Evidence map›Paper›PMID 33230252›Full record

Observational studyScientific reports2020

Insights in the regulation of trimetylamine N-oxide production using a comparative biomimetic approach suggest a metabolic switch in hibernating bears.

Thomas Ebert, Johanna Painer, Peter Bergman, Abdul Rashid Qureshi, Sylvain Giroud, Gabrielle Stalder, Karolina Kublickiene, Frank Göritz, Sebastian Vetter, Claudia Bieber and 7 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 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
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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
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  3. Harnessing Evolution and Biomimetics to Enhance Planetary Health: Kidney Insights.Journal of the American Society of Nephrology : JASN · 2025
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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

17 authors at 9 institutions in 6 countries.

Thomas EbertDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-1683-9276
Johanna PainerDepartment of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, Veterinary University Vienna, Savoyenstreet 1, 1160, Vienna, Austria.ORCID 0000-0003-3929-511X
Peter BergmanDivision of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-3306-3713
Abdul Rashid QureshiDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0536-5327
Sylvain GiroudDepartment of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, Veterinary University Vienna, Savoyenstreet 1, 1160, Vienna, Austria.ORCID 0000-0001-6621-7462
Gabrielle StalderDepartment of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, Veterinary University Vienna, Savoyenstreet 1, 1160, Vienna, Austria.
Karolina KublickieneDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Frank GöritzLeibniz Institute for Zoo and Wildlife Ecology, Berlin, Germany.ORCID 0000-0002-5353-7499
Sebastian VetterDepartment of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, Veterinary University Vienna, Savoyenstreet 1, 1160, Vienna, Austria.ORCID 0000-0001-5374-5872
Claudia BieberDepartment of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, Veterinary University Vienna, Savoyenstreet 1, 1160, Vienna, Austria.ORCID 0000-0001-8919-3117
Ole FröbertDepartment of Cardiology, Faculty of Health, Örebro University, Örebro, Sweden.ORCID 0000-0002-5846-345X
Jon M ArnemoDepartment of Forestry and Wildlife Management, Inland Norway University of Applied Sciences, Campus Evenstad, Koppang, Norway.ORCID 0000-0001-8577-896X
Andreas ZedrosserDepartment of Natural Sciences and Environmental Health, University of South-Eastern Norway, Bø i Telemark, Norway.ORCID 0000-0003-4417-3037
Irene RedtenbacherFour Paws International, Vienna, Austria.
Paul G ShielsWolfson Wohl Cancer Research Centre, Institute of Cancer Sciences, University of Glasgow, Glasgow, UK.
Richard J JohnsonDivision of Renal Diseases, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Peter StenvinkelDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. peter.stenvinkel@ki.se.ORCID 0000-0002-8785-4820
University of Veterinary Medicine Vienna · ATKarolinska Institutet · SEKarolinska University Hospital · SELeibniz Institute for Zoo and Wildlife Research · DEÖrebro University · SESwedish University of Agricultural Sciences · SEUniversity of Colorado Anschutz Medical Campus · USUniversity of Glasgow · GBUniversity of South-Eastern Norway · NO

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

Experimental studies suggest involvement of trimethylamine N-oxide (TMAO) in the aetiology of cardiometabolic diseases and chronic kidney disease (CKD), in part via metabolism of ingested food. Using a comparative biomimetic approach, we have investigated circulating levels of the gut metabolites betaine, choline, and TMAO in human CKD, across animal species as well as during hibernation in two animal species. Betaine, choline, and TMAO levels were associated with renal function in humans and differed significantly across animal species. Free-ranging brown bears showed a distinct regulation pattern with an increase in betaine (422%) and choline (18%) levels during hibernation, but exhibited undetectable levels of TMAO. Free-ranging brown bears had higher betaine, lower choline, and undetectable TMAO levels compared to captive brown bears. Endogenously produced betaine may protect bears and garden dormice during the vulnerable hibernating period. Carnivorous eating habits are linked to TMAO levels in the animal kingdom. Captivity may alter the microbiota and cause a subsequent increase of TMAO production. Since free-ranging bears seems to turn on a metabolic switch that shunts choline to generate betaine instead of TMAO, characterisation and understanding of such an adaptive switch could hold clues for novel treatment options in burden of lifestyle diseases, such as CKD.

Indexed as

AdultAgedAged, 80 and overAnimalsBetaineBiomimeticsCardiovascular DiseasesCholineFemaleGastrointestinal MicrobiomeHibernationHumansLionsMaleMethylaminesMiddle AgedBetaineCholineMethylaminestrimethyloxamine

Identifiers

PMID33230252
PMCPMC7684304
OpenAlexW3109080029

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.