Evidence map›Paper›PMID 34633859›Full record

ArticleAnnual review of nutrition2021

Metabolic and Signaling Roles of Ketone Bodies in Health and Disease.

Patrycja Puchalska, Peter A Crawford

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Annual review of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06169137 (Pilot Study of Isocaloric Time Restricted Eating on Ketone Metabolism and Immunoregulation), which is not on this map. Cited by 165 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 3 pooled it
16.8field-weighted citation impact, top 1% 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.

NCT06169137 nacompletednot on this mapstarted 2024, after this paper: background citation

Pilot Study of Isocaloric Time Restricted Eating on Ketone Metabolism and Immunoregulation

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2024 to 2026Enrolled58ConditionsObesity, Body WeightArmsEarly Time-Restricted Eating, Conventional dietary regimen (12-hr, 9:30a-9:30p)
3 · Its place in the literature

Who cites it

165 citing papers in PubMed, 3 syntheses or guidelines pooled it, 264 citations in OpenAlex.

  1. Pooled it
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  13. Food science & nutrition · 2026
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105 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

2 authors at 1 institution in 1 country.

Patrycja PuchalskaDepartment of Medicine, Division of Molecular Medicine, University of Minnesota, Minneapolis, Minnesota 55455, USA; email: ppuchals@umn.edu, crawforp@umn.edu.
Peter A CrawfordDepartment of Medicine, Division of Molecular Medicine, University of Minnesota, Minneapolis, Minnesota 55455, USA; email: ppuchals@umn.edu, crawforp@umn.edu.
University of Minnesota · US

Funding

longitudinal assessment of stress and stress-related concepts across a behavioral weight loss interventionP20GM144269 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI John P Thyfault, STEVEN A WEINMAN · 2022 to 2026
$14.9M
KETONE BODY METABOLISM AND INTEGRATED METABOLIC HOMEOSTASISR01DK091538 · NIDDK · WASHINGTON UNIVERSITY · PI CRAWFORD, PETER A · 2011 to 2024
$6.2M
Ketogenic Oscillations and Neurometabolic HealthspanR01AG069781 · NIA · UNIVERSITY OF MINNESOTA · PI CRAWFORD, PETER A, THYFAULT, JOHN P · 2020 to 2024
$2.3M
NIA NIH HHS R01 AG069781NIDDK NIH HHS R01 DK091538NIGMS NIH HHS P20 GM144269
6 · The paper itself

Abstract

Ketone bodies play significant roles in organismal energy homeostasis, serving as oxidative fuels, modulators of redox potential, lipogenic precursors, and signals, primarily during states of low carbohydrate availability. Efforts to enhance wellness and ameliorate disease via nutritional, chronobiological, and pharmacological interventions have markedly intensified interest in ketone body metabolism. The two ketone body redox partners, acetoacetate and D-β-hydroxybutyrate, serve distinct metabolic and signaling roles in biological systems. We discuss the pleiotropic roles played by both of these ketones in health and disease. While enthusiasm is warranted, prudent procession through therapeutic applications of ketogenic and ketone therapies is also advised, as a range of metabolic and signaling consequences continue to emerge. Organ-specific and cell-type-specific effects of ketone bodies are important to consider as prospective therapeutic and wellness applications increase.

Indexed as

Ketone BodiesSignal Transduction3-Hydroxybutyric AcidHomeostasisHumans3-Hydroxybutyric AcidKetone Bodiesketones and cancerketones and fatty liver diseaseketones and heart failureketones and neurodegenerative diseaseketones and SGLT inhibitorsketones and the gut

Identifiers

PMID34633859
PMCPMC8922216
OpenAlexW3206583850

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.