Evidence map›Paper›PMID 25992839›Full record

ArticlePloS one2015

High Protein Diet and Huntington's Disease.

Chiung-Mei Chen, Yow-Sien Lin, Yih-Ru Wu, Pei Chen, Fuu-Jen Tsai, Chueh-Lien Yang, Ya-Tzu Tsao, Wen Chang, I-Shan Hsieh, Yijuang Chern and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 40% 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Metabolomics: a new frontier in neurodegenerative disease biomarker discovery.Metabolomics : Official journal of the Metabolomic Society · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Brain urea increase is an early Huntington's disease pathogenic event observed in a prodromal transgenic sheep model and HD cases.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  12. Article
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

11 authors at 6 institutions in 1 country.

Chiung-Mei ChenDepartment of Neurology, Chang Gung Memorial Hospital, Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.
Yow-Sien LinDivision of Neuroscience, Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Yih-Ru WuDepartment of Neurology, Chang Gung Memorial Hospital, Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.
Pei ChenDivision of Neuroscience, Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Fuu-Jen TsaiDepartment of Pediatrics, Medical Research and Medical Genetics, China Medical University Hospital, Taichung, 404, Taiwan.
Chueh-Lien YangDepartment of Dietetics and Nutrition, Taipei Veterans General Hospital, Taipei, Taiwan.
Ya-Tzu TsaoDepartment of Nutrition, Chang Gung Memorial Hospital, Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.
Wen ChangDepartment of Dietetics and Nutrition, Taipei Veterans General Hospital, Taipei, Taiwan.
I-Shan HsiehDepartment of Nutrition, Chang Gung Memorial Hospital, Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.
Yijuang ChernDivision of Neuroscience, Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Bing-Wen SoongDepartment of Neurology, Yang-Ming University School of Medicine and Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Institute of Biomedical Sciences, Academia Sinica · TWChang Gung University · TWLinkou Chang Gung Memorial Hospital · TWTaipei Veterans General Hospital · TWChina Medical University Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Huntington's disease (HD) is a neurodegenerative disorder caused by the huntingtin (HTT) gene with expanded CAG repeats. In addition to the apparent brain abnormalities, impairments also occur in peripheral tissues. We previously reported that mutant Huntingtin (mHTT) exists in the liver and causes urea cycle deficiency. A low protein diet (17%) restores urea cycle activity and ameliorates symptoms in HD model mice. It remains unknown whether the dietary protein content should be monitored closely in HD patients because the normal protein consumption is lower in humans (~15% of total calories) than in mice (~22%). We assessed whether dietary protein content affects the urea cycle in HD patients. Thirty HD patients were hospitalized and received a standard protein diet (13.7% protein) for 5 days, followed by a high protein diet (HPD, 26.3% protein) for another 5 days. Urea cycle deficiency was monitored by the blood levels of citrulline and ammonia. HD progression was determined by the Unified Huntington's Disease Rating Scale (UHDRS). The HPD increased blood citrulline concentration from 15.19 μmol/l to 16.30 μmol/l (p = 0.0378) in HD patients but did not change blood ammonia concentration. A 2-year pilot study of 14 HD patients found no significant correlation between blood citrulline concentration and HD progression. Our results indicated a short period of the HPD did not markedly compromise urea cycle function. Blood citrulline concentration is not a reliable biomarker of HD progression.

Indexed as

AdultCitrullineDietary ProteinsDisease ProgressionFemaleHumansHuntington DiseaseMaleUreaCitrullineDietary ProteinsUrea

Identifiers

PMID25992839
PMCPMC4437787
OpenAlexW1496084087

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.