Evidence map›Paper›PMID 42432438›Full record

ArticleJournal of the American Heart Association2026

Phenylacetic Acid, a Gut Microbially Produced Metabolite, Reduces Atherosclerosis Burden and Impacts Host Lipid Homeostasis.

Kelley M Carr, Jiyeon Kim, Junchul Shin, Kathryn A Bacik, Junyoung Hong, Irene Krukovets, Christopher M Strauch, Naseer Sangwan, Olga A Cherepanova, Ina Nemet

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Kelley M Carr *Department of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0002-0397-4551
Jiyeon Kim *Department of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0002-4849-8253
Junchul ShinDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0001-5321-2398
Kathryn A BacikDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0009-0002-7514-3199
Junyoung HongDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0002-7261-2204
Irene KrukovetsDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.
Christopher M StrauchShared Laboratory Resources Cleveland Clinic Research, Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-4766-9604
Naseer SangwanDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0002-2407-769X
Olga A CherepanovaDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0003-0045-8102
Ina NemetDepartment of Cardiovascular and Metabolic Sciences Cleveland Clinic Research Cleveland OH USA.ORCID 0000-0002-0657-7121

Funding

Gut-microbial metabolism of aromatic amino acids and cardiovascular diseaseR01HL160747 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI NEMET, INA · 2022 to 2025
$2.2M
Role of the TLR4 signaling in smooth muscle cell phenotypic transitionR01HL150193 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI CHEREPANOVA, OLGA · 2021 to 2024
$1.6M
NHLBI NIH HHS R01 HL150193NHLBI NIH HHS R01 HL160747
6 · The paper itself

Abstract

backgroundGut microbial metabolism of dietary phenylalanine produces phenylacetic acid (PAA), followed by the host conversion to phenylacetylglutamine in humans and phenylacetylglycine in mice. Phenylacetylglutamine was linked to cardiovascular disease risk in multiple clinical studies, yet whether the microbial pathways leading to PAA/phenylacetylglutamine/phenylacetylglycine formation influence atherosclerosis progression within the host remains elusive.

methodsAtheroprone

resultsCirculating levels of phenylacetylglutamine and phenylacetylglycine were increased by the treatment without affecting circulating cholesterol or inflammatory cytokines. In male mice, PAA elevated triglycerides and fasting glucose. PAA decreased the total atherosclerotic plaque burden within the descending and abdominal aortas of both sexes and within brachiocephalic arteries in male mice without affecting plaque stability indices. PAA altered gut microbial composition but did not markedly shift production of established atherosclerosis-related microbial metabolites, aside from a modest rise in indoxyl sulfate in female mice. Furthermore, PAA treatment decreased circulating levels of acyl- and free carnitines through reduced availability of their biosynthetic precursors and upregulated expression of genes involved in peroxisomal lipid metabolism.

conclusionsThese results offer new insights into the impact of gut-microbial metabolism of phenylalanine on host metabolism and atherosclerosis progression. Our findings suggest that clinical associations between phenylacetylglutamine and cardiovascular disease risk are unlikely to be driven by increased atherosclerosis.

Indexed as

AtherosclerosisGastrointestinal MicrobiomeLipid MetabolismPhenylacetatesAnimalsDiet, WesternDisease Models, AnimalFemaleGlutamineGlycineHomeostasisMaleMiceMice, Inbred C57BLMice, Knockout, ApoEPlaque, AtheroscleroticGlutamineGlycinePhenylacetatesphenylacetic acidphenylacetylglutaminephenylacetylglycineatherosclerosiscardiovascular diseasegut microbesphenylacetic acidphenylacetylglutaminephenylacetylglycine

Identifiers

PMID42432438
PMCPMC13477316

What Socratic holds

Textmetadata
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.