Evidence map›Paper›PMID 27489336›Full record

ArticleDiabetes care2016

Discordance Between Central (Brain) and Pancreatic Action of Exenatide in Lean and Obese Subjects.

Roy Eldor, Giuseppe Daniele, Claudia Huerta, Mariam Al-Atrash, John Adams, Ralph DeFronzo, Timothy Duong, John Lancaster, Mahmoud Zirie, Amin Jayyousi and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  15. Exenatide modulates visual cortex responses.Diabetes/metabolism research and reviews · 2019
    Article
  16. Review
  17. Article
  18. Review
  19. Renal, metabolic and cardiovascular considerations of SGLT2 inhibition.Nature reviews. Nephrology · 2017 · on this map
    Review
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

11 authors at 2 institutions in 2 countries.

Roy EldorDivision of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Giuseppe DanieleDivision of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Claudia HuertaImaging Research Center, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Mariam Al-AtrashDivision of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, TX.
John AdamsDivision of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Ralph DeFronzoDivision of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Timothy DuongImaging Research Center, University of Texas Health Science Center at San Antonio, San Antonio, TX.
John LancasterImaging Research Center, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Mahmoud ZirieDiabetes and Obesity Clinical Research Center, Hamad General Hospital, Doha, Qatar.
Amin JayyousiDiabetes and Obesity Clinical Research Center, Hamad General Hospital, Doha, Qatar.
Muhammad Abdul-GhaniDivision of Diabetes, University of Texas Health Science Center at San Antonio, San Antonio, TX abdulghani@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · USHamad General Hospital · QA

Funding

The Role of Glucose Mediated Glucose Uptake in the pathogenesis of IFG and IGTR01DK097554 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Muhammad Abdul-Ghani · 2012 to 2026
$6.7M
NIDDK NIH HHS R01 DK097554
6 · The paper itself

Abstract

objectiveThis study examined the effect of exenatide on brain activity measured by functional (f)MRI and on insulin secretion in lean and obese normal-glucose-tolerant individuals. RESEARCH DESIGN AND

methodsThe brain fMRI signal in response to high-calorie-content food pictures was measured with and without intravenous exenatide infusion in 10 lean and 10 obese healthy volunteers. Insulin secretion was measured with a two-step (+100 and +200 mg/dL) hyperglycemic clamp with exenatide and with saline infusion.

resultsThe brain fMRI signal in response to food pictures in amygdala, insula, hippocampus, and frontal cortex was significantly greater in obese versus lean individuals. Intravenous exenatide significantly inhibited the fMRI signal in response to food pictures in obese individuals but did not affect the brain fMRI signal in lean subjects. Conversely, exenatide infusion caused an 18.5-fold increase in insulin secretion in lean individuals compared with an 8.8-fold increase in obese subjects. No significant correlation was observed between inhibition of the brain fMRI signal and increase in insulin secretion during exenatide infusion.

conclusionsExenatide causes greater augmentation in insulin secretion in lean compared with obese individuals but inhibits the brain response to food pictures only in obese individuals.

Indexed as

AdultBlood GlucoseBody Mass IndexBrainExenatideFemaleGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsHumansHypoglycemic AgentsImage Processing, Computer-AssistedInsulinInsulin SecretionMagnetic Resonance ImagingMaleMiddle AgedBlood GlucoseExenatideGLP1R protein, humanGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsInsulinPeptidesVenoms

Identifiers

PMID27489336
PMCPMC5864097
OpenAlexW2491441607

What OpenQuestion holds

Textmetadata
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.