Evidence map›Paper›PMID 34276285›Full record

ArticleFrontiers in neuroscience2021

Attenuated Postprandial GLP-1 Response in Parkinson's Disease.

Richard A Manfready, Phillip A Engen, Leo Verhagen Metman, Gabriella Sanzo, Christopher G Goetz, Deborah A Hall, Christopher B Forsyth, Shohreh Raeisi, Robin M Voigt, Ali Keshavarzian

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06460038 (Efficacy and Safety of Tenapanor in Synucleinopathy-Related Constipation), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 17% 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.

NCT06460038 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy and Safety of Tenapanor in Synucleinopathy-Related Constipation

TypeinterventionalSponsorCedar Valley Digestive Health CenterRan2025 to 2027Enrolled30ConditionsSynucleinopathy, Parkinson's DiseaseArmsTenapanor, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Parkinson Disease and the Gut: A Primer for Gastroenterologists.The American journal of gastroenterology · 2025
    Review
  2. Gut: The gate and key to brain.Chinese medical journal · 2025
    Review
  3. Review
  4. Review
  5. Gut neuropeptide involvement in Parkinson's disease.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. 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

10 authors at 1 institution in 1 country.

Richard A ManfreadyDivision of Digestive Diseases and Nutrition, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, United States.
Phillip A EngenRush Center for Integrated Microbiome and Chronobiology Research, Rush University Medical Center, Chicago, IL, United States.
Leo Verhagen MetmanDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL, United States.
Gabriella SanzoRush Center for Integrated Microbiome and Chronobiology Research, Rush University Medical Center, Chicago, IL, United States.
Christopher G GoetzDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL, United States.
Deborah A HallDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL, United States.
Christopher B ForsythDivision of Digestive Diseases and Nutrition, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, United States.
Shohreh RaeisiRush Center for Integrated Microbiome and Chronobiology Research, Rush University Medical Center, Chicago, IL, United States.
Robin M VoigtDivision of Digestive Diseases and Nutrition, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, United States.
Ali KeshavarzianDivision of Digestive Diseases and Nutrition, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, United States.
Rush University Medical Center · US

Funding

Center for Circadian Rhythms and Alcohol-Induced Tissue DamageR24AA026801 · NIAAA · RUSH UNIVERSITY MEDICAL CENTER · PI ALI KESHAVARZIAN · 2019 to 2026
$4.5M
Microbiota-Brain Axis in Alzheimer's Disease: MIND Diet-Induced EffectsR01AG056653 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI VOIGT-ZUWALA, ROBIN M · 2018 to 2022
$3.2M
NIAAA NIH HHS R24 AA026801NIA NIH HHS R01 AG056653
6 · The paper itself

Abstract

The incretin hormone glucagon-like peptide 1 (GLP-1) has neuroprotective effects in animal models of Parkinson's disease (PD), and GLP-1 receptor agonists are associated with clinical improvements in human PD patients. GLP-1 is produced and secreted by intestinal L-cells in response to consumption of a meal. Specifically, intestinal microbiota produce short chain fatty acids (SCFA) which, in turn, promote secretion of GLP-1 into the systemic circulation, from which it can enter the brain. Our group and others have reported that PD patients have an altered intestinal microbial community that produces less SCFA compared to age-matched controls. In this report, we demonstrate that PD patients have diminished GLP-1 secretion in response to a meal compared to their household controls. Peak postprandial GLP-1 levels did not correlate with PD disease severity, motor function, or disease duration. These data provide the scientific rationale for future studies designed to elucidate the role of GLP-1 in the pathogenesis of PD and test the potential utility of GLP-1-directed therapies.

Indexed as

enteroendocrine signalingGLP-1glucagon-like peptide-1gut-brain axisintestinal microbiotaParkinson’s diseaseshort chain fatty acids

Identifiers

PMID34276285
PMCPMC8283566
OpenAlexW3185028957

What OpenQuestion holds

Textmetadata
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.