Can salivary lactate be used as an anaerobic biomarker?

Background Salivary lactate has been suggested as a non-invasive anaerobic biomarker in sports medicine for decades, yet has not been widely applied until now. This study aimed to explore possible issues related to its application and suggest directions for future method improvement. Methods A liqui...

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Main Authors: Pingping Yan, Chunli Qin, Zengyin Yan, Chang Chen, Fengjing Zhang
Format: Article
Language:English
Published: PeerJ Inc. 2023-05-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/15274.pdf
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author Pingping Yan
Chunli Qin
Zengyin Yan
Chang Chen
Fengjing Zhang
author_facet Pingping Yan
Chunli Qin
Zengyin Yan
Chang Chen
Fengjing Zhang
author_sort Pingping Yan
collection DOAJ
description Background Salivary lactate has been suggested as a non-invasive anaerobic biomarker in sports medicine for decades, yet has not been widely applied until now. This study aimed to explore possible issues related to its application and suggest directions for future method improvement. Methods A liquid chromatography–mass spectrometry (LC-MS) method for the determination of salivary lactate was developed, validated and applied on saliva samples collected from a group of professional sprinters (n = 20). The samples were collected via chewing a cotton ball for one minute and centrifuging it afterwards. The evaluation included variation with mouth rinse times, consistency at different sampling times, change after treadmill or cycle ergometer trainings, and association with blood lactate. Sample sizes were calculated prior to the study. One-way analysis of variance (ANOVA), intra-class correlation coefficients (ICC) and relative standard deviation (RSD) were used to evaluate data variances. Pearson correlation was applied to show correlation between salivary and blood lactate. Effect sizes and power were calculated following ANOVA and correlation analyses. Results The RSD of the LC-MS method was 19.70%. Salivary lactate concentration was affected by mouth rinse times before sampling (ANOVA p = 0.025, η2 = 0.40, 1 − β = 0.99, ICC = 0.23, mean RSD of four sampling = 55.30%), and stabilized after mouth rinsing for three times. The concentrations at resting state across three weeks were consistent at group level (ANOVA p = 0.57, η2 = 0.03, 1 − β = 0.20), but varied greatly individually (ICC = 0.22, mean RSD = 56.16%). Salivary lactate level significantly increased after treadmill and cycle ergometer trainings (ANOVA p = 0.0002, η2 = 0.46, 1 − β = 0.9999 and ANOVA p = 0.0019, η2 = 0.40, 1 − β = 0.9993, respectively), and displayed positive correlation with blood lactate concentration (r = 0.61, p = 0.0004, 1 − β = 0.9596). Significant difference between male and female participants was observed in none of the tests conducted in this study. Discussion Salivary lactate was found to be a potential anaerobic biomarker. However, reproducible methods for sample collection and analysis, as well as more knowledge on the secretion mechanism and pattern of salivary lactate are required to make it a practical anaerobic biomarker.
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spelling doaj.art-2fa81e4855d746bea0a4b0a04e3bc9302023-12-03T14:00:52ZengPeerJ Inc.PeerJ2167-83592023-05-0111e1527410.7717/peerj.15274Can salivary lactate be used as an anaerobic biomarker?Pingping Yan0Chunli Qin1Zengyin Yan2Chang Chen3Fengjing Zhang4College of Exercise Medicine, Chongqing Medical University, Chongqing, ChinaChongqing Institute of Sport Science, Chongqing, ChinaSchool of Physical Education, Chongqing University of Posts and Telecommunications, Chongqing, ChinaInstitute of Life Sciences, Chongqing Medical University, Chongqing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaBackground Salivary lactate has been suggested as a non-invasive anaerobic biomarker in sports medicine for decades, yet has not been widely applied until now. This study aimed to explore possible issues related to its application and suggest directions for future method improvement. Methods A liquid chromatography–mass spectrometry (LC-MS) method for the determination of salivary lactate was developed, validated and applied on saliva samples collected from a group of professional sprinters (n = 20). The samples were collected via chewing a cotton ball for one minute and centrifuging it afterwards. The evaluation included variation with mouth rinse times, consistency at different sampling times, change after treadmill or cycle ergometer trainings, and association with blood lactate. Sample sizes were calculated prior to the study. One-way analysis of variance (ANOVA), intra-class correlation coefficients (ICC) and relative standard deviation (RSD) were used to evaluate data variances. Pearson correlation was applied to show correlation between salivary and blood lactate. Effect sizes and power were calculated following ANOVA and correlation analyses. Results The RSD of the LC-MS method was 19.70%. Salivary lactate concentration was affected by mouth rinse times before sampling (ANOVA p = 0.025, η2 = 0.40, 1 − β = 0.99, ICC = 0.23, mean RSD of four sampling = 55.30%), and stabilized after mouth rinsing for three times. The concentrations at resting state across three weeks were consistent at group level (ANOVA p = 0.57, η2 = 0.03, 1 − β = 0.20), but varied greatly individually (ICC = 0.22, mean RSD = 56.16%). Salivary lactate level significantly increased after treadmill and cycle ergometer trainings (ANOVA p = 0.0002, η2 = 0.46, 1 − β = 0.9999 and ANOVA p = 0.0019, η2 = 0.40, 1 − β = 0.9993, respectively), and displayed positive correlation with blood lactate concentration (r = 0.61, p = 0.0004, 1 − β = 0.9596). Significant difference between male and female participants was observed in none of the tests conducted in this study. Discussion Salivary lactate was found to be a potential anaerobic biomarker. However, reproducible methods for sample collection and analysis, as well as more knowledge on the secretion mechanism and pattern of salivary lactate are required to make it a practical anaerobic biomarker.https://peerj.com/articles/15274.pdfLactateSalivaBiomarkerAnaerobicLC-MS
spellingShingle Pingping Yan
Chunli Qin
Zengyin Yan
Chang Chen
Fengjing Zhang
Can salivary lactate be used as an anaerobic biomarker?
PeerJ
Lactate
Saliva
Biomarker
Anaerobic
LC-MS
title Can salivary lactate be used as an anaerobic biomarker?
title_full Can salivary lactate be used as an anaerobic biomarker?
title_fullStr Can salivary lactate be used as an anaerobic biomarker?
title_full_unstemmed Can salivary lactate be used as an anaerobic biomarker?
title_short Can salivary lactate be used as an anaerobic biomarker?
title_sort can salivary lactate be used as an anaerobic biomarker
topic Lactate
Saliva
Biomarker
Anaerobic
LC-MS
url https://peerj.com/articles/15274.pdf
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AT changchen cansalivarylactatebeusedasananaerobicbiomarker
AT fengjingzhang cansalivarylactatebeusedasananaerobicbiomarker