These facts led to the work of A. V. Hill on heat-production during the recovery phase, by which it was shown that lactic acid formed during activity is not removed by oxidation but in some other way, presumably by resynthesis to a precursor. Meyerhof established glycogen (a carbohydrate discovered by Bernard in 1857) as this precursor, and it now seems clear that all, or nearly all, the energy exchanges of active muscle can be de scribed as follows:— A. Initial non-oxidative phase (yielding mechanical energy) Glycogen—> unknown intermediary—>lactic acid—> K-lac tate, the neutralization of the acid being effected by the alkali of the tissue itself : B. Recovery oxidative phase (following activity and lasting for 5 to 8o minutes).
K-lactate—>lactic acid—> intermediary—> glycogen, the en ergy for this endothermic reaction being derived, at any rate in the isolated muscle, from the oxidation of glycogen in amount about 22% of that restored from lactate.
This division of activity into two phases, (A) work without oxygen and (B) recovery with oxygen, is very important, and is found as a general phenomenon in living tissues. The rate of supply of oxygen via the circulation is necessarily limited, and this arrangement allows temporarily for much greater rates of expen diture of energy than would be possible were the muscle dependent on contemporary combustion. The mechanism is essentially that of an accumulator, a charge being stored and capable of release at a high rate for a time without oxidation, a recharge being necessary later, with the expenditure of energy derived from com bustion of food material.
Fatigue appears to be due to the accumulation of lactic acid inside the muscle fibres, and further activity becomes impossible when its concentration reaches about 0.3%. Glycogen is necessary for activity.
(A) is small in resting muscle, but increases largely in fatigue and rigor; (B) (i.), which has often been mistaken for (A), is a compound of creatine and phosphate ("phosphagen"—Eggleton) which breaks down during stimulation and rigor, is restored in the presence of oxygen, but is not a source of lactic acid; (B) (ii.) is possibly a hexose-diphosphate ; it breaks down during rigor, but may increase during activity; its usual connotation "lactacidogen" is quite unfortunate, since in activity at least it is not the immediate source of lactic acid. (B) (iii.) is probably a chemically stable hexose-monophosphate. These two hexose-phosphates have been isolated from muscle, the diphosphate being identical with that produced by yeast fermentation. Muscles are capable of synthesising hexosephosphates from glycogen and phosphoric acid. These phosphate compounds probably act as intermediaries in the breakdown of glycogen to lactic acid, the monophosphate perhaps being the immediate source of lactic acid in contraction. There is a small but definite rise in blood phosphate following exercise ; this, however, is not comparable in magnitude with that of blood lactic acid under similar conditions.