I’ve been reading up on MCTs for a few months for an upcoming pair of podcasts, and you would not believe how complicated the answer to this question is. Mostly due to the fact that there are a lot of contradictory results. What I gather so far seems to be: both are highly sensitive to training from the untrained state. Later, MCT4 is less sensitive to training and MCT1 is more sensitive and highly correlated with muscle oxidative capacity regardless of MHC type. Both types are bidirectional as determined by gradient, and prevailing theory is MCT1’s higher specificity and lower Vmax (vice versa for MCT4) are for the range of expected metabolic concentrations.
Complications that occur in the Neal study Brennus linked, which had 4 weeks of detraining in chronically low volume cyclists before each intervention. And as expected, MCT4 expression in whole muscle homogenate increased in polarized, my theory being that greater motor unit recruitment trained more fibers. However, MCT1 not changing is a surprise, however the reported lack of change in mitochondrial enzyme activities (CS & HAD) matches with previously established correlations between those variables, so that correlation so far seems incredibly robust so far.
What I haven’t seen yet is any indication that expression changes with exposure to larger or smaller amounts of lactate, though I would imagine there would be small effects there. Seems like MCT4 expression is a sort of cellular “default” in less active fibers, and as fibers become more active they express both relative to certain stimuli, which seem to be our usual suspects like p53 and HIF. Which makes a lot of sense because muscles don’t seem to respond meaningfully (in terms of performance) to substrate exposure, but do respond dramatically to activation of stressors like energy demand and acute “hypoxia”, which trigger an entire host of adaptations.
Turns out that’s another reason that CS & HAD activity is probably so tightly correlated to MCT1 expression, they likely have the same or similar on-switches. But like I said in Watts Doc #40 and many previous podcasts, what oxidizes lactate the most is having large mitochondrial density, and a side note should be large vo2max. I’ve gotten huge improvements in performance in people who have never, ever done an over/under workout. For others, it’s like a default. How I program over/unders will be on one of the podcasts.
A downside of the research here is a lot of studies unfortunately are on cancerous cells too, since cell proliferation pathways are linked to metabolic adaptation pathways they have results that are basically impossible to untangle for a non-expert in these pathway interlinkings like myself. Or seemingly even the experts.
Anyway @Brennus you’re not the first person to notice this and you won’t be the last. Really good observation though, and lots to come on the podcast soon on my theory about how all this works, or doesn’t, and the practical consequences. Odds are pretty good I make some folks pretty upset with the title. Should be fun!