Evidence map›Paper›PMID 30837873›Full record

ArticleFrontiers in pharmacology2019

Shortage of Cellular ATP as a Cause of Diseases and Strategies to Enhance ATP.

Todd A Johnson, H A Jinnah, Naoyuki Kamatani

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07170475 (A Phase Ib Trial of Combined Febuxostat and Inosine Therapy in Patients With Parkinson's Disease), which is not on this map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
6.2field-weighted citation impact, top 3% 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.

NCT07170475 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase Ib Trial of Combined Febuxostat and Inosine Therapy in Patients With Parkinson's Disease

TypeinterventionalSponsorFujita Health UniversityRan2025 to 2026Enrolled24ConditionsParkinson's Disease (PD)ArmsFebuxostat, Inosine
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 157 citations in OpenAlex.

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  9. COScientific reports · 2025
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  17. A Novel 5-Chloro-Molecules (Basel, Switzerland) · 2024
    Article
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  19. Review
  20. Article

17 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 2 countries.

Todd A JohnsonStaGen Co., Ltd., Tokyo, Japan.
H A JinnahDepartments of Neurology and Human Genetics, Emory University School of Medicine, Atlanta, GA, United States.
Naoyuki KamataniStaGen Co., Ltd., Tokyo, Japan.
StaGen (Japan) · JPEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Germline mutations in cellular-energy associated genes have been shown to lead to various monogenic disorders. Notably, mitochondrial disorders often impact skeletal muscle, brain, liver, heart, and kidneys, which are the body's top energy-consuming organs. However, energy-related dysfunctions have not been widely seen as causes of common diseases, although evidence points to such a link for certain disorders. During acute energy consumption, like extreme exercise, cells increase the favorability of the adenylate kinase reaction 2-ADP -> ATP+AMP by AMP deaminase degrading AMP to IMP, which further degrades to inosine and then to purines hypoxanthine -> xanthine -> urate. Thus, increased blood urate levels may act as a barometer of extreme energy consumption. AMP deaminase deficient subjects experience some negative effects like decreased muscle power output, but also positive effects such as decreased diabetes and improved prognosis for chronic heart failure patients. That may reflect decreased energy consumption from maintaining the pool of IMP for salvage to AMP and then ATP, since

Indexed as

adenosine triphosphatecardiovascular diseasescellular energeticsCNS diseaseshypoxanthine (PubChem COD: 790)inosine (PubChem CID: 6021)purinesxanthine oxidoreductase inhibitors

Identifiers

PMID30837873
PMCPMC6390775
OpenAlexW2917087571

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.