Evidence map›Paper›PMID 30069806›Full record

ArticleIntensive care medicine experimental2018

Bioenergetic bypass using cell-permeable succinate, but not methylene blue, attenuates metformin-induced lactate production.

Sarah Piel, Johannes K Ehinger, Imen Chamkha, Eleonor Åsander Frostner, Fredrik Sjövall, Eskil Elmér, Magnus J Hansson

Open access · goldAbstract read
In one paragraph

Article in Intensive care medicine experimental, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Focally administered succinate improves cerebral metabolism in traumatic brain injury patients with mitochondrial dysfunction.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Trial
  2. Article
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  5. Cell-Free DNA as a Biomarker in a Rodent Model of Chlorpyrifos Poisoning Causing Mitochondrial Dysfunction.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  6. Article
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  8. Impairment of Mitochondrial Respiration in Metabolic Diseases: An Overview.International journal of molecular sciences · 2022
    Review
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  13. αInternational journal of molecular sciences · 2020
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  14. Review
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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 1 institution in 1 country.

Sarah PielDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden. sarah.piel@med.lu.se.ORCID http://orcid.org/0000-0002-1779-3532
Johannes K EhingerDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden.
Imen ChamkhaDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden.
Eleonor Åsander FrostnerDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden.
Fredrik SjövallDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden.
Eskil ElmérDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden.
Magnus J HanssonDepartment of Clinical Sciences Lund, Mitochondrial Medicine, Lund University, BMC A13, 22184, Lund, Sweden.
Lund University · SE

Funding

Regional research and development grants (Southern healthcare region, Sweden) 170083Swedish government project and salary funding for clinically oriented medical research (ALF-grants) F 2014/354The Crafoord Foundation 2017-0776The Royal Physiographic Society in Lund 20141112
6 · The paper itself

Abstract

backgroundMetformin is the most common pharmacological treatment for type 2 diabetes. It is considered safe but has been associated with the development of lactic acidosis under circumstances where plasma concentrations exceed therapeutic levels. Metformin-induced lactic acidosis has been linked to the drug's toxic effect on mitochondrial function. Current treatment strategies aim to remove the drug and correct for the acidosis. With a mortality of 20%, complementary treatment strategies are needed. In this study, it was investigated whether targeting mitochondria with pharmacological agents that bypass metformin-induced mitochondrial dysfunction can counteract the energetic deficit linked to toxic doses of metformin.

methodsThe redox agent methylene blue and the cell-permeable succinate prodrug NV118 were evaluated by measuring mitochondrial respiration and lactate production of human platelets exposed to metformin and co-treated with either of the two pharmacological bypass agents.

resultsThe cell-permeable succinate prodrug NV118 increased mitochondrial respiration which was linked to phosphorylation by the ATP-synthase and alleviated the increase in lactate production induced by toxic doses of metformin. The redox agent methylene blue, in contrast, failed to mitigate the metformin-induced changes in mitochondrial respiration and lactate generation.

conclusionsThe cell-permeable succinate prodrug NV118 bypassed the mitochondrial dysfunction and counteracted the energy deficit associated with toxic doses of metformin. If similar effects of NV118 prove translatable to an in vivo effect, this pharmacological strategy presents as a promising complementary treatment for patients with metformin-induced lactic acidosis.

Indexed as

Cell-permeable succinateHuman plateletsLactic acidosisMetforminMethylene blueMitochondrial respirationMitochondrial toxicity

Identifiers

PMID30069806
PMCPMC6070446
OpenAlexW2885500872

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.