Evidence map›Paper›PMID 39626664›Full record

ArticleCell chemical biology2025

β-hydroxybutyrate is a metabolic regulator of proteostasis in the aged and Alzheimer disease brain.

Sidharth S Madhavan, Stephanie Roa Diaz, Sawyer Peralta, Mitsunori Nomura, Christina D King, Kaya E Ceyhan, Anwen Lin, Dipa Bhaumik, Anna C Foulger, Samah Shah and 14 more

Abstract read
In one paragraph

Article in Cell chemical biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Ketogenic diet and Parkinson's disease.Frontiers in molecular neuroscience · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
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  15. Frontiers in pharmacology · 2025
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Sidharth S MadhavanBuck Institute for Research on Aging, Novato, CA 94945, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA; Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94118, USA.
Stephanie Roa DiazBuck Institute for Research on Aging, Novato, CA 94945, USA; Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94118, USA.
Sawyer PeraltaBuck Institute for Research on Aging, Novato, CA 94945, USA.
Mitsunori NomuraBuck Institute for Research on Aging, Novato, CA 94945, USA.
Christina D KingBuck Institute for Research on Aging, Novato, CA 94945, USA.
Kaya E CeyhanBuck Institute for Research on Aging, Novato, CA 94945, USA.
Anwen LinBuck Institute for Research on Aging, Novato, CA 94945, USA.
Dipa BhaumikBuck Institute for Research on Aging, Novato, CA 94945, USA.
Anna C FoulgerBuck Institute for Research on Aging, Novato, CA 94945, USA.
Samah ShahBuck Institute for Research on Aging, Novato, CA 94945, USA.
Thanh BladeBuck Institute for Research on Aging, Novato, CA 94945, USA.
Wyatt GrayBuck Institute for Research on Aging, Novato, CA 94945, USA.
Manish ChamoliBuck Institute for Research on Aging, Novato, CA 94945, USA.
Brenda EapBuck Institute for Research on Aging, Novato, CA 94945, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA.
Oishika PandaBuck Institute for Research on Aging, Novato, CA 94945, USA.
Diego DiazBuck Institute for Research on Aging, Novato, CA 94945, USA.
Thelma Y GarciaBuck Institute for Research on Aging, Novato, CA 94945, USA; Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94118, USA.
Brianna J StubbsBuck Institute for Research on Aging, Novato, CA 94945, USA.
Scott M UlrichDepartment of Chemistry, Ithaca College, Ithaca, NY 14850, USA.
Gordon J LithgowBuck Institute for Research on Aging, Novato, CA 94945, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA.
Birgit SchillingBuck Institute for Research on Aging, Novato, CA 94945, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA.
Eric VerdinBuck Institute for Research on Aging, Novato, CA 94945, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA.
Asish R ChaudhuriBuck Institute for Research on Aging, Novato, CA 94945, USA.
John C NewmanBuck Institute for Research on Aging, Novato, CA 94945, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA; Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94118, USA. Electronic address: jnewman@buckinstitute.org.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
Training in Basic Research on Aging and Age-Related DiseaseT32AG000266 · NIA · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI Lisa M Ellerby · 1998 to 2026
$13.8M
USC Geroscience Training in the Biology of AgingT32AG052374 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Sean P CURRAN · 2016 to 2026
$5.3M
Mechanisms of the signaling metabolite β-hydroxybutyrate in Alzheimer's disease and the aging brainR01AG067333 · NIA · BUCK INSTITUTE FOR RESEARCH ON AGING · PI John C Newman · 2020 to 2026
$4.8M
NIA NIH HHS P30 AG044281NIA NIH HHS R01 AG067333NIA NIH HHS T32 AG000266NIA NIH HHS T32 AG052374
6 · The paper itself

Abstract

Loss of proteostasis is a hallmark of aging and Alzheimer disease (AD). We identify β-hydroxybutyrate (βHB), a ketone body, as a regulator of protein solubility. βHB primarily provides ATP substrate during periods of reduced glucose availability, and regulates other cellular processes through protein interactions. We demonstrate βHB-induced protein insolubility is not dependent on covalent protein modification, pH, or solute load, and is observable in mouse brain in vivo after delivery of a ketone ester. This mechanism is selective for pathological proteins such as amyloid-β, and exogenous βHB ameliorates pathology in nematode models of amyloid-β aggregation toxicity. We generate libraries of the βHB-induced protein insolublome using mass spectrometry proteomics, and identify common protein domains and upstream regulators. We show enrichment of neurodegeneration-related proteins among βHB targets and the clearance of these targets from mouse brain. These data indicate a metabolically regulated mechanism of proteostasis relevant to aging and AD.

Indexed as

3-Hydroxybutyric AcidAgingAlzheimer DiseaseBrainProteostasisAmyloid beta-PeptidesAnimalsHumansMice3-Hydroxybutyric AcidAmyloid beta-PeptidesagingAlzheimer diseaseketone bodyneurodegenerative diseaseproteostasis

Identifiers

PMID39626664
PMCPMC11741930

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.