Evidence map›Paper›PMID 41120320›Full record

ArticleNature communications2025

Alpha-ketoglutarate mitigates insulin resistance and metabolic inflexibility in a mouse model of Ataxia-Telangiectasia.

Jacquelyne Ka-Li Sun, Ronald P Hart, Karl Herrup, Amy Zexuan Peng, Genper Chi-Ngai Wong, Deng Wu, Kin-Ming Kwan, Kim Hei-Man Chow

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

8 authors.

Jacquelyne Ka-Li SunSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Ronald P HartDepartment of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ, USA.ORCID http://orcid.org/0000-0003-4836-8712
Karl HerrupDepartment of Neurobiology, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-7786-5844
Amy Zexuan PengSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Genper Chi-Ngai WongSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Deng WuSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Kin-Ming KwanSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Kim Hei-Man ChowSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Hong Kong, Hong Kong. heimanchow@cuhk.edu.hk.ORCID http://orcid.org/0000-0003-1203-2096

Funding

Subject CollectionU10AA008401 · NIAAA · SUNY DOWNSTATE MEDICAL CENTER · PI JAY Arnold TISCHFIELD · 1989 to 2026
$162.7M
National Natural Science Foundation of China (National Science Foundation of China) 32022087National Natural Science Foundation of China (National Science Foundation of China) 32300643NIAAA NIH HHS U10 AA008401Research Grants Council, University Grants Committee (RGC, UGC) 11410824Research Grants Council, University Grants Committee (RGC, UGC) 24107121Research Grants Council, University Grants Committee (RGC, UGC) C4033-19EF
6 · The paper itself

Abstract

The maintenance of metabolic homeostasis relies on the ability to flexibly transit between catabolic and anabolic states in response to insulin signaling. Here we show insulin-activated ATM is a critical mediator of this process, facilitating the swift transition between catabolic-and-anabolic fates of glucose by regulating the functional status of PKM2 and HIF1α. In Ataxia-Telangiectasia (A-T), these mechanisms are disrupted, resulting in intrinsic insulin resistance and glucose intolerance. Consequently, cells exhibit a compensatory dependence on glutamine as an alternative metabolite for energy metabolism. Cerebellar degeneration, a hallmark of A-T, is characterized by the pronounced vulnerability of Purkinje cells, attributed to their unexpected sensitivity to insulin. Supplementation with α-ketoglutarate, the α-keto acid backbone of glutamine, has demonstrated potentials in alleviating glutamine dependence and attenuating Purkinje cell degeneration. These findings suggest that peripheral metabolic deficiencies may contribute to sustained neurodegenerative changes in A-T, underscoring the importance of screening, monitoring and addressing these metabolic disruptions in patients.

Indexed as

Ataxia TelangiectasiaInsulin ResistanceKetoglutaric AcidsAnimalsAtaxia Telangiectasia Mutated ProteinsDisease Models, AnimalEnergy MetabolismGlucoseGlutamineHumansHypoxia-Inducible Factor 1, alpha SubunitInsulinMaleMiceMice, Inbred C57BLPurkinje CellsAtaxia Telangiectasia Mutated ProteinsAtm protein, mouseGlucoseGlutamineHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitInsulinKetoglutaric Acids

Identifiers

PMID41120320
PMCPMC12540671

What Socratic holds

Textmetadata
LicenceCC BY
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.