Evidence map›Paper›PMID 26201817›Full record

Trial reportThe American journal of clinical nutrition2015

Pyridoxine supplementation does not alter in vivo kinetics of one-carbon metabolism but modifies patterns of one-carbon and tryptophan metabolites in vitamin B-6-insufficient oral contraceptive users.

Luisa Rios-Avila, Bonnie Coats, Maria Ralat, Yueh-Yun Chi, Øivind Midttun, Per M Ueland, Peter W Stacpoole, Jesse F Gregory

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in The American journal of clinical nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01128244 (Vitamin B6 Effects on One-Carbon Metabolism), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT01128244 phase2 / phase3completednot on this map

Vitamin B6 Effects on One-Carbon Metabolism

TypeinterventionalSponsorUniversity of FloridaRan2010 to 2014Enrolled13ConditionsVitamin B6 DeficiencyArmsVitamin B6, Infusion of labeled serine, methionine and leucine
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Vitamin BFood & nutrition research · 2023
    Article
  7. 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 at 5 institutions in 3 countries.

Luisa Rios-AvilaFood Science and Human Nutrition Department.
Bonnie CoatsDepartment of Medicine, Division of Endocrinology and Metabolism, College of Medicine.
Maria RalatFood Science and Human Nutrition Department.
Yueh-Yun ChiDepartment of Biostatistics, and.
Øivind MidttunBevital A/S, Laboratoriebygget, Bergen, Norway; and.
Per M UelandDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Peter W StacpooleDepartment of Medicine, Division of Endocrinology and Metabolism, College of Medicine, Department of Biochemistry and Molecular Biology, College of Medicine, University of Florida, Gainesville, FL;
Jesse F GregoryFood Science and Human Nutrition Department, jfgy@ufl.edu.
Bevital (Norway) · NOCancer Research And Biostatistics · USUnité de Nutrition Humaine · FRUniversity of Bergen · NOUniversity of Florida · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029890 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$14.4M
Vitamin B6 Effects on One-Carbon MetabolismR01DK072398 · NIDDK · UNIVERSITY OF FLORIDA · PI GREGORY, JESSE F. · 2005 to 2013
$3.3M
NCATS NIH HHS UL1 TR001427NCRR NIH HHS 1UL1RR029890NIDDK NIH HHS R01 DK072398
6 · The paper itself

Abstract

backgroundLow chronic vitamin B-6 status can occur in a subset of women who use oral contraceptives (OCs) with uncertain metabolic consequences. An insufficiency of cellular pyridoxal 5'-phosphate (PLP), which is the coenzyme form of vitamin B-6, may impair many metabolic processes including one-carbon and tryptophan metabolism.

objectiveWe investigated the effects of vitamin B-6 supplementation on the in vivo kinetics of one-carbon metabolism and the concentration of one-carbon and tryptophan metabolites in vitamin B-6-deficient OC users.

designA primed, constant infusion of [(13)C5]methionine, [3-(13)C]serine, and [(2)H3]leucine was performed on 10 OC users (20-40 y old; plasma PLP concentrations <30 nmol/L) before and after 28 d of supplementation with 10 mg pyridoxine hydrochloric acid/d. In vivo fluxes of total homocysteine remethylation, the remethylation of homocysteine from serine, and rates of homocysteine and cystathionine production were assessed. Targeted metabolite profiling was performed, and data were analyzed by using orthogonal partial least-squares-discriminant analysis and paired t tests adjusted for multiple testing.

resultsPyridoxine supplementation increased the mean ± SD plasma PLP concentration from 25.8 ± 3.6 to 143 ± 58 nmol/L (P < 0.001) and decreased the leucine concentration from 103 ± 17 to 90 ± 20 nmol/L (P = 0.007) and glycine concentration from 317 ± 63 to 267 ± 58 nmol/L (P = 0.03). Supplementation did not affect in vivo rates of homocysteine remethylation or the appearance of homocysteine and cystathionine. A multivariate analysis showed a clear overall effect on metabolite profiles resulting from supplementation. Leucine, glycine, choline, cysteine, glutathione, trimethylamine N-oxide, and the ratios glycine:serine, 3-hydroxykynurenine:kynurenine, 3-hydroxykynurenine:3-hydroxyanthranilic acid, and 3-hydroxykynurenine:anthranilic acid were significant discriminating variables.

conclusionsConsistent with previous vitamin B-6-restriction studies, fluxes of one-carbon metabolic processes exhibited little or no change after supplementation in low-vitamin B-6 subjects. In contrast, changes in the metabolic profiles after supplementation indicated perturbations in metabolism, suggesting functional vitamin B-6 deficiency. This study was registered at clinicaltrials.gov as NCT01128244.

Indexed as

3-Hydroxyanthranilic AcidAdultBiomarkersCarbonContraceptives, OralCystathionineDietary SupplementsFemaleGlycineHomocysteineHumansKynurenineLeucineMethionineMethylaminesMultivariate Analysis3-Hydroxyanthranilic Acid3-hydroxykynurenineBiomarkersCarbonContraceptives, OralCystathionineGlycineHomocysteineKynurenineLeucineMethionineMethylaminesPyridoxal PhosphatePyridoxineSerinetrimethyloxamineTryptophanmetabolomicsone-carbon metabolismoral contraceptivestryptophan catabolismvitamin B-6

Identifiers

PMID26201817
PMCPMC4548178
OpenAlexW2100551978

What OpenQuestion holds

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Registered trials

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.