Evidence map›Paper›PMID 27090306›Full record

ArticleMolecular psychiatry2017

Insulin signaling misregulation underlies circadian and cognitive deficits in a Drosophila fragile X model.

R E Monyak, D Emerson, B P Schoenfeld, X Zheng, D B Chambers, C Rosenfelt, S Langer, P Hinchey, C H Choi, T V McDonald and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03862950 (A Double-Blind, Placebo-Controlled Trial of Metformin in Individuals With Fragile X Syndrome), which is not on this map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03862950 phase2completednot on this mapstarted 2019, after this paper: background citation

A Double-Blind, Placebo-Controlled Trial of Metformin in Individuals With Fragile X Syndrome (FXS)

TypeinterventionalSponsorUniversity of AlbertaRan2019 to 2025Enrolled125ConditionsFragile X Syndrome, Fragile X Mental Retardation Syndrome, Mental Retardation, X-Linked, Genetic Diseases, X-LinkedArmsPlacebo Medication, Metformin
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 95 citations in OpenAlex.

  1. Trial
  2. Review
  3. Up-regulation of Minibrain/DYRK1A contributes to macrocephaly and brain overgrowth in aProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Article
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  11. Adiponectin rescues synaptic plasticity in the dentate gyrus of a mouse model of Fragile X Syndrome.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
    Article
  12. Review
  13. Article
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  18. Article
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  20. Genes · 2022
    Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

R E MonyakDepartment of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
D EmersonDepartment of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
B P SchoenfeldDepartment of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
X ZhengDepartment of Neuroscience and Howard Hughes Medical Institute, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
D B ChambersDepartment of Pediatric Neurology, Center for Neuroscience, University of Alberta, Edmonton, AB, Canada.
C RosenfeltDepartment of Pediatric Neurology, Center for Neuroscience, University of Alberta, Edmonton, AB, Canada.
S LangerDepartment of Pediatric Neurology, Center for Neuroscience, University of Alberta, Edmonton, AB, Canada.
P HincheySection of Molecular Cardiology, Departments of Medicine and Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY, USA.
C H ChoiSection of Molecular Cardiology, Departments of Medicine and Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY, USA.
T V McDonaldSection of Molecular Cardiology, Departments of Medicine and Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY, USA.
F V BolducDepartment of Pediatric Neurology, Center for Neuroscience, University of Alberta, Edmonton, AB, Canada.
A SehgalDepartment of Neuroscience and Howard Hughes Medical Institute, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
S M J McBrideDepartments of Psychiatry and Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
T A JongensDepartment of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · USUniversity of Alberta · CAAlbert Einstein College of Medicine · USHoward Hughes Medical Institute · USDrexel University · US

Funding

TRAINING PROGRAM IN DEVELOPMENTAL BIOLOGYT32HD007516 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI RAPER, JONATHAN A · 1998 to 2012
$5.6M
Clinical research scholars programs in psychiatryR25MH060490 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI EVANS, DWIGHT L. · 1999 to 2013
$3.5M
Cycling in a circadian circuitR37NS048471 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SEHGAL, AMITA · 2015 to 2021
$2.7M
Modeling Fragile X Syndrome in DrosophiliaR01GM086902 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI JONGENS, THOMAS A · 2010 to 2013
$1.4M
Autism Speaks AS2087CIHRNICHD NIH HHS T32 HD007516NIGMS NIH HHS R01 GM086902NIMH NIH HHS R25 MH060490NINDS NIH HHS R37 NS048471
6 · The paper itself

Abstract

Fragile X syndrome (FXS) is an undertreated neurodevelopmental disorder characterized by low intelligence quotent and a wide range of other symptoms including disordered sleep and autism. Although FXS is the most prevalent inherited cause of intellectual disability, its mechanistic underpinnings are not well understood. Using Drosophila as a model of FXS, we showed that select expression of dfmr1 in the insulin-producing cells (IPCs) of the brain was sufficient to restore normal circadian behavior and to rescue the memory deficits in the fragile X mutant fly. Examination of the insulin signaling (IS) pathway revealed elevated levels of Drosophila insulin-like peptide 2 (Dilp2) in the IPCs and elevated IS in the dfmr1 mutant brain. Consistent with a causal role for elevated IS in dfmr1 mutant phenotypes, the expression of dfmr1 specifically in the IPCs reduced IS, and genetic reduction of the insulin pathway also led to amelioration of circadian and memory defects. Furthermore, we showed that treatment with the FDA-approved drug metformin also rescued memory. Finally, we showed that reduction of IS is required at different time points to rescue circadian behavior and memory. Our results indicate that insulin misregulation underlies the circadian and cognitive phenotypes displayed by the Drosophila fragile X model, and thus reveal a metabolic pathway that can be targeted by new and already approved drugs to treat fragile X patients.

Indexed as

AnimalsAnimals, Genetically ModifiedBrainCircadian RhythmCognitionCognition DisordersCognitive DysfunctionDisease Models, AnimalDrosophila melanogasterDrosophila ProteinsFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeInsulinMemoryNeuronsSignal TransductionDrosophila ProteinsFMR1 protein, DrosophilaFragile X Messenger Ribonucleoprotein 1Insulin

Identifiers

PMID27090306
PMCPMC5071102
OpenAlexW2337278288

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.