Evidence map›Paper›PMID 32513828›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2020

Acute Inflammation Alters Brain Energy Metabolism in Mice and Humans: Role in Suppressed Spontaneous Activity, Impaired Cognition, and Delirium.

John Kealy, Carol Murray, Eadaoin W Griffin, Ana Belen Lopez-Rodriguez, Dáire Healy, Lucas Silva Tortorelli, John P Lowry, Leiv Otto Watne, Colm Cunningham

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364162 (Exogenous Ketone Ester Supplementation in ICU Delirium), which is not on this map. Cited by 91 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 1 pooled it
8.8field-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.

NCT07364162 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Exogenous Ketone Ester Supplementation in ICU Delirium (KETONES ICU)

TypeinterventionalSponsorVanderbilt University Medical CenterRan2026 to 2027Enrolled40ConditionsICU Delirium, Critical IllnessArmsKetone monoester, Placebo
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Animal models of delirium: a narrative review.Translational psychiatry · 2026
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Observational
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

John KealySchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.
Carol MurraySchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.
Eadaoin W GriffinSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.ORCID 0000-0002-2017-453X
Ana Belen Lopez-RodriguezSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.
Dáire HealySchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.
Lucas Silva TortorelliSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.ORCID 0000-0003-1309-9946
John P LowryDepartment of Chemistry, Maynooth University, Maynooth, Ireland.ORCID 0000-0002-8957-6799
Leiv Otto WatneOslo Delirium Research Group, Department of Geriatric Medicine, Oslo University Hospital, Nydalen N-0424, Norway.
Colm CunninghamSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute & Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland colm.cunningham@tcd.ie.ORCID 0000-0003-1423-5209
Trinity College Dublin · IENational University of Ireland, Maynooth · IEOslo University Hospital · NOTrinity College · CA

Funding

Neuroinflammatory and cognitive consequences of losing cholinergic anti-inflammatory tone in the forebrainR01AG050626 · NIA · TRINITY COLLEGE DUBLIN · PI CUNNINGHAM, COLM · 2016 to 2020
$1.2M
NIA NIH HHS R01 AG050626Wellcome TrustWellcome Trust CC SRF 090907
6 · The paper itself

Abstract

Systemic infection triggers a spectrum of metabolic and behavioral changes, collectively termed sickness behavior, which while adaptive, can affect mood and cognition. In vulnerable individuals, acute illness can also produce profound, maladaptive, cognitive dysfunction including delirium, but our understanding of delirium pathophysiology remains limited. Here, we used bacterial lipopolysaccharide (LPS) in female C57BL/6J mice and acute hip fracture in humans to address whether disrupted energy metabolism contributes to inflammation-induced behavioral and cognitive changes. LPS (250 µg/kg) induced hypoglycemia, which was mimicked by interleukin (IL)-1β (25 µg/kg) but not prevented in IL-1RI

Indexed as

Energy MetabolismAgedAged, 80 and overAnimalsCognitive DysfunctionDeliriumFemaleGlucoseHip FracturesHumansIllness BehaviorInflammationInterleukin-1betaLipopolysaccharidesMaleMice, Inbred C57BLGlucoseInterleukin-1betaLipopolysaccharidescognitivedeliriumdementiahypoglycemiaIL-1sepsis

Identifiers

PMID32513828
PMCPMC7363463
OpenAlexW3032925016

What Socratic holds

Textmetadata
LicenceCC BY
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.