Evidence map›Paper›PMID 33805856›Full record

ReviewInternational journal of molecular sciences2021

The 'Jekyll and Hyde' of Gluconeogenesis: Early Life Adversity, Later Life Stress, and Metabolic Disturbances.

Snehaa V Seal, Jonathan D Turner

Open 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. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Glucose as a Biomarker for Stress in Firefighters.Journal of occupational and environmental medicine · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Physiological Effect of Gentle Stroking in Lambs.Animals : an open access journal from MDPI · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
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

2 authors at 2 institutions in 1 country.

Snehaa V SealImmune Endocrine and Epigenetics Research Group, Department of Infection and Immunity, Luxembourg Institute of Health (LIH), L-4354 Esch-sur-Alzette, Luxembourg.ORCID 0000-0002-9297-4616
Jonathan D TurnerImmune Endocrine and Epigenetics Research Group, Department of Infection and Immunity, Luxembourg Institute of Health (LIH), L-4354 Esch-sur-Alzette, Luxembourg.ORCID 0000-0002-2760-1071
Luxembourg Institute of Health · LUUniversity of Luxembourg · LU

Funding

European Cooperation in Science and Technology CA18211Fonds National de la Recherche Luxembourg C12/BM/3985792 'EpiPath'Fonds National de la Recherche Luxembourg C19/SC/13650569, "ALAC"Fonds National de la Recherche Luxembourg FNR-CORE C16/BM/11342695 'MetCOEPs'Fonds National de la Recherche Luxembourg INTER/ANR/16/11568350 'MADAM'
6 · The paper itself

Abstract

The physiological response to a psychological stressor broadly impacts energy metabolism. Inversely, changes in energy availability affect the physiological response to the stressor in terms of hypothalamus, pituitary adrenal axis (HPA), and sympathetic nervous system activation. Glucocorticoids, the endpoint of the HPA axis, are critical checkpoints in endocrine control of energy homeostasis and have been linked to metabolic diseases including obesity, insulin resistance, and type 2 diabetes. Glucocorticoids, through the glucocorticoid receptor, activate transcription of genes associated with glucose and lipid regulatory pathways and thereby control both physiological and pathophysiological systemic energy homeostasis. Here, we summarize the current knowledge of glucocorticoid functions in energy metabolism and systemic metabolic dysfunction, particularly focusing on glucose and lipid metabolism. There are elements in the external environment that induce lifelong changes in the HPA axis stress response and glucocorticoid levels, and the most prominent are early life adversity, or exposure to traumatic stress. We hypothesise that when the HPA axis is so disturbed after early life adversity, it will fundamentally alter hepatic gluconeogenesis, inducing hyperglycaemia, and hence crystalise the significant lifelong risk of developing either the metabolic syndrome, or type 2 diabetes. This gives a "Jekyll and Hyde" role to gluconeogenesis, providing the necessary energy in situations of acute stress, but driving towards pathophysiological consequences when the HPA axis has been altered.

Indexed as

GluconeogenesisStress, PhysiologicalAdverse Childhood ExperiencesAnimalsBlood GlucoseDiabetes Mellitus, Type 2Energy MetabolismGlucocorticoidsHomeostasisHumansHypothalamo-Hypophyseal SystemInsulinInsulin ResistanceLipid MetabolismMetabolic SyndromePituitary-Adrenal SystemBlood GlucoseGlucocorticoidsInsulinacute stressageingchronic stressdevelopmental origins of health and diseaseearly life adversitygluconeogenesisglucoseglycogenhypothalamus-pituitary-adrenal axisimmuno-senescenceinflamm-ageingpsychosocial stress

Identifiers

PMID33805856
PMCPMC8037741
OpenAlexW3147229165

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.