Evidence map›Paper›PMID 34087430›Full record

ArticleFree radical biology & medicine2021

Ketogenesis alleviates TNFα-induced apoptosis and inflammatory responses in intestinal cells.

Ji Tae Kim, Dana L Napier, Jinhwan Kim, Chang Li, Eun Y Lee, Heidi L Weiss, Qingding Wang, B Mark Evers

Open access · greenAbstract read
In one paragraph

Article in Free radical biology & medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
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  5. The Interplay between the Gut and Ketogenic Diets in Health and Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
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  16. Review
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  19. The Ketogenic Diet in Colorectal Cancer: A Means to an End.International journal of molecular sciences · 2023
    Review
  20. Article
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

8 authors at 2 institutions in 1 country.

Ji Tae KimMarkey Cancer Center, Lexington, KY, 40536, USA.
Dana L NapierMarkey Cancer Center, Lexington, KY, 40536, USA.
Jinhwan KimMarkey Cancer Center, Lexington, KY, 40536, USA.
Chang LiMarkey Cancer Center, Lexington, KY, 40536, USA.
Eun Y LeeDepartment of Pathology and Laboratory Medicine, Department of Surgery, Lexington, KY, 40536, USA.
Heidi L WeissMarkey Cancer Center, Lexington, KY, 40536, USA.
Qingding WangMarkey Cancer Center, Lexington, KY, 40536, USA; Department of Surgery, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: qingding.wang@uky.edu.
B Mark EversMarkey Cancer Center, Lexington, KY, 40536, USA; Department of Surgery, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: mark.evers@uky.edu.
Markey Cancer Center · USUniversity of Kentucky · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Bernard Mark Evers · 2013 to 2026
$38.3M
SURGICAL STUDIES OF FUNCTIONAL GENE EXPRESSIONR01DK048498 · NIDDK · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI EVERS, BERNARD MARK · 1996 to 2023
$7.9M
NCI NIH HHS P30 CA177558NIDDK NIH HHS R01 DK048498
6 · The paper itself

Abstract

The disturbance of strictly regulated self-regeneration in mammalian intestinal epithelium is associated with various intestinal disorders, particularly inflammatory bowel diseases (IBDs). TNFα, which plays a critical role in the pathogenesis of IBDs, has been reported to inhibit production of ketone bodies such as β-hydroxybutyrate (βHB). However, the role of ketogenesis in the TNFα-mediated pathological process is not entirely known. Here, we showed the regulation and role of HMGCS2, the rate-limiting enzyme of ketogenesis, in TNFα-induced apoptotic and inflammatory responses in intestinal epithelial cells. Treatment with TNFα dose-dependently decreased protein and mRNA expression of HMGCS2 and its product, βHB production in human colon cancer cell lines HT29 and Caco2 cells and mouse small intestinal organoids. Moreover, the repressed level of HMGCS2 protein was found in intestinal epithelium of IBD patients with Crohn's disease and ulcerative colitis as compared with normal tissues. Furthermore, knockdown of HMGCS2 enhanced and in contrast, HMGCS2 overexpression attenuated, the TNFα-induced apoptosis and expression of pro-inflammatory chemokines (CXCL1-3) in HT29, Caco2 cells and DLD1 cells, respectively. Treatment with βHB or rosiglitazone, an agonist of PPARγ, which increases ketogenesis, attenuated TNFα-induced apoptosis in the intestinal epithelial cells. Finally, HMGCS2 knockdown enhanced TNFα-induced reactive oxygen species (ROS) generation. In addition, hydrogen peroxide, the major ROS contributing to intestine injury, decreased HMGCS2 expression and βHB production in the intestinal cells and mouse organoids. Our findings demonstrate that increased ketogenesis attenuates TNFα-induced apoptosis and inflammation in intestinal cells, suggesting a protective role for ketogenesis in TNFα-induced intestinal pathologies.

Indexed as

Hydroxymethylglutaryl-CoA SynthaseTumor Necrosis Factor-alphaAnimalsApoptosisCaco-2 CellsHumansIntestinal MucosaKetone BodiesMiceHydroxymethylglutaryl-CoA SynthaseKetone BodiesTumor Necrosis Factor-alphaColorectal cancerCrohn's diseaseHMGCS2Inflammatory bowel diseaseIntestinal cellsKetogenesisTNFαUlcerative colitis

Identifiers

PMID34087430
PMCPMC8355065
OpenAlexW3164179147

What OpenQuestion holds

Textmetadata
LicenceTDM
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.