Evidence map›Paper›PMID 42072377›Full record

ReviewBiomedicines2026

Alpha-Ketoglutarate: A Metabolic Regulator of Cellular Homeostasis and Pathophysiology.

Vinay Devulapalli, Akash Sathiyamurthi, Surabhi Gautam, Pallavi Bhattaram

Abstract readReview
In one paragraph

Review in Biomedicines, 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. 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

4 authors.

Vinay DevulapalliDepartment of Orthopaedics, Emory University School of Medicine, 615 Michael Street, Atlanta, GA 30322, USA.ORCID 0009-0003-7812-8469
Akash SathiyamurthiDepartment of Orthopaedics, Emory University School of Medicine, 615 Michael Street, Atlanta, GA 30322, USA.
Surabhi GautamDepartment of Orthopaedics, Emory University School of Medicine, 615 Michael Street, Atlanta, GA 30322, USA.ORCID 0000-0002-7469-4450
Pallavi BhattaramDepartment of Orthopaedics, Emory University School of Medicine, 615 Michael Street, Atlanta, GA 30322, USA.ORCID 0000-0002-9017-6936

Funding

Uncovering the role of Setbp1 in fibroblast-like synoviocytes during inflammatory arthritisR01AR070736 · NIAMS · EMORY UNIVERSITY · PI Pallavi Bhattaram · 2017 to 2026
$3.0M
Role of synovial lining fibroblasts in inflammatory arthritisR21AR078463 · NIAMS · EMORY UNIVERSITY · PI BHATTARAM, PALLAVI · 2022 to 2023
$379k
NIAMS NIH HHS R01 AR070736NIAMS NIH HHS R21 AR078463NIH HHS 1R01AR070736-00NIH HHS 1R21AR078463-02
6 · The paper itself

Abstract

Alpha-Ketoglutarate (AKG), a central intermediate of the tricarboxylic acid cycle, is a crucial metabolic and signaling molecule that connects mitochondrial function with cellular homeostasis, immunological modulation, epigenetic remodeling, and lifespan. While mitochondrial AKG maintains energy metabolism, the nuclear AKG pool influences chromatin remodeling through DNA and histone modifications, which together control hypoxia responses and shape gene expression patterns. This dual role demonstrates AKG's significance in mediating metabolic state, gene expression, and long-term cellular adaptability. AKG modulates immunological responses, reduces reactive oxygen species (ROS), promotes the polarization of anti-inflammatory macrophages, and suppresses nuclear factor kappa B (NF-κB) activation, thereby reducing chronic inflammatory processes. AKG restricts pro-inflammatory cytokine production, increases extracellular matrix synthesis, and reduces cartilage degradation in arthritic models, suggesting potential therapeutic benefits in autoimmune diseases and joint degeneration. Additionally, AKG affects lifespan in several model organisms, where supplementation enhances metabolic resilience, lowers age-related inflammation, modifies mTOR signaling, and preserves youthful epigenetic profiles. Additionally, because endogenous AKG levels decrease with age, oral supplementation of AKG, especially with calcium and arginine, has drawn attention to its potential benefits in longevity and metabolic health. Thus, AKG is versatile and has encouraging therapeutic promise for cancer, aging, and inflammatory illnesses. However, a lack of human clinical evidence prompts further research to determine ideal dosage, tissue selectivity, and long-term safety. The goal of this review is to critically examine the current mechanistic knowledge related to AKG biosynthesis and breakdown and its future implications in maintaining cellular homeostasis and controlling chronic inflammation.

Indexed as

alpha-ketoglutarateepigeneticsinflammationmacrophageTCA cycle

Identifiers

PMID42072377
PMCPMC13113529

What OpenQuestion holds

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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.