Evidence map›Paper›PMID 41839943›Full record

ArticleScientific reports2026

Physiological medium and 3-hydroxybutyrate modulate autophagy-linked organelle remodeling in human external urethral sphincter myoblasts.

Hironori Kai, Shinro Hata, Noriko Hamamatsu, Ryoko Shiraishi, Toshitaka Shin

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Hironori KaiDepartment of Urology, Faculty of Medicine, Oita University, Yufu, 879-5593, Oita, Japan. hirokai@oita-u.ac.jp.
Shinro HataDepartment of Urology, Faculty of Medicine, Oita University, Yufu, 879-5593, Oita, Japan.
Noriko HamamatsuDepartment of Urology, Faculty of Medicine, Oita University, Yufu, 879-5593, Oita, Japan.
Ryoko ShiraishiDepartment of Urology, Faculty of Medicine, Oita University, Yufu, 879-5593, Oita, Japan.
Toshitaka ShinDepartment of Urology, Faculty of Medicine, Oita University, Yufu, 879-5593, Oita, Japan.

Funding

Japan Society for the Promotion of Science JP25K12617
6 · The paper itself

Abstract

Autophagy-linked organelle remodeling is essential for skeletal muscle differentiation and is closely linked to the metabolic environment. The ketone body 3-hydroxybutyrate (3HB) serves as an alternative energy substrate and signaling molecule that modulates organelle function and myogenic programs. This study investigated how extracellular metabolic conditions and 3HB regulate autophagy-linked organelle remodeling in human external urethral sphincter (hEUS) myoblasts. Immortalized hEUS myoblasts (US2-KD) were differentiated under four conditions combining high-glucose Dulbecco’s modified Eagle’s medium (HG-DMEM) or low-glucose physiologically formulated minimum essential medium (LG-MEM) with or without 3HB. Metabolomic profiling revealed that the medium composition predominantly shaped energy and amino acid pathways, whereas 3HB induced subtler, context-dependent shifts in metabolites related to autophagy and mitochondrial function. At the cellular level, LG-MEM accelerated myogenic differentiation compared to HG-DMEM, with earlier induction of MYOG and MYH7 and faster maturation of myotubes. LG-MEM also altered LC3B expression patterns, while transmission electron microscopy showed fewer excess autophagosomes and autolysosomes along with more prominent myofibril-like ultrastructure, consistent with more efficient autophagic activity and organelle remodeling. These findings suggest that a physiological metabolic environment facilitates autophagy-linked organelle remodeling in hEUS myoblasts and that 3HB acts as a fine-tuning signal, potentially supporting metabolism-oriented approaches for stress urinary incontinence.

Indexed as

3-Hydroxybutyric AcidAutophagyCulture MediaMyoblastsOrganellesUrethraCell DifferentiationCell LineHumans3-Hydroxybutyric AcidCulture Media3-hydroxybutyrateAutophagyexternal urethral sphincterphysiological mediumstress urinary incontinence

Identifiers

PMID41839943
PMCPMC13121627

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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.