Evidence map›Paper›PMID 21664918›Full record

ReviewPhysiology & behavior2011

Atypical antipsychotics and the neural regulation of food intake and peripheral metabolism.

Karen L Teff, Sangwon F Kim

Abstract readReview
In one paragraph

Review in Physiology & behavior, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Article
  6. Review
  7. Mechanism and treatments of antipsychotic-induced weight gain.International journal of obesity (2005) · 2023
    Review
  8. Article
  9. Article
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  15. Observational
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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

2 authors at 2 institutions in 1 country.

Karen L TeffMonell Chemical Senses Center, 3500 Market Street, Philadelphia, PA 19104, USA. kteff@pobox.upenn.edu
Sangwon F Kim
Monell Chemical Senses Center · USTranslational Therapeutics (United States) · US

Funding

VIRAL VECTOR COREP30DK019525 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI MITCHELL A. LAZAR · 1986 to 2026
$48.3M
ZINC GLUCONATE GLYCINE LOZENGES &VITAMIN C EFFECTS ON COMMON COLDM01RR000042 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENFIRE, MELVYN · 1985 to 2007
$40.8M
Atypical Antipsychotics: Effects on Hepatic Glucose and Lipid Metabolism in HumanR01DK084383 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI TEFF, KAREN L · 2009 to 2012
$1.9M
Molecular basis of atypical antipsychotic drugs-induced weight gainR01DK084336 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KIM, SANGWON F · 2010 to 2014
$1.5M
NCRR NIH HHS M01 RR000042NCRR NIH HHS MO1-RR00042NIDDK NIH HHS DK084336NIDDK NIH HHS DK-19525NIDDK NIH HHS DK DK084383NIDDK NIH HHS P30 DK019525NIDDK NIH HHS R01 DK084336NIDDK NIH HHS R01 DK084383
6 · The paper itself

Abstract

The atypical antipsychotics (AAPs) are associated with weight gain and an increased incidence of metabolic disease including type 2 diabetes mellitus. Epidemiological, cross-sectional and prospective studies suggest that two of the AAPs, olanzapine and clozapine, cause the most dramatic weight gain and metabolic impairments including increased fasting glucose, insulin and triglycerides. Relative to the other AAPs, both olanzapine and clozapine exhibit a particularly high antagonistic affinity for histamine and muscarinic receptors which have been hypothesized as mediators of the reported increase in weight and glucose abnormalities. In this article, we review the current evidence for the AAP associated weight gain and abnormal glucose metabolism. We postulate that the effects of the AAPs on food intake and peripheral metabolism are initially independently regulated but with increasing body adiposity, the early AAP-induced impairments in peripheral metabolism will be exacerbated, thereby establishing a vicious cycle such that the effects of the AAP are magnified by the known pathophysiological consequences of obesity. Furthermore, we examine how inhibition of the histaminergic pathway may mediate increases in food intake and the potential role of the vagus nerve in the reported peripheral metabolic effects.

Indexed as

AnimalsAntipsychotic AgentsAppetite RegulationBenzodiazepinesClozapineGlucoseHistamineHistamine AntagonistsHumansModels, BiologicalMuscarinic AntagonistsObesityOlanzapineReceptors, HistamineVagus NerveWeight GainAntipsychotic AgentsBenzodiazepinesClozapineGlucoseHistamineHistamine AntagonistsMuscarinic AntagonistsOlanzapineReceptors, Histamine

Identifiers

PMID21664918
PMCPMC3139777
OpenAlexW2099642259

What OpenQuestion holds

Textmetadata
LicenceTDM
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.