Evidence map›Paper›PMID 30089711›Full record

ArticleJCI insight2018

Pyruvate dehydrogenase complex stimulation promotes immunometabolic homeostasis and sepsis survival.

Charles E McCall, Manal Zabalawi, Tiefu Liu, Ayana Martin, David L Long, Nancy L Buechler, Rob J W Arts, Mihai Netea, Barbara K Yoza, Peter W Stacpoole and 1 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

42 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Sepsis and the immunometabolic inflammatory response.npj metabolic health and disease · 2026
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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

11 authors at 3 institutions in 2 countries.

Charles E McCallDepartment of Internal Medicine/Molecular Medicine and.
Manal ZabalawiDepartment of Internal Medicine/Molecular Medicine and.
Tiefu LiuDepartment of Internal Medicine/Molecular Medicine and.
Ayana MartinDepartment of Internal Medicine/Molecular Medicine and.
David L LongDepartment of Internal Medicine/Molecular Medicine and.
Nancy L BuechlerDepartment of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Rob J W ArtsDepartment in Internal Medicine and Radboud Center for Infectious Diseases, Radboud Medical Center, Nijmegen, Netherlands.
Mihai NeteaDepartment in Internal Medicine and Radboud Center for Infectious Diseases, Radboud Medical Center, Nijmegen, Netherlands.
Barbara K YozaDepartment of Surgery/General Surgery and Trauma, Wake Forest Medical School, Winston- Salem, North Carolina, USA.
Peter W StacpooleDepartment of Medicine, Division of Endocrinology, Diabetes & Metabolism, and Department of Biochemistry and Molecular Biology, University of Florida College of Medicine, Gainesville, Florida, USA.
Vidula VachharajaniDepartment of Internal Medicine/Molecular Medicine and.
Wake Forest University · USRadboud University Nijmegen · NLUniversity of Florida · US

Funding

Personalized dosing of dichloroacetate for the treatment of rare and common diseasesR42HD089804 · NICHD · MEDOSOME BIOTEC, LLC · PI STACPOOLE, PETER WALLACE · 2016 to 2022
$4.7M
NF-kB and Chromatin Changes in Human SepsisR01AI065791 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MCCALL, CHARLES EMORY · 2006 to 2015
$4.3M
Bioenergetic and Epigenetic Reprogramming by Obesity in SepsisR01GM099807 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI VACHHARAJANI, VIDULA · 2012 to 2020
$3.1M
Diversity Supplement to 2RO1 GM 099871R01GM099871 · NIGMS · UNIVERSITY OF FLORIDA · PI JAMES, MARGARET OLIVE, STACPOOLE, PETER WALLACE · 2012 to 2019
$2.7M
Epigenetics of Severe Systemic InflammationR01AI079144 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MCCALL, CHARLES EMORY · 2010 to 2014
$2.0M
Integrative Lipid Metabolism, Inflammation, and Chronic DiseasesT32HL091797 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PARKS, JOHN S · 2008 to 2017
$1.8M
Mitochondrial Biogenesis is Regulated by RelB During InflammationR01GM102497 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MCCALL, CHARLES EMORY · 2014 to 2017
$1.2M
European Research Council 310372FDA HHS R01 FD005407NHLBI NIH HHS T32 HL091797NIAID NIH HHS R01 AI065791NIAID NIH HHS R01 AI079144NICHD NIH HHS R42 HD089804NIGMS NIH HHS R01 GM099807NIGMS NIH HHS R01 GM099871NIGMS NIH HHS R01 GM102497
6 · The paper itself

Abstract

Limited understanding of the mechanisms responsible for life-threatening organ and immune failure hampers scientists' ability to design sepsis treatments. Pyruvate dehydrogenase kinase 1 (PDK1) is persistently expressed in immune-tolerant monocytes of septic mice and humans and deactivates mitochondrial pyruvate dehydrogenase complex (PDC), the gate-keeping enzyme for glucose oxidation. Here, we show that targeting PDK with its prototypic inhibitor dichloroacetate (DCA) reactivates PDC; increases mitochondrial oxidative bioenergetics in isolated hepatocytes and splenocytes; promotes vascular, immune, and organ homeostasis; accelerates bacterial clearance; and increases survival. These results indicate that the PDC/PDK axis is a druggable mitochondrial target for promoting immunometabolic and organ homeostasis during sepsis.

Indexed as

AnimalsCells, CulturedDichloroacetic AcidDisease Models, AnimalDrug Evaluation, PreclinicalEnergy MetabolismHomeostasisHumansKaplan-Meier EstimateMaleMiceMitochondriaMonocytesPrimary Cell CulturePyruvate Dehydrogenase Acetyl-Transferring KinasePyruvate Dehydrogenase ComplexDichloroacetic AcidPyruvate Dehydrogenase Acetyl-Transferring KinasePyruvate Dehydrogenase ComplexGlucose metabolismHomeostasisImmunologyInfectious diseaseMitochondria

Identifiers

PMID30089711
PMCPMC6129136
OpenAlexW2887523061

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.