Evidence map›Paper›PMID 27473212›Full record

ArticleJournal of translational medicine2016

The GLP-1 receptor agonists exenatide and liraglutide activate Glucose transport by an AMPK-dependent mechanism.

Francesco Andreozzi, Gregory Alexander Raciti, Cecilia Nigro, Gaia Chiara Mannino, Teresa Procopio, Alberto M Davalli, Francesco Beguinot, Giorgio Sesti, Claudia Miele, Franco Folli

Open access · goldFull text read
In one paragraph

Article in Journal of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

58 citing papers in PubMed, 100 citations in OpenAlex.

  1. Lixisenatide Reduces Chylomicron Triacylglycerol by Increased Clearance.The Journal of clinical endocrinology and metabolism · 2019
    Trial
  2. Trial
  3. Review
  4. Biomarkers of Cardiac Metabolic Flexibility in Health, HFrEF and HFpEF.International journal of molecular sciences · 2026
    Review
  5. Review
  6. The expanding role of semaglutide: beyond glycemic control.Journal of diabetes and metabolic disorders · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Targeting Sarcopenia in CKD: The Emerging Role of GLP-1 Receptor Agonists.International journal of molecular sciences · 2025
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
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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

10 authors at 4 institutions in 3 countries.

Francesco AndreozziDepartment of Medical and Surgical Sciences, University of Catanzaro "Magna-Graecia", Catanzaro, Italy. andreozzif@unicz.it.
Gregory Alexander RacitiInstitute of Experimental Endocrinology and Oncology "G. Salvatore", National Council of Research, Naples, Italy.
Cecilia NigroInstitute of Experimental Endocrinology and Oncology "G. Salvatore", National Council of Research, Naples, Italy.
Gaia Chiara ManninoDepartment of Medical and Surgical Sciences, University of Catanzaro "Magna-Graecia", Catanzaro, Italy.
Teresa ProcopioDepartment of Medical and Surgical Sciences, University of Catanzaro "Magna-Graecia", Catanzaro, Italy.
Alberto M DavalliDepartment of Medicine Endocrinology Unit, Ospedale San Raffaele, Milan, Italy.
Francesco BeguinotInstitute of Experimental Endocrinology and Oncology "G. Salvatore", National Council of Research, Naples, Italy.
Giorgio SestiDepartment of Medical and Surgical Sciences, University of Catanzaro "Magna-Graecia", Catanzaro, Italy.
Claudia MieleInstitute of Experimental Endocrinology and Oncology "G. Salvatore", National Council of Research, Naples, Italy.
Franco FolliDivision of Diabetes, Department of Medicine, University of Texas Health Science Center, San Antonio, TX, USA. folli@uthscsa.edu.ORCID 0000-0001-9824-5222
Institute for Experimental Endocrinology and Oncology · ITMagna Graecia University · ITThe University of Texas Health Science Center at San Antonio · USIRCCS Ospedale San Raffaele · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisPotentiation of glucose-induced insulin secretion is the main mechanism of exenatide (EXE) antidiabetic action, however, increased glucose utilization by peripheral tissues has been also reported. We here studied the effect of EXE on glucose uptake by skeletal muscle cells.

methods2-deoxy-glucose (2DG) uptake and intracellular signal pathways were measured in rat L6 skeletal muscle myotubes exposed to 100 nmol/l EXE for up to 48 h. Mechanisms of EXE action were explored by inhibiting AMPK activity with compound C (CC, 40 μmol/l) or siRNAs (2 μmol/l).

resultsTime course experiments show that EXE increases glucose uptake up to 48 h achieving its maximal effect, similar to that induced by insulin, after 20 min (2- vs 2.5-fold-increase, respectively). Differently from insulin, EXE does not stimulate: (i) IR β-subunit- and IRS1 tyrosine phosphorylation and binding to p85 regulatory subunit of PI-3kinase; (ii) AKT activation; and (iii) ERK1/2 and JNK1/2 phosphorylation. Conversely, EXE increases phosphorylation of α-subunit of AMPK at Thr172 by 2.5-fold (p < 0.01). Co-incubation of EXE and insulin does not induce additive effects on 2DG-uptake. Inhibition of AMPK with CC, and reduction of AMPK protein expression by siRNA, completely abolish EXE-induced 2DG-uptake. Liraglutide, another GLP-1 receptor agonist, also stimulates AMPK phosphorylation and 2DG-uptake. Moreover, EXE stimulates 2DG-uptake also by L6 myotubes rendered insulin-resistant with methylglyoxal. Finally, EXE also induces glucose transporter Glut-4 translocation to the plasma membrane. CONCLUSIONS/

interpretationIn L6 myotubes, EXE and liraglutide increase glucose uptake in an insulin-independent manner by activating AMPK.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsAMP-Activated Protein KinasesAnimalsBiological TransportCell LineDeoxyglucoseEnzyme ActivationExenatideGene Expression ProfilingGene SilencingGlucagon-Like Peptide-1 ReceptorGlucoseHumansInsulin ResistanceLiraglutideMiceAMP-Activated Protein KinasesDeoxyglucoseExenatideGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsGlucoseLiraglutidePeptidesProto-Oncogene Proteins c-aktPyruvaldehydeVenomsAMPKExenatideGlucose uptakeInsulin signalingLiraglutideSkeletal muscle cells

Identifiers

PMID27473212
PMCPMC4967343
OpenAlexW2496216273

What OpenQuestion holds

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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.