Evidence map›Paper›PMID 24400077›Full record

Trial reportPloS one2014

Influence of GLP-1 on myocardial glucose metabolism in healthy men during normo- or hypoglycemia.

Michael Gejl, Susanne Lerche, Annette Mengel, Niels Møller, Bo Martin Bibby, Kamille Smidt, Birgitte Brock, Hanne Søndergaard, Hans Erik Bøtker, Albert Gjedde and 3 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT00256256 nacompletednot on this map

The Effect of GLP-1 on Glucose Uptake in the CNS and Heart in Healthy Subjects During Normoglycaemia Assessed by Positron Emission Tomografi

TypeinterventionalSponsorUniversity of AarhusRan2005 to 2007Enrolled10ConditionsType 2 Diabetes, Stroke, Myocardial InfarctionArmsglucagon-like-peptide-1
NCT00418288 nacompletednot on this map

The Effect of GLP-1 on Glucose Uptake in the Brain and Heart in Healthy Subjects During Hypoglycemia Assessed by Positron Emission Tomography

TypeinterventionalSponsorUniversity of AarhusRan2007 to 2008Enrolled10ConditionsType 2 Diabetes, Stroke, Myocardial InfarctionArmsglucagon-like-peptide-1, placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  10. GLP-1: benefits beyond pancreas.Journal of endocrinological investigation · 2014
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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

13 authors at 4 institutions in 1 country.

Michael GejlDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Susanne LercheDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Annette MengelDepartment of Endocrinology, Aarhus University Hospital, Aarhus, Denmark.
Niels MøllerDepartment of Endocrinology, Aarhus University Hospital, Aarhus, Denmark.
Bo Martin BibbyDepartment of Biostatistics, Aarhus University, Aarhus, Denmark.
Kamille SmidtDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Birgitte BrockDepartment of Biomedicine, Aarhus University, Aarhus, Denmark ; Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark.
Hanne SøndergaardDepartment of Medicine, Viborg Regional Hospital, Viborg, Denmark.
Hans Erik BøtkerDepartment of Cardiology, Aarhus University Hospital, Skejby, Aarhus, Denmark.
Albert GjeddePET Centre, Aarhus University Hospital, Aarhus, Denmark ; Department of Neuroscience and Pharmacology, University of Copenhagen, Copenhagen, Denmark.
Jens Juul HolstDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Søren Baarsgaard HansenPET Centre, Aarhus University Hospital, Aarhus, Denmark.
Jørgen RungbyDepartment of Biomedicine, Aarhus University, Aarhus, Denmark ; Department of Endocrinology, Aarhus University Hospital, Aarhus, Denmark ; Department of Endocrinology, Rigshospitalet, Copenhagen, Denmark.
Aarhus University · DKAarhus University Hospital · DKUniversity of Copenhagen · DKRegionshospitalet Viborg · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsGlucagon-like peptide-1 (GLP-1) may provide beneficial cardiovascular effects, possibly due to enhanced myocardial energetic efficiency by increasing myocardial glucose uptake (MGU). We assessed the effects of GLP-1 on MGU in healthy subjects during normo- and hypoglycemia. MATERIALS AND

methodsWe included eighteen healthy men in two randomized, double-blinded, placebo-controlled cross-over studies. MGU was assessed with GLP-1 or saline infusion during pituitary-pancreatic normo- (plasma glucose (PG): 4.5 mM, n = 10) and hypoglycemic clamps (PG: 3.0 mM, n = 8) by positron emission tomography with (18)fluoro-deoxy-glucose ((18)F-FDG) as tracer.

resultsIn the normoglycemia study mean (± SD) age was 25±3 years, and BMI was 22.6±0.6 kg/m(2) and in the hypoglycemia study the mean age was 23±2 years with a mean body mass index of 23±2 kg/m(2). GLP-1 did not change MGU during normoglycemia (mean (+/- SD) 0.15+/-0.04 and 0.16+/-0.03 µmol/g/min, P = 0.46) or during hypoglycemia (0.16+/-0.03 and 0.13+/-0.04 µmol/g/min, P = 0.14). However, the effect of GLP-1 on MGU was negatively correlated to baseline MGU both during normo- and hypoglycemia, (P = 0.006, r(2) = 0.64 and P = 0.018, r(2) = 0.64, respectively) and changes in MGU correlated positively with the level of insulin resistance (HOMA 2IR) during hypoglycemia, P = 0.04, r(2) = 0.54. GLP-1 mediated an increase in circulating glucagon levels at PG levels below 3.5 mM and increased glucose infusion rates during the hypoglycemia study. No differences in other circulating hormones or metabolites were found.

conclusionsWhile GLP-1 does not affect overall MGU, GLP-1 induces changes in MGU dependent on baseline MGU such that GLP-1 increases MGU in subjects with low baseline MGU and decreases MGU in subjects with high baseline MGU. GLP-1 preserves MGU during hypoglycemia in insulin resistant subjects. ClinicalTrials.gov registration numbers: NCT00418288: (hypoglycemia) and NCT00256256: (normoglycemia).

Indexed as

AdultBlood GlucoseCross-Over StudiesFluorodeoxyglucose F18Glucagon-Like Peptide 1GlucoseHeartHormonesHumansHypoglycemiaMaleMetabolomeMyocardiumPositron-Emission TomographyYoung AdultBlood GlucoseFluorodeoxyglucose F18Glucagon-Like Peptide 1GlucoseHormones

Identifiers

PMID24400077
PMCPMC3882300
OpenAlexW2043424819

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.