Evidence map›Paper›PMID 37749090›Full record

ArticleNature communications2023

A common East-Asian ALDH2 mutation causes metabolic disorders and the therapeutic effect of ALDH2 activators.

Yi-Cheng Chang, Hsiao-Lin Lee, Wenjin Yang, Meng-Lun Hsieh, Cai-Cin Liu, Tung-Yuan Lee, Jing-Yong Huang, Jiun-Yi Nong, Fu-An Li, Hsiao-Li Chuang and 7 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. 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
7.5field-weighted citation impact, top 2% 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, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Biphasic regulation of myogenesis by ALDH2, aldosterone, and oxidative stress.Pflugers Archiv : European journal of physiology · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Genetic Polymorphisms ofInternational journal of molecular sciences · 2025
    Review
  11. Article
  12. Metabolic diseases in the East Asian populations.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  13. ALDH2 Enzyme Deficiency in Diabetic Cardiomyopathy.International journal of molecular sciences · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

17 authors at 5 institutions in 2 countries.

Yi-Cheng Chang *Graduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-8077-5011
Hsiao-Lin Lee *Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Wenjin YangForesee Pharmaceuticals, Co.Ltd, Taipei, Taiwan.
Meng-Lun HsiehGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Cai-Cin LiuGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Tung-Yuan LeeGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Jing-Yong HuangGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Jiun-Yi NongGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Fu-An LiInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-0580-7765
Hsiao-Li ChuangNational Laboratory Animal Center, Taipei, Taiwan.
Zhi-Zhong DingGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Wei-Lun SuGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.
Li-Yun ChuehGraduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-7811-8979
Yi-Ting TsaiLaboratory Animal Center, College of Medicine, National Taiwan University, Taipei, Taiwan.
Che-Hong ChenDepartment of Chemical and Systems Biology, Stanford University School of Medicine, Stanford, CA, USA.
Daria Mochly-RosenDepartment of Chemical and Systems Biology, Stanford University School of Medicine, Stanford, CA, USA. mochly@stanford.edu.ORCID http://orcid.org/0000-0002-6691-8733
Lee-Ming ChuangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. leeming@ntu.edu.tw.ORCID http://orcid.org/0000-0003-0978-2662
National Taiwan University · TWStanford University · USInstitute of Biomedical Sciences, Academia Sinica · TWNational Museum of Marine Biology and Aquarium · TWNational Taiwan University Hospital · TW

Funding

MECHANISMS OF ETHANOL-INDUCED CARDIAC PROTECTIONR01AA011147 · NIAAA · STANFORD UNIVERSITY · PI DARIA MOCHLY-ROSEN · 1996 to 2026
$8.2M
NIAAA NIH HHS R01 AA011147
6 · The paper itself

Abstract

Obesity and type 2 diabetes have reached pandemic proportion. ALDH2 (acetaldehyde dehydrogenase 2, mitochondrial) is the key metabolizing enzyme of acetaldehyde and other toxic aldehydes, such as 4-hydroxynonenal. A missense Glu504Lys mutation of the ALDH2 gene is prevalent in 560 million East Asians, resulting in reduced ALDH2 enzymatic activity. We find that male Aldh2 knock-in mice mimicking human Glu504Lys mutation were prone to develop diet-induced obesity, glucose intolerance, insulin resistance, and fatty liver due to reduced adaptive thermogenesis and energy expenditure. We find reduced activity of ALDH2 of the brown adipose tissue from the male Aldh2 homozygous knock-in mice. Proteomic analyses of the brown adipose tissue from the male Aldh2 knock-in mice identifies increased 4-hydroxynonenal-adducted proteins involved in mitochondrial fatty acid oxidation and electron transport chain, leading to markedly decreased fatty acid oxidation rate and mitochondrial respiration of brown adipose tissue, which is essential for adaptive thermogenesis and energy expenditure. AD-9308 is a water-soluble, potent, and highly selective ALDH2 activator. AD-9308 treatment ameliorates diet-induced obesity and fatty liver, and improves glucose homeostasis in both male Aldh2 wild-type and knock-in mice. Our data highlight the therapeutic potential of reducing toxic aldehyde levels by activating ALDH2 for metabolic diseases.

Indexed as

Diabetes Mellitus, Type 2Fatty LiverAldehyde DehydrogenaseAldehyde Dehydrogenase, MitochondrialAldehydesAnimalsFatty AcidsHumansMaleMiceMutationObesityProteomics4-hydroxy-2-nonenalAldehyde DehydrogenaseAldehyde Dehydrogenase, MitochondrialAldehydesALDH2 protein, humanALDH2 protein, mouseFatty Acids

Identifiers

PMID37749090
PMCPMC10520061
OpenAlexW4387014613

What OpenQuestion holds

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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.