Evidence map›Paper›PMID 33804088›Full record

ReviewInternational journal of molecular sciences2021

Tryptophan Metabolism and Gut-Brain Homeostasis.

William Roth, Kimia Zadeh, Rushi Vekariya, Yong Ge, Mansour Mohamadzadeh

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07764328 (A Randomized, Double-blind, Placebo-controlled Study Evaluating the Impact of Milamend on Quality of Life and Hormonal Health in Women With Self-Reported Symptoms Associated With Polycystic Ovary Syndrome), which is not on this map. Cited by 276 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
276citing papers in PubMed, 3 pooled it
19.2field-weighted citation impact, top 1% 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.

NCT07764328 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Randomized, Double-blind, Placebo-controlled Study Evaluating the Impact of Milamend on Quality of Life and Hormonal Health in Women With Self-Reported Symptoms Associated With Polycystic Ovary Syndrome (PCOS)

TypeinterventionalSponsorMila Mend Inc.Ran2025 to 2026Enrolled225ConditionsPolycystic Ovarian Syndrome (PCOS)ArmsA dietary supplement powder for women, Placebo
3 · Its place in the literature

Who cites it

276 citing papers in PubMed, 3 syntheses or guidelines pooled it, 456 citations in OpenAlex.

  1. Pooled it
  2. The Impact ofCurrent neuropharmacology · 2025
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216 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

5 authors at 1 institution in 1 country.

William RothDepartment of Neurology, University of Florida, Gainesville, FL 32608, USA.ORCID 0000-0003-2451-9221
Kimia ZadehDepartment of Infectious Diseases & Immunology, University of Florida, Gainesville, FL 32608, USA.
Rushi VekariyaDepartment of Infectious Diseases & Immunology, University of Florida, Gainesville, FL 32608, USA.ORCID 0000-0003-0161-9721
Yong GeDepartment of Infectious Diseases & Immunology, University of Florida, Gainesville, FL 32608, USA.
Mansour MohamadzadehDepartment of Infectious Diseases & Immunology, University of Florida, Gainesville, FL 32608, USA.
University of Florida · US

Funding

NIH HHS DK109560CNIH HHS R01AI154630-01
6 · The paper itself

Abstract

Tryptophan is an essential amino acid critical for protein synthesis in humans that has emerged as a key player in the microbiota-gut-brain axis. It is the only precursor for the neurotransmitter serotonin, which is vital for the processing of emotional regulation, hunger, sleep, and pain, as well as colonic motility and secretory activity in the gut. Tryptophan catabolites from the kynurenine degradation pathway also modulate neural activity and are active in the systemic inflammatory cascade. Additionally, tryptophan and its metabolites support the development of the central and enteric nervous systems. Accordingly, dysregulation of tryptophan metabolites plays a central role in the pathogenesis of many neurologic and psychiatric disorders. Gut microbes influence tryptophan metabolism directly and indirectly, with corresponding changes in behavior and cognition. The gut microbiome has thus garnered much attention as a therapeutic target for both neurologic and psychiatric disorders where tryptophan and its metabolites play a prominent role. In this review, we will touch upon some of these features and their involvement in health and disease.

Indexed as

BrainColonEnteric Nervous SystemGastrointestinal MicrobiomeHomeostasisHumansHungerKynureninePainSerotoninSleepTryptophanKynurenineSerotoninTryptophananxietycerebrovascular diseasedepressiongut microbiotainflammationinflammatory bowel diseasekynurenic acidkynureninequinolinic acidserotonintryptophan

Identifiers

PMID33804088
PMCPMC8000752
OpenAlexW3137164735

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.