We report here on the expression of slc5a8 in kidney and its relevance to Na ؉ -coupled reabsorption of lactate. slc5a8 is the murine ortholog of SLC5A8, a candidate tumor suppressor gene, which we recently cloned from human intestine and demonstrated its functional identity as a Na ؉ -coupled transporter for short-chain fatty acids and lactate. The slc5a8 cDNA, cloned from mouse kidney, codes for a protein consisting of 611 amino acids. When expressed heterologously in mammalian cells or Xenopus oocytes, slc5a8 mediates Na ؉ -coupled electrogenic transport of lactate/pyruvate as well as short-chain fatty acids (e.g. acetate, propionate, and butyrate). The Na ؉ /fatty acid stoichiometry varies depending on the fatty acid substrate (2:1 for lactate and 4:1 for propionate). This phenomenon of variable Na ؉ / substrate stoichiometry depending on the fatty acid substrate is also demonstrable with human SLC5A8. In situ hybridization with sagittal sections of mouse kidney demonstrates abundant expression of the transcripts in the cortex as well as the medulla. Brush border membrane vesicles prepared from rabbit kidney are able to transport lactate in a Na ؉ -coupled manner. The transport process exhibits the overshoot phenomenon, indicating uphill lactate transport in response to the transmembrane Na ؉ gradient. The Na ؉ -coupled lactate transport in these membrane vesicles is inhibitable by short-chain fatty acids. We conclude that slc5a8 is expressed abundantly in the kidney and that it plays a role in the active reabsorption of lactate. slc5a8 is the first transporter known to be expressed in mammalian kidney that has the ability to mediate the Na ؉ -coupled reabsorption of lactate.L-Lactate is present in blood at a concentration of ϳ90 mg/ liter (ϳ1.5 mM), but the urinary excretion of L-lactate is very low (100 -600 mg/day). With the normal glomerular filtration rate of 120 ml/min, the fractional reabsorption rate for L-lactate in mammalian kidney is Ͼ95% (1). The molecular identity of the transport system that is responsible for such an effective absorption process in the kidney has not yet been established. L-Lactate transport across mammalian cell plasma membrane is mediated by monocarboxylate transporters (MCTs) 1 (2, 3).MCTs are H ϩ -coupled transporters and, therefore, the direction of lactate flux in mammalian cells depends on the net chemical gradients for H ϩ and lactate across the membrane. The transport process is electroneutral because of the H ϩ / lactate stoichiometry of 1:1. There are several members within the MCT gene family that are expressed differentially in different tissues (2, 3). Many of the MCT gene family members are expressed in the kidney (2-5), but the exact locations of these transporters in terms of cell type and the apical membrane versus the basolateral membrane of the tubular cells are not known. Because the lumen-facing brush border membrane of the renal tubular cells mediates the first step in the reabsorption of solutes present in the glomerular filtrate, studies have been carr...