“…Our 13 C labeling and DON inhibition experiments showed that the extracellular succinate produced in the VM-M3 cells was derived from the glutamine added to the culture media, thus supporting the origin of succinate through the glutaminolysis pathway in these cells. Additionally, succinate can be derived from malate due to complex II reversal in hypoxia (Ravasz et al, 2024). Succinate, like lactate, accumulates extracellularly following acute inhibition of OxPhos under conditions of prolonged diving (Hochachka et al, 1975), ischemia (Taegtmeyer, 1978; Zhang et al, 2018; Chinopoulos, 2019), hemorrhagic shock (Taghavi et al, 2022), and high-intensity muscle exercise (Reddy et al, 2020).…”