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Exogenous lactate augments 
exercise‑induced improvement 
in memory but not in hippocampal 
neurogenesis
Deunsol Hwang 1,2,4, Jisu Kim 1,2,4, Sunghwan Kyun 1,2, Inkwon Jang 1,2, Taeho Kim 1,2, 
Hun‑Young Park 1,2 & Kiwon Lim 1,2,3*
Adult hippocampal neurogenesis (AHN), the lifelong process of formation of new neurons in the 
mammalian brain, plays an important role in learning and memory. Exercise is an effective enhancer 
of AHN; however, the molecular mediators of exercise‑induced AHN are unknown. Recently, lactate 
was considered as an important mediator of exercise‑induced AHN. Therefore, we hypothesized 
that exercise with lactate intake could augment exercise‑induced AHN. This study was conducted 
for 5 weeks with 7‑week‑old ICR male mice that performed mild‑intensity exercise (just below 
lactate threshold, 55–60%VO2max) with or without oral administration of lactate 5 days/week. Cell 
proliferation, neuronal differentiation, neurogenesis‑relevant factors, reference and retention 
memory, and spatial working memory were evaluated at the end of the experiment. The results 
showed that AHN was enhanced by lactate intake, but exercise‑induced AHN was not augmented by 
exercise with lactate intake. Nevertheless, exercise‑induced improvement in reference and retention 
memory was augmented by exercise with lactate intake. And spatial working memory was promoted 
by the co‑treatment, also protein expression of hippocampal FNDC5, BDNF, PGC1α, and MCT2 were 
elevated by the co‑treatment. Therefore, our findings suggest that lactate has a potential to be 
developed as a novel supplement that improves the positive effects of exercise on the hippocampus 
and its cognitive function.
Adult hippocampal neurogenesis (AHN) refers to the lifelong process of formation of new neurons in the den-
tate gyrus (DG) of the adult mammalian brain. It plays an important role in learning and memory; thus, it is 
associated with cognitive deficits in neurodegenerative conditions. An impairment of AHN has been shown to 
cause cognitive  decline1. Therefore, promoting AHN is considered a substantial way to prevent or ameliorate 
cognitive deficits, which is important for improving the quality of life because of global acceleration of risk factors 
for neurodegenerative conditions, such as aging, Alzheimer’s disease (AD), obesity, and physical  inactivity2–4.
Exercise effectively enhances AHN. Studies have shown that regular exercise rescues AHN impairment caused 
by  aging5 and chronic  stress6. Deteriorated AHN in an AD model was also ameliorated by long-term  exercise7. 
In addition to these studies on rodents with neurodegenerative conditions, AHN was enhanced by endurance 
exercise training, even in normal adult  rodents8–10. Although the effect of exercise on AHN is well-demonstrated, 
what molecule primarily regulates exercise-induced AHN and triggers neurogenesis-relevant factors such as 
brain derived neurotrophic factor (BDNF) and fibronectin type III domain containing 5 (FNDC5), important 
mediators of exercise-induced  AHN11–13, are not yet known.
Lactate, which are known as just byproduct of glycolysis and a primary factor in fatigue during exercise, has 
been highlighted as a signaling molecule in the  brain14. In mice, pharmacological disruption of lactate transport 
to hippocampal neurons impaired memory formation, and this impairment was fully reversed by intrahippocam-
pal injection of lactate, but not  glucose15. This result indicates that lactate acts as a signaling molecule rather than 
an energy substrate in the brain during memory formation.
OPEN
1Laboratory of Exercise and Nutrition, Department of Sports Medicine and Science in Graduate School, Konkuk 
University, Seoul, Republic of Korea. 2Physical Activity and Performance Institute (PAPI), Konkuk University, 
Seoul, Republic of Korea. 3Department of Physical Education, Konkuk University, Seoul, Republic of Korea. 4These 
authors contributed equally: Deunsol Hwang and Jisu Kim. *email: exercise@konkuk.ac.kr
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Recently, lactate has been considered a primary mediator for exercise-induced  AHN16,17 because the effect of 
lactate parallels the beneficial effects of exercise on the  hippocampus18,19. Previous in vitro studies showed that 
lactate treatment upregulated the protein expression of BDNF in hippocampal  cells20 and enhanced the prolifera-
tion of neural precursor cells obtained from the hippocampus of adult mice by shortening the generation time 
of neural precursor  cells21. Similarly, in vivo studies using an inhibitor of lactate transporters (monocarboxylate 
transporters; MCTs) increased mRNA expression levels of hippocampal BDNF through exercise, but this increase 
was abolished by inhibition of MCT1/2 (MCT1: transporter for efflux of lactate, MCT2: transporter for influx of 
lactate only in neurons)22. Further, the inhibition of MCT1/2 impeded the beneficial effect of exercise on learn-
ing and memory. These results indicate that lactate is involved in AHN. Indeed, long-term injection of lactate 
significantly elevated AHN, but the elevation was blocked by co-treatment with an MCT2  inhibitor23, and lactate 
injection also enhanced the protein expression of hippocampal BDNF and  FNDC522 in rodents.
Collectively, these observations indicate that lactate promotes AHN and may be a primary mediator of 
exercise-induced AHN. Therefore, we hypothesized that exercise with lactate intake can augment exercise-
induced AHN. Specifically, exogenous lactate can cross the blood–brain barrier via  MCT124 and subsequently 
elevate both the hippocampal extracellular lactate  concentration25 and the hippocampal lactate concentration 
via  MCT222. To our knowledge, this is the first study to investigate the effect of co-treatment with exercise and 
lactate on AHN as well as to show the effect of lactate on AHN via oral administration.
Results
Blood lactate concentration was sufficiently elevated by oral administration of lactate and 
not by mild exercise. 
First, we conducted a pilot experiment to know whether either lactate or exercise 
intervention could satisfy our criterion with 6-week-old male ICR mice. Oral administration of 3 g/kg lactate 
significantly elevated blood lactate concentration to 7.66 ± 1.43 mM, 15 min after administration [Fig. 1A; base-
line vs. 15 min in the lactate intake group (LAC): p = 0.001, vehicle group (VEH) vs. LAC at 15 min: p = 0.001]. 
Circulating lactate transports into the central nervous  system26,27 via  MCTs28, and MCTs are particularly abun-
dant in the hippocampus compared to other regions of  brain28. Therefore, we assert that oral administration of 
3 g/kg lactate, an applied treatment, can affect the hippocampus.
We set the exercise intensity as “mild” (just below lactate threshold, 55%–60%  VO2max)29–31, considering that 
an extremely low or high exercise intensity would be ineffective on the  AHN8,25,32. To ensure that the exercise 
intensity is equally maintained throughout the entire experiment (equalization of relative exercise intensity), 
we had gradually increased the treadmill speed and/or exercise duration over time (increasing absolute exercise 
intensity; Fig. 1B), based on our previous  studies33–35. The increase in absolute exercise intensity is required 
because chronic exercise enhances the exercise ability (occurrence of an exercise adaptation), and the enhanced 
exercise ability subsequently leads to decrease in the relative exercise intensity if the absolute exercise intensity 
is not increased.
Figure 1.  Blood lactate concentration was sufficiently elevated by oral administration of lactate and not by 
mild exercise. (A) Blood lactate concentration after oral administration of 3 g/kg lactate over time (VEH, 
saline administration group, n = 4; LAC, lactate administration group, n = 6). Data were analyzed using two-
way repeated ANOVA with Student’s t-test between groups for post hoc test and paired t-test for comparison 
in baseline and a timepoint within group. (B) Blood lactate concentration immediately after mild-intensity 
exercise training over period (n = 8 per group; SED, sedentary group; EXE, exercise training group). For 
comparison within EXE, one-way repeated ANOVA was used, and comparison between SED and a timepoint 
of EXE was performed using independent Student’s t-test. D1, experimental day 1; D15, experimental day 15; 
D29, experimental day 29; #p < 0.05, baseline vs time point within group; *p < 0.05, VEH vs LAC at the same 
time point except baseline; $p = 0.01, VEH vs LAC analyzed by Mann–Whitney test. Data are presented as the 
mean ± standard deviation.
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In exercise training group, blood lactate levels measured immediately after exercise on experimental days 
1 (D1), 15 (D15), and 29 (D29) did not differ from the baseline lactate level (Fig. 1B). Therefore, our exercise 
protocol was verified to have an intensity below the lactate threshold. Of note, the unchanged level of blood 
lactate does not mean that lactates are not produced during the exercise; this results from an increase in both 
production and consumption of lactate in balance when exercise intensity is set below the lactate threshold.
Exercise with lactate administration did not augment exercise‑induced AHN, but lactate 
administration promoted AHN. 
To validate the effect of exercise with lactate intake on AHN, we evalu-
ated proliferation and neuronal differentiation of the neurogenic pool in the DG. After 5 weeks of exercise 
training and/or lactate administration five times per week in 7-week-old male ICR mice (Fig. 2A), the number 
of  Ki67+ (cell proliferation marker) and doublecortin (DCX, immature neuronal marker)+ cells in the exercise 
without lactate group (EXE + VEH) was significantly higher than that in the sedentary without lactate group 
(VEH) (Fig. 3A–C; p = 0.001 and p = 0.009, respectively). The number of  Ki67+ cells in the sedentary with lactate 
intake group (LAC) indicated a slight increase compared to that in the VEH group (Fig. 3A; p = 0.064), and the 
number of  DCX+ cells in the LAC significantly increased compared to VEH (Fig. 3B; p = 0.03). However, there 
was no difference between EXE + VEH and the exercise with lactate intake group (EXE + LAC) in the number of 
 Ki67+ and  DCX+ cells (Fig. 3A–C). Therefore, these results indicate that exercise with lactate intake did not aug-
ment exercise-induced AHN, although both exercise and lactate promoted AHN independently.
Exercise with lactate administration augmented exercise‑induced improvement in reference 
and retention memory. 
To examine the effect of exercise with lactate intake on reference and retention 
memory, another cohort of mice was used (Fig. 2B) and performed an eight-arm radial arm maze (RAM). Of 
note, the entire results are presented in Fig. 4A, and for readability of indications of post hoc test we subdi-
vide the results and presented in Fig. 4Ba–d (comparison of changes over time within the same group) and in 
Fig. 4Ca–f (comparison of difference among groups within the same day).
In the learning phase (day 1–5) of the task, the appearance of learning curves was different among groups. On 
day 1, the performance of RAM task did not differ among groups [Fig. 4Ca; two-way ANOVA: lactate (p = 0.192), 
exercise (p = 0.590) and interaction (p = 0.319)]. On day 2, however, errors ratio was reduced only in EXE + LAC 
compared to day 1 (Fig. 4Bd; p = 0.001). EXE + LAC showed significant improvement in reference memory 
compared to other groups also (Fig. 4Cb; EXE + VEH vs. EXE + LAC: p = 0.002; LAC vs. EXE + LAC: p = 0.001). 
In turn, the group showed the second-best performance in reference memory was EXE + VEH (Fig. 4Bc; day 
1 vs. day 4: p = 0.023) and LAC (Fig. 4Bb; day 1 vs. day 4: p = 0.065, day 1 vs. day 5: p = 0.056) (Fig. 4Cd; VEH 
vs. LAC: p = 0.001, VEH vs. EXE + VEH: p = 0.001), and the next was VEH (Fig. 4Ba; day 1 vs. day 5: p = 0.022). 
Finally, on day 5, there was no difference in reference memory among groups [Fig. 4Ce; two-way ANOVA: lactate 
(p = 0.712), exercise (p = 0.612) and interaction (p = 0.619)].
Figure 2.  The schematic representation of experimental procedure. The experiments started with 7-week-old 
male ICR mice. In case of EXE + LAC, mice were administrated lactate immediately after exercise. This study 
comprised two independent experiments except the pilot test: (A) one mainly for biochemical analysis (n = 9 
per group) and (B) the other for behavioral analysis (n = 8 per group). VEH sedentary without lactate, LAC 
sedentary with lactate, EXE + VEH exercise training without lactate, EXE + LAC exercise training with lactate, 
IHC immunohistochemistry, IB immunoblotting, RAM radial arm maze. The mouse icon is “Created with 
BioRender.com”.
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In the retention memory trial of the task (day 11), the improved reference memory was significantly retained 
only in EXE + LAC (Fig. 4Bd; day 1 vs. day 11: p = 0.049). However, there was no difference in retention memory 
among groups although significant main effect of exercise was confirmed [Fig. 4Cf; two-way ANOVA: lactate 
(p = 0.483), exercise (p = 0.02) and interaction (p = 0.426)].
Collectively, these results indicate that exercise with lactate administration augmented exercise-induced 
improvement in reference and retention memory.
Exercise with lactate administration promoted spatial working memory. 
Also, we performed 
Y-maze test to measure spatial working memory. The ability to alternate between two arms of the maze requires 
mice to know which arms have already been visited. Therefore, alternation behavior can be regarded as a meas-
ure of spatial working memory, which is a hippocampus-related cognitive function. The total number of arm 
entries did not differ among the groups (Fig. 5A), which indicated that there was likely no bias in the alternation 
that could exist when the total number of arms entered was unequal. Nevertheless, alternation in EXE + LAC 
was significantly higher than that in EXE + VEH and LAC (p = 0.004 and p = 0.009, respectively; Fig. 5B), and 
there was no difference between VEH and either LAC or EXE + VEH (Fig. 5B). As a result, exercise with lactate 
administration promoted spatial working memory.
Exercise with lactate administration effectively enhanced hippocampal FNDC5, BDNF, 
PGC1α, and MCT2 protein expression. 
To understand the molecular changes resulting from exercise 
with lactate intake, we investigated the expression of the following proteins relevant to AHN in the context of 
exercise and lactate effects: FNDC5, BDNF, peroxisome proliferator-activated receptor gamma, coactivator 1 
alpha (PGC1α), MCT2, and MCT1.
Figure 3.  Exercise with lactate administration did not augment exercise-induced adult hippocampal 
neurogenesis, but lactate administration promoted adult hippocampal neurogenesis. (A) Quantification of 
Ki67-positive cell and (B) of DCX-positive cell in subgranular zone of dentate gyrus of mice. (C) The represent 
image of immunohistochemistry. Arrow indicates a represent positive cell. Scale bar: 100 μm. Two-way ANOVA 
was performed, and independent Student’s t-test was used for post hoc test (n = 4–5 per group). VEH sedentary 
without lactate, LAC sedentary with lactate, EXE + VEH exercise without lactate, EXE + LAC exercise with 
lactate; *p < 0.05, **p < 0.01, and ***p ≤ 0.005. Data are presented as the mean ± standard deviation.
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Exercise significantly affected the expression of all relevant proteins [Fig. 6A–D; two-way ANOVA; FNDC5 
(p = 0.001), BDNF (p = 0.003), PGC1α (p = 0.001); Fig. 7A; MCT2 (p = 0.028)], except MCT1 (Fig. 7B,C; two-
way ANOVA; p = 0.079). Lactate intake did not affect the hippocampal FNDC5, BDNF (Fig. 6A,B), and MCT2 
(Fig. 7A) protein expression. However, the hippocampal PGC1α protein expression in LAC tended to be higher 
than that in VEH (Fig. 6C; p = 0.08). Notably, the hippocampal FNDC5 protein expression in EXE + LAC was 
significantly elevated compared to EXE + VEH (Fig. 6A; p = 0.007), and the hippocampal BDNF, PGC1α, and 
MCT2 protein expression in EXE + LAC was higher than that in EXE + VEH by 20%, 9%, and 19%, respectively, 
although the difference was not statistically significant (Figs. 6B,C and 7A).
Exercise, lactate, and co‑treatment did not affect hippocampal VEGFA or HCAR1 protein 
expression. 
To further elucidate the proteins relevant in the context of exercise- and lactate-mediated 
effects on AHN and cognitive behavior in EXE + LAC, we investigated the angiogenesis-related proteins vascu-
lar endothelial growth factor A (VEGFA) and hydroxycarboxylic acid receptor 1 (HCAR1). We did not find any 
difference in hippocampal VEGFA and HCAR1 protein expression among the groups (Fig. 8A–C).
Figure 4.  Exercise with lactate administration augmented exercise-induced improvement in reference and 
retention memory. The test was conducted using eight-arm radial arm maze (RAM). Day 1 to 5 is learning phase 
of RAM task and Day 11 is retention memory trial of RAM task. (A) The entire results of RAM task. Two-way 
repeated ANOVA was performed. In order to improve readability of indications of post hoc results, (B) the 
results of comparison of changes over time within the same group (paired t-test was used for post hoc test) and 
(C) the results of comparison of difference among groups within the same day (independent Student’s t-test 
was used for post hoc test) are separately presented. VEH sedentary without lactate, LAC sedentary with lactate, 
EXE + VEH exercise without lactate, EXE + LAC exercise with lactate; n = 8 per group, *p < 0.05, **p < 0.01, and 
***p ≤ 0.005; #p < 0.05, vs day 1 within group. Data are presented as the mean ± standard deviation.
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Discussion
Lactate has been implicated as a major molecule in mediating exercise-induced AHN. Accordingly, we reasoned 
that exogenous lactate intake could partially mimic the effect of exercise on AHN. Therefore, we hypothesized 
that exercise with oral intake of lactate augments exercise-induced AHN. To validate this assumption, we exam-
ined the effect of exercise with lactate intake on the proliferation and neuronal differentiation of the neurogenic 
Figure 5.  Exercise with lactate administration promoted spatial working memory. The test was conducted 
using Y-maze. (A) The total number of arm entries and (B) spontaneous alternation behavior (spatial working 
memory). Two-way ANOVA was performed, and independent Student’s t-test was used for post hoc test (n = 14 
per group). **p < 0.01 and ***p ≤ 0.005. Data are presented as the mean ± standard deviation.
Figure 6.  Exercise with lactate administration effectively enhanced the hippocampal molecules relevant to 
exercise-induced adult hippocampal neurogenesis. Level of protein expression of hippocampal (A) FNDC5, (B) 
BDNF, and (C) PGC1α in mice. (D) The represent image of western blot. Two-way ANOVA was performed, 
and independent Student’s t-test was used for post hoc test (n = 4 per group). The original blots are presented in 
Supplementary Figs. 1 and 2. VEH sedentary without lactate, LAC sedentary with lactate, EXE + VEH exercise 
without lactate, EXE + LAC exercise with lactate, FNDC5 fibronectin type III domain-containing protein 5, 
BDNF brain derived neurotrophic factor, PGC1α peroxisome proliferator-activated receptor gamma coactivator 
1-alpha; *p < 0.05, **p < 0.01, and ***p ≤ 0.005. Data are presented as box plot.
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pool in the DG, reference and retention memory, spatial working memory, and the expression of relevant hip-
pocampal proteins in mice.
MCTs presents in endothelial cells of blood–brain  barrier28, which indicates that circulating lactate can 
transport into the central nervous system. Indeed, circulating lactate transports into the central nervous system 
and is utilized in the brain both in  human26 and  rodents27. Furthermore, MCTs are particularly abundant in the 
hippocampus compared to other regions of  brain28, which indicates that the hippocampus is susceptible to the 
circulating lactate. Indeed, in the previous study measuring the hippocampus extracellular lactate concentration 
by microdialysis after intraperitoneal injection of lactate, time course changes in the hippocampal extracellular 
lactate concentration occurred simultaneously with the time course changes in blood lactate concentration, and 
the elevation in the hippocampal extracellular lactate level is blocked by MCT  inhibitor25. Elevation in blood 
lactate concentration to more than 6 mM was sufficient to result in a significant increase in the hippocampal 
lactate  levels22,25. Therefore, we assert that oral administration of 3 g/kg lactate in our study is enough to increase 
the hippocampal lactate concentration; thus, our applied treatment can affect the hippocampus.
A previous study showed that intraperitoneal injection of lactate promotes AHN in an MCT2-dependent 
 manner23. Similarly, in the present study, we observed that lactate enhances proliferation and neuronal differentia-
tion of the neurogenic pool in the DG (Fig. 3). However, lactate did not augment exercise-induced AHN (Fig. 3).
The lack of an augmented effect of exercise with lactate on AHN may be related to the physiologically limited 
capacity of neurogenesis, i.e., an upper limit to the increase in neurogenesis. In several typical rodent strains, an 
approximate 1.5- to 2.0-fold increase in neurogenesis by exercise compared to baseline seems to be the upper 
 limit8,32,36,37. In previous studies, the exercise protocol was usually set at 10–15 m/min (velocity) for 40–60 min 
(duration), 5 days/week (frequency) over a period of 4 weeks. Considering these observations, the exercise pro-
tocol we used (15–25 m/min for 40–50 min, 5 days/week for 5 weeks) should induce a sufficient increase in AHN 
because the amount of exercise in our study is higher compared to the previous studies. Indeed, in the current 
study exercise increased the number of Ki67- and DCX-positive cells in the DG by 2- and 1.5-fold, respectively, 
compared to the control condition (Fig. 3). Thus, there may be little (or no) opportunity for neurogenesis induced 
Figure 7.  Exercise with lactate administration effectively enhanced the hippocampal MCT2 protein expression 
but not MCT1. Level of protein expression of hippocampal (A) MCT2 and (B) MCT1 in mice. (C) The represent 
image of western blot. Two-way ANOVA was performed, and independent Student’s t-test was used for post hoc 
test (n = 4 per group). The original blots are presented in Supplementary Fig. 3. VEH sedentary without lactate, 
LAC sedentary with lactate, EXE + VEH exercise without lactate, EXE + LAC exercise with lactate, MCT1/2 
monocarboxylate transporter 1/2; *p < 0.05. Data are presented as box plot.
Figure 8.  Exercise, lactate, and co-treatment did not affect hippocampal VEGFA and HCAR1 protein 
expression. Level of protein expression of hippocampal (A) VEGFA and (B) HCAR1. (C) The represent image 
of western blot. Two-way ANOVA was performed, and independent Student’s t-test was used for post hoc test 
(n = 4 per group). The original blots are presented in Supplementary Figs. 4 and 5. VEH sedentary without 
lactate, LAC sedentary with lactate, EXE + VEH exercise without lactate, EXE + LAC exercise with lactate, 
VEFGA vascular endothelial growth factor A, HCAR1 hydroxycarboxylic acid receptor 1. Data are presented as 
box plot.
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by lactate, as exercise had a substantial effect on neurogenesis. This interpretation is partially supported by previ-
ous studies using mice with a lower than normal level of neurogenesis, where mice with abnormal conditions 
of neurogenesis showed more potential for increased neurogenesis compared to mice in normal conditions. 
Indeed, in previous studies, AHN impeded by a chronic stressful  environment6 and  aging38 was significantly 
increased to a greater extent by co-treatment of exercise and a supplement than by exercise alone; additionally, 
it is noteworthy that the exercise intensity used was lower than that used in the current study. Therefore, we 
suggest that further investigation focusing on level of exercise intensity and/or pathological models is required 
to validate the augmented effect of exercise with lactate on AHN.
While we were not able to observe an augmented effect of exercise with lactate on AHN, we found that 
exercise-induced improvement in reference and retention memory were augmented by lactate (Fig. 4). And 
spatial working memory was promoted by co-treatment (Fig. 5), also hippocampal FNDC5, BDNF, PGC1α 
(Fig. 6A), and MCT2 (Fig. 7A) protein expressions were effectively enhanced by co-treatment. We speculate that 
this additive effect of co-treatment on memory and the relevant factors may be explained by neuronal plasticity 
rather than neurogenesis alone.
Neuronal plasticity occurs at the cellular level during learning and  memory18. A previous study identifying the 
action of lactate on neuronal plasticity showed that lactate promoted the expression of synaptic plasticity-related 
genes (Arc, c-Fos, and Zif268) both in primary neuronal cultures of the mouse neocortex and in vivo39. This result 
was corroborated by transcriptome analysis identified that expression of 15 neuronal plasticity-related genes was 
upregulated by lactate in primary cultures of cortical  neurons40. Furthermore, the beneficial effect of lactate on 
neuronal  plasticity39 and  memory15 was negated by MCT inhibition. This finding suggests the promoting effect of 
lactate on neuronal plasticity and the importance of MCTs when lactate acts as a promoter of neuronal plasticity.
Brain FNDC5 plays a significant role in neuronal plasticity, especially in the context of  exercise41,42. Hip-
pocampal neuronal function was impaired by the knockdown of brain Fndc5 in wild-type mice, and impaired 
hippocampal neuronal plasticity in an AD model was rescued by boosting brain FNDC5. Finally, the study 
showed that exercise-induced improvement in hippocampal neuronal function was blunted by the downregula-
tion of brain FNDC5 expression; these results indicate the role of brain FNDC5 as a key mediator of exercise on 
neuronal plasticity and  memory41.
Hippocampal BDNF is an important molecule of effects of exercise on many aspects of both  AHN19 and 
neuronal  plasticity18. Hippocampal BDNF is regulated via several pathways; however, in the context of exercise, 
it has been reported that a PGC1α/FNDC5-dependent mechanism is an important way to regulate hippocampal 
 BDNF42. This previous study showed that the knockdown of PGC1α significantly downregulated hippocampal 
Fndc5 gene expression both in vitro and in vivo. Hippocampal Bdnf gene expression was significantly upregu-
lated by forced expression of FNDC5 both in vitro and in vivo. Notably, the expression of important neuronal 
plasticity-related genes (Arc, c-Fos, Npas4, Zif268) was also sharply increased by forced expression of FNDC5 both 
in primary cultures of hippocampal neurons and in the hippocampus of wild-type mice. These results demon-
strate that hippocampal BDNF affects hippocampal neuronal plasticity in a PGC1α/FNDC5-dependent manner.
Consequently, the improvement in memory by exercise with lactate intake (Figs. 4 and 5) may have resulted 
from enhanced neuronal plasticity due to augmented hippocampal FNDC5 protein expression and small 
increase in hippocampal BDNF, PGC1α, and MCT2 protein expression (Figs. 6 and 7A). Additionally, HCAR1 
is a lactate receptor abundant around cerebral blood vessels (but sparsely expressed in skeletal muscles) and is 
involved in stimulating the exercise-induced cerebral VEGFA expression and  angiogenesis43. It has been sug-
gested that the beneficial effect of exercise on brain functions partially results from improved cerebral perfusion 
via  angiogenesis44. Thus, our speculation that the improvement in memory by exercise with lactate intake may 
results from the enhanced neuronal plasticity is partially supported by the finding that there was no change in 
hippocampal VEGFA and HCAR1 protein expression either by exercise or lactate (Fig. 8).
In summary, our study shows that exercise with lactate did not augment exercise-induced AHN. However, 
the physiologically limited capacity for neurogenesis in normal mice coupled with the robust neurogenesis 
response to exercise may have occluded the potential contribution of lactate. Nevertheless, exercise with lactate 
augmented exercise-induced improvement in reference and retention memory. Also, spatial working memory was 
promoted by co-treatment. Consistent with this result, hippocampal FNDC5 protein expression was significantly 
augmented, and hippocampal BDNF, PGC1α, and MCT2 protein expression were slightly more upregulated by 
exercise with lactate compared to exercise (the changes were not statistically significant). These positive changes 
are likely to result in enhancing hippocampal neuronal plasticity and, subsequently, may induce the improve-
ment in memory.
Herein, we partially evaluated AHN (proliferation and neuronal differentiation) and did not explore neuronal 
maturation, i.e., the final phase of neurogenesis. Investigating neuronal maturation requires tracing methods 
such as injection of bromodeoxyuridine. Considering that AHN is vulnerable to stress, we decided not to use this 
method to avoid confounds from excessive stress that can occur when both oral and intraperitoneal injections 
are used. Therefore, an experiment that specifically evaluates neuronal maturation phase is needed to establish 
a better understanding of the complete effect of lactate on AHN.
Lactate is a highly relevant signaling molecule that regulates brain  functions14. However, it is unknown 
whether lactate is a primary mediator of exercise-induced AHN. Furthermore, it is unknown whether lactate 
acts equally even under exercise conditions that differ physiologically from resting conditions in the brain. So 
far there is no critical evidence that exercise-induced AHN is mediated by lactate. This aspect may be a major 
limitation of the present study. Therefore, we plan to conduct further studies to find direct evidence to reveal 
the relationship between lactate and exercise-induced AHN.
In conclusion, to our knowledge, this is the first study to investigate the effect of co-treatment of exercise and 
lactate on AHN. We demonstrated the effect of lactate on AHN via oral administration, i.e., through an applied 
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approach rather than an invasive approach. Our results suggest that lactate has a potential to be developed as a 
novel supplement that improves the positive effects of exercise on the hippocampus and its cognitive function.
Methods
Ethical approval. 
The animal study was reviewed and approved by the Konkuk University Institutional 
Animal Care and Use Committee (No. KU19149). All methods were performed in accordance with the relevant 
guidelines and regulations. The study was carried out in compliance with the ARRIVE guidelines: https:// arriv 
eguid elines. org/. Furthermore, efforts were made to minimize discomfort and stressful situations.
Animals. 
Before starting the experiment, 6-week-old male ICR mice (33.2 ± 1.4 g, Orient Bio Inc., Seong-
nam, Republic of Korea) were habituated to the laboratory environment for at least a week. All mice were housed 
in standard transparent plastic cages under a controlled temperature at 23–25 °C with 40%–50% humidity and 
a 12-h light/dark cycle (lights on: 07:00–19:00). Standard chow diet (Orient Bio Inc., Seongnam, Republic of 
Korea) and water were provided ad libitum.
Pilot experiment. 
In the pilot experiment with 6-week-old male ICR mice distinct from a set of mice used 
in the main experiment (cohort 1 and cohort 2), blood lactate concentration was measured using a lactate ana-
lyzer (LT-1730, Lactate Pro 2, ARKRAY, Kyoto, Japan) after a single oral administration of lactate over time or 
immediately after exercise from tail vein blood at D1, D15, and D29 (Fig. 1).
Experimental design. 
This study comprised two independent experiments except the pilot test. Mice of 
experiment 1 were mainly for biochemical analysis (Fig. 2A, n = 9 per group) and mice of experiment 2 were 
for behavioral analysis (Fig. 2B, n = 8 per group). Mice were randomly divided into four groups: VEH, LAC, 
EXE + VEH and EXE + LAC. LAC mice were orally administered 3 g/kg of sodium lactate, which was a mixture 
of a stock solution of sodium lactate (195–05,965, Wako Chemical, Osaka, Japan) and distilled water at a ratio of 
1:1, and VEH mice were administered an equal solution excluding sodium lactate. EXE mice were administered 
the solution immediately after every exercise training.
Exercise training was conducted five times per week for five weeks. The treadmill exercise was performed 
at 15 m/min for 40 min in the first week, 20 m/min for 40 min in the second week, 22 m/min for 50 min in the 
third week, and 25 m/min for 50 min in the fourth and fifth weeks. The treadmill slope was fixed at 8° (Fig. 2). 
For motivating mice to run, mild electrical stimulation on a grid at the rear of the treadmill was given. Electri-
cal stimulation was set at a constant current of 0.4 mA, which is appropriate electrical level not to cause major 
 distress45–47 and not to increase the circulating lactate level (Fig. 1B).
Tissue processing. 
Mice were dissected under deep anesthesia with 10 μL/g of 1.25% avertin, 48 h after 
the last treadmill exercise and lactate administration. The reason that mice are sacrificed 48 h after the treat-
ments is to avoid acute effects of exercise and/or lactate on hippocampal protein and/or mRNA expression. 
Considering the previous studies, single exercise and/or lactate injection can increase hippocampal protein 
and/or mRNA expression in 12 h including BDNF, PGC1α, and so  on22,25. Mice were transcardially perfused 
with cold 0.9% saline. For immunohistochemistry, we randomly selected 5 out of 9 mice of experiment 1 and 
brains were removed, postfixed in 4% paraformaldehyde in 0.1 M phosphate-buffered saline (PBS) for 48 h, and 
stored in cold 30% sucrose in 0.1 M PBS until completely sunken. Brains were then cryosectioned into coronal 
40-µm-thick slices (at this stage, one brain sample of LAC was damaged, thus we excluded it from the results); 
the slices were stored in a cryoprotectant solution (30% ethylene glycol + 30% glycerol in 0.1 M phosphate buffer) 
at − 20 °C until further analysis. For immunoblotting, bilateral hippocampi of the other 4 mice of experiment 1 
were dissected on an ice-cooled plate, immediately frozen in liquid nitrogen, and stored at − 80 °C until further 
analysis.
Immunohistochemistry. 
Every fourth section was taken from the region between brain bregma − 1.46 mm 
and − 2.18 mm. Six randomly selected sections per brain were used for analysis. Free-floating sections were 
incubated in 0.3%  H2O2 to inhibit endogenous peroxidase and in 10% normal goat serum (NGS, S-1000, Vector 
Laboratories, Burlingame, CA, USA) prepared in PBS containing 0.1% Tween 20 (PBS-T) to block nonspecific 
protein binding. Sections were incubated overnight at 4 °C with rabbit anti-Ki-67 (1:1,000, ab15580) and rab-
bit anti-DCX (1:2000, ab18723) primary antibodies (Abcam, Cambridge, MA, USA) in 3% NGS prepared in 
0.1% PBS-T and subsequently for 1 h at 23–25 °C in biotinylated goat anti-rabbit secondary antibodies (1:300, 
BA-1000, Vector Laboratories, Burlingame, CA, USA) in 3% NGS prepared in 0.1% PBS-T. The sections were 
further incubated with ABC reagent (1:200, VECTASTAIN Elite ABC kit, PK-6101; Vector Laboratories, Burl-
ingame, CA, USA) for 90 min at 23–25 °C. Finally, the sections were visualized using a DAB Substrate Kit 
(SK-4100, Vector Laboratories, Burlingame, CA, USA) and mounted. To determine the subgranular zone of the 
DG, the granule cell layer was divided into three  layers48. The granule cell layer width was determined using the 
gridlines. Then, the granule cell layer was divided into three layers of approximately equal thickness. The number 
of positive cells in the most inner layer was manually counted using EVOS M5000 microscopy (Thermo Fisher 
Scientific, Waltham, MA, USA) under 20 × and 40 × objective lenses and normalized by length of the border line 
between the subgranular zone and hilus. The length was measured using Image J software (NIH Image Engineer-
ing, Bethesda, MD, USA).
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Immunoblotting analysis. 
Hippocampi were homogenized using a TissueRuptor (QIAGEN, Hilden, 
Germany) in 400 μL of protein extraction buffer (EzRIPA Lysis kit, WSE07420, ATTO, Tokyo, Japan). Lysates 
were centrifuged at 20,000×g at 4 °C for 15 min. Thereafter, the lipid layer (top layer) was removed, and clear 
supernatants were transferred to a new tube. The supernatants were centrifuged again at 20,000×g at 4 °C for 
15 min. Finally, the supernatants were transferred to new tubes. Protein concentration was determined using a 
Pierce™ BCA Protein Assay Kit (23225, Thermo Fisher Scientific, Waltham, MA, USA). Proteins were denatured 
by heating at 100 °C for 5 min. Total protein (40 μg per lane) was separated using 10% or 12% SDS-PAGE at 
60 V for 30 min, followed by 100 V for 120 min, and then transferred to polyvinylidene difluoride membranes 
(ISEQ00010, Millipore, Billerica, MA, USA) at 100 V for 2 h. The membranes were blocked for 1 h at 23–25 °C in 
5% non-fat dried milk (NFDM, F141511, Cellconic, Hanam, Republic of Korea) in 0.1% PBS-T, then incubated 
overnight at 4 °C in primary antibodies in 3% NFDM in 0.1% PBS-T, and subsequently incubated for 90 min at 
23–25 °C in horseradish peroxidase-conjugated secondary antibodies in 3% NFDM in 0.1% PBS-T (the infor-
mation on antibodies is provided as Supplementary Table 1). Immunodetection was performed using ECL™ 
Prime western blotting Detection Reagents (GERPN2232; Cytiva, Marlborough, MA, USA). All images showing 
the results of the quantitative analysis were assessed using the ImageJ software.
Radial arm maze. 
To measure reference and retention memory, eight-arm radial arm maze (RAM)49,50 
was performed with mice of cohort 2 (Fig. 2B). To acclimatize to the maze and a reward (sunflower seeds)7,50, 
mice were allowed to explore and feed freely in the RAM 30 min once a day for 3 days. The rewards were scat-
tered in all arms. The learning phase was started following the acclimatizing phase. During the learning phase, 
each mouse was performed one trial daily for 5 days. The same three arms were rewarded each day and across 
trials. The arms placed to be rewarded were never changed for a given mouse but varied among mice. A trial 
ended when 5 min had elapsed or all the rewards had been received, whichever occurred first. The light was kept 
dim during all trial to reduce the anxiety of mice. Entry into a never-rewarded arm was considered a reference 
memory error. Therefore, errors ratio refers to the entry number of reference memory errors divided by the total 
entry number. Retention memory test was conducted 6 days after the last learning trial.
Spontaneous alternation behavior test using Y‑maze. 
To measure spatial working memory, the 
spontaneous alternation behavior test was conducted with all mice of experiment 1 and 2 (Fig. 2). Each mouse 
was randomly placed in one arm of the symmetrical Y-maze and allowed to explore freely for 6 min. The light 
was kept dim during test to reduce the anxiety of mice. The sequence and total number of arms entered were 
recorded except for the first 1 min, which was considered as the habituation period. The number of arm entries 
was counted when the hind paws of the mouse were completely placed in the arm. An alternation was defined 
only as entries into all three arms on consecutive occasions. Therefore, the number of maximum alternations was 
the total number of arm entries minus two, and the percentage of alternations was calculated as (actual alterna-
tions/maximum alternations) × 100. Additionally, in case of mice that recorded 3 or less the total number of arm 
entries, we were not able to obtain data. Finally, 14 out of 17 mice were included in the results.
Statistical analysis. 
All data were analyzed using IBM SPSS Statistics 25 software. Graph construction was 
performed using the GraphPad Prism software (version 9.0). All data were checked for normality of distribu-
tion using the Shapiro–Wilk test, and all data were verified for normality, except for blood lactate concentration 
data of LAC at 120 min (Fig. 1A). Therefore, a comparison of LAC and VEH at 120 min was performed using 
a two-tailed Mann–Whitney test. For other data with normal distribution, comparison of two or more groups 
over time was performed using two-way repeated analysis of variance (ANOVA), and post hoc tests were per-
formed using one-way repeated ANOVA, paired t-test, or independent Student’s t-test. Comparisons between 
two groups were performed using an independent Student’s t-test. Comparisons of four groups were performed 
using two-way ANOVA, and post hoc tests were performed using an independent Student’s t-test. Blood lactate 
concentration (Fig. 1), immunohistochemistry (Fig. 3), RAM (Fig. 4) and Y-maze (Fig. 5) data are presented as 
the mean ± standard deviation (SD), and immunoblotting data are presented as box plots (Fig. 6-8). A value of 
p < 0.05 was considered statistically significant.
Data availability
The datasets generated and/or analyzed during the current study are available from the corresponding author 
upon reasonable request.
Received: 15 July 2022; Accepted: 5 April 2023
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Acknowledgements
This study was supported by the KU Research Professor Program of the Konkuk University. This study was sup-
ported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea 
(NRF-2021R1G1A1011987). We would like to thank Editage (www. edita ge. co. kr) for English language editing.
Author contributions
D.H., J.K., H.P., and K.L. contributed to the study hypotheses and design. D.H., S.K., I.J., and T.K. conducted 
the experiments. D.H., S.K., I.J., and T.K. contributed to data acquisition. All authors contributed to the data 
curation. D.H. and J.K. wrote the first draft of the manuscript. All authors contributed to manuscript revision, 
read, and approved the submitted version.
Competing interests 
The authors declare no competing interests.
Additional information
Supplementary Information The online version contains supplementary material available at https:// doi. org/ 
10. 1038/ s41598- 023- 33017-1.
Correspondence and requests for materials should be addressed to K.L.
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© The Author(s) 2023

Exogenous lactate augments exercise-induced improvement in memory but not in hippocampal neurogenesis.
Hwang, Deunsol,Kim, Jisu,Kyun, Sunghwan,Jang, Inkwon,Kim, Taeho,Park, Hun-Young,Lim, Kiwon