Evidence map›Paper›PMID 28323986›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2017

Chronic Intranasal Insulin Does Not Affect Hepatic Lipids but Lowers Circulating BCAAs in Healthy Male Subjects.

Thomas Scherer, Peter Wolf, Sabina Smajis, Melania Gaggini, Martina Hackl, Amalia Gastaldelli, Peter Klimek, Elisa Einwallner, Rodrig Marculescu, Anton Luger and 5 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
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  4. Review
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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

15 authors at 4 institutions in 3 countries.

Thomas SchererDepartment of Medicine III, Division of Endocrinology and Metabolism.
Peter WolfDepartment of Medicine III, Division of Endocrinology and Metabolism.
Sabina SmajisDepartment of Medicine III, Division of Endocrinology and Metabolism.
Melania GagginiNational Research Council Institute of Clinical Physiology, 56124 Pisa, Italy.
Martina HacklDepartment of Medicine III, Division of Endocrinology and Metabolism.
Amalia GastaldelliNational Research Council Institute of Clinical Physiology, 56124 Pisa, Italy.
Peter KlimekSection for Science of Complex Systems, CeMSIIS.
Elisa EinwallnerDepartment of Laboratory Medicine, and.
Rodrig MarculescuDepartment of Laboratory Medicine, and.
Anton LugerDepartment of Medicine III, Division of Endocrinology and Metabolism.
Clemens FürnsinnDepartment of Medicine III, Division of Endocrinology and Metabolism.
Siegfried TrattnigHigh Field MR Centre, Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, 1090 Vienna, Austria.
Christoph BuettnerDepartment of Medicine and Department of Neuroscience, Diabetes, Obesity and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, New York 10029.
Martin KrššákDepartment of Medicine III, Division of Endocrinology and Metabolism.
Michael KrebsDepartment of Medicine III, Division of Endocrinology and Metabolism.
Istituto di Fisiologia Clinica · ITMedical University of Vienna · ATIcahn School of Medicine at Mount Sinai · USInstitute for Complex Systems · IT

Funding

A Role of Hypothalamic Dysfunction in Alcoholic Liver DiseaseR01AA023416 · NIAAA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2014 to 2018
$2.2M
Regulation of Adipose Tissue Metabolism by Central Insulin and LeptinR56DK083658 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2016 to 2016
$127k
Austrian Science Fund FWF P 26766NIAAA NIH HHS R01 AA023416NIDDK NIH HHS R56 DK083658
6 · The paper itself

Abstract

contextNonalcoholic fatty liver disease and elevated circulating branched-chain amino acids (BCAAs) are common characteristics of obesity and type 2 diabetes. In rodents, brain insulin signaling controls both hepatic triglyceride secretion and BCAA catabolism. Whether brain insulin signaling controls similar metabolic pathways in humans is unknown.

objectiveHere we assessed if intranasal insulin, a method to preferentially deliver insulin to the central nervous system, is able to modulate hepatic lipid content and plasma BCAAs in humans. DESIGN/

settingWe conducted a randomized, double-blind, placebo-controlled trial at the Medical University of Vienna. PARTICIPANTS/

interventionWe assessed if a chronic 4-week intranasal insulin treatment (40 IU, 4 times daily) reduces hepatic triglyceride content and circulating BCAAs in 20 healthy male volunteers.

main outcome measuresHepatic lipid content was assessed noninvasively by 1H-magnetic resonance spectroscopy, and BCAAs were measured by gas chromatography mass spectrometry at defined time points during the study.

resultsChronic intranasal insulin treatment did not alter body weight, body mass index, and hepatic lipid content but reduced circulating BCAA levels.

conclusionsThese findings support the notion that brain insulin controls BCAA metabolism in humans. Thus, brain insulin resistance could account at least in part for the elevated BCAA levels observed in the insulin-resistant state.

Indexed as

Administration, IntranasalAdultAmino Acids, Branched-ChainDouble-Blind MethodDown-RegulationDrug Administration ScheduleHealthy VolunteersHumansInsulinLipid MetabolismLipidsLiverMalePlacebosAmino Acids, Branched-ChainInsulinLipidsPlacebos

Identifiers

PMID28323986
PMCPMC6283450
OpenAlexW2604601732

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.