Evidence map›Paper›PMID 33017906›Full record

ArticleMedical hypotheses2020

Exercise as medicine for COVID-19: On PPAR with emerging pharmacotherapy.

Kevin S Heffernan, Sushant M Ranadive, Sae Young Jae

Open access · greenAbstract read
In one paragraph

Article in Medical hypotheses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  5. Review
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  7. Fenofibrate for COVID-19 and related complications as an approach to improve treatment outcomes: the missed key for Holy Grail.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Review
  8. Review
  9. Review
  10. Article
  11. Cutting edge concepts: Does bilirubin enhance exercise performance?Frontiers in sports and active living · 2022
    Review
  12. Irisin, Exercise, and COVID-19.Frontiers in endocrinology · 2022
    Review
  13. Hypertension and its management in COVID-19 patients: The assorted view.International journal of cardiology. Cardiovascular risk and prevention · 2021
    Review
  14. The Role of PPAR Alpha in the Modulation of Innate Immunity.International journal of molecular sciences · 2021
    Review
  15. Article
  16. Review
  17. Review
  18. COVID-19: A Challenge to Physiology of Aging.Frontiers in physiology · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Kevin S HeffernanDepartment of Exercise Science, Syracuse University, Syracuse, NY, USA. Electronic address: ksheffer@syr.edu.
Sushant M RanadiveDepartment of Kinesiology, University of Maryland, Maryland, USA.
Sae Young JaeDepartment of Sports Sciences, University of Seoul, Seoul, South Korea.
Syracuse University · USUniversity of Maryland, College Park · USUniversity of Seoul · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) may have a metabolic origin given strong links with risk factors such as lipids and glucose and co-morbidities such as obesity and type 2 diabetes mellitus. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein mediates viral cellular entry via the ACE2 receptor. The cytoplasmic tail of this spike protein is heavily palmitoylated. Emerging studies suggest that SARS-CoV-2 alters lipid metabolism in the lung epithelial cells by modulating peroxisome proliferator-activated receptor alpha (PPARα), possibly contributing to lipotoxicity, inflammation and untoward respiratory effects. Disruption of this process may affect palmitoylation of SARS-CoV spike protein and thus infectivity and viral assembly. COVID-19 is also increasingly being recognized as a vascular disease, with several studies noting prominent systemic endothelial dysfunction. The pathogenesis of endothelial dysfunction may also be linked to COVID-19-mediated metabolic and inflammatory effects. Herein, exercise will be compared to fenofibrate as a possible therapeutic strategy to bolster resilience against (and help manage recovery from) COVID-19. This paper will explore the hypothesis that exercise may be a useful adjuvant in a setting of COVID-19 management/rehabilitation due to its effects on PPARα and vascular endothelial function.

Indexed as

BetacoronavirusComorbidityCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentCytoplasmDiabetes Mellitus, Type 2ExerciseExercise TherapyFenofibrateHumansInflammationLipid MetabolismLipoylationLungObesityFenofibratePPAR alphaSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19EndotheliumExercisePPARαVascular

Identifiers

PMID33017906
PMCPMC7430295
OpenAlexW3049217786

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.