Evidence map›Paper›PMID 26154055›Full record

ArticleCell metabolism2015

Carnitine Acetyltransferase Mitigates Metabolic Inertia and Muscle Fatigue during Exercise.

Sarah E Seiler, Timothy R Koves, Jessica R Gooding, Kari E Wong, Robert D Stevens, Olga R Ilkayeva, April H Wittmann, Karen L DeBalsi, Michael N Davies, Lucas Lindeboom and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell metabolism, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

56 citing papers in PubMed, 98 citations in OpenAlex.

  1. Trial
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  9. Atlas of lysine acetylation in the mouse.bioRxiv : the preprint server for biology · 2026
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  10. Early Sepsis Metabolic Changes in Kidney and Liver Precede Clinical Evidence of Organ Dysfunction.American journal of respiratory cell and molecular biology · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Advances inFrontiers in endocrinology · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Postcontraction [acetylcarnitine] reflects interindividual variation in skeletal muscle ATP production patterns in vivo.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
  20. 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

13 authors at 3 institutions in 2 countries.

Sarah E SeilerDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27704, USA.
Timothy R KovesSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA; Division of Geriatrics, Duke University, Durham, NC 27704, USA.
Jessica R GoodingSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA.
Kari E WongSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA.
Robert D StevensSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA.
Olga R IlkayevaSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA.
April H WittmannSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA.
Karen L DeBalsiDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27704, USA.
Michael N DaviesSarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA.
Lucas LindeboomDepartment of Human Biology, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands; Department of Radiology, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Patrick SchrauwenDepartment of Human Biology, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Vera B Schrauwen-HinderlingDepartment of Radiology, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Deborah M MuoioDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC 27704, USA; Sarah W. Stedman Nutrition and Metabolism Center and Duke Molecular Physiology Institute, Duke University, Durham, NC 27704, USA; Department of Medicine, Division of Endocrinology, Metabolism, and Nutrition, Duke University, Durham, NC 27704, USA. Electronic address: Muoio@duke.edu.
Duke University · USMaastricht University · NLMaastricht University Medical Centre · NL

Funding

TARGETED RESPONSIVE MR AND PET AGENTS FOR B-CELL IMAGINGP01DK058398 · NIDDK · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI NEWGARD, CHRISTOPHER B · 2000 to 2016
$26.1M
Role of Carnitine Acetyltransferase in Mitochondrial and Metabolic FunctionR01DK089312 · NIDDK · DUKE UNIVERSITY · PI DEBORAH M MUOIO · 2010 to 2026
$7.8M
A Genomic/Metabolomic Strategy to Characterize Cardiac Mitochondrial DysfunctionR01HL101189 · NHLBI · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI KELLY, DANIEL PATRICK, MUOIO, DEBORAH M · 2010 to 2013
$2.9M
Mechanisms linking the adipogenic phenotype of aging muscle to insulin resistanceR01AG028930 · NIA · DUKE UNIVERSITY · PI MUOIO, DEBORAH M · 2006 to 2010
$2.0M
Metabolic Regulators of Insulin Secretion and Insulin ResistanceK01GM109320 · NIGMS · RESEARCH TRIANGLE INSTITUTE · PI GOODING, JESSICA RENEE · 2013 to 2016
$394k
Fat Oxidation, Redox Stress and Insulin Resistance in Skeletal MuscleF32DK094573 · NIDDK · DUKE UNIVERSITY · PI WONG, KARI · 2011 to 2013
$155k
Role of Carnitine Acetyltansferase in Combatting Nutrient StressF32DK093256 · NIDDK · DUKE UNIVERSITY · PI DAVIES, MICHAEL · 2011 to 2013
$155k
NHLBI NIH HHS R01 HL101189NHLBI NIH HHS R01-HL101189R01NIA NIH HHS R01 AG028930NIDDK NIH HHS 2P01-DK058398NIDDK NIH HHS F32 DK093256NIDDK NIH HHS F32-DK093256NIDDK NIH HHS F32 DK094573NIDDK NIH HHS F32-DK-094573NIDDK NIH HHS P01 DK058398NIDDK NIH HHS R01 DK089312NIDDK NIH HHS R01-DK089312NIGMS NIH HHS K01 GM109320NIGMS NIH HHS K01-GM1093200-01
6 · The paper itself

Abstract

Acylcarnitine metabolites have gained attention as biomarkers of nutrient stress, but their physiological relevance and metabolic purpose remain poorly understood. Short-chain carnitine conjugates, including acetylcarnitine, derive from their corresponding acyl-CoA precursors via the action of carnitine acetyltransferase (CrAT), a bidirectional mitochondrial matrix enzyme. We show here that contractile activity reverses acetylcarnitine flux in muscle, from net production and efflux at rest to net uptake and consumption during exercise. Disruption of this switch in mice with muscle-specific CrAT deficiency resulted in acetyl-CoA deficit, perturbed energy charge, and diminished exercise tolerance, whereas acetylcarnitine supplementation produced opposite outcomes in a CrAT-dependent manner. Likewise, in exercise-trained compared to untrained humans, post-exercise phosphocreatine recovery rates were positively associated with CrAT activity and coincided with dramatic shifts in muscle acetylcarnitine dynamics. These findings show acetylcarnitine serves as a critical acetyl buffer for working muscles and provide insight into potential therapeutic strategies for combatting exercise intolerance.

Indexed as

Muscle FatigueAcetyl Coenzyme AAnimalsCarnitineCarnitine O-AcetyltransferaseExerciseHumansMice, Inbred C57BLMusclesPhysical Conditioning, AnimalAcetyl Coenzyme AacylcarnitineCarnitineCarnitine O-Acetyltransferase

Identifiers

PMID26154055
PMCPMC4754082
OpenAlexW1692522137

What OpenQuestion holds

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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 OpenQuestion graph.