Figure 3From: Sepsis-associated hyperlactatemiaEpinephrine-increased glycogenolysis and glycolysis is coupled to a Na+/K+-ATPase pump. Epinephrine increases cyclic AMP (cAMP) production, inducing stimulation of glycogenolysis/glycolysis and activation of the Na+/K+-ATPase pump. This activation consumes ATP, leading to the generation of ADP. ADP reactivates glycolysis and hence generates more pyruvate and, consequently, more lactate. TCA, tricarboxylic acid cycle.Back to article page