the physiological parameters that contribute to 3-km running performance. Following 2 familiarization sessions, 16 experienced male triathletes (Vo(2)max = 55.7 +/- 4.9 ml.kg(-1).min(-1), age = 31.3 +/- 11.7 years) performed a 3-km time trial (3kmTT) and were assessed for selected physiological and anthropometrical characteristics. Stepwise multiple regression and correlation analysis was used to determine the variables that significantly related to 3kmTT. The analysis revealed that 82.3% of the adjusted variance in 3kmTT performance could be explained by peak treadmill running velocity during a Vo(2)max test (Vmax) alone. The addition of the running velocity at lactate threshold (LT(vel)) and peak lactate concentration ([BLa(-)](peak)) to the prediction equation allowed for 93.6% of the adjusted variance in 3kmTT to be predicted (Y = -13.64 Vmax - 25.61 LT(vel) - 5.40 [BLa(-)](peak) + 1358.5). Correlation analysis revealed that Vmax (r = -0.91), LT(vel) (r = -0.90), and Vo(2)max (r = -0.80) were significantly related to running performance. These results show that Vmax was the single best predictor of 3-km running performance in experienced male triathletes and that both aerobic and anaerobic abilities are related to improved 3kmTT performance. Since the assessment of Vmax is relatively simple to implement, we suggest that determining Vmax may be a practical method for monitoring performance changes in short-term endurance running events.

Age and Sex Differences in Blood Lactate Response to Sprint Running in Elite Master Athletes

The effect of age and sex on anaerobic glycolytic capacity in master athletes is currently unclear. To study this issue, we determined blood lactate concentrations after competitive sprint running in male and female master athletes of different age. Eighty-one men (40-88 yrs) and 75 women (35-87 yrs) participating in the sprint events (100-m, 200-m, 400-m) in the European Veterans Athletics Championships were studied. Blood samples were taken from the fingertip and analysed for peak lactate concentration ([La]bpeak). The [La]bpeak following 100-m to 400-m races showed a curvilinear decline (p < 0.001-0.05) with age in both men and women. However, the age related differences in the [La]b peak were not significant before 70 years of age. No significant sex related differences were found in [La]b peak for any sprint event. The [La]b peak correlated significantly (p < 0.001-0.05) with running times in all sprint distances except for the age-controlled correlation in men for the 100-m and 200-m. In conclusion, the present study showed age but not sex differences in blood lactate response to competitive sprint running in master athletes. Although the [La]b peak level of the athletes was considerably higher than that reported for untrained men and women, these cross-sectional findings suggest that anaerobic energy production from glycolysis declines in later years and may be a factor in the deterioration in sprint performance.