Evidence map›Paper›PMID 26644583›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Fasting protects mice from lethal DNA damage by promoting small intestinal epithelial stem cell survival.

Kelsey L Tinkum, Kristina M Stemler, Lynn S White, Andrew J Loza, Sabrina Jeter-Jones, Basia M Michalski, Catherine Kuzmicki, Robert Pless, Thaddeus S Stappenbeck, David Piwnica-Worms and 1 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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.

NCT04247464 nacompletednot on this mapstarted 2020, after this paper: background citation

Evaluation of Short-term Fasting Effects on Chemotherapy Toxicity and Efficacy

TypeinterventionalSponsorIMDEA FoodRan2020 to 2023Enrolled11ConditionsFastingArmsFasting
NCT04259879 nacompletednot on this mapstarted 2016, after this paper: background citation

Evaluation of p21 Induction and Molecular Pathways Related to Short-term Fasting Response

TypeinterventionalSponsorIMDEA FoodRan2016 to 2016Enrolled20ConditionsFastingArmsFasting
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Fasting primes small intestinal regeneration after damage via a microbiome-metabolite-chromatin axis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Review
  5. Article
  6. Cholangiocytes' primary cilia regulate DNA damage response and repair.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Article
  7. Review
  8. Review
  9. Dietary and metabolic effects on intestinal stem cells in health and disease.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  10. Review
  11. Article
  12. Mechanisms driving fasting-induced protection from genotoxic injury in the small intestine.American journal of physiology. Gastrointestinal and liver physiology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Intestinal epithelial autophagy is required for the regenerative benefit of calorie restriction.American journal of physiology. Gastrointestinal and liver physiology · 2023
    Article
  17. Article
  18. Article
  19. Review
  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

11 authors at 2 institutions in 1 country.

Kelsey L TinkumDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110;
Kristina M StemlerDepartment of Cancer Biology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030;
Lynn S WhiteDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110;
Andrew J LozaDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO 63110;
Sabrina Jeter-JonesDepartment of Cancer Biology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030;
Basia M MichalskiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110;
Catherine KuzmickiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110;
Robert PlessDepartment of Computer Science and Engineering, Washington University in St. Louis, St. Louis, MO 63130;
Thaddeus S StappenbeckDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110;
David Piwnica-WormsDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110; Department of Cancer Biology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030; Department of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX 77030 dpiwnica-worms@mdanderson.org hpiwnica-worms@mdanderson.org.
Helen Piwnica-WormsDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110; Department of Cancer Biology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030; Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO 63110; dpiwnica-worms@mdanderson.org hpiwnica-worms@mdanderson.org.
Washington University in St. Louis · USThe University of Texas MD Anderson Cancer Center · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
NATIONAL RESEARCH SERVICE AWARD-MEDICAL SCIENTISTT32GM007200 · NIGMS · WASHINGTON UNIVERSITY · PI YOKOYAMA, WAYNE M. · 1985 to 2024
$59.8M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WU-MDACC Inter-Institutional Molecular Imaging CenterP50CA094056 · NCI · WASHINGTON UNIVERSITY · PI KOPAN, RAPHAEL · 2002 to 2016
$26.3M
Washington University Center for Translational NeuroscienceP30NS057105 · NINDS · WASHINGTON UNIVERSITY · PI HOLTZMAN, DAVID M. · 2006 to 2011
$8.7M
RESPONSES OF INTESTINAL STEM CELLS TO EPITHELIAL INJURYR01DK071619 · NIDDK · WASHINGTON UNIVERSITY · PI STAPPENBECK, THADDEUS S · 2008 to 2017
$3.2M
INTERDISCIPLINARY TRAINING IN MECHANOBIOLOGY FROM NM TO CMT32EB018266 · NIBIB · WASHINGTON UNIVERSITY · PI BAYLY, PHILIP V · 2014 to 2018
$987k
NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842NCI NIH HHS P30 CA91842NCI NIH HHS P50 CA094056NCI NIH HHS P50 CA94056NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1RR024992NIBIB NIH HHS T32 EB018266NIBIB NIH HHS T32EB018266NIDDK NIH HHS R01 DK071619NIGMS NIH HHS T32 GM007200NIGMS NIH HHS T32GM007200NINDS NIH HHS P30 NS057105
6 · The paper itself

Abstract

Short-term fasting protects mice from lethal doses of chemotherapy through undetermined mechanisms. Herein, we demonstrate that fasting preserves small intestinal (SI) architecture by maintaining SI stem cell viability and SI barrier function following exposure to high-dose etoposide. Nearly all SI stem cells were lost in fed mice, whereas fasting promoted sufficient SI stem cell survival to preserve SI integrity after etoposide treatment. Lineage tracing demonstrated that multiple SI stem cell populations, marked by Lgr5, Bmi1, or HopX expression, contributed to fasting-induced survival. DNA repair and DNA damage response genes were elevated in SI stem/progenitor cells of fasted etoposide-treated mice, which importantly correlated with faster resolution of DNA double-strand breaks and less apoptosis. Thus, fasting preserved SI stem cell viability as well as SI architecture and barrier function suggesting that fasting may reduce host toxicity in patients undergoing dose intensive chemotherapy.

Indexed as

DNA DamageAnimalsAntineoplastic AgentsApoptosisCell SurvivalDNA Breaks, Double-StrandedDNA RepairEtoposideFastingFemaleIntestinal MucosaIntestine, SmallMaleMiceMice, Inbred C57BLMice, TransgenicAntineoplastic AgentsEtoposidechemotherapyDNA damagefastingstem cells

Identifiers

PMID26644583
PMCPMC4697381
OpenAlexW2229132830

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.