How the heart uses lactate for energy in heart failure

Mechanism and impact of direct mitochondrial lactate oxidation in heart failure

NIH-funded research Utah State Higher Education System--University of Utah · NIH-11252275

This project looks at whether hearts with heart failure use lactate directly inside mitochondria to make energy and how that affects heart function.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUtah State Higher Education System--University of Utah NIH-funded
Lab location1 site (Salt Lake City, United States)
Project IDNIH-11252275 on NIH RePORTER

What this research studies

This work combines animal experiments and human heart tissue to see how the failing heart uses lactate to produce ATP. In mice, researchers remove the lactate transporter MCT1 in heart cells and use pressure-overload surgery plus 13C stable isotope tracing to follow lactate's path into mitochondria. Those MCT1-deficient animals developed worse heart enlargement and rapid heart failure, suggesting mitochondrial lactate use helps maintain heart function. The team also examined human heart samples and found more MCT1 in mitochondria from people with heart failure, supporting relevance to patients.

Who could benefit from this research

Good fit: Adults with heart failure—especially those undergoing surgery, biopsy, or transplant who can donate heart tissue—are the most directly relevant candidates.

Not a fit: People without heart failure or those not eligible to provide heart tissue or participate in biospecimen programs are unlikely to receive direct benefit from this work.

Why it matters

Potential benefit: If successful, this research could identify new ways to boost energy production in failing hearts and point toward therapies that improve symptoms and outcomes for people with heart failure.

How similar studies have performed: Earlier studies indicate lactate is an important cardiac fuel, but direct mitochondrial lactate import via MCT1 and its impact on heart failure is a new and emerging finding.

Where this research is happening

Salt Lake City, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.