“…Refined versions of the ANLSH assert that lactate is produced by astrocytes, and possibly active neurons, and is released into a lactate pool that is eventually used as energy substrate by neurons at rest or during active state (Baltan, 2015). A functional intercellular lactate shuttle, commonly called ANLSH in the CNS, exists in multiple CNS regions (Magistretti et al, 1994; Wender et al, 2000; Baltan, 2015), along with muscle (Gladden, 2004) and potentially peripheral nerve (Vega et al, 1998; Brown et al, 2012; Evans et al, 2013; Stecker and Stevenson, 2015; Hu et al, 2017). Lactate serves as a critical energy substrate for axons, especially long axons, to meet the metabolic needs of transport and signal transduction.…”