Evidence map›Paper›PMID 26993063›Full record

ArticleDiabetes2016

Synergistic Inhibitory Effects of Hypoxia and Iron Deficiency on Hepatic Glucose Response in Mouse Liver.

Hyeyoung Nam, Deborah Jones, Robert C Cooksey, Yan Gao, Sandy Sink, James Cox, Donald A McClain

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Tissue Iron Predicts Metformin Responsiveness in a Mouse Model and in Humans with Type 2 Diabetes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Iron and the Pathophysiology of Diabetes.Annual review of physiology · 2023
    Review
  8. Metformin acts in the gut and induces gut-liver crosstalk.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  9. Article
  10. Article
  11. COVID-19 Preventive Measure: A Study on "MASK-A Boon or a Bane".Interdisciplinary perspectives on infectious diseases · 2022
    Article
  12. Article
  13. Article
  14. 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

7 authors at 2 institutions in 1 country.

Hyeyoung NamDepartment of Internal Medicine, University of Utah, Salt Lake City, UT.
Deborah JonesDepartment of Internal Medicine, University of Utah, Salt Lake City, UT.
Robert C CookseyDepartment of Internal Medicine, University of Utah, Salt Lake City, UT.
Yan GaoDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
Sandy SinkDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
James CoxDepartment of Biochemistry, University of Utah, Salt Lake City, UT.
Donald A McClainDepartment of Internal Medicine, University of Utah, Salt Lake City, UT Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC Department of Biochemistry, University of Utah, Salt Lake City, UT dmcclain@wakehealth.edu.
University of Utah · USWake Forest University · US

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
IRON AND METABOLISM: ALTERED FUEL OXIDATION AND MITOCHONDRIAL DYSFUNCTIONR01DK081842 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MCCLAIN, DONALD A. · 2009 to 2017
$3.9M
Iron, the circadian clock, and diabetes riskI01BX001140 · VA · W G HEFNER VA MEDICAL CENTER · PI MCCLAIN, DONALD A. · 2011 to 2018
–
BLRD VA I01 BX001140NCATS NIH HHS UL1 TR001420NIDDK NIH HHS R01 DK081842
6 · The paper itself

Abstract

Hypoxia and iron both regulate metabolism through multiple mechanisms, including hypoxia-inducible transcription factors. The hypoxic effects on glucose disposal and glycolysis are well established, but less is known about the effects of hypoxia and iron deficiency on hepatic gluconeogenesis. We therefore assessed their effects on hepatic glucose production in mice. Weanling C57BL/6 male mice were fed an iron-deficient (4 ppm) or iron-adequate (35 ppm) diet for 14 weeks and were continued in normoxia or exposed to hypoxia (8% O2) for the last 4 weeks of that period. Hypoxic mice became hypoglycemic and displayed impaired hepatic glucose production after a pyruvate challenge, an effect accentuated by an iron-deficient diet. Stabilization of hypoxia-inducible factors under hypoxia resulted in most glucose being converted into lactate and not oxidized. Hepatic pyruvate concentrations were lower in hypoxic mice. The decreased hepatic pyruvate levels were not caused by increased utilization but rather were contributed to by decreased metabolism from gluconeogenic amino acids. Pyruvate carboxylase, which catalyzes the first step of gluconeogenesis, was also downregulated by hypoxia with iron deficiency. Hypoxia, and more so hypoxia with iron deficiency, results in hypoglycemia due to decreased levels of hepatic pyruvate and decreased pyruvate utilization for gluconeogenesis. These data highlight the role of iron levels as an important determinant of glucose metabolism in hypoxia.

Indexed as

Iron DeficienciesAnimalsGluconeogenesisGlucoseHypoglycemiaHypoxiaIronLiverMaleMiceMice, Inbred C57BLPyruvic AcidGlucoseIronPyruvic Acid

Identifiers

PMID26993063
PMCPMC4878425
OpenAlexW2306189879

What OpenQuestion 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 OpenQuestion graph.