Evidence map›Paper›PMID 34732698›Full record

ArticleCell death & disease2021

Fasting promotes acute hypoxic adaptation by suppressing mTOR-mediated pathways.

Ruzhou Zhao, Xingcheng Zhao, Xiaobo Wang, Yanqi Liu, Jie Yang, Shuai Jiang, Xiang Zhou, Bo Jiao, Lin Zhang, Yong Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  3. Fasting Enhances Cardiomyocyte Hypoxia Tolerance by Regulating CaInternational journal of molecular sciences · 2026
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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

11 authors at 1 institution in 1 country.

Ruzhou Zhao *Department of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Xingcheng Zhao *Department of Aerospace Physiology, Air Force Medical University, Xi'an, China.ORCID 0000-0002-8899-7196
Xiaobo Wang *Department of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Yanqi LiuDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Jie YangDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Shuai JiangDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Xiang ZhouDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Bo JiaoDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Lin ZhangDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China.
Yong LiuDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China. lyongaerosp@163.com.ORCID 0000-0001-6761-3344
Zhibin YuDepartment of Aerospace Physiology, Air Force Medical University, Xi'an, China. yuzbfmmu@126.com.ORCID 0000-0001-5357-9288
Air Force Engineering University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid adaptation to a hypoxic environment is an unanswered question that we are committed to exploring. At present, there is no suitable strategy to achieve rapid hypoxic adaptation. Here, we demonstrate that fasting preconditioning for 72 h reduces tissue injuries and maintains cardiac function, consequently significantly improving the survival rates of rats under extreme hypoxia, and this strategy can be used for rapid hypoxic adaptation. Mechanistically, fasting reduces blood glucose and further suppresses tissue mTOR activity. On the one hand, fasting-induced mTOR inhibition reduces unnecessary ATP consumption and increases ATP reserves under acute hypoxia as a result of decreased protein synthesis and lipogenesis; on the other hand, fasting-induced mTOR inhibition improves mitochondrial oxygen utilization efficiency to ensure ATP production under acute hypoxia, which is due to the significant decrease in ROS generation induced by enhanced mitophagy. Our findings highlight the important role of mTOR in acute hypoxic adaptation, and targeted regulation of mTOR could be a new strategy to improve acute hypoxic tolerance in the body.

Indexed as

Adaptation, PhysiologicalSignal TransductionAcute DiseaseAdenosine TriphosphateAnimalsFastingGene Knockdown TechniquesHypoxiaLipogenesisMaleMembrane ProteinsMitochondriaMitochondrial ProteinsMitophagyModels, BiologicalMyocardiumAdenosine TriphosphateBNIP3 protein, ratMembrane ProteinsMitochondrial ProteinsOxygenReactive Oxygen SpeciesTOR Serine-Threonine Kinases

Identifiers

PMID34732698
PMCPMC8566556
OpenAlexW3208218419

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.