Evidence map›Paper›PMID 42123593›Full record

ArticleInternational journal of molecular sciences2026

Multi-Axis Reprogramming of Muscle-Metabolic Crosstalk by HiLo Platinum™ Restores Strength in Prediabetes via Mitochondrial Activation and Gut Microbiome Remodeling.

Jeremy Nicolas Sibarani, Muhammad Iqhrammullah, Amal Arifi Hidayat, Ricky Indra Alfaray, Fahrul Nurkolis, Antonello Santini

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Jeremy Nicolas SibaraniFaculty of Medicine, Universitas Airlangga, Surabaya 60131, Indonesia.ORCID 0000-0002-6779-8921
Muhammad IqhrammullahPostgraduate Program of Public Health, Universitas Muhammadiyah Aceh, Banda Aceh 23245, Indonesia.ORCID 0000-0001-8060-7088
Amal Arifi HidayatDivision of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya 60131, Indonesia.ORCID 0000-0002-9384-2172
Ricky Indra AlfarayHelicobacter Pylori and Microbiota Study Group, Institute of Tropical Disease, Universitas Airlangga, Surabaya 60131, Indonesia.ORCID 0000-0001-7721-9455
Fahrul NurkolisFaculty of Medicine, Universitas Airlangga, Surabaya 60131, Indonesia.ORCID 0000-0003-2151-0854
Antonello SantiniDepartment of Pharmacy, University of Napoli Federico II, Via Domenico Montesano, 49, 80131 Napoli, Italy.ORCID 0000-0001-5505-3327

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prediabetes is increasingly recognized as a risk factor for sarcopenia, driven by chronic low-grade inflammation, insulin resistance, and impaired anabolic signaling. Nutritional interventions containing whey protein, hydroxymethylbutyrate (HMB), glucosamine, and micronutrients may offer a multi-target strategy to counteract muscle deterioration. This study aimed to evaluate the efficacy of HiLo Platinum™ supplementation in attenuating muscle strength decline in a prediabetic rat model, with integrated analysis of metabolic biomarkers and gut microbiome profiles. A randomized preclinical trial was conducted using male Sprague Dawley rats assigned to four groups: normal diet (ND), prediabetic control induced by cholesterol- and fat-enriched diet with fructose (CFEDF), and two treatment groups receiving low-dose (0.63 g/kg BW) or high-dose (1.26 g/kg BW) HiLo Platinum™. The intervention lasted six weeks. Muscle strength was assessed via a four-limb grip strength test (reverse hang time and holding impulse). Biomarkers related to inflammation, mitochondrial function, and anabolic signaling (TNF-α, IL-10, PGC-1α, IGF-1, SIRT-1, AMPK, mTOR, and myostatin), lipid profile, and blood glucose were analyzed. Gut microbiome composition and diversity were evaluated using taxonomic profiling and multivariate analyses. HiLo Platinum™ supplementation significantly improved muscle strength, evidenced by increased reverse hang time and holding impulse (

Indexed as

Dietary SupplementsDiet, DiabeticGastrointestinal MicrobiomeMetabolic ReprogrammingMitochondria, MuscleMuscle, SkeletalPrediabetic StateWhey ProteinsAnimalsBeveragesInflammationMaleRandom AllocationRatsRats, Sprague-DawleyWhey Proteinsglucosaminegut microbiomehydroxymethylbutyrate (HMB)muscle strengthnutritional interventionPGC-1αprediabetessarcopeniaSIRT-1whey protein

Identifiers

PMID42123593
PMCPMC13163564

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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.