Evidence map›Paper›PMID 41633023›Full record

Trial reportPsychiatry research. Neuroimaging2026

Pharmacokinetic effects of a single dose nutritional ketone ester supplement on brain glucose and ketone metabolism in alcohol use disorder.

Xinyi Li, Anthony J Young, Zhenhao Shi, Juliana Byanyima, Sianneh Vesslee, Rishika Reddy, Timothy Pond, Mark Elliott, Ravinder Reddy, Robert K Doot and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry research. Neuroimaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Reversible alterations of brain acetate metabolism associated with alcohol consumption.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  4. A ketogenic diet reduces hepatic alcohol metabolism and alcohol consumption in rats.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  5. A Virtual Clinical Trial to Detect Changes in Tumor Uptake with PET using Lesion Embedding.IEEE transactions on radiation and plasma medical sciences · 2026
    Article
  6. Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Xinyi LiCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Anthony J YoungUniversity of Pennsylvania Perelman School of Medicine, Department of Radiology, Philadelphia, PA, USA.
Zhenhao ShiCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Juliana ByanyimaCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Sianneh VessleeCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Rishika ReddyCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Timothy PondCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Mark ElliottUniversity of Pennsylvania Perelman School of Medicine, Department of Radiology, Philadelphia, PA, USA.
Ravinder ReddyUniversity of Pennsylvania Perelman School of Medicine, Department of Radiology, Philadelphia, PA, USA.
Robert K DootUniversity of Pennsylvania Perelman School of Medicine, Department of Radiology, Philadelphia, PA, USA.
Jan-Willem van der VeenNational Institute on Mental Health, National Institutes of Health, 10 Center Drive, Bethesda, MD, USA.
Henry R KranzlerCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Ravi Prakash Reddy NangaUniversity of Pennsylvania Perelman School of Medicine, Department of Radiology, Philadelphia, PA, USA.
Jacob G DubroffUniversity of Pennsylvania Perelman School of Medicine, Department of Radiology, Philadelphia, PA, USA.
Corinde E WiersCenter for Studies of Addiction, University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA. Electronic address: corinde.wiers@pennmedicine.upenn.edu.

Funding

Ketone-sup before Pub: Effects of ketone supplementation on brain energetics and alcohol consumption in alcohol use disorderR01AA031570 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI Corinde E Wiers · 2025 to 2026
$1.1M
Ketone ester intervention in alcohol use disorderR00AA026892 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI WIERS, CORINDE E · 2020 to 2022
$747k
Modulation of alcohol sensitivity and alcohol tolerance by exogenous ketones in humansR21AA031088 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI NANGA, RAVI PRAKASH REDDY, WIERS, CORINDE E · 2024 to 2025
$421k
Ketone supplementation as an intervention to alleviate alcohol withdrawal and improve brain energetics in Alcohol Use DisorderR21AA031337 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI NANGA, RAVI PRAKASH REDDY, WIERS, CORINDE E · 2024 to 2025
$376k
NIAAA NIH HHS R00 AA026892NIAAA NIH HHS R01 AA031570NIAAA NIH HHS R21 AA031088NIAAA NIH HHS R21 AA031337
6 · The paper itself

Abstract

Acute alcohol use reduces brain glucose metabolism while increasing uptake of acetate, a byproduct of alcohol. This metabolic shift persists in individuals with alcohol use disorder (AUD) and may offer a treatment target. Recent studies show that ketone therapies can lessen alcohol withdrawal and cravings. In this study, we tested whether a single dose of a ketone ester (KE) supplement affects brain energy use and alcohol craving. Ten participants (five with AUD, five healthy controls) received two FDG-PET brain scans-one after taking 395 mg/kg KE and one at baseline-in a randomized order. Additionally, five AUD participants underwent magnetic resonance spectroscopy to measure cingulate β-hydroxybutyrate (BHB). KE lowered blood glucose and increased BHB in both groups. Brain scans revealed a 17% reduction in glucose metabolism, especially in the frontal, occipital, and cingulate cortices, as well as the hippocampus, amygdala, and insula. No major differences were observed between AUD and control groups. KE significantly reduced alcohol craving in AUD participants and tripled cingulate BHB levels. These findings suggest that a single KE dose can rapidly shift brain energy use from glucose to ketones, and may help reduce cravings in AUD, supporting its potential as a therapeutic approach.

Indexed as

AlcoholismBrainGlucoseKetones3-Hydroxybutyric AcidAdultBlood GlucoseCravingDietary SupplementsEstersFemaleHumansMagnetic Resonance SpectroscopyMaleMiddle AgedPositron-Emission Tomography3-Hydroxybutyric AcidBlood GlucoseEstersGlucoseKetonesBeta-hydroxybutyrateBrain energeticsKetone esterKrebs cycleMetabolism

Identifiers

PMID41633023
PMCPMC12983345

What OpenQuestion holds

Textmetadata
LicenceTDM
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.