Evidence map›Paper›PMID 34337278›Full record

ArticleJournal of the Endocrine Society2021

A Metabolomic Signature of Glucagon Action in Healthy Individuals With Overweight/Obesity.

Rick B Vega, Katie L Whytock, Johan Gassenhuber, Britta Goebel, Joachim Tillner, Inoncent Agueusop, Agnieszka D Truax, Gongxin Yu, Elvis Carnero, Nidhi Kapoor and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03139305 (Effect of Prolonged), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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.

NCT03139305 phase1active not recruitingnot on this map

Effect of Prolonged (72 Hour) Glucagon Administration on Energy Expenditure in Healthy Obese Subjects

TypeinterventionalSponsorAdventHealth Translational Research InstituteRan2017 to 2027Enrolled30ConditionsObesityArmsGlucagon, Placebo
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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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.

Rick B VegaTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.
Katie L WhytockTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.ORCID https://orcid.org/0000-0003-3486-9452
Johan GassenhuberSanofi R&D, 65926 Frankfurt am Main, Germany.
Britta GoebelSanofi R&D, 65926 Frankfurt am Main, Germany.
Joachim TillnerSanofi R&D, 65926 Frankfurt am Main, Germany.
Inoncent AgueusopSanofi R&D, 65926 Frankfurt am Main, Germany.
Agnieszka D TruaxMetabolon, Morrisville, NC 27560, USA.
Gongxin YuTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.
Elvis CarneroTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.
Nidhi KapoorTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.
Stephen GardellTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.
Lauren M SparksTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.
Steven R SmithTranslational Research Institute, AdventHealth, Orlando, FL 32804, USA.ORCID https://orcid.org/0000-0002-5098-8147

Funding

National Metabolomics Data Repository - nextgen Metabolomics WorkbenchU2CDK119886 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUBRAMANIAM, SHANKAR · 2018 to 2021
$12.7M
NIDDK NIH HHS U2C DK119886
6 · The paper itself

Abstract

contextGlucagon is produced and released from the pancreatic alpha-cell to regulate glucose levels during periods of fasting. The main target for glucagon action is the liver, where it activates gluconeogenesis and glycogen breakdown; however, glucagon is postulated to have other roles within the body.

objectiveWe sought to identify the circulating metabolites that would serve as markers of glucagon action in humans.

methodsIn this study (NCT03139305), we performed a continuous 72-hour glucagon infusion in healthy individuals with overweight/obesity. Participants were randomized to receive glucagon 12.5 ng/kg/min (GCG 12.5), glucagon 25 ng/kg/min (GCG 25), or a placebo control. A comprehensive metabolomics analysis was then performed from plasma isolated at several time points during the infusion to identify markers of glucagon activity.

resultsGlucagon (GCG 12.5 and GCG 25) resulted in significant changes in the plasma metabolome as soon as 4 hours following infusion. Pathways involved in amino acid metabolism were among the most affected. Rapid and sustained reduction of a broad panel of amino acids was observed. Additionally, time-dependent changes in free fatty acids and diacylglycerol and triglyceride species were observed.

conclusionThese results define a distinct signature of glucagon action that is broader than the known changes in glucose levels. In particular, the robust changes in amino acid levels may prove useful to monitor changes induced by glucagon in the context of additional glucagon-like peptide-1 or gastric inhibitory polypeptide treatment, as these agents also elicit changes in glucose levels.

Indexed as

amino acidsglucagonmetabolomics

Identifiers

PMID34337278
PMCPMC8317630

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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.