Metabolic Rescue PDH Activation (H5): Indirect Lipogenesis Suppression
🧪 Overview
Dichloroacetate-mediated PDH activation redirects pyruvate into TCA cycle, reducing NADPH and acetyl-CoA substrate supply for de novo lipogenesis. Metabolic correction approach that bypasses direct AMPK targeting. Weak CNS pharmacology and non-neuron-specific effects limit utility; requires neuron-specific validation.
🧬 Mechanism
Curated pathway from expert analysis
flowchart TD A["AMPK alpha Complex<br/>PRKAA1/PRKAA2 Energy Sensor"] B["ATP Stress Detection<br/>AMP-to-ATP Ratio Shift"] C["ULK1 and Autophagy Activation<br/>Cellular Recovery Program"] D["mTORC1 Restraint<br/>Anabolic Pressure Reduced"] E["Inflammation Resolution Support<br/>Metabolic Rebalancing"] F["Post-onset Neuronal Rescue<br/>Reversibility Test Readout"] A --> B B --> C B --> D C --> E D --> E E --> F style A fill:#1a237e,stroke:#4fc3f7,color:#4fc3f7 style E fill:#1b5e20,stroke:#81c784,color:#81c784 style F fill:#7b1fa2,stroke:#ce93d8,color:#ce93d8
⚖️ Evidence
No linked papers recorded for this hypothesis yet.
🏥 Translation
🧬 3D Protein Structure — PDHA1
No curated PDB or AlphaFold mapping for PDHA1 yet. Search RCSB →
🧠 GTEx v10 Brain ExpressionJSON
Median TPM across 13 brain regions for PDHA1 (Pyruvate dehydrogenase α1) from GTEx v10.
💉 Clinical Trials
No clinical trials data linked to this hypothesis yet.
No curated ClinVar variants loaded for this hypothesis.
Run scripts/backfill_clinvar_variants.py to fetch P/LP/VUS variants.
No DepMap CRISPR Chronos data found for PDHA1 (Pyruvate dehydrogenase α1).
Run python3 scripts/backfill_hypothesis_depmap.py to populate.
🏆 Tournament
🏆 Arenas / Elo
📊 Market Indicators
💾 Resource Usage
🔮 Predictions
| Prediction | Predicted | Observed | Status | Conf |
|---|---|---|---|---|
| IF PDH is activated by dichloroacetate in neurons (≥0.5 mM), THEN intracellular NADPH and acetyl-CoA pools will be reduced (depleting lipogenesis substrates), measurable via targeted metabolomics, wit | ≥25% decrease in NADPH levels and ≥30% reduction in acetyl-CoA concentration relative to vehicle controls, with reciprocal ≥50% increase in TCA cycle intermedia | — no observation — | pending | 0.48 |
| IF primary cortical neurons or iPSC-derived dopaminergic neurons are treated with dichloroacetate at concentrations ≥0.5 mM (achieving PDH activation), THEN de novo lipogenesis will be suppressed, as | ≥40% reduction in lipid synthesis rate (14C-acetate incorporation) and ≥30% decrease in FASN (fatty acid synthase) protein expression relative to vehicle-treate | — no observation — | pending | 0.55 |
▸Metadatasource: v1_phase_c_backfill · origin_type: debate_synthesizer
| source | v1_phase_c_backfill |
| origin_type | debate_synthesizer |
| _schema_version | 1 |