Evidence map›Paper›PMID 34750365›Full record

ArticleCell death discovery2021

Metformin attenuates hypothalamic inflammation via downregulation of RIPK1-independent microglial necroptosis in diet-induced obese mice.

Xuan Li, You Cai, Jiao Luo, Jingyun Ding, Guojun Yao, Xiaohua Xiao, Yizhe Tang, Zhen Liang

Open access · goldAbstract read
In one paragraph

Article in Cell death discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Article
  6. Review
  7. Review
  8. Necroptosis in obesity: a complex cell death event.Apoptosis : an international journal on programmed cell death · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. 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

8 authors at 5 institutions in 1 country.

Xuan LiDepartment of Gerontology, Institute of Translational Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, 518035, China.ORCID http://orcid.org/0000-0002-9186-6736
You CaiDepartment of Neurology, Institute of Translational Medicine, First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, 518039, China.ORCID http://orcid.org/0000-0002-7717-9630
Jiao LuoDepartment of Rehabilitation Medicine, Dapeng New District Nan'ao People's Hospital, the First Affiliated Hospital of Shenzhen University, Shenzhen, 518121, China.
Jingyun DingDepartment of Gerontology, Institute of Translational Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, 518035, China.
Guojun YaoDepartment of Gerontology, Institute of Translational Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, 518035, China.
Xiaohua XiaoDepartment of Gerontology, Institute of Translational Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, 518035, China. tu_xi8888@163.com.ORCID http://orcid.org/0000-0002-6857-505X
Yizhe TangDepartment of Neurology, Shenzhen Institute of Translational Medicine, Guangdong Key Laboratory of Systems Biology and Synthetic Biology for Urogenital Tumors, The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen Second People's Hospital, Shenzhen, 518035, China. tangyz@email.szu.edu.cn.ORCID http://orcid.org/0000-0001-5354-478X
Zhen LiangShenzhen People's Hospital, Shenzhen, 518020, China. sunylz@163.com.ORCID http://orcid.org/0000-0003-0031-5945
Shenzhen Second People's Hospital · CNShenzhen Institutes of Advanced Technology · CNShenZhen People’s Hospital · CNShenzhen University · CNShenzhen University Health Science Center · CN

Funding

Natural Science Foundation of Guangdong Province (Guangdong Natural Science Foundation) 2019A1515011927Natural Science Foundation of Guangdong Province (Guangdong Natural Science Foundation) 2020A1515010347
6 · The paper itself

Abstract

Necroptosis, a form of programmed cell death, accounts for many inflammations in a wide range of diseases. Diet-induced obesity is manifested by low-grade inflammation in the mediobasal hypothalamus (MBH), and microglia are implicated as critical responsive components for this process. Here, we demonstrate that microglial necroptosis plays a pivotal role in obesity-related hypothalamic inflammation, facilitating proinflammatory cytokine production, such as TNF-α and IL-1β. Treatment with the anti-diabetic drug metformin effectively reduces the obese phenotypes in the high-fat diet (HFD)-fed mice, attributing to remission of hypothalamic inflammation partly through repressing microglial necroptosis. Importantly, using the receptor-interacting protein kinase 1 inhibitor, necrostatin-1s, could not suppress the microglial inflammation nor prevent body weight gain in the obese mice, indicating that the microglial necroptosis is RIPK1-independent. Altogether, these findings offer new insights into hypothalamic inflammation in diet-induced obesity and provide a novel mechanism of action for metformin in obesity treatment.

Identifiers

PMID34750365
PMCPMC8575871
OpenAlexW3213269398

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Registered trials

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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.