Evidence map›Paper›PMID 41392093›Full record

ArticleMolecular psychiatry2026

Overactive Neuronal eEF2K/eEF2 signaling is associated with cognitive impairment and apathy-like behavior.

Hannah M Jester, Noelle Nicol, Qian Yang, Yankai Zhang, Amelia Suhocki, Xueyan Zhou, Ethan Underwood, Hadi Pourhadi, Dongmei Cheng, Jingyun Lee and 5 more

Abstract read
In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Hannah M JesterDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Noelle NicolDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Qian YangDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Yankai ZhangDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Amelia SuhockiDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.ORCID http://orcid.org/0009-0004-3608-299X
Xueyan ZhouDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Ethan UnderwoodDepartment of Internal Medicine-Section on Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.ORCID http://orcid.org/0000-0003-1842-447X
Hadi PourhadiDepartment of Internal Medicine-Section on Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Dongmei ChengDepartment of Cancer Biology, Wake Forest Baptist Comprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Jingyun LeeDepartment of Internal Medicine-Section on Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Peiqing SunDepartment of Cancer Biology, Wake Forest Baptist Comprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Cristina M FurduiDepartment of Internal Medicine-Section on Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Christopher G ProudLifelong Health, South Australian Health and Medical Research Institute, Adelaide, SA, 5001, Australia.ORCID http://orcid.org/0000-0003-0704-6442
Kobi RosenblumSagol Department of Neurobiology, University of Haifa, 3498838, Haifa, Israel.ORCID http://orcid.org/0000-0003-4827-0336
Tao MaDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA. tao.ma@wfusm.edu.ORCID http://orcid.org/0000-0002-0763-7261

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUZANNE CRAFT · 2021 to 2026
$24.3M
Targeting protein synthesis dysregulation in Down syndrome-associated cognitive impairment with agingR01AG073823 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Tao Ma · 2021 to 2026
$2.3M
Roles of the glycogen synthase kinase 3 alpha isoform in Alzheimers disease pathophysiologyRF1AG082388 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MA, TAO · 2023 to 2023
$1.6M
NCI NIH HHS P30 CA012197NIA NIH HHS P30 AG072947NIA NIH HHS R01 AG073823NIA NIH HHS RF1 AG082388
6 · The paper itself

Abstract

Dysregulated protein synthesis has been implicated in multiple neurodevelopmental, neurodegenerative, and neuropsychiatric diseases. Protein synthesis or mRNA translation is critically regulated through phosphorylation of eukaryotic elongation factor 2 (eEF2) by its kinase eEF2K. Increased eEF2K activity leads to elevated phosphorylation and inhibition of eEF2 and inhibits the elongation phase of protein synthesis. Recent studies suggest a link between eEF2 hyper-phosphorylation and several neuronal diseases characterized by cognitive impairments. Phosphorylation of eEF2 by eEF2K has also been implicated as a molecular mechanism for the rapid antidepressant effect of ketamine. Whether there exists a causal relationship between overactive eEF2K/eEF2 signaling and impaired synaptic and cognitive function remains unknown. To fill this critical knowledge gap, we generated a transgenic mouse model (eEF2K-cKI) overexpressing eEF2K in excitatory neurons to investigate how eEF2K/eEF2 signaling can impact cognitive functions and neuropsychiatric behaviors. We assessed hippocampal-dependent learning and memory, as well as multiple neuropsychiatric domains associated with a depressive phenotype including despair, anhedonia, apathy, anxiety, and sociability. The eEF2K-cKI mice exhibit learning and memory impairments, and robust apathy-like phenotype without other despair/depression-like behaviors. We also found impaired long-term potentiation and altered dendritic spine and synaptic morphology in the hippocampus of the eEF2K-cKI mice. Proteomic analysis revealed changes in levels of proteins associated with neuropsychiatric and neurodegenerative disorders. Our findings present direct evidence supporting the pathophysiological role of aberrant eEF2K/eEF2 signaling in brain function and help provide insight into novel mechanisms and therapeutic avenues for neuronal diseases characterized by dementia and neuropsychiatric symptoms.

Indexed as

ApathyCognitive DysfunctionElongation Factor 2 KinasePeptide Elongation Factor 2AnimalsBehavior, AnimalCognitionDisease Models, AnimalHippocampusMaleMiceMice, Inbred C57BLMice, TransgenicNeuronsPhosphorylationSignal TransductionEef2k protein, mouseElongation Factor 2 KinasePeptide Elongation Factor 2

Identifiers

PMID41392093
PMCPMC13099653

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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.