Evidence map›Paper›PMID 32814718›Full record

ArticleJCI insight2020

Kynurenines link chronic inflammation to functional decline and physical frailty.

Reyhan Westbrook, Tae Chung, Jacqueline Lovett, Chris Ward, Humberto Joca, Huanle Yang, Mohammed Khadeer, Jing Tian, Qian-Li Xue, Anne Le and 6 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
2.7field-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

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. A Comprehensive Review of Geriatric Syndromes and Assessment in Older Adults With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Pooled it
  2. Serum Concentrations of Losartan Metabolites Correlate With Improved Physical Function in a Pilot Study of Prefrail Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Trial
  3. Article
  4. Review
  5. Heme Metabolism-Derived Carbon Monoxide Regulates Skeletal Muscle Function.Journal of cachexia, sarcopenia and muscle · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Elevating Circulating L-Kynurenine Promotes Frailty in Aging Mice.Journal of cachexia, sarcopenia and muscle · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

5 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

16 authors at 5 institutions in 3 countries.

Reyhan WestbrookDivision of Geriatric Medicine and Gerontology.
Tae ChungDepartment of Physical Medicine and Rehabilitation, and.
Jacqueline LovettNational Institute on Aging, NIH, Baltimore, Maryland, USA.
Chris WardDepartment of Orthopedics and Biomedical Engineering and Technology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Humberto JocaDepartment of Orthopedics and Biomedical Engineering and Technology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Huanle YangDivision of Geriatric Medicine and Gerontology.
Mohammed KhadeerNational Institute on Aging, NIH, Baltimore, Maryland, USA.
Jing TianDivision of Geriatric Medicine and Gerontology.
Qian-Li XueDivision of Geriatric Medicine and Gerontology.
Anne LeDepartment of Oncology and.
Luigi FerrucciNational Institute on Aging, NIH, Baltimore, Maryland, USA.
Ruin MoaddelNational Institute on Aging, NIH, Baltimore, Maryland, USA.
Rafa de CaboNational Institute on Aging, NIH, Baltimore, Maryland, USA.
Ahmet HokeDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jeremy WalstonDivision of Geriatric Medicine and Gerontology.
Peter M AbadirDivision of Geriatric Medicine and Gerontology.
National Center for Geriatrics and Gerontology · JPNational Institute on Aging · USJohns Hopkins University · USUniversity of Maryland, Baltimore · USKyung Hee University · KR

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI Stephen L. Seliger · 2006 to 2026
$28.9M
Microtubule Regulated Mechanotransduction in Skeletal MuscleR01AR071618 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI WARD, CHRISTOPHER WILLIAM · 2017 to 2021
$2.6M
Age Related Change in Mitochondrial Angiotensin System and Mitochondrial DeclineR01AG046441 · NIA · JOHNS HOPKINS UNIVERSITY · PI ABADIR, PETER M. · 2014 to 2018
$2.3M
Alteration of kynurenine pathway in age-associated muscle weaknessK08AG058483 · NIA · JOHNS HOPKINS UNIVERSITY · PI CHUNG, TAE HWAN · 2018 to 2022
$854k
AGE RELATED CHANGE IN ANGIOTENSIN RECEPTORS AND ITS ROLE IN CHRONIC INFLAMMATIONK23AG035005 · NIA · JOHNS HOPKINS UNIVERSITY · PI ABADIR, PETER M. · 2010 to 2014
$807k
NIAMS NIH HHS R01 AR071618NIA NIH HHS K08 AG058483NIA NIH HHS K23 AG035005NIA NIH HHS P30 AG021334NIA NIH HHS P30 AG028747NIA NIH HHS R01 AG046441
6 · The paper itself

Abstract

Chronic inflammation is associated with physical frailty and functional decline in older adults; however, the molecular mechanisms of this linkage are not understood. A mouse model of chronic inflammation showed reduced motor function and partial denervation at the neuromuscular junction. Metabolomic profiling of these mice and further validation in frail human subjects showed significant dysregulation in the tryptophan degradation pathway, including decreased tryptophan and serotonin, and increased levels of some neurotoxic kynurenines. In humans, kynurenine strongly correlated with age, frailty status, TNF-αR1 and IL-6, weaker grip strength, and slower walking speed. To study the effects of elevated neurotoxic kynurenines on motor neuronal cell viability and axonal degeneration, we used motor neuronal cells treated with 3-hydroxykynurenine and quinolinic acid and observed neurite degeneration in a dose-dependent manner and potentiation of toxicity between 3-hydroxykynurenine and quinolinic acid. These results suggest that kynurenines mediate neuromuscular dysfunction associated with chronic inflammation and aging.

Indexed as

AdultAgedAged, 80 and overAnimalsArginineChronic DiseaseCytokinesDisease Models, AnimalFemaleFrail ElderlyHumansInflammationInterleukin-10KynurenineMaleMice, Inbred C57BLArginineCytokinesIL10 protein, mouseInterleukin-10KynurenineSerotoninTryptophanAgingCytokinesInflammationNeurodegeneration

Identifiers

PMID32814718
PMCPMC7455140
OpenAlexW3072274761

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.