Evidence map›Paper›PMID 35986508›Full record

Trial reportPhysiological reports2022

Investigating effects of sodium beta-hydroxybutyrate on metabolism in placebo-controlled, bilaterally infused human leg with focus on skeletal muscle protein dynamics.

Henrik Holm Thomsen, Jonas Franck Olesen, Rasmus Aagaard, Bent Roni Ranghøj Nielsen, Thomas Schmidt Voss, Mads Vandsted Svart, Mogens Johannsen, Niels Jessen, Jens Otto L Jørgensen, Nikolaj Rittig and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physiological reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 47% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. 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

12 authors at 4 institutions in 1 country.

Henrik Holm ThomsenDepartment of Internal Medicine, Clinic for Diabetes and Endocrinology, Viborg Regional Hospital, Viborg, Denmark.ORCID 0000-0003-0522-0320
Jonas Franck OlesenDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.
Rasmus AagaardDepartment of Anesthesiology, Randers Regional Hospital, Randers, Denmark.ORCID 0000-0001-5342-2459
Bent Roni Ranghøj NielsenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-9228-3869
Thomas Schmidt VossSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0003-3822-2111
Mads Vandsted SvartDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-9574-0612
Mogens JohannsenDepartment of Forensic Medicine, Bioanalytical Unit, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-2548-7025
Niels JessenDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-5613-7274
Jens Otto L JørgensenDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-7408-1526
Nikolaj RittigDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-9938-2181
Ermina BachDepartment of Internal Medicine, Clinic for Diabetes and Endocrinology, Viborg Regional Hospital, Viborg, Denmark.ORCID 0000-0002-7649-5658
Niels MøllerDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-5627-7322
Steno Diabetes Centers · DKAarhus University Hospital · DKAarhus University · DKRegional Hospital Randers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic administration of beta-hydroxybutyrate (BHB) decreases whole-body protein oxidation and muscle protein breakdown in humans. We aimed to determine any direct effect of BHB on skeletal muscle protein turnover when administered locally in the femoral artery. Paired design with each subject being investigated on one single occasion with one leg being infused with BHB and the opposing leg acting as a control. We studied 10 healthy male volunteers once with bilateral femoral vein and artery catheters. One artery was perfused with saline (Placebo) and one with sodium-BHB. Labelled phenylalanine and palmitate were used to assess local leg fluxes. Femoral vein concentrations of BHB were significantly higher in the intervention leg (3.4 (3.2, 3.6) mM) compared with the placebo-controlled leg (1.9 (1.8, 2.1) mM) with a peak difference of 1.4 (1.1, 1.7) mM, p < 0.0005. Net loss of phenylalanine for BHB vs Placebo -6.7(-10.8, -2.7) nmol/min vs -8.7(-13.8, -3.7) nmol/min, p = 0.52. Palmitate flux and arterio-venous difference of glucose did not differ between legs. Under these experimental conditions, we failed to observe the direct effects of BHB on skeletal muscle protein turnover. This may relate to a combination of high concentrations of BHB (close to 2 mM) imposed systemically by spillover leading to high BHB concentrations in the saline-infused leg and a lack of major differences in concentration gradients between the two sides-implying that observations were made on the upper part of the dose-response curve for BHB and the relatively small number of subjects studied.

Indexed as

LegSodium3-Hydroxybutyric AcidHumansMaleMuscle, SkeletalPalmitatesPhenylalanine3-Hydroxybutyric AcidPalmitatesPhenylalanineSodiumamino acid tracerbeta-hydroxybutyrateketone bodiesketosisperfused leg

Identifiers

PMID35986508
PMCPMC9391664
OpenAlexW4292684440

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.