Evidence map›Paper›PMID 40760802›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Voluntary Activity Wheel Running Improves Hyperammonaemia-Induced Skeletal Muscle Molecular and Metabolic Perturbations in Mice.

Annette Bellar, Avinash Kumar, Khaviyaa Chandramohan, Saurabh Mishra, Muaz Alsabbagh-Alchirazi, Artem Astafev, Pugazhendhi Kannan, Amy Attaway, Roman Kondratov, Thomas Jaramillo and 4 more

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. 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
–field-weighted citation impact
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.

  1. Review
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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

14 authors.

Annette BellarDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Avinash KumarDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Khaviyaa ChandramohanDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Saurabh MishraDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Muaz Alsabbagh-AlchiraziDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Artem AstafevBiological, Geological, and Environmental Science Department, Center for Gene Regulation in Health and Disease, Cleveland State University, Cleveland, Ohio, USA.
Pugazhendhi KannanDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Amy AttawayDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Roman KondratovBiological, Geological, and Environmental Science Department, Center for Gene Regulation in Health and Disease, Cleveland State University, Cleveland, Ohio, USA.
Thomas JaramilloLerner Research Core Services, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Lopa MishraFeinstein Institutes of Medical Research, Northwell Health, New York, New York, USA.
Takhar KasumovDepartment of Pharmaceutical Sciences, Northeast Ohio Medical University, Rootstown, Ohio, USA.
Nicole WelchDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.
Srinivasan DasarathyDepartment of Inflammation and Immunity, Lerner Research Institute Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0003-1774-0104

Funding

Project Two - Exercise Training Decreases Alcohol Drinking by an FGF21-Dependent MechanismP50AA024333 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI LAURA E. NAGY · 2016 to 2026
$19.6M
Non Alcoholic Steatohepatitis Clinical Research NetworkU01DK061732 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI Srinivasan Dasarathy · 2002 to 2026
$12.2M
Immersive Training in GlycosciencesK12HL141952 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HASCALL, VINCENT CHARLES, SCHNAAR, RONALD L · 2018 to 2022
$4.8M
Integrated Therapies for Alcohol use in Alcohol-associated Liver Disease (ITAALD)- Cleveland Clinic Clinical CenterU01AA026976 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI Srinivasan Dasarathy, David Streem · 2018 to 2026
$3.2M
Sarcopenia in cirrhosis is mediated by a hyperammonemic stress responseR01DK113196 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI DASARATHY, SRINIVASAN, HATZOGLOU, MARIA · 2018 to 2021
$2.3M
Mechanisms of Malnutrition in Cirrhosis with Portosystemic ShuntingR01GM119174 · NIGMS · CLEVELAND CLINIC LERNER COM-CWRU · PI DASARATHY, SRINIVASAN · 2017 to 2020
$1.2M
Mechanisms of HIF1 alpha mediated dysregulated skeletal muscle proteostasis in alcoholic liver diseaseK08AA028794 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI WELCH, NICOLE · 2021 to 2025
$896k
Nutritional modulation to minimize resistance exercise induced metabolic deregulations and improve training responsiveness in Chronic Obstructive Pulmonary DiseaseR56HL141744 · NHLBI · TEXAS A&M UNIVERSITY · PI DEUTZ, NICOLAAS E, ENGELEN, MARIELLE PKJ · 2019 to 2019
$757k
Hyperammonemia reduces skeletal muscle protein synthesis via a beta-catenin-cMyc mediated impaired ribosomal biogenesisR21AR071046 · NIAMS · CLEVELAND CLINIC LERNER COM-CWRU · PI DASARATHY, SRINIVASAN, DAVULURI, GANGARAO · 2017 to 2018
$399k
Nocturnal hypoxemia dysregulates skeletal muscle protein homeostasis in COPDK08HL168348 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI AMY ATTAWAY · 2025 to 2026
$303k
American College of Gastroenterology Clinical ResearchNHLBI NIH HHS K08 HL168348NIH HHS 1S10OD023436-01NIH HHS 3U01AA026976NIH HHS 5U01 DK062470-17S2NIH HHS K08 AA028794NIH HHS K12 HL141952NIH HHS P50 AA024333NIH HHS R01 AA021890NIH HHS R01 DK113196NIH HHS R01 GM119174NIH HHS R21 AR 071046NIH HHS R56HL141744NIH HHS U01 AA 026976NIH HHS U01 DK061732
6 · The paper itself

Abstract

aimVoluntary exercise improves clinical outcomes in healthy subjects, but increased muscle ammoniagenesis may limit beneficial responses during hyperammonaemia in chronic diseases. Responses to 4-weeks voluntary wheel running (VWR) were compared with usual activity (UA) to determine if hyperammonaemia alters VWR responses and if VWR alters muscle responses to hyperammonaemia.

methodsEight- to 10-week-old male C57BL/6J mice were treated with 6 weeks of subcutaneous infusion of 2.5 mmol kg

resultsGastrocnemius muscle mass (p < 0.01), muscle fibre area (p < 0.01), and grip strength were lower in AmAc-UA than in PBS-UA mice and higher with VWR than UA in AmAc mice (p < 0.001). Expression of electron transport chain proteins and some components of mitochondrial oxidative function were less (p < 0.05 or less) in AmAc-UA than PBS-UA, and these perturbations were reversed in the AmAc-VWR mice (p < 0.05 or less). Global muscle protein synthesis (p < 0.05) and components of the mTORC1 pathway expression (p < 0.05) were higher, while myostatin expression was lower with VWR than UA in AmAc mice (p < 0.05). Expression of autophagy markers P62 and LC3-II was not different with VWR or UA in AmAc mice, while Beclin1 was higher in VWR compared with UA, regardless of treatment group (p < 0.001). Expression of muscle ammonia disposal pathway enzymes, including glutamate dehydrogenase and pyrroline-5-carboxylate synthase, was higher (p ≤ 0.05) in AmAc-UA versus PBS-UA and increased in only PBS-VWR mice (p < 0.05).

conclusionVWR reverses hyperammonaemia-induced sarcopenia, protein synthesis/autophagy signalling perturbations, and mitochondrial oxidative dysfunction. Muscle mass, grip strength, signalling, and mitochondrial responses to VWR were not affected by hyperammonaemia. Increased expression of enzymes involved in the ammonia disposal pathway in skeletal muscle may be an adaptive response to hyperammonaemia. These data provide the rationale for exercise programmes in chronic diseases, including cirrhosis, even with hyperammonaemia.

Indexed as

HyperammonemiaMuscle, SkeletalPhysical Conditioning, AnimalAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLexercisehyperammonaemiamitochondrial functionsarcopeniavoluntary wheel running

Identifiers

PMID40760802
PMCPMC12321975

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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.