Evidence map›Paper›PMID 31402314›Full record

ArticleCell metabolism2019

Leigh Syndrome Mouse Model Can Be Rescued by Interventions that Normalize Brain Hyperoxia, but Not HIF Activation.

Isha H Jain, Luca Zazzeron, Olga Goldberger, Eizo Marutani, Gregory R Wojtkiewicz, Tslil Ast, Hong Wang, Grigorij Schleifer, Anna Stepanova, Kathleen Brepoels and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
5.2field-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.

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

84 citing papers in PubMed, 123 citations in OpenAlex.

  1. Review
  2. A second-generation "hypoxia in a pill" rescues neurodegenerative phenotypes across distinct mouse models.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Mitochondrial complex I deficiency-associated diseases and models.Cellular and molecular life sciences : CMLS · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Mechanisms underlying end-organ injury in sleep apnoea.The European respiratory journal · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Ndufs4GeroScience · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Therapies for Mitochondrial Disease: Past, Present, and Future.Journal of inherited metabolic disease · 2025
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Isha H JainDepartment of Molecular Biology and Howard Hughes Medical Institute, Massachusetts General Hospital, Boston, MA, USA; Department of Systems Biology, Harvard Medical School, Boston, MA, USA; Broad Institute of Harvard and MIT, Cambridge, MA, USA.
Luca ZazzeronDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
Olga GoldbergerDepartment of Molecular Biology and Howard Hughes Medical Institute, Massachusetts General Hospital, Boston, MA, USA; Department of Systems Biology, Harvard Medical School, Boston, MA, USA; Broad Institute of Harvard and MIT, Cambridge, MA, USA.
Eizo MarutaniDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
Gregory R WojtkiewiczCenter for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Tslil AstDepartment of Molecular Biology and Howard Hughes Medical Institute, Massachusetts General Hospital, Boston, MA, USA; Department of Systems Biology, Harvard Medical School, Boston, MA, USA; Broad Institute of Harvard and MIT, Cambridge, MA, USA.
Hong WangDepartment of Molecular Biology and Howard Hughes Medical Institute, Massachusetts General Hospital, Boston, MA, USA; Department of Systems Biology, Harvard Medical School, Boston, MA, USA; Broad Institute of Harvard and MIT, Cambridge, MA, USA.
Grigorij SchleiferDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
Anna StepanovaDepartment of Pediatrics, Division of Neonatology, Columbia University, New York, NY, USA.
Kathleen BrepoelsLaboratory of Angiogenesis and Vascular Metabolism, VIB-KU Leuven, Center for Cancer Biology, Leuven, Belgium; Laboratory of Angiogenesis and Vascular Metabolism, Department of Oncology and Leuven Cancer Institute (LKI), KU Leuven, Leuven, Belgium.
Luc SchoonjansLaboratory of Angiogenesis and Vascular Metabolism, VIB-KU Leuven, Center for Cancer Biology, Leuven, Belgium; Laboratory of Angiogenesis and Vascular Metabolism, Department of Oncology and Leuven Cancer Institute (LKI), KU Leuven, Leuven, Belgium.
Peter CarmelietLaboratory of Angiogenesis and Vascular Metabolism, VIB-KU Leuven, Center for Cancer Biology, Leuven, Belgium; Laboratory of Angiogenesis and Vascular Metabolism, Department of Oncology and Leuven Cancer Institute (LKI), KU Leuven, Leuven, Belgium.
Alexander GalkinDepartment of Pediatrics, Division of Neonatology, Columbia University, New York, NY, USA.
Fumito IchinoseDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
Warren M ZapolDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA. Electronic address: wzapol@mgh.harvard.edu.
Vamsi K MoothaDepartment of Molecular Biology and Howard Hughes Medical Institute, Massachusetts General Hospital, Boston, MA, USA; Department of Systems Biology, Harvard Medical School, Boston, MA, USA; Broad Institute of Harvard and MIT, Cambridge, MA, USA. Electronic address: vamsi@hms.harvard.edu.
Broad Institute · USMassachusetts General Hospital · USVIB-KU Leuven Center for Cancer Biology · BEColumbia University · USHarvard University · US

Funding

Mitochondrial complex-I as a target for metabolic resuscitation in perinatal hypoxic-ischemic brain injuryR01NS100850 · NINDS · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI TEN, VADIM S · 2017 to 2021
$2.0M
TSE Systems Phenomaster Indirect Calorimetry ApparatusS10OD020112 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI AVRUCH, JOSEPH · 2015 to 2015
$300k
Medical Research Council MR/L007339/1NIH HHS S10 OD020112NINDS NIH HHS R01 NS100850
6 · The paper itself

Abstract

Leigh syndrome is a devastating mitochondrial disease for which there are no proven therapies. We previously showed that breathing chronic, continuous hypoxia can prevent and even reverse neurological disease in the Ndufs4 knockout (KO) mouse model of complex I (CI) deficiency and Leigh syndrome. Here, we show that genetic activation of the hypoxia-inducible factor transcriptional program via any of four different strategies is insufficient to rescue disease. Rather, we observe an age-dependent decline in whole-body oxygen consumption. These mice exhibit brain tissue hyperoxia, which is normalized by hypoxic breathing. Alternative experimental strategies to reduce oxygen delivery, including breathing carbon monoxide (600 ppm in air) or severe anemia, can reverse neurological disease. Therefore, unused oxygen is the most likely culprit in the pathology of this disease. While pharmacologic activation of the hypoxia response is unlikely to alleviate disease in vivo, interventions that safely normalize brain tissue hyperoxia may hold therapeutic potential.

Indexed as

AnemiaAnimalsBasic Helix-Loop-Helix ProteinsBrainCarbon MonoxideDisease Models, AnimalEndothelial PAS Domain-Containing Protein 1HyperoxiaHypoxiaHypoxia-Inducible Factor 1Leigh DiseaseMiceOxygenBasic Helix-Loop-Helix ProteinsCarbon MonoxideEndothelial PAS Domain-Containing Protein 1Hypoxia-Inducible Factor 1Oxygenanemiacarbon monoxidehemoglobinhyperoxiahypoxiaLeigh syndromemitochondriaoxygentherapy

Identifiers

PMID31402314
PMCPMC6903907
OpenAlexW2968234143

What OpenQuestion holds

Textmetadata
LicenceTDM
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.