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Carbohydrates

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

A class of organic compounds composed of carbon, hydrogen, and oxygen in a ratio of Cn(H2O)n.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (610 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A class of organic compounds composed of carbon, hydrogen, and oxygen in a ratio of Cn(H2O)n. The largest class of organic compounds, including starch; glycogen; cellulose; polysaccharides; and simple monosaccharides.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Carbohydrate.

Where it fits in the MeSH classification

Broader topics
Chemicals and Drugs Category
Narrower topics
Amino Sugars; Carbasugars; Deoxy Sugars; Dietary Carbohydrates; Glycoconjugates; Glycosides; Imino Sugars; Polysaccharides; Sugar Acids; Sugar Alcohols; Sugar Phosphates; Sugars; Thiosugars
See also
Dietary Carbohydrates

Related concepts

  • Starch
  • Glycogen
  • Cellulose
  • Polysaccharides
  • Monosaccharides

Research landscape

PubMed indexes 2,641,116 records tagged with the MeSH heading “Carbohydrates” (counts retrieved 2026-10-31). 460,560 of them (17.4%) were published from 2020 onward, and the busiest period so far is through 1999 with 943,085 records.

Reviews account for 203,426 records (7.7%) and meta-analyses for 13,652. Randomized controlled trials number 69,201 (2.6%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 943,085 records; 2000-2009: 549,052 records; 2010-2019: 688,419 records; 2020 onward: 460,560 records943,085through 1999549,0522000-2009688,4192010-2019460,5602020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999943,085
2000-2009549,052
2010-2019688,419
2020 onward460,560
Share of records by publication typeReviews: 7.7 percent; Meta-analyses: 0.5 percent; Randomized controlled trials: 2.6 percentReviews7.7% (203,426)Meta-analyses0.5% (13,652)Randomized controlled trials2.6% (69,201)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,641,116 PubMed records
TypeRecordsShare
Reviews203,4267.7%
Meta-analyses13,6520.5%
Randomized controlled trials69,2012.6%

Method: PubMed query "Carbohydrates"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Matrix metalloproteinase-guided targeting of vesicular stomatitis virus to tumors following systemic administration
Theune EV, Theune WC, Ahmadi E, Chiari CC, Singh N, Geyer R, et al.
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42897128 · DOI · PMC13680497
From historical dosing to precision dosing: Modernising tobramycin monitoring in people with cystic fibrosis
Johnson E, Williams M, Henderson D, Riddles T, Reid D, Smith D, et al.
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42891690 · DOI · PMC13676526
Combined effects of heat and rhamnolipids against Listeria monocytogenes: Influence of water activity and pH
Gomes GV, Nitschke M
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42886415 · DOI · PMC13675345

Matrix metalloproteinase-guided targeting of vesicular stomatitis virus to tumors following systemic administration [1]

Research article Theune EV, Theune WC, Ahmadi E, Chiari CC, Singh N, Geyer R, et al. · · 2026

Abstract reading summary — source excerpts
Opening excerpt
The lack of tumor-specific targeting by oncolytic viruses (OVs) restricts their therapeutic potential.
Closing excerpt
This preclinical work demonstrates a new tumor-specific targeting strategy of VSV for enhanced immunotherapy safety with superior efficacy.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (164 words)

The lack of tumor-specific targeting by oncolytic viruses (OVs) restricts their therapeutic potential. Here, we report a "cap-linker" strategy to modify the vesicular stomatitis virus (VSV) glycoprotein (G protein, VSV-GIN). The modified VSV (Pro-VSVIN) loses its ability to infect cells until present in the tumor microenvironment, where the linker is cleaved by tumor-enriched matrix metalloproteinases (MMPs). When Pro-VSVIN is armed with a single-chain IL-12 (Pro-VSVIN-IL-12) and systemically injected into MC38 tumor-bearing mice, Pro-VSVIN-IL-12 eradicates established tumors while avoiding systemic toxicity, and elicits long-term anti-tumor immune memory. Systemic administration of Pro-VSVIN-IL-12 also markedly inhibits the growth of metastatic cancers in the lung. The efficacy of Pro-VSVIN-IL-12 was further improved when combined with PD-1 checkpoint blockade. Compared to WT VSVIN that carries IL-12, intravenously injected Pro-VSVIN-IL-12 leads to strong Th1 immunity, near abolishment of regulatory T cells, and potent CD8+ T cell activation and clonal expansion in tumors. This preclinical work demonstrates a new tumor-specific targeting strategy of VSV for enhanced immunotherapy safety with superior efficacy.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42897128 · DOI · PMC13680497

From historical dosing to precision dosing: Modernising tobramycin monitoring in people with cystic fibrosis [2]

Research article Johnson E, Williams M, Henderson D, Riddles T, Reid D, Smith D, et al. · · 2026

Abstract reading summary — source excerpts
Opening excerpt
BackgroundHistorical therapeutic drug monitoring (TDM) strategies for intravenous tobramycin in people with cystic fibrosis (pwCF) were developed in the pre-CFTR modulator era and relied predominantly on clearance-based monitoring to minimise toxicity.
Closing excerpt
It identified pwCF at risk of both inappropriate dose reduction and underexposure, supporting precision dosing in the evolving CF population.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (250 words)

BackgroundHistorical therapeutic drug monitoring (TDM) strategies for intravenous tobramycin in people with cystic fibrosis (pwCF) were developed in the pre-CFTR modulator era and relied predominantly on clearance-based monitoring to minimise toxicity. Contemporary pwCF demonstrate greater variability in body composition and clinical phenotype, potentially limiting the applicability of historical dosing approaches.MethodsIn December 2024, our adult cystic fibrosis centre implemented Bayesian-guided TDM (TDMx®) for intravenous tobramycin. Two serum concentrations obtained during the first dosing interval were used to estimate maximum concentration (Cmax), minimum concentration (Cmin), and 24-hour area under the concentration-time curve (AUC0- 24), enabling model-informed dose individualisation. Outcomes were evaluated in 46 pwCF receiving intravenous tobramycin for pulmonary exacerbations.ResultsPrior to implementation, 74% of pwCF had not undergone formal dose review for more than three years. Following introduction of Bayesian monitoring, 98% received 24-hourly dosing compared with 33% under the historical protocol. Among pwCF with previous admissions, 72% required dose adjustment. Target Cmax (16-20 mg/L) was achieved in 65.2% of participants, while only 17.4% achieved the target AUC0- 24 (> 70 mg·h/L); no participant exceeded the upper AUC target of 100 mg·h/L. Thirteen pwCF who would previously have undergone dose reduction because of levels of >1 mg/L at 12 h demonstrated appropriate exposure on Bayesian assessment (mean Cmax 17 mg/L; mean AUC 74 mg·h/L). No nephrotoxicity attributable to the protocol was observed.ConclusionsBayesian-guided TDM was feasible, safe, and substantially altered tobramycin prescribing practice. It identified pwCF at risk of both inappropriate dose reduction and underexposure, supporting precision dosing in the evolving CF population.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42891690 · DOI · PMC13676526

Combined effects of heat and rhamnolipids against Listeria monocytogenes: Influence of water activity and pH [3]

Research article Gomes GV, Nitschke M · · 2026

Abstract reading summary — source excerpts
Opening excerpt
Foodborne diseases remain a major public health concern, with Listeria monocytogenes being one of the most significant foodborne pathogens due to its high mortality rate and persistence in food-processing environments.
Closing excerpt
monocytogenes, particularly in low-water-activity foods with high salt or sugar contents.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (196 words)

Foodborne diseases remain a major public health concern, with Listeria monocytogenes being one of the most significant foodborne pathogens due to its high mortality rate and persistence in food-processing environments. This study evaluated the combined effects of heat, pH, and water activity on the antimicrobial activity of rhamnolipids (RL) against L. monocytogenes within the framework of hurdle technology. Treatments were performed at 62 °C for 10 min under different pH and water activity (aw) conditions adjusted with NaCl or sucrose. Increasing NaCl concentrations reduced the efficacy of heat treatment alone; however, its combination with RL produced a synergistic effect, achieving reductions exceeding 5 log CFU/mL in low-aw media containing NaCl. In sucrose-containing media, the combined treatment reduced viable populations by 4-5 log CFU/mL across all pH and aw conditions evaluated. The hurdles also showed potential as a sanitizer formulation against L. monocytogenes attached to stainless steel surfaces, while scanning electron microscopy revealed extensive structural damage to treated cells. The combination of moderate heat and rhamnolipids exhibited synergistic antimicrobial activity under a range of pH and water activity conditions, representing a prospective strategy for controlling L. monocytogenes, particularly in low-water-activity foods with high salt or sugar contents.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42886415 · DOI · PMC13675345

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Dapagliflozin in Patients Hospitalized for Heart Failure: Primary Results of the DAPA ACT HF-TIMI 68 Randomized Clinical Trial and Meta-Analysis of Sodium-Glucose Cotransporter-2 Inhibitors in Patients Hospitalized for Heart Failure [4]
    Berg DD, Patel SM, Haller PM, Cange AL, Palazzolo MG, Bellavia A, et al. · Circulation · 2025 · cited 44 times (Europe PMC)
  • Research article Cardiovascular and renal outcomes of dual combination therapies with glucagon-like peptide-1 receptor agonists and sodium-glucose transport protein 2 inhibitors: a systematic review and meta-analysis [5]
    Shokravi A, Seth J, Mancini GBJ · Cardiovasc Diabetol · 2025 · cited 27 times (Europe PMC)
  • Research article Automated Insulin Delivery Systems and Glucose Management in Children and Adolescents With Type 1 Diabetes: A Systematic Review and Meta-Analysis [6]
    de Visser HS, Waraich S, Chhabra M, Yamamoto J, Zenlea I, Askin N, et al. · JAMA Pediatr · 2025 · cited 23 times (Europe PMC)
  • Research article The effect of exercise characteristics on HbA1c and other cardiovascular risk factors in adults with type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials [7]
    Michielsen M, Yagiz J, Hanssens M, Claes J, Geuns L, Gojevic T, et al. · Cardiovasc Diabetol · 2025 · cited 13 times (Europe PMC)
  • Research article Antipsychotic Drugs and Dysregulated Glucose Homeostasis: A Systematic Review and Meta-Analysis [8]
    Smith ECC, Agarwal SM, Panganiban KJ, Maksyutynska K, Monteiro J, Lee J, et al. · JAMA Psychiatry · 2025 · cited 11 times (Europe PMC)
  • Research article Effects of empagliflozin on conventional and exploratory acute and chronic kidney outcomes: an individual participant-level meta-analysis [9]
    Herrington WG, Che ZJ, Sardell R, Roddick AJ, Judge PK, Wanner C, et al. · Lancet Diabetes Endocrinol · 2025 · cited 10 times (Europe PMC)

References

  1. Theune EV, Theune WC, Ahmadi E, Chiari CC, Singh N, Geyer R, et al.. Matrix metalloproteinase-guided targeting of vesicular stomatitis virus to tumors following systemic administration. . 2026. PMID 42897128 · DOI · PMC13680497
  2. Johnson E, Williams M, Henderson D, Riddles T, Reid D, Smith D, et al.. From historical dosing to precision dosing: Modernising tobramycin monitoring in people with cystic fibrosis. . 2026. PMID 42891690 · DOI · PMC13676526
  3. Gomes GV, Nitschke M. Combined effects of heat and rhamnolipids against Listeria monocytogenes: Influence of water activity and pH. . 2026. PMID 42886415 · DOI · PMC13675345
  4. Berg DD, Patel SM, Haller PM, Cange AL, Palazzolo MG, Bellavia A, et al.. Dapagliflozin in Patients Hospitalized for Heart Failure: Primary Results of the DAPA ACT HF-TIMI 68 Randomized Clinical Trial and Meta-Analysis of Sodium-Glucose Cotransporter-2 Inhibitors in Patients Hospitalized for Heart Failure. Circulation. 2025. PMID 40884036 · DOI · PMC12910484
  5. Shokravi A, Seth J, Mancini GBJ. Cardiovascular and renal outcomes of dual combination therapies with glucagon-like peptide-1 receptor agonists and sodium-glucose transport protein 2 inhibitors: a systematic review and meta-analysis. Cardiovasc Diabetol. 2025. PMID 41029853 · DOI · PMC12487346
  6. de Visser HS, Waraich S, Chhabra M, Yamamoto J, Zenlea I, Askin N, et al.. Automated Insulin Delivery Systems and Glucose Management in Children and Adolescents With Type 1 Diabetes: A Systematic Review and Meta-Analysis. JAMA Pediatr. 2025. PMID 40920375 · DOI · PMC12418225
  7. Michielsen M, Yagiz J, Hanssens M, Claes J, Geuns L, Gojevic T, et al.. The effect of exercise characteristics on HbA1c and other cardiovascular risk factors in adults with type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials. Cardiovasc Diabetol. 2025. PMID 41457265 · DOI · PMC12859889
  8. Smith ECC, Agarwal SM, Panganiban KJ, Maksyutynska K, Monteiro J, Lee J, et al.. Antipsychotic Drugs and Dysregulated Glucose Homeostasis: A Systematic Review and Meta-Analysis. JAMA Psychiatry. 2025. PMID 40864439 · DOI · PMC12392150
  9. Herrington WG, Che ZJ, Sardell R, Roddick AJ, Judge PK, Wanner C, et al.. Effects of empagliflozin on conventional and exploratory acute and chronic kidney outcomes: an individual participant-level meta-analysis. Lancet Diabetes Endocrinol. 2025. PMID 41082889 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Related research topics

  • GlycolysisMolecular Biology
  • StarchDrugs and Chemicals
  • CelluloseDrugs and Chemicals
  • MethylcelluloseDrugs and Chemicals
  • Glycogen Storage DiseaseRare and Inherited Diseases
  • Resistant StarchAnatomy and Physiology

All 546 articles in Drugs and Chemicals →

At a glance

2,641,116
PubMed records on this heading
17%
published since 2020
203,426
review articles
69,201
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • GlycolysisMolecular Biology
  • StarchDrugs and Chemicals
  • CelluloseDrugs and Chemicals
  • MethylcelluloseDrugs and Chemicals
  • Glycogen Storage DiseaseRare and Inherited Diseases

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Sources

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